BASIC FUNCTION AND RESPONSIBILITY

Assist the faculty in performance of direct patient care services for adult general Gastroenterology and to perform direct patient care services under faculty supervision.

CHARACTERISTIC DUTIES AND RESPONSIBILITIES

I. Outpatient Clinics

A. New patients assigned to the outpatient clinics:

Prepare a complete, detailed, and accurate initial patient history and perform a complete physical exam of selected patients in the outpatient clinic.

Present the history and physical exam to the GI faculty and participate in potential re-examination of the patient by the faculty.

Develop a diagnostic and therapeutic management plan under faculty supervision.

Order and follow up on laboratory tests, X-rays, GI procedures, and ultrasound procedures.

Coordinate and triage emergency add-on patients.

Develop and carry out a plan for surveillance of patients with GI disorders. This will include performing an appropriate interval history and physical examination, facilitation of the surveillance procedure, follow-up and reporting of the results, arrangements for repeat examination at appropriate intervals and development of a patient registry and data base.

With respect to the above outpatient procedures, the physician’s assistant will be expected to participate in discussion and interpretation of study results and correspondence with house staff and referring physicians as needed.

The PA will also be accountable for patient education, the informed consent process, serve as a resource for patients’ questions/concerns, monitor patient adherence to dietary restrictions, and preparation of the patient for procedures.

The PA will perform procedure consent and history and physicals (H&P) in the Preoperative-OR Procedure unit at MCD as desired.

Follow-up daily on select inpatient consults.

Coordinate inpatient procedure with Pre-operative-OR teams.

Provider post discharge urgent follow-up for patients seen on inpatient consult service.

Maintain responsibility for handling all details including follow-up related to the following procedures: Twenty-four-hour pH probe; endoscopy of the upper GI tract (including esophagus, stomach, and proximal duodenum with brushing, biopsy, culture and aspiration of fluid were needed); proctoscopy, rigid and flexible sigmoidoscopy and colonoscopy; breath hydrogen testing for disaccharide intolerances; gastric emptying, gastrointestinal manometric and sensory testing; and other activities related to the patient’s gastrointestinal problems that may be deemed appropriate by faculty.

Follow general policies and procedures in accordance with the regulations of The University of Iowa, College of Medicine, and the Department of Internal Medicine.

Perform other duties as assigned.

The department intends to hire for one position as either an ARNP, requisition 24004259 or PA, requisition 24004258, based on the qualifications of the successful candidate. Please apply to the specific position for which you which to be considered or both.