The physician extender or family nurse practitioner will have numerous telephone contacts with patients, their families, home health care agencies and pharmacies. At any time during the day, the physician extender is required to handle telephone communications with patients, patient's families, referring physicians, social workers and other allied health professionals. The physician extender will document the nature of these telephone communications and report to the division's attending physician when deeded necessary. The physician extender will be responsible for monitoring and supervising the exercise and pharmacological stress testing. The physician extender is responsible for the care of those patients seen on an outpatient basis. The patients seen in this setting are those who are undergoing an exercise or pharmacologic stress radionuclide and/or echo, and/or exercise electrocardiogram (treadmill test). The physician extender determines the clinical needs of the patients independently and recommends therapeutic and protocol changes, adjusts medications, orders laboratory tests and alerts physicians in emergency situations. Clinical evaluation includes history and physical examination and collecting/recording pertinent data for laboratory studies. Information obtained from the history and physical examination, the patient's family, other physicians, nurses and allied health professionals is used to form a comprehensive plan of care for each patient. The physician extender will be expected to prepare intravenous medications and administer intravenous medications and to perform certain diagnostic and therapeutic invasive procedures. He/she should have prior training and/or experience in performing these procedures; training can be provided by division physicians. Upon the patient's discharge from the lab, the extender will be responsible for ensuring that all appropriate referrals and appointments are made and given to the patient. The extender will also communicate with patient and families, other physicians, nursing and other members of the health care team in order that patient care is coordinated. The physician extender will also function as a resource person for all personnel involved in the care of the patient. Medical Documentation/Reporting and Medical Education/Teaching Activities Maintenance of records is critical to continuity of care. The physician extender must document in the electronic medical record all the information obtained through history and physical examination, follow-up visits and telephone contracts with the patient, pharmacies, social services, home health agencies and other allied health care professionals in order to maintain a continuous database on the patient. Computerized medical records are use in this practice environment. The physician extender will gather/analyze statistical data to predict referral patterns, patient complications and problems with quality assurance relevant to current and future patient care improvement as assigned by the attending outreach physician. These data are stored and maintained in a computerized database and analyzed on an ongoing basis in order to update therapeutic and diagnostic practices. The physician extender will also be involved in medical education. The physician extender acts as an educator to the patients regarding psychosocial effects, treatment regimen, follow-up scans, and evaluation (blood testing). He/she is involved in the education of medical professionals. This will include the in-service training of medical personnel such as nurses, medical students and residents in the treatment and care of cancer patients. In order to stay abreast of developments in the management of patients with coronary artery disease, arrhythmia, valvular heart disease and congestive heart failure, the physician extender must read relevant publications, attend regional and national meetings and network with other health care professionals and cardiology faculty. Activities involve development of educational materials, planning and implementation of clinical demonstration training sessions and evaluation of participant performance.
CLINICALSUPPORTPOSITION – NOTSUBJECT TO STATEHUMANRESOURCESACT.
The ECU Brody School of Medicine is affiliated with Vidant Medical Center. Vidant Medical Center is the flagship hospital for Vidant Health and serves as the teaching hospital for the Brody School of Medicine at East Carolina University.
Special Instructions To Application:
Please ensure your full range of knowledge, skills, abilities, experience and education are listed on your application. Do not write ‘see resume’ on your application when completing the job duties section.
If you answer the questions at the end of the application, please ensure your application reflects the knowledge, skills, abilities and experiences to support your answers (see job duties section of previous employment).
Failure to answer the questions at the end of the application will not preclude your application from being considered but may result in your application not receiving full consideration of your knowledge, skills, and abilities.
Graduation from a physician assistant program approved by the N.C. Board of Medical Examiners and “approved to practice medical acts” based on education and experience by the Board of Medical Examiners and two years of experience in the specialty area of assignment; or licensed as a registered nurse by the Board of Nursing and graduation from a nurse practitioner program approved by the N.C. Joint Subcommittee, and two years of experience in the specialty area of assignment; or an equivalent combination of education and experience. All degrees must be received from appropriately accredited institutions.
