Hospitalist Physician - Neonatal Intenstive Care; NICU

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health’s four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke University Hospital – Durham, NC

This position will provide direct patient care services and medical management of infants under the age of 2, who are in the Neonatal Intensive Care Unit (NICU) at Duke University Hospital, while working closely with and under the supervision of a Neonatologist. Providers will see patients in the level 4 and level 2 NICUs affiliated with Duke University Health System, perform physical exams, collect and interpret data, present information on daily rounds, generate assessments and care plans, implement diagnostic and therapeutic interventions, counsel families, and prescribe medications, nutrition, and therapies in conjunction with a multidisciplinary team.

Other tasks include delivery‑room attendance, participation in neonatal resuscitation, performing common neonatal procedures, ventilator management with respiratory therapists, participating in regular care meetings, and facilitating transitions in care and discharge home.

• Round daily with attending physicians and fellows to assess, diagnose, plan treatment, and evaluate care effectiveness and cost efficiency.
• Provide and coordinate clinical care for service‑specific patients per established protocols and unit guidelines.
• Collaborate with fellows, residents, attendings, APP colleagues, nurses, dietitians, pharmacists, social workers, and patient‑care managers to formulate treatment plans, facilitate care progression, and monitor patient progress.
• Work collaboratively with NICU APP team members, sharing their model for workflow, documentation, handoff, and communication.
• Attend daily huddles to discuss patient flow and situational awareness, and weekly huddles to discuss care progression and discharge planning.
• Work closely with the medical director and APP team leads of the NICU to understand standard protocols, guidelines, and workflows.
• Perform procedures specific to the work environment after demonstrating competency and within the scope of practice and credentialing protocols.
• Assess patients for a change in status, elevate concerns, and institute appropriate interventions, including initiating emergency interventions to stabilize the patient.
• Manage post‑procedural stabilization for patients returning to the NICU after a surgical or procedural intervention.
• Assist with bedside surgeries in the NICU alongside multidisciplinary NICU, surgery, and anesthesia teams.
• Participate in developing patient‑care pathways, protocols, and guidelines for managing specific problems with other members of the health‑care team.
• Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient‑resource manager, home‑health agency, and other relevant providers.
• Document in patients’ medical records all relevant data, including diagnostic test results, laboratory results, patient condition and response to therapies/interventions, and communications with the supervising MD.
• Prescribe and order drugs, including schedule II, III, IV, and V medications and necessary medical devices.
• Give daily handoffs to the appropriate attending, APP, or fellow/resident at the end of the shift.
• Assess the educational needs of patients and families and provide culturally sensitive patient/family education interventions as indicated, using non‑technical language; document all education in patients’ medical records.
• Maintain all professional requirements for licensure and certification.

• MD or DO graduate from an accredited medical school program and completion of Pediatrics, Family Practice, or Medicine‑Pediatrics Residency.

• Unrestricted medical license issued by NCMB.
• Federal and state prescriptive authority (DEA…