Interventional pulmonology (IP) is a sub-division of pulmonary medicine where the focus is on providing expert consultation and performing minimally invasive diagnostic and therapeutic procedures for a variety complex airway, parenchymal and pleural diseases. Much of the work is in thoracic oncology and a portion involve non-malignant, or “benign”, diseases of the thorax. An IP service’s capabilities range from providing early detection and diagnosis of thoracic malignancies to palliation in advanced disease. The APP in this role would be working in a multidisciplinary team model in partnership with the IP attending in evaluating and managing many of these patients. The APP is also expected to work independently in medical decision-making, care-coordination, interpreting reports from diagnostic imaging, pathology, and other clinical studies within the scope of their training and responsibilities. Opportunities to directly perform unsupervised minor procedures and independently interpret diagnostic studies are available. Work environment is a mix of in-patient and out-patient settings.

The APP faculty works in collaboration with faculty physicians, fellows and residents to provide high quality clinical care and provide education and training to learners. The APP faculty works in conjunction with other faculty and OHSU leadership to promote OHSU’s missions of excellence in patient care, teaching, research, and public service in a 24/7/365 environment; as well as the strategic goals to excel in patient safety, quality, cost-effective and efficient care.

The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.

Clinical: The primary duties include direct and indirect patient care, including: 

• Perform in-patient consultation and follow up
• Pre-procedure H&P and consents
• Present patients at multidisciplinary thoracic tumor board
• Assist with procedures based on experience and comfort level (optional)
• Independently perform basic pleural procedures (optional)
• Patient education (PleurX training, shared decision-making, tobacco cessation counseling, trach education, etc.)
• Follow up and manage patients with tracheostomies performed by IP
• Participation in clinical trials
• New and follow up consultation visits
• Collaborate with RN in patient navigation (procedures, referrals to specialists, diagnostic studies, etc.)
• Manage in-basket messages, mychart messages, and triage referrals.
• Perform medical reviews for new referrals.
• Pre-procedure and pre-op evaluation.
• Order diagnostic studies/procedures.
• Review results from radiology, pathology, lab work, and other diagnostic studies
• Present patients at multidisciplinary thoracic tumor board
• Overlap with Lung nodule program
• Develop and maintain clinical and research databases
• Patient education
• Independently perform QA/QI of the IP service
  
  • The APP faculty is expected to work 32 hrs/week direct patient care, 45 weeks/year; variable evening, weekend and holiday coverage by specialty. Minimum 4 hours/week reserved for indirect patient care; 4 hours/week for faculty pursuits.

Education and Quality Improvement: This position participates in the division’s teaching activities, including divisional conferences, student and fellow didactics and on OHSU committees as expected and approved by the Division and Department.

Specific expectations also include:

• Orientation and education of trainees and nursing staff on the care standards and protocols for the IP service. 
• Education of nursing staff, fellows, residents and medical students in formal and informal settings. 
• Participation in all relevant conferences and team meetings. 
• Collaboration with multidisciplinary and interprofessional care team members to establish or revise clinical pathways and patient education materials.

Administration: There are no specific administrative responsibilities assigned at this time. Administrative and other duties may be assigned based on department needs and your areas of expertise and interest, including opportunities to participate in departmental management and to serve on institutional committees.

Nursing Advanced Practice Provider

• Successful completion of a Master Degree in Nursing or Master of Science in Nursing in the specialty of Adult-Gerontology Acute Care Nurse Practitioner (AG ACNP), Adult Gerontology Primary Care Nurse Practitioner, or Family Nurse Practitioner, from an accredited program. 
• Current RN and NP licensure with the Oregon Board of Nursing. 
• Current ANCC Certification in the area of specialization.
• Current ACLS certification. 
• DEA certification

Physician Assistant Advanced Practice Provider

• Successful completion of a Master Degree in Physician Assistant Studies from an accredited program. 
• Current PA licensure with the Oregon Medical Board.
• Current NCCPA Certification.  
• Current ACLS certification. 
• DEA certification

In addition to the above:  

• Minimum 2 years experience as an Advanced Practice Provider

• Experience in preforming and/or assisting in pulmonary procedures is desired.
• Prior work experience in general Pulmonary, ICU, IR or Thoracic surgery strongly preferred.

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.