Physician Assistant - Otolaryngology

Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

OTO Admin Leadership

Job Summary:

The Physician Assistant (PA) within the ambulatory clinic setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The PA functions primarily as an independent clinician in the outpatient setting. The PA is typically on a service-aligned team managing an independent panel of patients while also supporting new patient access and post-operative care. The PA may have responsibilities for same patient population during follow up outpatient visits. The PA has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The PA demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.

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Department Summary:

Vanderbilt Otolaryngology-Head & Neck Surgery (O-HNS) offers collaborative ear, nose, and throat care in a comfortable community setting. Our team works closely with other specialists across Vanderbilt Health to help manage a patient’s care, including allergists, gastroenterologists, neurologists, pulmonologists, or audiologists. Vanderbilt Otolaryngology-Head & Neck Surgery offers convenient in-office procedures for several issues, including balloon sinuplasty.

Patient Care Excellence

Similar to a private ENT practice, Vanderbilt Otolaryngology-Head & Neck Surgery offers patients quick, comprehensive attention to a variety of ear, nose, and throat issues. Collaboration is a distinguishing characteristic of our practice. Patients have access to specialists within other Vanderbilt Otolaryngology-Head & Neck Surgery groups, as well as to the diagnostic testing, clinical trials, and the latest research and treatment options available at Vanderbilt.

KEY RESPONSIBILITIES
• Assessment of Health Status
• Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patients.
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• The Physician Assistant may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
• Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
• Coordinates daily rounds with the Attending physician teams, presents 24 hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day.
• Diagnosis
• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and orders appropriate interventions
• Formulates Plan of Care
• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
• Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care
• Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected