Nurse Practitioner or Physician Assistant - Critical Care Fellowship

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 and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

NOTE: 

• This immersive fellowship opportunity requires a 12-month commitment and starts October 1, 2025 and ends September 30, 2026.
• There is no guarantee of employment beyond the 12-month fellowship.

Job Location

Duke University Hospital

Job Summary

The Duke Hospital Critical Care Fellow Advanced Practice Provider (Nurse Practitioner/Physician Assistant) provides direct patient care services for critically ill complex (multi-organ) and trauma patients in an intensive care setting in collaboration with and under the supervision of the Critical Care Team and Anesthesia Critical Care Team.   The APP Fellow 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, and provides direct patient care services under the direct supervision of the critical care team.  The APP Fellow contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

Job Eligibility Requirements

Education (Must graduate by August 2025 to be considered)

PA:       Graduate of ARC accredited Physician Assistant program. Master's degree or DMSc degree preferred. 

NP:       Graduate of MSN or DNP Acute Care / Critical Care Nurse Practitioner program to treat adults preferred. 

Certification 

PA:       PA-C

NP:       AGACNP or ACNP

Licensure

PA:       Current and unrestricted medical license issued by NCMB with approval to practice as PA.

NP:       Current and unrestricted RN license issue by or recognized by NCBON with approval to practice as an NP.

Both:    Federal and State DEA prescriptive authority

Experience

At least one (1) ICU rotation during APP training

Life support:

BLS required

ACLS required

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 Health System. 
• Able to independently seek out resources and work collaboratively to solve complex problems
• 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 work collaboratively with all levels of personnel

Job Hours

Primary hours will be five 12-hour day shifts per week. Shift schedule is variable and will include some holiday, night and weekend coverage. Schedule may be changed by administrative or clinical leadership to meet department 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.