Provide medical care and treatment under the direction and responsibility of a physician. See new and follow-up patients and provide intervention that is problem oriented for their urological conditions. Clinical areas include Incontinence, Overactive Bladder, UTI management. Care will be provided in an Ambulatory Care clinic setting serving an adult patient population. Clinic sites may include the Taubman Health Center, Livonia Center for Specialty Care, and the Brighton Center for Specialty Care.
Duties and Responsibilities
Under authority of a designated supervising physician, effectively evaluate and manage the care of adult Neurourology and Pelvic Reconstructive patients
See new and follow-up patients and provide intervention that is problem oriented for their urological conditions
Obtain a relevant health and medical history
Perform a physical examination based on age and history
Conduct preventive screening procedures based on age and history
Identify actual and potential health problems and needs
Update and record changes in health status
Formulate the appropriate diagnoses based on the history, physical examination, and clinical findings
Identify needs of the individual, family, or community as a result of the evaluation of the collected data
Establish priorities and a mutually acceptable plan of care to maximize the health potential of the individual, family, or community.
Order appropriate diagnostic tests and laboratory test
Identify appropriate pharmacologic agents
Identify non-pharmacologic interventions
Develop a client/family education plan
Base interventions upon scientific principles, theoretical knowledge, and clinical expertise; individual to the specific situation; and consistent with teaching and learning opportunities. The interventions may include:
conducting and interpreting diagnostic tests
prescribing pharmacologic agents
prescribing non-pharmacologic therapies
providing relevant patient education
making appropriate referrals to other health professionals and community agencies
Provide education to patients regarding their urologic care including catheter care and intermittent self-catheterization
Document care according to University of Michigan Health System standards
Update patient problem summary list including medications, diagnoses, allergies, procedures, past medical history, family history, and social history
Follow up on ordered diagnostic tests and labs
Perform History & Physical Pre-operative Assessments to include:
Brief physical examination
Obtaining surgical consent
Detailed review of patient medications
Providing pre-surgical teaching/instruction
Addressing patients’ questions and concerns
Ordering additional labs and diagnostic testing as needed
Present patients, when appropriate, to the supervising physician and assist in care, treatment, and follow-up as needed
Review and interpret urologic studies, including post void residual, cystometrograms, and uroflows.
Assist with urologic studies such as flourourodynamics and cystoscopies.
Provide phone consultation/triage for patient concerns and prescription refills.
Work collaboratively with supervising physicians in clinic to assist in seeing patients and increasing clinic efficiency
Conduct return visit clinic to allow supervising physicians increased clinic time for new and complex patients
Work collaboratively with supervising physicians, other midlevel providers, and clinic personnel to successfully deliver high quality care to our Urology patient population
Assist in the evaluation and improvement of processes and supplies
Analyze, compare, and evaluate various courses of action and have the responsibility to make independent decisions free from immediate direction within the scope of his/her assignments
Maintain flexibility while providing efficient and effective support to providers and patients
Assist in surgical procedures as directed by attending physician.
Participate in post procedure follow-up and writes orders for appropriate medical care.
Advise patients regarding their urologic condition, wound care, and pre and post operative care.
Participate in clinical trials
Other duties as assigned
Administrative and functional supervision received from J. Quentin Clemens, M.D.
Satisfactory completion of a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), or one of its predecessor agencies, CAHEA or CAAHEP.
Certification by the National Commission on Certification for Physician Assistants (NCCPA).
Current license to practice as a Physician Assistant in the State of Michigan.
DEA and ACLS or ability to apply for DEA (through UMHS) and take ACLS course upon hire.
Experience with surgical patient care.
Excellent interpersonal and patient service skills.
Ability to work with minimal supervision, and as part of a collaborative team.
NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
NOTE: Employment is contingent upon successful completion of the credentialing and privileging process
RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position.
If you have questions regarding this posting or would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at (734) 936-5183 or e-mail UMHS_PArecruit@med.umich.edu. For a current listing of all open PA job opportunities at Michigan Medicine, please visit www.UMHSpa.org.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Under Michigan law, a criminal history check including fingerprinting is required as a condition of transfer or employment for this position.
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The University of Michigan is an equal opportunity/affirmative action employer.
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