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Location: Durham, North Carolina
Internal Number: 168399
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
ABDOMINAL TRANSPLANT FELLOWSHIP
Position Code: 5082 (PA) or 5063 (NP) Status: Exempt
The Duke Abdominal Transplant Surgery Advanced Practice Provider (NP or PA-C) Fellowship rotates through all clinical settings in the transplant service this includes inpatient and outpatients locations. The APP transplant fellow will work alongside APPs and MDs to provide direct patient care services for surgically and medically ill adult, adolescent and pediatric patients at Duke University Hospital or in the clinic in collaboration with medical and surgical physicians. The APP Fellow performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, may assist in the operating room and provides direct patient care services. The APP Fellow contributes to excellence in patient care, research, teaching, and provides leadership in the organization.
Goals of APP Transplant fellowship:
Acquire a deep and broad knowledge base of the common disease processes for which patients are hospitalized, understanding the pathophysiology, various presenting clinical presentations and disease prognosis
Develop a diverse differential diagnosis and respective diagnostic and treatment plan based upon the patient's presenting symptoms along with evidence-based and cost-effective medical care
Manage patients effectively throughout the whole hospital stay, including admission, daily rounds and continuing evaluation, and dismissal, while remaining cognizant of the patient's emotional, physical and spiritual needs
Learn practice management, including strategies in training APPs and APP students
Develop keen verbal skills to effectively communicate with colleagues, physicians, patients and ancillary staff to ultimately become a key part of the inpatient health care delivery team
PA: Work requires graduation from a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessor agencies.
NP: Work requires completion of accredited graduate level Family Nurse Practitioner program.
NP: Current licensure as a Registered Nurse in the state of North Carolina and approval to practice as an NP
PA: Licensure as a Physician Assistant in the state of North Carolina.
PA: National Commission on Certification of PAs (NCCPA) certification is required
NP: National certification as an FNP or similar to be able to see adult and pediatric patients
X BLS (required)
Primary hours will be a minimum of 14 to a maximum of 16, 12-hour shifts a month covering 7 days a week including days, nights, weekends and holidays. Flexibility is required to meet clinical needs of the service.
Physical and mental requirements:
Lines of Responsibility
Primary supervising physician and back-up physicians and the Medical Director for the department of surgery, and to the Duke Hospital of Center for Advanced Practice Team Leader and Director. In addition, s/he will be accountable to the surgery department for clinical outcomes, defined quality indicators and to the standards set forth by the Department of Center for Advanced Practice (CAP).
Process of Evaluation
Evaluation will be ongoing and will encompass the six general areas of competency as defined by The Joint Commission (patient care, medical/clinical knowledge, practice-based learning & improvement, interpersonal & communication skills, professionalism and systems-based practice).
Annual and midyear evaluations using the CAP PPR process will be conducted by the Center for Advanced Practice, in coordination with NP/PA's primary supervising physician. Ongoing Review of Care and Quality Improvement meetings with supervising physician will be conducted and documented monthly for the first six months, in accordance with Duke University's and the designated Board's standards, then at least once every six months in accordance with the NC Medical Board.
Specific Job Responsibilities and Standards
Give daily handoff to appropriate attending, resident and/or intern at the end of the shift
v. Application of dressings and bandages.
w. Inhalation therapy or medications to alleviate the distress of dyspnea or shortness of breath.
Research Utilization and Investigation:
Professional Leadership and Development:
Integrity – Our decisions, actions, and behaviors are based are based on honesty, trust, fairness, and the highest ethical standards.
Diversity – We embrace differences among people.
Teamwork – We have to depend on each other and work well together with mutual respect to achieve common goals.
The work environment involves risk discomforts that are typical of an acute care setting to include working with patients under isolation and universal precautions. It requires safety precautions, ongoing education, and health risk monitoring. Contact with specimens, chemicals, sharps, radiation, technical equipment and fumes are possible. Employees are required to wear personal protective attire according to hospital policies and OSHA guidelines. The work activity and patient acuity levels can create a stressful atmosphere.
Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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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