NP/PA - Aging and Alzheimer's Disease (CCI)

This position reports to (supervisor): Chair Dept of Neurology and Head Division of Aging and Alzheimer division

The Oregon Layton Aging & Alzheimers Disease Center (OADC) closely integrates its clinical mission with its designation as an NIAfunded Alzheimers Disease Research Center. The Memory Assessment and Aging & Alzheimers clinics are conducted at the OHSU CHH1 clinic staffed by specialtytrained cognitive or geriatric neurologists a geriatric psychiatrist a geriatric nurse practitioner two nurse specialists a social worker and two neuropsychologists. Geriatric neurology and psychiatry fellows are also typically a part of the overall clinical team. This highly experienced specialty team is widely sought in our region for consultation (about 40% of cases come from outside the Portland metropolitan area) for patients with adult onset cognitive disorders (e.g. TBI chemobrain genetic disorders) and the dementias. Many families are seeking advice for advanced management or clinical trial participation. Because of the tremendous and growing demand for assessment and consultation services appointments are by referral from neurologists and related specialists. All new patients seen at the OADC clinics are presented at a weekly team meeting where a case review is conducted and standardized diagnoses are assigned; this is part of the OADC research center process.

The Advanced Practice Provider is a faculty member credentialed and privileged to serve as a Physician Associate or Nurse Practitioner.

The position involves a mix of clinical responsibilities that include seeing patients in ambulatory clinics (8 sessions/week).

Clinical Responsibilities:

• Development implementation and evaluation of clinical plans of care or guidelines for patients with common dementia and aging related conditions diagnoses and/or procedures.
• Assure the safe efficient high quality and customeroriented management including but not limited to completing a comprehensive assessment of the patients status.
• Developing monitoring and revising evidencebased treatment plans that addresses diagnoses patterns of disease risk factors and treatment alternatives.
• Interpret diagnostic tests prescribe and manage medications and other therapies.
• Management and treatment of common acute and chronic health diagnoses.
• Provide health teaching with an emphasis on prevention of illness and health maintenance.
• Refer patients to other healthcare professionals as necessary.

Education/Advocacy:

• Provides clinical education to fellows residents medical and APP students participating in neurology rotations.
• Provide feedback and evaluation both formally and informally of learners and trainees.
• Education and evaluation of OHSU nursing students who rotate through outpatient clinics.

Scholarship/Research:

• APP faculty are expected to have some scholarly activity. This may include research grant supported work quality improvement projects academic papers and/or presentations in disciplines related to their field of expertise.
• APP faculty members are often called upon to partner with other providers and members of the department or division research support staff in research activity. Roles include coinvestigator and subinvestigator on protocols. Independent APP investigatorinitiated projects are also encouraged and supported.
• Membership in local and national groups related to neurology is encouraged and attendance at national meetings is supported particularly if faculty have participated in research or other work that will be presented.

Administrative Activities:

• Participation in faculty meetings at the division department APP and organizational level.
• Attending relevant conferences/committees as assigned by Division head or APP Leadership.
• Academic and professional development through attendance and/or participation at national/regional conferences is strongly encouraged.

• Masters Degree or higher as required by specific Advanced Practice Provider role:

• • Physician Associate requirements
    • Current & Active Physician Associate license for State of Oregon
    • Current Physician Associate National Board Certification
  • Nurse Practitioner requirements
    • Adult or Family Nurse Practitioner license for the state of Oregon
    • State of Oregon Nurse Practitioner Prescriptive Privileges
    • National Board Certification

• Current active DEA license
• Ability to manage a heavy workload with multiple priorities and inflexible deadlines
• Ability to communicate effectively verbally and in writing
• Proficient in the use of computing hardware and software including personal computing equipment electronic medical record word processing and spreadsheet software
• Regular and consistent attendance at work