This position reports to the Section Chief of Body Imaging and to the Departmental Chair of Diagnostic Radiology (DR). The purposes of the role are to (1) perform image-guided procedures and fluoroscopy (2) work with and provide guidance to Radiology nurses and technologists in the preparation of patients for image guided procedures and procedural sedation, (3) supervision of nurse- administered moderate sedation for MRI or CT , (4) work collaboratively with clinic management on process improvement projects, and (5) provide education to residents, staff and students as required.

Clinical Responsibilities

• Perform a range of image-guided procedures including US-guided paracentesis, thoracentesis, thyroid and superficial fine needle aspiration and biopsy, ultrasound-sonohysterogram, contrast enhanced ultrasound, CT procedures, MRI-guided prostate biopsy.
• Perform a range of GI fluoroscopy procedures including esophagram, upper GI, feeding tube manipulation, contrast enema, air enema for intussusception reduction, cystogram, fluoroscopic hysterosalpingogram, fistulogram, joint aspiration and injection, lumbar puncture and other procedures.
• Supervise moderate sedation administered by radiology RNs and oversee mild sedation/anxiolytics when needed.
• Supervise x-ray technologists who perform modified barium swallow.
• Supervise residents performing the above procedures.
• Dictate preliminary radiologic findings and review images with supervising radiologists.
• Supervise procedure-related recovery and respond to complications, coordinating clinical care, consultation, admission or ED-transfer.
• Help manage preprocedural medical issues in coordination with radiology RNs and consultation with radiologists such as anticoagulation, antibiotics, allergies, etc.
• Work closely with Xray, US, CT, MRI radiology lead techs and managers to implement process improvement
• Communicate with attending physicians regarding a patient's condition, treatment plans, and urgent medical needs.
• Communicate with patients and family regarding their imaging findings. Review imaging as appropriate with patients.
• Adhere to best practice protocols and OHSU specific policies.
• Obtain training and education on safe use of fluoroscopy and radiation safety precautions, and medical staff credentialing approval for signing orders.
• Participate in voluntary evening, weekend, and holiday after-hours on-call coverage, performing any of the above duties.

Education

• Resident/medical student teaching and supervision in performance of radiology procedures.
• Opportunity to teach in a classroom setting to medical students and residents as well as teach hands-on skills in a simulation setting
• Opportunity to participate in weekly teaching rounds
• Collaborate with body section team members and radiology RNs to establish or revise clinical pathways and patient education materials.
• Coordinate onboarding and training of newly hired Advanced Practice Providers (APP).
• Work with clinic and hospital staff to optimize order sets, patient instructions, and other infrastructure that supports patient care.
• Attend and participate in Grand Rounds, OHSU conferences, tumor boards, fellow lectures, national conferences and other learning opportunities as available.

Leadership and Administration (included if APP will be Lead or Manager)

• Participate in the onboarding plan and oversight of new Advanced Practice Providers.
• Maximize communication of APPs in inpatient and outpatient settings through regular meetings and communication.
• Participate in recruitment and hiring of new APPs.
• Work with the APPs to facilitate understanding and consensus regarding proposed changes in departmental and OHSU policies, procedures, practices, and APP roles within the practice.
• Work with clinic staff and division management process improvement efforts towards meeting institutional targets of high quality, cost-efficient patient management.
• Assist HR with recruitment efforts.
• Advocate for APP needs within the Body section and DR Department.

Quality and Research

• Promote use of appropriate research findings in practice to exceed the standards of care.
• Work with the physician leadership, nurse managers, nursing staff and social workers to prevent and/or respond to patient complaints.
• Effectively manage clinic resources.
• Participate as sub-investigator in clinical research studies.

Physician Associate:

• Candidates must have or obtain a State of Oregon Physician Associate license prior to the start date. Candidates must have or be willing to obtain a Limited Fluoroscopy Permit through Oregon Medical Board of Imaging within one year of hire. ACLS/BLS certification required. Membership in professional organization recommended and participation in continuing education is required.

Fluoroscopy Requirements:

• The applicant already possesses or will obtain a limited fluoroscopy permit through the Oregon Board of Medical Imaging within 1 year of hire.

For Physician Associates applying for Oregon Board of Medical Imaging Permanent Limited Fluoroscopy Permit:

• Complete the didactic experience in the AAPA/ASRT Fluoroscopy Educational Framework examination preparation course referred to as the “fluoroscopy framework";
  • Receive a passing score and obtain a certificate the post-test didactic component of the “fluoroscopy framework";
  • Obtain the clinical portion of the AAPA/ASRT framework clinical experience as detailed below;
  • Apply for and Pass the ARRT fluoroscopy examination;
  • Apply for and obtain the limited fluoroscopy permit from the OBMI.
  • Further information: https://www.oregon.gov/obmi/lp/Pages/p-permit.aspx

• Radiology experience preferred or if none, procedural and/or clinical surgical experience.

This position reports to (supervisor): This position reports to the Section Chief of Body Imaging and to the Departmental Chair of Diagnostic Radiology (DR).

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.