The Division of Gastrointestinal and General Surgery is a comprehensive team of surgeons focused on the areas of colorectal surgery, esophageal surgery, hernia surgery, treatment of pancreatic cancer and surgical nutrition. Our general surgeons support numerous clinical research trials and actively partner with scientists in the community to develop innovative surgical devices. The general surgery division also encompasses one of the largest residency programs in the country, as well as fellowships in minimally invasive surgery and colorectal surgery. 

 

The Advanced Practice Provider (APP) in this role will deliver consistent, high-quality medical management to inpatients on the Abdominal Wall Surgery service, primarily within acute care units. The APP will work collaboratively with attending faculty, residents, interns and the broader interdisciplinary care team to provide comprehensive, patient-centered care, with a focus on clinical excellence, care coordination, and efficient discharge planning.

 

Clinical Duties-

Assure the safe, efficient, high-quality quality and patient-centered management of care to patients, this includes but is not limited to:

• Completion of comprehensive assessment of the patient’s status; developing, monitoring, and revising, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives;
• Interpret diagnostic tests, prescribe and manage medications and other therapies, provide health teaching with an emphasis on prevention of illness and health maintenance; and, refer patients to other healthcare professionals as necessary.
• Collaborate with interdisciplinary healthcare teams to diagnose and treat abdominal wall surgery patients primarily in an inpatient environment.
• Perform comprehensive histories and physical exams, identifying normal and abnormal findings, including physical, cognitive, and psychosocial status.
• Write accurate and timely progress notes, procedure notes, and admission and transfer orders.
• Order, perform, and interpret screening and diagnostic procedures and tests, and effectively communicate and document information.
• Perform procedures beyond core duties as identified by the abdominal wall surgery group, such as wound and drain management.
• Facilitate communication among patients, families, and staff to promote continuity of care across the healthcare continuum.
• Evaluate quality outcomes for patients receiving care from this team by participating in the development of quality indicators and outcomes dashboard.
• Develop expertise in coordinating and delivering care to patients on the abdominal wall surgery service.
• Collaborate with cross-department specialty care teams and primary care providers in providing consultative care for patients with abdominal wall surgery needs.
• Keep abreast of changes in field and apply knowledge to identify and recommend enhancements to clinical quality, patient experience/satisfaction, length of stay and to achieve improvement that demonstrates a higher standard of care. Assesses and recommends initiatives to improve performance indicators related to patient experience, quality, and costs.

Teaching-

• Support OHSU’s academic missions by participating in the design, development, and assessment of program curricula for professional specialty. This includes course objectives, instructional methods, learning outcomes, projects, and assessment measures.
• Teach program courses as needed according to specified learning outcomes; academic advising and career related counseling for students; monitoring student retention and identifying and assisting at-risk students. May serve as the faculty of record and principle contact for PA/NP students and evaluate the student’s performance.
• Deliver individual instruction to fellows, residents, and other clinical learners to support their personal program of learning in the applicable specialty area. Provide instruction and review of the practices, policies, and procedures in a variety of functions; including but not limited to development of treatment plans, interpretation of clinical diagnostic data; developing orders; patient and family communication and education; management of medical equipment, electronic medical records; performing procedures, and transitioning patients to the next level of care. Assures adherence to the specialty specific protocols, best practices, quality, and organizational indicators. Provides APP input to the residents’ performance as a provider in the clinical setting.

Registration with the Oregon Medical Board as a licensed Physician Assistant, or a Nurse Practitioner license from the Oregon Board of Nursing; Drug Enforcement Association certification required.

• Frequent interruptions in an environment of frequent change and fluctuations.
• May be exposed to excessive auditory and visual stimulation.
• May be required to attend out of town conferences according to OHSU travel and reimbursement policies.
• May be exposed to body fluids, tissue, possible radiation exposure, and infectious processes.
• Subject to computer work for several hours, as needed.
• Able to use all appropriate patient care equipment and office equipment within work area.

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.