1. Physician Assistant – Gastroenterology Department

A. Key roles and responsibilities

1. Patient assessment and clinical support

- Collect and document patient history, presenting complaints, previous treatment, allergies, and relevant medical records.
- Record vital signs and other observations as per hospital protocol.
- Assist the consultant in reviewing patients with gastrointestinal and hepatobiliary conditions.
- Identify and promptly escalate warning signs such as gastrointestinal bleeding, severe abdominal pain, persistent vomiting, jaundice with deterioration, or altered consciousness.
- Assist in monitoring patients before, during, and after investigations, within assigned competencies.

2. OPD and inpatient management

- Assist with OPD patient flow, clinical documentation, and follow-up coordination.
- Participate in consultant-led inpatient rounds and maintain progress notes as authorized.
- Coordinate laboratory investigations, imaging, referrals, and discharge documentation.
- Monitor pending investigation reports and communicate significant findings promptly to the responsible clinician.
- Educate patients on preparation for investigations, follow-up visits, medication instructions prescribed by the treating doctor, and dietary advice authorized by the clinical team.

3. Endoscopy and procedure coordination

- Coordinate patient preparation for upper GI endoscopy, colonoscopy, and other department-specific procedures.
- Verify that consent, relevant reports, procedure checklists, and preparation instructions are completed according to policy.
- Assist the endoscopy team during procedures only within documented competency and authorized scope.
- Monitor recovery observations and escalate post-procedure complications immediately.
- Coordinate protected transfer and discharge instructions under the treating clinician's directions.

4. Documentation and patient safety

- Maintain accurate, timely, and legible clinical records.
- Follow patient identification, hand hygiene, infection prevention, medication safety, and clinical handover protocols.
- Report adverse events, near misses, and clinical deterioration through established channels.
- Maintain confidentiality of patient information and comply with medical-record policies.

5. Coordination and administration

- Coordinate with nursing, endoscopy, laboratory, radiology, pharmacy, dietetics, and billing teams.
- Maintain department registers and follow-up lists as assigned.
- Participate in departmental meetings, clinical audits, training, and quality-improvement activities.

B. Educational qualifications and experience

- Qualification: Recognized Physician Assistant qualification, such as B.Sc. Physician Assistant or an equivalent qualification accepted by the hospital and applicable regulatory requirements.
- Experience: Preferably 1–3 years in gastroenterology, medical gastroenterology, endoscopy, or a relevant clinical setting.
- Skills: Clinical observation, medical terminology, documentation, patient communication, emergency escalation, computer literacy, and multidisciplinary coordination.
- Additional advantage: Familiarity with endoscopy workflows, NABH documentation, and hospital information systems.

2. Physician Assistant – Oncology Department
A. Key roles and responsibilities

1. Oncology patient assessment

- Collect patient history, previous cancer treatments, allergies, current medications, and relevant investigation reports.
- Record vital signs and observations according to protocol.
- Assist consultants in reviewing patients receiving cancer treatment, undergoing surgery, or attending follow-up consultations.
- Identify and promptly escalate concerning symptoms, including fever during systemic cancer treatment, breathing difficulty, uncontrolled pain, bleeding, dehydration, or altered mental status.
- Assist in monitoring patients for treatment-related complications under clinical supervision.

2. Treatment coordination





- Coordinate investigations such as blood tests, imaging, pathology, and other assessments ordered by the treating oncologist.
- Track appointments, treatment schedules, review dates, and pending reports.
- Assist in maintaining treatment records and multidisciplinary team meeting documentation.
- Verify that required pre-treatment assessments and documentation are available for clinician review.
- Facilitate communication between medical oncology, surgical oncology, radiation oncology, pathology, radiology, nursing, and palliative care teams, as applicable.

3. Chemotherapy and systemic therapy support

- Coordinate treatment appointments and ensure relevant laboratory results and clinical assessments are available for authorized clinician review.
- Assist the nursing and oncology teams with workflow documentation and patient preparation.
- Reinforce approved patient education on side effects, medication instructions, hydration, nutrition, and when to seek urgent care.
- Monitor and promptly report adverse symptoms during or after treatment.
- Support treatment documentation and adverse-event reporting as assigned.
- The Physician Assistant must not independently prescribe, modify chemotherapy regimens, calculate or authorize treatment doses, or independently approve a patient for treatment. Medication preparation and administration must be performed only by appropriately authorized personnel.

4. Surgical oncology and postoperative support

- Assist in documenting preoperative assessments and coordinating investigations.
- Participate in consultant-led ward rounds and authorized clinical documentation.
- Monitor and report postoperative observations, wound concerns, pain, intake and output, and other assigned parameters.
- Escalate suspected infection, bleeding, respiratory distress, or other signs of deterioration immediately.
- Coordinate follow-up appointments and discharge-related instructions authorized by the treating team.

5. Patient and caregiver education

- Explain appointment schedules and approved care instructions in understandable language.
- Reinforce information provided by the oncology team about treatment pathways and common warning signs.
- Facilitate appropriate referrals for nutrition, psychological support, rehabilitation, symptom management, and palliative care.
- Respect patient privacy, dignity, informed decision-making, and emotional needs.

6. Quality, safety, and records

- Maintain complete oncology records and treatment-related documentation.
- Follow patient identification, infection prevention, safe handling, and hazardous-drug policies applicable to assigned duties.
- Report clinical incidents, near misses, and adverse events through established channels.
- Participate in oncology audits, patient-safety initiatives, and continuous quality improvement.

B. Educational qualifications and experience

- Qualification: Recognized Physician Assistant qualification or equivalent qualification accepted by the hospital and applicable regulatory requirements.
- Experience: Preferably 1–3 years in medical oncology, surgical oncology, cancer care, or a related clinical department.
- Skills: Oncology terminology, patient monitoring, treatment coordination, documentation, empathetic communication, and multidisciplinary teamwork.
- Additional advantage: Familiarity with oncology treatment workflows, chemotherapy safety principles, cancer registry documentation, and palliative care coordination.

3. Physician Assistant – Gynecology Department
A. Key roles and responsibilities

1.



Patient assessment and clinical support

- Collect and document relevant medical history, presenting symptoms, menstrual history, previous surgeries, allergies, and other information requested by the treating clinician.
- Record vital signs and observations according to departmental protocols.
- Assist the consultant in reviewing patients with gynecological conditions, including menstrual disorders, pelvic pain, fibroids, ovarian conditions, and other reproductive health concerns.
- Identify and escalate urgent warning signs such as severe pelvic pain, heavy bleeding, fainting, fever with deterioration, or suspected pregnancy-related emergencies.
- Ensure appropriate privacy, chaperone arrangements, and consent processes for intimate examinations and procedures, in accordance with hospital policy.

2. OPD and inpatient coordination

- Assist in organizing gynecology OPD consultations and follow-up visits.
- Coordinate laboratory investigations, ultrasound examinations, and other investigations ordered by the treating doctor.
- Participate in consultant-led ward rounds and maintain authorized clinical documentation.
- Track pending reports, referrals, and treatment appointments.
- Assist with discharge coordination and reinforce clinician-approved instructions.

3. Preoperative and postoperative care

- Coordinate preoperative investigations, assessment documentation, and preparation for planned gynecological surgeries.
- Verify completion of required checklists and consent documentation according to hospital policy.
- Assist the clinical team in monitoring postoperative observations, pain, bleeding, wound condition, and other assigned parameters.
- Report abnormal findings and suspected complications promptly.
- Coordinate postoperative reviews, follow-up appointments, and referrals.

4. Gynecological procedures and surgical support

- Coordinate preparation for gynecological procedures and minor interventions as assigned.
- Assist the consultant and authorized clinical team during procedures within documented competency and institutional authorization.
- Support documentation, specimen-labeling workflows, and transfer arrangements according to protocol.
- Follow infection prevention, instrument safety, and patient identification requirements.

5. Patient counselling and education

- Reinforce consultant-approved education regarding menstrual health, treatment options, surgery preparation, postoperative recovery, and follow-up.
- Provide appropriate information about prescribed medication instructions without independently prescribing or changing treatment.
- Facilitate referrals for fertility-related concerns, psychological support, nutrition, or other specialist services when indicated by the treating clinician.
- Maintain sensitivity, confidentiality, cultural respect, and non-judgmental communication.

6. Documentation and quality

- Maintain complete, accurate, and timely patient records.
- Follow informed-consent, patient-identification, confidentiality, and clinical handover policies.
- Report incidents, near misses, and clinical deterioration through approved reporting channels.
- Participate in clinical audits, departmental meetings, and quality-improvement activities.

B. Educational qualifications and experience

- Qualification: Recognized Physician Assistant qualification or equivalent qualification accepted by the hospital and applicable regulatory requirements.
- Experience: Preferably 1–3 years in gynecology, women's health, surgical care, or a related clinical setting.
- Skills: Patient assessment support, medical documentation, sensitive communication, clinical observation, procedural coordination, and computer literacy.
- Additional advantage: Familiarity with gynecological surgery, laparoscopic procedures, postoperative monitoring, and women's health counselling.

Pay: ₹18,000.00 - ₹25,000.00 per month

Benefits:

- Provident Fund

Work Location: In person

📌 Physician Assistant (Ramanathapuram)
🏢 Gem Hospital & Research Centre
📍 Ramanathapuram