Pediatric Nurse Practitioner or Physician Assistant - Pediatric Heart Center Fellowship

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

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 the four Duke Health 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 Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life:
  Living in the Triangle!
• Relocation Assistance (based on eligibility)

The Duke Pediatric Heart Center Advanced Practice Provider (NP or PA-C) Fellowship rotates through clinical settings in the pediatric heart center which includes inpatient and outpatient locations. There will be heavy emphasis in the pediatric cardiac intensive care unit (PCICU), PICU, and pediatric cardiac stepdown. The APP Heart Center fellow will work alongside APPs and MDs to provide direct patient care services for newborn congenital heart, surgical, and medically ill pediatric heart center patients from birth to young adults at Duke University Hospital or in the clinics in collaboration with APPs, cardiologists, 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, and provides direct patient care services. The APP Fellow contributes to excellence in patient care, research, teaching, and learns to provide leadership in the organization.

• Acquire a deep and broad knowledge base of the common congenital heart anomalies and 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 or families 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

• In collaboration with cardiology attendings, PCICU attendings, surgeon(s) and/or APPs, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up…