The Duke Pediatric and Congenital Heart Center Advanced Practice Provider (NP or PA-C) Fellowship includes rotations 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), pediatric intensive care unit (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.
Goals of the Fellowship
- 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
Position Requirements
Education
NP: Work requires completion of accredited graduate level Pediatric Acute Care Nurse Practitioner program
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.
Licensure
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
Certification
NP: National certification as an Acute Care Pediatric Nurse Practitioner
PA: National Commission on Certification of PAs (NCCPA) certification is required
Experience
None required
Life support
- BLS (required)
- PALS (required)
- ACLS (required but can be taken while in the fellowship program)
Hours
Primary hours will be a minimum of 12 to a maximum of 13, 12-hour shifts every 4 weeks, covering 7 days a week including days, nights, weekends and holidays. Flexibility is required to meet clinical needs of the service.
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