Nurse Practitioner/Physician Assistant: Duke Gynecologic Oncology

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.

Job Location    

Duke Cancer Institute - 20 Duke Medicine Circle - Durham, NC 

We are seeking an Advanced Practice Provider for the Duke Department of Obstetrics and Gynecology – Division of Gynecologic Oncology at the Duke Cancer Institute in Durham, NC. The APP will augment a physician's ability to provide medical services to patients in the clinic and hospital setting as well as if Physician Assistant first assist in the operating room.  The APP will work in collaboration with physicians and advanced practice providers providing direct patient care services, performing consultations, collecting and documenting data, assisting in diagnostic and therapeutic procedures, and ordering and scheduling laboratory studies. Possibility of in-patient consults performed at Duke University Hospital in Durham, NC.

Primary hours will be Monday through Friday with hours flexible to meet the needs of the patients.

Preference for 1+ years of work experience as a Nurse Practitioner or Physician Assistant in Women's Health or Adult Oncology. As a new graduate Nurse Practitioner or Physician Assistant, Oncology clinical rotations during the education program.

Job Responsibilities

• Care for patients with gynecologic malignancies and benign gynecologic conditions such as dysplasia, hyperplasia, and germline genetic mutations.
• Obtain patient histories, conduct physical examinations, and record data in the patient’s record; write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; obtain psychosocial history relevant to patient care, and assume responsibility for developing therapeutic relationships with patients.
• Order and schedule laboratory studies and diagnostic-therapeutic procedures; explain necessity, preparation, nature and anticipated effects to the patient.
• Utilize medical decision making to create an individualized patient plan of care.
• Perform and/or assist with IUD placement/removal and diagnostic/therapeutic procedures such as colposcopy, cervical-vulvar-vaginal biopsies, and endometrial biopsies to aid in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care. Report progress to collaborating physician and maintain record of each patient’s progress.
• Play a significant role in managing end of life and supportive care issues across the scope of our practice in the inpatient and outpatient settings.  In this context, the APP will work closely with both the Gynecologic Oncology and Palliative Care teams and play a vital role in timely initiation of goals of care conversations and hospice referrals.
• Collaborate with APP team members to ensure clinic coverage as well as timely response to patient MyChart and phone messages.
• Participate in teaching students, fellows and residents.
• Perform other related duties incidental to the work described herein.

Job Hours

Primary hours will be Monday through Friday with hours flexible to meet the needs of the patients.

Job Eligibility Requirements

Education           

• Nurse Practitioners:  Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
• Physician Assistants:  Completion of an accredited Physician Assistant program. A Bachelor's degree required. Master's degree strongly preferred.

Certification        

• BLS required.
• Nurse Practitioner: OCN designation or additional oncology CME each year.

License                

• Nurse Practitioners:  Must have current or compact RN licensure in the state of North Carolina. National certification as a NP required prior to or within 6 months of employment.
• Physician Assistants:  Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.

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.

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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.