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Hepatobiliary Surgery Hospitalist APP, Physician Assistant or Nurse Practitioner

Regular Full Time Durham, North Carolina
Requisition Number: 226213
Duke University Hospital

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.


Physician Assistant or Nurse Practitioner

Job Summary and Responsibilities

The Duke Hepatobiliary Surgery Hospitalist APP provides direct patient care services for surgically ill adult patients on an intermediate and/or step-down unit or in the clinic in collaboration with residents and surgeons.  The APP 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, may assist in the operating room.  The APP will provide direct inpatient patient care services, obtaining research data or duties to improve the flow and function of the service as listed below 

  1. Clinical Pathway Compliance:
    1. This position will be responsible for maintaining that all pancreatic and hepatic resection patients (Blue service) are managed according to the HPB Section Clinical Pathways. This will entail reviewing the daily resident/faculty care plans of these patients and working with house staff to ensure compliance with the pathways.
    2. Daily email updates of rounding status for all pancreatic, whipple and hepatic resection patients including complications, discharge.

  1. Post-Discharge monitoring
    1. This position is charged with early post-discharge communication (48-72 hours) with patients who have been recently hospitalized for complicated HPB conditions (Blue service). The APP will retain a record of these communications and relay concerns and follow-up items to the outpatient providers and/or faculty as appropriate.
    2. This position is charged with triage management of patient needs until their first post discharge clinic visit.
    3. Outpatient clinic evaluation of patients with urgent issues with goal of preventing ED visits and readmissions.  This position may coordinate visits with outpatient HPB APPs or see patients themselves based on availability.
  2. Clinical Assistance:
    1. This position will provide assistance to the HPB service interns and senior trainees in evaluating and managing Blue service and liver resection patients.  This can include assisting with inpatient progress notes and entering orders, it will focus on facilitating discharges to ensure appropriate transition of care. This position will communicate to outpatient providers of impending discharges and needed follow-up.
      • Daily rounding with the team at 6am
      • Document findings noting pertinent normal and abnormal physical findings
      • Daily event notes on any patient who develops complications during the day with verbal and or written communication to the team and attending
      • Sign out will be written or verbal to the covering intern or resident.
      • Coverage of the functional pager when the residents are in the OR and sign out to the appropriate covering entity
    1. This position will collaborate with ERAS team to facilitate ERAS implementation and compliance for pancreas and liver (including liver resection patients on transplant service).
    2. Development of education materials for APP’s, nurses and rotating residents

  1. HPB D&C
    1. This position is charged with assisting with the maintenance of Pancreas and Liver Registry of patients undergoing biliary, hepatic, and pancreatic resections.
    2. This position will provide weekly simple and clear outcome reports for HPB including SSI, pancreatic leak, bile leak, LOS, and readmissions.
    3. This position will assist in facilitation of 3 month QI review with the attending surgeons to review quarterly outcome measures at MD level and Team Level.
    4. Perform and participate in quality/performance improvement activities and clinical research.  Serve as a clinical expert and consultant to nursing, member of the health care team and to the larger community.

Position Requirements


PA:  Graduate of an ARC accredited Master’s Degree Physician Assistant Program

NP:  Graduate of an accredited MSN or DNP Nurse Practitioner program; acute care certification preferred.


PA:      License to practice medicine issue by the NCMB and authorization to practice as a PA

NP:      RN license issued by NCBON with authorization to practice as a NP



NP:  FNP or AGNP; AGACNP or ACNP preferred


New grad welcome to apply, 1+ years inpatient surgical or GI experience is preferred


FOUR 10-hour shifts per week (5am – 3pm).  Flexibility is required to meet clinical needs.  Schedule and hours may change at the discretion of administration and service based on clinical needs

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 essentialjob 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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