This position provides patient care in accordance with allied health privileges granted by OHSU. The practitioner is under the supervision of the Section Head for Community Oncology and provides patient care consistent with the credentials and the philosophy of the Department of Medicine, University Hospitals and Clinics.
Allow for additional provider coverage in our Community Oncology Clinics. Seeing up to 15 patients a day, address urgent needs and evaluate the patient situation and determine the tolerance of the treatment, review labs, and modify orders as needed. See new patients in conjunction with attending physician. Write chemotherapy orders when treatment plan has been initiated by attending physician in compliance with credentialed privileges. Manage patient anticoagulation, as appropriate. Work closely with phone triage staff to manage patient issues and problems and see patients emergently as add-on/walk-ins as appropriate or requested by attending physician. Admits patients to community hospitals as appropriate in collaboration with attending physician. Rounds on patient in community hospitals as requested by attending physician in compliance with community hospital credentialed privileges.
Elicits patient history pertinent to current disease status and treatment
Performs physical examination
Analyzes patient information and laboratory data to form differential diagnoses
Formulates plan of care obtaining any additional lab tests or studies, arranging return visits, providing appropriate patient education or referrals/consults for newly identified problems
Arranges support services as needed through referrals to Community Oncology Social Worker.
Participates in tumor conferences and treatment conferences.
Participates in care of patients enrolled in clinical trials.
Contacts attending physician or site specific physician to discuss emergent situations and plans as appropriate .
Recognizes and manages unusual or untoward reactions to conditioning or chemotherapy regimens and contacts attending physician as appropriate.
Provides education for patients about their disease, treatment and potential complications
Discusses risks/benefits when prescribing medications or treatments.
Provides patient care based on the \u201cPatient Bill of Rights\u201d
Respects patient diversity in beliefs and health care concerns
Assists patient in problem solving health care concerns.
Documentation of Practice
Records all patient visits including lab results, medication changes, current plan of care, return visits and new problems in the inpatient or outpatient charts.
Dictates all outpatient progress notes, HPI\u2019s, hospital admission H&P\u2019s and discharge summaries into appropriate medical record .
6. On-Call Duties
Only as back-up for attending physician.
Assists in identifying patients eligible for clinical trials
Participates in research projects as appropriate
Uses research and evidence based practice in the delivery of quality patient care.
Uses customer service/service excellence philosophy in all interactions with patients and families as well as colleagues and other internal and external customers.
Tailors patient care to meet individual needs.
Identifies opportunities to improve customer service within the clinics and communicates them to colleagues, managers and administration as appropriate to effect change.
Education of Others
Is appointed as faculty by the school for which services are employed. A faculty position encompasses education, practice, research and community outreach. More specifically,
Participates in the development of patient education tools and programs
Provides individualized patient education on aspects of Oncology
Assumes responsibility for educating others on aspects of Oncology and hematologic malignancies.
Provides student lectures and learning materials as requested.
Participates in the teaching of medical students, house staff and fellows
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and r...esearch. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm