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Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Job Location     

Duke University Medical Center, Duke Medicine Circle, Durham, NC

Job Summary

We are seeking an Advanced Practice Provider in our Duke Cardiothoracic Surgery located in Durham, NC to provide medical and surgical care for patients requiring cardiothoracic surgery, advanced heart failure management and mechanical support. The cardiothoracic physician assistant will perform these services under the direct supervision of the faculty physician(s) and will provide perioperative care in various medical center settings. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients.  Rotational on-call responsibilities for emergent surgical cases when assistance is required.

Job Duties & Responsibilities

1. Provides care to patients of all ages(newborn to elderly adult).
2. Completes history/ physical examinations, and consultations
3. Completes admission and perioperative orders including consultations
4. Completes data acquisition/analysis and database maintenance
5. Coordinates/communicates patient care with nursing staff
6. Participates in patient/family education
7. Communicates with referring/consulting housestaff and physicians as well as outside referring physicians.
8. Obtains data for surgical research
9. Initiates/participates in resuscitation of patients (by ACLS standards)
10. Participates in medical chart maintenance
11. Participates in all aspects of follow-up care for discharged patients through clinic visits and phone calls.
12. Evaluates pre and postoperative patients in the clinic setting
13. Initiates orders for medications
14. Participates in clinical trial enrollment
15. Orders and schedules laboratory studies and diagnostic procedures; explains the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
16. Performs procedures such as surgical first assisting, conduit harvesting for coronary artery bypass grafting procedures, simple wound debridement, suturing and wound vac dressing management.
17. Documents progress/interval notes and narrative discharge summaries; prepares patient workups and summaries noting pertinent positive and negative findings.

Job Eligibility Requirements

Education           

1. Nurse Practitioners:  Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
2. Physician Assistants:  Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.

Certification 

1. RNFA certification required for NP applicants.
2. ACLS certification required.
3. BLS required.

License                

1. Nurse Practitioners:  Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required prior to or within 6 months of employment.
2. Physician Assistants:  Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.

Experience          

1. 1+ years of surgical APP experience strongly preferred.

Job Hours

Monday-Friday, day shift, with flexibility to meet clinic needs

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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About Duke University Health System

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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