PA) Urology, Genitourinary Reconstruction

University of Virginia

24d

About The Position

The Genitourinary Reconstructive Advanced Practice Provider (APP) is an integral member of an academic urology team specializing in the care of patients with complex pelvic floor and lower urinary tract disorders. This role focuses on the evaluation and management of patients with pelvic floor disorders, urinary incontinence, overactive bladder, urinary retention, pelvic organ prolapse, genitourinary fistula, voiding dysfunction, urinary tract infections, neurogenic bladder, and complications related to prior pelvic or urologic surgery. The position is structured with initially supervised clinical practice and a defined progression to independent practice, based on demonstrated competency, institutional privileging, and departmental approval. The APP practices in close collaboration with fellowship-trained faculty in endourology, genitourinary reconstructive surgery, and urogynecologic pelvic surgery within a tertiary and quaternary academic referral center.

Requirements

Education: Graduate of an accredited graduate school of nursing or physician assistant program with a master’s degree.
Experience: Department and unit specific.
Licensure: License or license eligible as an Advance Practice Provider (Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set forth by the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of UVA Health System, the Virginia Board of Medicine or the Virginia Board of Nursing, and appropriate certifying bodies. Current Basic Life Support (BLS) required. Current PALS/NRP, as required, specific to position. Advanced Cardiac Life Support (ACLS) as required, specific to position.

Responsibilities

Documents clinical encounters in the electronic health record in a timely and accurate manner
Coordinates care with internal and external providers, schools, and community agencies
Participates in clinic workflow processes that support access, continuity, and quality of care
Assists with care coordination, referrals, and follow up planning for patients with complex needs
Practices in accordance with state regulations, scope of practice, and institutional policies
Engages in continuing education related to child and adolescent psychiatry and psychopharmacology
Participates in team meetings, case discussions, and interdisciplinary collaboration
Contributes to a respectful, family centered, and culturally responsive care environment
Evaluate and manage patients with pelvic floor disorders, including pelvic organ prolapse, stress urinary incontinence, urgency urinary incontinence, mixed incontinence, and overactive bladder. This will include performance and interpretation of urodynamic studies, flow rate and post void residuals, bladder diaries as well as other diagnostic testing related to these specialty diagnoses.
Provide comprehensive care for patients with genitourinary fistula, urethral stricture disease, urinary retention, voiding dysfunction, neurogenic bladder, recurrent urinary tract infections and post-surgical complications
Obtain detailed urologic, gynecologic, obstetric (when applicable), sexual, and surgical histories
Perform focused genitourinary and pelvic examinations, including prolapse assessment
Develop and implement individualized, evidence-based treatment plans in collaboration with attending physicians
Provide longitudinal management of chronic pelvic and lower urinary tract conditions
Interpret and apply diagnostic studies including urodynamics, cystoscopy findings, imaging, and laboratory results
Coordinate multidisciplinary care with pelvic floor physical therapy, urogynecology, gynecology, colorectal surgery, transplant, nursing, and referring providers
Provide pre-operative counseling, perioperative coordination, and post-operative follow-up care
Flexible cystoscopy
Urethral dilation and difficult catheter placement
Foley catheter insertion, exchange, and troubleshooting
Suprapubic tube exchanges and management
Voiding trials and post-void residual assessment
Urodynamic testing, including performance and interpretation
Assistance with and interpretation of retrograde urethrograms (RUG) and voiding cystourethrograms (VCUG), nephrostograms, looporams and other related studies when applicable
Intravesical instillations, including botulinum toxin for overactive bladder (when credentialed)
Pessary evaluation, fitting, counseling, and management (if included in institutional scope)
Minor postoperative wound care and vaginal, perineal, or genital assessments
Management of urinary diversion appliances and stoma care, when applicable
Assist in supervision of learners in urologic clinics and procedural settings
Contribute to departmental conferences, urologic case conferences, and morbidity and mortality reviews
Support clinical research, registries, and quality improvement initiatives related to their urologic specialty
Supports the educational mission of the division through collaboration with trainees and learners when appropriate
Participates in quality improvement initiatives aimed at enhancing access and clinical care
Serves as a clinical liaison with community partners to strengthen care coordination
Demonstrates accountability, teamwork, and commitment to the mission of pediatric behavioral health services