Nurse Practitioner/Physician Assistant: Duke Otolaryngology Clinic of Mebane

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.

Duke Advanced Practice Highlights:

• The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
• The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs.
• Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program. APPs are leaders in multiple arenas within Duke.
• Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties. APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research.
• Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Summary:

Under the leadership of the physician-led medical team, the APP will provide autonomous medical care to our adult Otolaryngology patient population; including performing history and physical exams; collecting and documenting data, conducting diagnostic and therapeutic procedures, ordering diagnostic studies, providing pharmacologic and non-pharmacologic management, coordinating patient care, and making appropriate surgical referrals. The APP must be comfortable working in an autonomous environment and comfortable knowing when to seek advice from other members of the medical team. The APP will be provided with formal training, if needed, and have readily available access to physician and non-physician back-up when needed.

Schedule:

Maintain autonomous outpatient clinic, Monday to Friday in the Duke Otolaryngology Clinic of Mebane (coverage for other clinic sites as needed). There is no call requirement. There are no OR or inpatient responsibilities. The provider will have weekly administrative time following completion of training.

Work Performed:

Provide timely patient access for new and established patient visits, including pre-scheduled appointments, post-operative visits, urgent and non-urgent add-ons, virtual visits, and appointments made at the request of another provider to provide continuity of care.

Take patient histories, conduct physical examinations, and record the data in the patient's record; write progress notes.

Perform diagnostic and therapeutic procedures to assist in diagnosing medical and surgical conditions including (but not limited to): nasal endoscopy, nasolaryngoscopy, control of nasal bleeding, superficial biopsies of the ear, nose, throat and neck, microscopic ear examination, microscopic ear debridement, incision and drainage of abscesses, placement of pressure equalization tubes, suture removal, removal of foreign bodies in the ear, nose and throat, fine needle aspirations, and wound management.

Order laboratory studies and diagnostic procedures; explain the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient. Interpret diagnostic test results including (but not limited to): Audiograms, MRI, CT, Ultrasound, culture results, and pathology results.

Prescribe necessary treatment (pharmacologic and non-pharmacologic) and services for quality patient care. Make appropriate medical referrals when indicated.

Utilize our electronic medical record system to: review the chart, write clinic notes, perform video visits, communicate with patients including answering questions and concerns, provide test results, renew prescriptions, communicate with staff, and work with insurers for prior authorization.

Coordinate patient care by communicating with medical providers from both within and outside our institution.

Participate in medical education including (but not limited to): teaching physician assistant and nurse practitioner students, post-graduate APP interns, and other learners in the practice of Otolaryngology medicine.

Participate in basic science and clinical research projects conducted by our research team.

Maintain all documentation and certification required by law to practice medicine as a Physician Assistant in the state of North Carolina.

Participate in clinic meetings, huddles, safety protocols and drills.

Other factors considered for satisfactory performance:

• Favorable patient comments
• Ensure foreseeable time away is blocked >12 weeks out
• Participation in education and department leadership opportunities

May be asked to make work assignments for assigned nursing and technical personnel, review the work of other staff, train new personnel.

Perform other related duties incidental to the work described herein.

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

Required Qualifications:

• PA: Bachelor's degree or higher required. Must be licensed by the North Carolina Medical Board, and be Board Certified as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA).
• NP: Master's degree or higher required. Must have current or compact RN licensure in the state of North Carolina and Approval to Practice by the Board of Nursing. Must be Board Certified from a national certifying board in the appropriate patient foci.
• Both: Must demonstrate and maintain credentialing and licensing requirements of Duke Health Integrated Practice and Duke University Health System. The position requires the candidate to have a current DEA licensure.

Required Experience and Skills:

• 2 years of APP experience strongly recommended.
• Critical thinking skills- The APP must be comfortable working in an autonomous environment and comfortable knowing when to seek advice from other members of the medical team.
• Must be certified in Basic Life Saving Skills (BLS)

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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 essential job 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.