Physician Assistant - Urology

The Staff Urologist serves as a full-time member of the Surgery Service organization, providing high-quality, evidence-based care to Veterans with conditions of the genitourinary system. The incumbent delivers care through both in-person and virtual modalities / practices under the general supervision of the Chief of Surgery.

Clinical Care

• Provides comprehensive evaluation, diagnosis, and management of adult and geriatric Veterans with a full spectrum of urologic conditions, including benign prostatic hyperplasia, urologic malignancies, hematuria, nephrolithiasis, urinary tract infections, incontinence, and erectile dysfunction.
• Conducts scheduled outpatient clinics (in-person and virtual) for consultation, follow-up, chronic disease management, and ongoing care.
• Develops patient-centered treatment plans based on clinical assessments, diagnostic results, and Veteran goals.

Procedures and Surgical Care

• Performs basic and advanced urologic procedures consistent with granted privileges, including cystoscopy, vasectomy, urodynamic studies, bladder biopsy, orchiectomy, ureteral stent placement, retrograde studies, TURP, TURBT, ureteroscopy, and stone management.
• Provides pre-operative and post-operative care, including history and physical examinations, review of diagnostic studies, surgical assessments, and documentation in the medical record.
• Evaluates patients for changes in health status, lab values, and vital signs prior to surgery.
• Offers consultative Urologic Surgery services appropriate for the ambulatory capabilities of the Manchester VAMC.

Telehealth and Access to Care

• Utilizes VA-approved telehealth platforms, such as Clinical Video Telehealth (CVT), VA Video Connect (VVC), and electronic consults, to extend specialty care throughout the catchment area.
• Ensures timely triage and management of consults, providing recommendations and specialty input to referring providers.

Quality, Compliance, and Collaboration

• Ensures care aligns with VA clinical standards and evidence-based practices.
• Monitors clinical activities for compliance with VA policies and uses findings to improve performance and outcomes.
• Collaborates effectively with interdisciplinary teams, patients, and families to establish and achieve short- and long-term care goals.