Physician Assistant, Orthopaedics

North Carolina, United States
23 Jan 2019
End of advertisement period
23 Mar 2019
Contract Type
Full Time

Job Description

The Physician Assistant (PA) works collaboratively within a multidisciplinary health care team to provide direct patient care services for patients at the North Carolina Orthopaedic Clinic, in collaboration with their Supervising Physician. The 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: Hand and Upper Extremity. The PA contributes to excellence inpatient care, research, teaching, and provides leadership to the organization.

Position Requirements

Position requires completion of an accredited Family, Adult, or Acute Care Nurse Practitioner program with national Board Certification as a FNP, ANP or ACNP from a national certifying board or PA with Board Certification. Must demonstrate and maintain credentialing and licensing requirements of Duke University Medical Center. Master’s degree required. Prior experience as a Physician Assistant in a comparable clinical setting preferred but not required. The position requires the candidate to have current BLS and ACLS certification and DEA license.

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 3609 SW Durham Drive, Durham, NC 27707.

Responsible to

The PA will be responsible to the primary supervising physician, Christopher Klifto, MD, back-up physicians, and to practice leadership.

Ongoing Review of Care and Quality

Improvement meetings with supervising physician will be conducted and documented monthly for the first six months, in accordance with Duke University’s and the designated Board’s standards,then at least once every six months in accordance with the NC Medical Board.

Departmental Job Responsibilities and Standards

Clinical Expert

  • In collaboration with attending physician(s), treat patients in Hand/Upper Extremity 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.
  • Maintain compliance with human subject research training (CITI training and Human Subjects Research training—usually online courses)
  • Participate in interdisciplinary quality improvement and/or research activities.
  • Participate in measuring and documenting outcomes.


  • Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to Hand/Upper Extremity 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/care maps/protocols within area of specialization.
  • Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the Duke University Hospital and Duke University Health System.

Professional Leadership and Development

  • Role model advanced practice professionalism through conduct, communication, dress, leadership, ethical decision-making, critical thinking and problem solving skills.
  • Participate in at least one professional organization.
  • Demonstrate responsibility for professional practice through active participation in the Department, and other professional organizations. Meet Continuing Education requirements as designated by the NC Board of Nursing and Medicine.
  • 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.

Working conditions

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 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

Location Durham


Job Family Level I1

Full Time / Part Time FULL TIME

Regular / Temporary Regular

Shift First/Day

Minimum Qualifications

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.


Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred