Inpatient Nocturnal Endocrine Advanced Practice Provider; Physician Assistant - Endocrine Neoplasia

Inpatient Nocturnal Endocrine Advanced Practice Provider (Physician Assistant) – Endocrine Neoplasia

MD Anderson's Endocrine Neoplasia and Hormonal Disorders department provides comprehensive diagnostic and treatment services for patients with endocrine system tumors, both malignant and benign. Cancers of endocrine glands are rare, but their optimal treatment requires the same attentive diagnosis and therapy as more common malignancies.

• Thyroid cancer and management of other thyroid disorders
• Cancers and benign tumors of the adrenal glands
• Hyperparathyroidism and parathyroid tumors
• Pituitary tumors
• Pancreatic neuroendocrine tumors
• Multiple endocrine neoplasia (MEN) I and II
• Inherited endocrine tumors, including childhood endocrine tumors

• Provide direct medical skills within scope of practice, as assigned:
  • Comprehensive health assessments, identifying normal/abnormal health characteristics, developing treatment plans, initiating appropriate care and continuously evaluating care outcomes.
  • Manage endocrine effects of chemotherapy agents; assess glucose needs and lipid control; manage multiple‑dose insulin and insulin pumps; manage recently discharged patients for insulin titration.
• Use judgment to work autonomously as defined by the nurse practice act or to collaborate with the healthcare team to manage client care throughout the continuum of care and in a variety of settings.
• Attend Diabetes Services Meetings and Division of Internal Medicine Grand Rounds.
• Share responsibility with other department advanced practice professionals for coverage of inpatient services, triage new patients and consultations, and coordination of scheduling of these patients.
• Primary assignment varies based upon the needs of the clinical practice and available staff. The primary assignment of this position is:
  • Inpatient Night Shift Endocrinology‑Diabetes:
    • Provides initial assessment and management of urgent issues related to complex, critical endocrinology–diabetes needs at night across the institution; oversight by Endocrinology‑Diabetes Attending on Service.
    • Provides post‑admission assessment for night‑time admissions of patients with diabetes; oversight by Endocrinology‑Diabetes Attending on Service.
  • Perform inpatient consultations and follow‑up visits, as assigned by Endocrine and/or Diabetes Attending on Service.
  • Perform follow‑up of inpatients who have undergone surgery, admitted for observation, and previously seen by department faculty physicians and/or advanced practice providers.
  • Manage care of high‑risk Diabetes inpatients previously seen by department faculty physicians and/or AP‑providers, e.g., insulin pump, Type 1 Diabetes, and those on concentrated insulin.
  • Review endocrine discharge instructions on patients pending discharge. Assist with test claims for inpatients pending discharge to ensure patients have appropriate diabetes medications.
  • Retrieve and review labs, glucose monitoring results on all patients followed by inpatient.
  • Diabetes Service
    • Round on patients not seen by day team to ensure glycemic control.
    • Target insulin titration for patients with blood sugar outside of target values.
    • Facilitate communication with faculty and day shift APP team; update IPASS (handoff) information and indicate follow‑up items needed.
    • Respond to overnight call from patients or clinical team members.
    • Respond to requests from askMDAnderson on patient care concerns who have been recently discharged.
  • Dictate notes on consult and follow‑up patients.
• Patient Care
  • Provide excellent patient care in relation to the patient’s…