The Private Diagnostic Clinic (PDC)is the faculty physician practice for Duke Health. The PDC owns and operates more than 120 primary and specialty care clinics in 10 North Carolina counties.
Foot Ankle - North Carolina Orthopaedic Clinic
The Physician Assistant (PA) or Nurse Practitioner (NP) works collaboratively within a multidisciplinary health care team to provide direct patient care services for patients in the Foot and Ankle Division, in collaboration with their Supervising Physician. The NP/PA performs triage, 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 of patients, and provides direct patient care services for patients with the following pathologies and conditions: foot and ankle and general orthopaedics. The NP/PA contributes to excellence inpatient care, research, teaching, and provides leadership to the organization.
Practice Location & Hours
Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients. The clinical or leadership team may modify the schedule to meet the needs of the practice. The practice is located at Duke Ortho of Apex and the North Carolina Orthopaedic Clinic.
The NP/PA will be responsible to the primary supervising physician, Dr. Selene Parekh, back-up physicians, and to practice leadership.
Departmental Job Responsibilities and Standards
- In collaboration with attending physician(s), treat patients in Foot and Ankle division to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care
- Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
- Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions in an effort to stabilize the patient until physician support arrives.
- Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.
- Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
- Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
- Document in the patients’ medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; communications with supervising MD.
- Utilize prescriptive privileges only for identified patient population.
- Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II,III, IV, and V drugs and necessary medical devices.
- Role model competence in all nurse practitioner / physician assistant advanced skills.
- Assess educational needs of the patient-care staff and provide one-on-one as well as formal education as needed.
- Assess educational needs of the patients / families and provide culturally-sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families. Document all pre and post-op education in patients’ medical record.
- Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate.
- Role model and precept healthcare learners through contractual agreements.
Research Utilization and Investigation
- Utilize current research and evidence-based decision-making in all clinical practice.
- Incorporate clinical research findings in the development and implementation of standards of care.
- Support IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and reporting patient outcomes including toxicities or adverse events.
- Maintain compliance with human subject research training (CITI training and Human Subjects
Research training—usually online courses
- Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to foot and ankle and general orthopaedics, procedures, interventions, and conditions.
- Implement and evaluate appropriate educational programs for referring MDs
- Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/caremaps/protocols within area of specialization.
Professional Leadership and Development
- Role model advanced practice professionalism through conduct, communication, dress, leadership, ethical decision-making, critical thinking and problem solving skills.
- Maintain professional Board Certification.
- Enhance the body of knowledge in area of specialization through written publications, oral presentations, posters, continuing education, etc.
- Maintain all professional requirements for licensure and certification.
Customer Service – Demonstrates a commitment to quality service
- Consistently demonstrates a personal commitment to patient health and safety.
- Practices good customer service: Seeks patient/visitor interaction, makes eye contact,smiles, says "thank you", listens actively, and responds to patients/visitors and fellow staff with courtesy and respect; practices service recovery when needed (using the "HEART" model, for example).
Creative Problem Solving – Helps the team solve problems
- Shares ideas to solve problems.
- Tackles problems and accepts solutions with positive and "can-do"attitude.
Continuous Learning – Support learning and development for self and other
- Participates in personal and professional learning opportunities, and supports others when they participate.
Physical and mental requirements:
• Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University
• Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership,and others.
• Able to use sensory and cognitive functions to process and prioritize information, perform health assessments,treatment, and follow-up.
• Able to use fine motor skills.
• Able to record activities, document assessments & interventions; prepare reports and presentations.
• Able to use computer and learn new software programs.
• Able to provide leadership in clinical area of expertise and in meeting organizational goals.
• Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations.
• Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds.
• Able to remain focused and organized.
• Able to independently seek out resources and solve complex problems
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
None required above the education/training requirement but relevant experience or clinical rotations are always a plus.
Degrees, Licensures, Certifications
Must have a Physician Assistant Certificate of Registration with the North Carolina Medical Board or be certification eligible, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants
Duke University 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.
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