Pediatric Nurse Practitioner or Physician Assistant - Heart Center Fellowship

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Work Arrangement:
Regular

Requisition Number: 263065

Location:

Durham, NC, US, 27710

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.

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.

Fellowship opportunity will start in February/March 2026. Must graduate as PNP‑AC by December 2025.

Job Summary

The Duke Pediatric Heart Center Advanced Practice Provider (NP or PA‑C) Fellowship rotates through clinical settings in the pediatric heart center, including inpatient and outpatient locations. The 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.

In addition to clinical care, the fellow contributes to excellence in patient care, research, teaching, and learns to provide leadership within the organization.

Goals of Pediatric Heart Center Fellowship

• Acquire a deep and broad knowledge base of common congenital heart anomalies and disease.
• Understand the pathophysiology, various presenting clinical presentations, and disease prognosis for hospitalized patients.
• Develop a diverse differential diagnosis and treatment plan based upon the patient's presenting symptoms, using evidence‑based, cost‑effective medical care.
• Manage patients effectively throughout the hospital stay, including admission, daily rounds, continuation of evaluation, and dismissal, while remaining aware of the patient's or family's emotional, physical, and spiritual needs.
• Learn practice management, including strategies for training APPs and APP students.
• Develop keen verbal skills to communicate effectively with colleagues, physicians, patients, and ancillary staff.

Job Duties and Responsibilities

Clinical Expert

• In collaboration with cardiology attendings, PCICU attendings, surgeons, and/or APPs, round daily on patients to assess, diagnose, plan treatment, set priorities, and evaluate effectiveness and cost efficiency.
• Provide and coordinate clinical care for service‑specific patients through established protocols and under the supervising physician.
• Collaborate with residents, fellows, attending nurses, and patient resource managers to formulate treatment plans and monitor progress.
• Perform procedures appropriate to the environment after demonstrating competency.
• Assess patients for changes in status and institute appropriate interventions; initiate emergency interventions to stabilize patients until physician support arrives.
• Postoperative stabilization and management.
• Develop patient care pathways, protocols, and guidelines for specific problems in conjunction with physicians and team members.
• Analyze clinical practice patterns to improve care and increase effectiveness.
• Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other providers.
• Document all relevant data in the patient’s medical record.
• Use prescriptive privileges only within scope of practice and credentialing protocols.
• Prescribe, order, and administer drugs, including schedule II–V drugs and necessary medical devices.
• Model competence in advanced nurse practitioner/physician assistant skills.
• Give daily handoff to appropriate APP, attending, resident, and/or intern at shift end.
• Assess educational needs of staff; provide one‑on‑one and formal education as needed.
• Provide culturally sensitive education to patients and families, using non‑technical language.
• Implement and evaluate educational programs for…