This is an elective/outpatient endoscopy coverage request, but the procedures will be performed in an inpatient OR setting. No anesthesia support is provided, as all cases require IV conscious sedation, necessitating conscious sedation privileges. Up to 15 cases can be scheduled each day. One room is available with two RNs, one providing sedation and the other circulating.

The physician is responsible for communicating biopsy results for all procedures directly to the patient or through the designated clinic MA. Coordination for additional steps, including referrals and follow-ups, along with additional imaging, may be necessary. Proficiency in EPIC training (or successful test-out) is required.

Elective/outpatient GI procedural coverage is needed most weeks through 2025. A phone call is not required before confirming an assignment.

Patient Encounters Per Shift: 13-16
Nearest Airports: Yakima Air Terminal, Tri-Cities Airport (PSC)

Requirements:
– Board certified or board certification eligible is a must.
– Minimum Board Certification Eligible.
– ABLS: No
– ACLS: Yes
– ATLS: No
– BLS: No
– PALS: No
– Trauma Level: 3
– Facility PEDs Level: 3

Specialty Skills:
– Internal Medicine – Gastroenterology
– Upper GI endoscopy: Required
– With biopsy: Required
– With foreign body removal: Required
– With fulguration of bleeder (cautery vs. laser): Required
– With injection of varices: Required
– ERCP (endoscopic retrograde cholangiopancreatography): Preferred
– Diagnostic: Preferred
– Therapeutic: Preferred
– With PEG (percutaneous endoscopic gastrostomy): Preferred
– Lower GI endoscopy: Required
– Sigmoidoscopy: Required
– Flexible: Required
– Rigid: Required
– Colonoscopy: Required
– With biopsy: Required
– With excision of polyp: Required

The insertion/management of the Sengstaken/Blakemore tube is preferred, although not mandatory. Estimated credentialing time frame is 45-60 days.