Interventional Radiology PA - Scripps Green Hospital, La Jolla CA 4/2024 - present
- Procedural PA Role (50% of shifts)
- Independently perform Ultrasound-guided paracentesis, thoracentesis, thyroid FNA, lymph node biopsy (cervical, axillary, and inguinal), soft tissue mass biopsy, fat pad biopsy, and abscess aspiration procedures
- Review imaging of target lesions for biopsy prior to each case for surgical planning
- Complete a thorough consent process with each patient prior to time-outs
- Work collaboratively with cytotechnologists or pathologists, US techs, and nurses assisting with each case
- Document pre and post-procedure notes in the Epic EMR
- Protocol outpatient procedure orders by reviewing imaging, correlating the order to the plan in referring provider’s note, and ensuring technical feasibility prior to adding on to PA schedule
- Clinical PA Role (50% of shifts)
- Conduct outpatient consult visits for IR procedures such as thyroid RFA, Y90, kyphoplasty, PAE, and UFE. Enter progress notes for each into Epic EMR.
- Consent / ASA score patients undergoing IR procedures with the MD team
- Place orders for the pre and post-op period (ie. consents, IV fluids, antibiotics, pain meds) for all MD patients on shifts where I am the designated clinical PA
- Present inpatient IR consults to the IR1 MD, to determine whether the IR procedure ordered by the inpatient team is indicated, safe, and technically feasible
- Round on inpatients recovering from IR procedures, and assemble progress notes and discharge summaries
- Complete post-operative call-backs and management for pts with any concern after any IR procedure done by one of our MD’s
- Arrange admissions to the hospitalist team for IR pts in need of monitored recovery time following higher risk procedures (ie. TIPS, UFE). Round on these patients the morning after the case, enter a progress note and/or discharge summary into Epic EMR.
Internal Med/Noninvasive Cardiac Testing PA - NYU Langone, FGP Chelsea 10/2022-4/2024
- Internal Medicine
- Conduct internal medicine patient visits including sick visits, routine physicals, pre-operative clearances, mental health consults, PreP follow-ups, ER/hospital visit follow-ups and chronic condition follow-up visits
- Conduct specialized sleep medicine visits involving hypersomnia and sleep apnea
- Promptly document office visit notes, communicate test results to patients, coordinate care with specialists, and respond to patient messages of my panel and the panels of 4 in-house physicians
- Consistently complete and sign office notes the same day as the visits
- Address peer to peer reviews of imaging and sleep studies, to explain their medical necessity and facilitate insurance coverage of the tests
- Provide coverage for a co-provider’s patient portal messages and critical results when he/she is out of office
- Work closely with our attending physicians in order to maintain standard of care
- Cardiac Stress Testing
- Conduct treadmill stress tests, pharmacologic nuclear stress tests (lexiscan, adenosine, and dobutamine), and stress echocardiogram tests
- Complete preliminary interpretations of stress tests, and communicate results
- Utilize the knowledge gained through my ACLS certification to manage acute arrhythmias/cardiac events
- Place and remove IV access, and administer agitated saline and Definity contrast to stress echocardiogram patients when indicated
Primary Care PA - One Medical Union Station, Washington DC 8/2020-7/2022
Primary Care PA - Patel, Ramanan, and Medical Associates, Waldorf, MD 2/2017 - 5/2019
- ● During primary care visits, obtained histories and physicals, devised appropriate diagnostic testing and treatment plans, prescribed medication when appropriate, and documented all patient encounters in the electronic medical record
- ● Completed calls to patients regarding positive laboratory results, imaging reports, and fielded any questions they had regarding their care
- ● Precepted 2 undergraduate students who planned to apply to PA school
Pediatric Emergency Medicine PA - Children’s National ED, Washington DC 9/2016 – 1/2017
- ● Obtained histories and physicals for emergency patient visits, devised assessment and plans, documented all patient encounters in the electronic medical record system
- ● Completed calls to patients regarding positive laboratory results, radiology over-reads, and abnormal EKG results
- ● Performed several clinical procedures including, but not limited to: percutaneous and subcutaneous suturing, incision and drainage, foreign body removal, and burn wound debridement
● Consulted specialists as needed and facilitated admission of patients from the ER to the hospitalist team