Full time or Part time: Full Time
Position Location (city): Greenville
Position Number: 969072
Organizational Unit Overview:
The Brody School of Department at East Carolina University (ECU) is composed of 18 departments which function to: 1) provide health care for the citizens of eastern North Carolina; 2) educate primary care physicians to meet the health care needs of eastern North Carolina; and 3) make medical education available to minority and disadvantaged people. The Department of Cardiovascular Sciences (herein referred to as Cardiovascular Sciences or CVS) is the university’s newest department, and is a primary contributor to the School’s mission of medical education, patient care, research, and The Brody School of Department at East Carolina University (ECU) is composed of 18 departments which function to: 1) provide health care for the citizens of eastern North Carolina; 2) educate primary care physicians to meet the health care needs of eastern North Carolina; and 3) make medical education available to minority and disadvantaged people. The Department of Cardiovascular Sciences (herein referred to as Cardiovascular Sciences or CVS) is the university’s newest department, and is a primary contributor to the School’s mission of medical education, patient care, research, and community service.
Playing an important role in the Brody School of Department’s academic group practice, the Department of Cardiovascular Sciences consists of the Department Chairman, two Medical Directors of Clinical Services, four leadership core units (Department Administrator, CVS Operations Committee/Section Chiefs, Nurse Administrator, and Vice Chairman and Director of Research), and seven clinical and educational divisions. The primary roles of education (students, residents, fellows and continuing medical education), clinical services (Structural Heart Disease, Electrophysiology & Arrhythmias, Heart Failure, Primary and Secondary Prevention, and Vascular Diseases), research (clinical and basic bench research in cardiovascular clinical care, clinical trials to develop new treatments for cardiovascular disease, educational programs for local, regional, and national health care providers, and wellness and prevention programs), academic affairs/faculty development, and administration (business and clinical support services) are led by the Department Chairman and CVS Operations Committee. (Please reference organizational chart).
The clinical sections represented in Cardiovascular Diseases include: Structural Heart Disease, Electrophysiology & Arrhythmias, Heart Failure, Primary and Secondary Prevention, and Vascular Diseases. There are currently 37 MD and PhD faculty members, 15 Fellows, and 16 Physician Extenders and Cardiovascular Sciences Technicians.
A clinical, administrative, and research support staff numbering nearly 100 CSS and SPA employees provides support to the Department of Cardiovascular Sciences’ faculty and learner groups. Subspecialty fellows (fully trained internists receiving training in a clinical subspecialty within Cardiovascular Sciences and Internal Department) currently number fifteen.
The majority of the department’s educational, clinical and research activities take place within the context of the East Carolina University Brody School of Department and the University Health Systems of Eastern North Carolina-Pitt County. The central component of the medical center will be the new East Carolina Heart Institute (ECHI). Designed to be a world-class cardiovascular destination offering state-of-the-art medical technology, education, and research in one location, the East Carolina Heart Institute is composed of three main partners Vidant Medical Center, East Carolina University, and private practice practitioners. The Institute is committed to superior patient care, collaborative research, and continuous training and education. The East Carolina Heart Institute is the umbrella name for the two facilities that make up the Institute.
To be a national model for student success, public service and regional transformation, East Carolina University uses innovative learning strategies and delivery methods to maximize access; prepares students with the knowledge, skills and values to succeed in a global, multicultural society; develops tomorrow's leaders to serve and inspire positive change; discovers new knowledge and innovations to support a thriving future for eastern North Carolina and beyond; transforms health care, promotes wellness, and reduces health disparities; and improves qualify of life through cultural enrichment, academics, the arts, and athletics. We accomplish our mission through education, research, creative activities, and service while being good stewards of the resources entrusted to us. East Carolina University delivers on the promise of opportunity. We open doors. We improve lives. We transform the present, and we discover the future. In these ways and more, we serve our community, our state, our nation and our world as together we reach toward our greatest potential. Tomorrow starts here.