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.

 

This position reports to (supervisor): Darin M. Friess, MD, MPH, Chair

The position will work with the Orthopaedic physicians to provide support and coordinate patient care. Overall responsibilities include accountability for planning, coordination, and delivery of clinical services within the Adventist Health Portland Orthopaedics clinic. The position provides leadership and guidance in the area of outpatient care and clinical support operations, with some potential for inpatient activity. Works in conjunction with the Department Chairman, Vice-Chair, Department Administrator, and Service Line Medical Directors to provide services to further the University’s mission and goals of teaching, research, patient care, outreach and public service and the Department’s/Hospital’s goal of providing effective, efficient care. Provides clinical modeling and education to departmental staff and house staff as outlined.

 

The PA delivers preventive, primary and acute healthcare services to individuals of all ages; provides advanced education to students, peers and others; and contributes to new knowledge with the option of participating in research activities. This position will be providing clinical support for multiple locations, including our main campus and off-site clinic locations. Surgical first assist support and some inpatient rounding and discharge will be provided at our partner site, Adventist Health Portland.

Education and Qualifications:

• Current Physician Assistant license and registration with the Oregon Board of Medical Examiners as a licensed Physician Assistant
• Prescriptive authority (DEA License)
• Current CPR Certification
• Master’s Degree as required by specific Advanced Practice Provider role
• 1 – 5 years clinical experience as an APP that demonstrates ability to fulfill responsibilities for the specific role.

Clinical Responsibilities:

• Independently evaluates new patients in the clinic and follow-up visits with physician oversight and monitoring as needed
• Developing patient care plans to ensure continuity of care and enhance quality of orthopedic outpatient care
• Performs preoperative evaluations for orthopedic procedures
• Manage health care and wound care during acute and chronic phases of treatment
• Coordinate ancillary services, such as radiology; Promote and maintain health through the use of ancillary services, educational materials and counseling of patients and families
• Document plan of care in medical record (EMR)
• Daily updates to referring providers by phone, e-mail, and fax
• Resource to inpatient nursing and rehabilitation staff and providers with regard to orthopedic patient care
• Responds to prescription refills and refill/justification for durable medical equipment
• Track laboratory results, culture results and arrange for initiation of treatment or changes in treatment
• Place hospital pre-procedure orders
• Manages pre-operative medical clearance evaluations and follow- up on recommendations
• Provide ED call coverage services such as after-hours floor call from the inpatient unit and after hours/weekend first assist coverage

Patient Education:
Utilizing an interdisciplinary approach in patient education in the outpatient and inpatient settings. This patient education consists of, but not limited to:

• Multi-disciplinary orthopedic screening, diagnosis, disease process and medical management
• Preprocedural preparation and post-procedural care
• Working with Nursing Education to develop, approve, and distribute patient education materials

Participates in ongoing education of staff including but not limited to:

• Organization of in-services for pertinent clinical population, in-service training for identified procedures, and issues regarding quality patient care
• Participates in the education of medical, nursing and physician assistant students and residents by participation in conferences and on the job teaching in the inpatient and outpatient settings

Scholarship:

Support OHSU’s research and scholarship missions by participating in the development and implementation of research projects. This may include but is not limited to:

• Obtaining patient reported outcomes during clinical care
• Treating patients involved in research studies, obtaining consent, and facilitating protocols

There will be opportunities to further develop this aspect of the applicants work depending on desire and capability.

 

Clinical Supervision:

• Deliver individual instruction to support 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 input to the performance of the resident as a provider in the clinical setting

Performance Improvement:

• Keep abreast of changes in field and applies 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.

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.