U.S. Department of Veterans Affairs
Physician Assistant - Gastroenterology
U.S. Department of Veterans Affairs, San Antonio, Texas, United States, 78208
Overview
Patient centered care at the South Texas Veterans Health Care System (STVHCS), a great tertiary training and research Veteran's hospital. This gastroenterology (GI) position supports this mission through administrative dependability, direct patient care, and support of their section's educational and research activities. Duties
Administrative Duties, Physician Assistant
Will abide by all Veterans Affairs (VA) rules and regulations pertinent to the scope of practice within any VA facility. Be responsible for maintaining current clinical privileges and keeping licensure, CPR/ACLS, and all other appropriate documents and training requirements up to date. Be actively engaged in evaluating and addressing patient and clinic needs. In addition, evaluate clinical performance, and formulate and implement plans to improve the care delivered to our patient population. The supervising physician will abide by all VA facility By Laws regarding the supervision of physician assistants and review of medical charting. The provider will perform administrative duties as directed by the supervising physician or agent of the supervising physician. Complete all required encounter information in the computerized patient record system (CPRS) in a timely manner.
Clinical Duties
Inform patients of biopsy results obtained during endoscopy when the GI staff endoscopist is not available in accordance with established timelines. Assist in reviewing and in the disposition of routine GI consults for triage as needed. Maintain a face-to-face designated clinic or VVS clinic for clinical evaluation and develop treatment plans under direct staff supervision as needed. Work with Nursing staff to address Secure Messaging issues as needed. Transcribe into CPRS routine prescriptions for colonoscopy preparation and refill GI medications as needed and notify by phone or secure messaging. Be available to GI nursing services and technical staff as a consultant for any problems that arise during routine work. Assist gastroenterologists in the endoscopy unit by discussing and educating patients about their endoscopic procedure, complete a pre-anesthesia assessment, place pre-procedure orders and obtain an informed consent. Post-procedurally, discuss with patients the procedure results and provide post-procedural education. Assist with the coordination of care that may result from procedural findings, including but not limited to new diagnoses of malignancy. Review upcoming procedures for indications, contraindications and appropriateness. In cases where procedure orders are found to be contraindicated or not appropriate, discuss the case with available gastroenterologists. Perform elastography of the liver by using FibroScan and entering the interpretive result into CPRS. Be proficient with patient contact with teleconferencing and video communications. May have an independent established clinic for this method of contact. Place community care consults into CPRS if services not available at ALMVAH. Perform other duties as assigned by the GI section chief.
Education
Duties may include teaching and trainee supervision as needed. Maintain continued professional medical training and GI/Hepatology specific training needed to complete the clinical duties as outlined above.
Research Duties (if applicable)
Clinical research conducted by established protocols with prior VA IRB approval may be an option dependent on needed clinical support.
Work and Scheduling
VA offers a comprehensive total rewards package. Work Schedule:
7:30 am to 4:00 pm Telework:
Not Authorized Virtual:
This is not a virtual position. Relocation/Recruitment Incentives:
Not Authorized Permanent Change of Station (PCS):
Not Authorized Requirements
The PA is a dependent practitioner and therefore must have a clearly designated supervising physician with one assigned back-up when first not available. The supervising physician does not have to be on site; however, he or she must be available telephonically for assistance or an alternative physician may be identified verbally to supervise or advise on an as needed basis. The PA will be licensed in a state, territory, or the District of Columbia (D.C.) and should be certified or qualified.
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Patient centered care at the South Texas Veterans Health Care System (STVHCS), a great tertiary training and research Veteran's hospital. This gastroenterology (GI) position supports this mission through administrative dependability, direct patient care, and support of their section's educational and research activities. Duties
Administrative Duties, Physician Assistant
Will abide by all Veterans Affairs (VA) rules and regulations pertinent to the scope of practice within any VA facility. Be responsible for maintaining current clinical privileges and keeping licensure, CPR/ACLS, and all other appropriate documents and training requirements up to date. Be actively engaged in evaluating and addressing patient and clinic needs. In addition, evaluate clinical performance, and formulate and implement plans to improve the care delivered to our patient population. The supervising physician will abide by all VA facility By Laws regarding the supervision of physician assistants and review of medical charting. The provider will perform administrative duties as directed by the supervising physician or agent of the supervising physician. Complete all required encounter information in the computerized patient record system (CPRS) in a timely manner.
Clinical Duties
Inform patients of biopsy results obtained during endoscopy when the GI staff endoscopist is not available in accordance with established timelines. Assist in reviewing and in the disposition of routine GI consults for triage as needed. Maintain a face-to-face designated clinic or VVS clinic for clinical evaluation and develop treatment plans under direct staff supervision as needed. Work with Nursing staff to address Secure Messaging issues as needed. Transcribe into CPRS routine prescriptions for colonoscopy preparation and refill GI medications as needed and notify by phone or secure messaging. Be available to GI nursing services and technical staff as a consultant for any problems that arise during routine work. Assist gastroenterologists in the endoscopy unit by discussing and educating patients about their endoscopic procedure, complete a pre-anesthesia assessment, place pre-procedure orders and obtain an informed consent. Post-procedurally, discuss with patients the procedure results and provide post-procedural education. Assist with the coordination of care that may result from procedural findings, including but not limited to new diagnoses of malignancy. Review upcoming procedures for indications, contraindications and appropriateness. In cases where procedure orders are found to be contraindicated or not appropriate, discuss the case with available gastroenterologists. Perform elastography of the liver by using FibroScan and entering the interpretive result into CPRS. Be proficient with patient contact with teleconferencing and video communications. May have an independent established clinic for this method of contact. Place community care consults into CPRS if services not available at ALMVAH. Perform other duties as assigned by the GI section chief.
Education
Duties may include teaching and trainee supervision as needed. Maintain continued professional medical training and GI/Hepatology specific training needed to complete the clinical duties as outlined above.
Research Duties (if applicable)
Clinical research conducted by established protocols with prior VA IRB approval may be an option dependent on needed clinical support.
Work and Scheduling
VA offers a comprehensive total rewards package. Work Schedule:
7:30 am to 4:00 pm Telework:
Not Authorized Virtual:
This is not a virtual position. Relocation/Recruitment Incentives:
Not Authorized Permanent Change of Station (PCS):
Not Authorized Requirements
The PA is a dependent practitioner and therefore must have a clearly designated supervising physician with one assigned back-up when first not available. The supervising physician does not have to be on site; however, he or she must be available telephonically for assistance or an alternative physician may be identified verbally to supervise or advise on an as needed basis. The PA will be licensed in a state, territory, or the District of Columbia (D.C.) and should be certified or qualified.
#J-18808-Ljbffr