Nurse Practitioner/Physician Assistant: Duke Women's Health Menopause Specialty Clinic

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

Durham Obstetrics and Gynecology

• 234 Crooked Creek Pkwy

• Durham, NC; Duke Women's Health Associates

• 5601 Arringdon Park Dr

• Morrisville, NC

The Duke Department of Obstetrics and Gynecology is seeking an Advanced Practice Provider to join our team of experienced Complex Menopause providers who provide informed care and counseling for midlife women tailored to their specific needs and concerns. The team currently includes generalist OBGYNs with Menopause Society certification who will provide mentorship and oversight. The clinic location are in Durham, NC and Morrisville, NC.

Primary hours are Monday through Friday with hours flexible to meet the needs of the patients. Telehealth sessions are part of the weekly schedule in clinic or remote based on the day's schedule. One Saturday half day session per month is required. Responsibilities limited to the ambulatory environment without in-patient or call duties.

Menopause Patient Care

The APP will be responsible for management of gynecological patients for care and/or treatment of common menopausal problems including but not limited to

• Menopause and Menopausal Hormone Therapy: Natural Menopause, Premature Menopause, Early Menopause, Surgical or Radiation-Induced Menopause

• Symptomatic Perimenopause: hormonal contraception, IUD, Nexplanon, cyclic progestin

• Management of menopausal/perimenopausal symptoms in hereditary breast and ovarian cancer patients and those at high risk

• Symptomatic High-Risk Cancer Patients and Survivors: Hormonal and Non-Hormonal Management

• Use of bioidentical hormone therapy (BHT) if desired

• Management of menopausal/perimenopausal symptoms with high risk disorders; Smokers, history clotting disorders, existing cardiovascular disease (stroke, CAD), valvular disease, liver disorders, transplant patients

• Assessment of abnormal and postmenopausal bleeding

• Mental health disorders in menopause and perimenopause: Menopause-Related Cognitive Changes and Mood Changes

• Management of Genitourinary Syndrome of Menopause

• Non-surgical management of Prolapse/Urinary Incontinence (pessary)

• Midlife Vulvar Dermatoses and Vulvovaginitis: Treatment of lichen sclerosus, DIV, lichen simplex chronicus, GVHD, and lichen planus; recurrent bacterial vaginosis and yeast vaginitis

• Use of Estrogen Receptor Agonists/Antagonists/ "Designer Estrogens"

• Midlife Weight Management with anti-obesity medications (AOM) and dietary and lifestyle modifications (plant-based, Mediterranean diet)

• Sexual health/sexual dysfunction: Genitourinary syndrome of menopause; Sexual desire disorders with Flibanserin (Addyi), Sildenafil/Cialis, topical testosterone, vaginal DHEA; Sexual arousal disorders/orgasm disorders; Pelvic floor dysfunction

Gynecological Care

The APP will be responsible for management of gynecological patients for routine care and/or treatment of common gynecological problems including but not limited to:

• All methods of family planning and counseling for reproductive life planning including IUD Placement and removal and Nexplanon insertion and removal

• Routine screening exams and pap smears

• Referrals for appropriate screening tests (mammography, Dexa, colon screening)

• Screening and treatment for sexually transmitted infections

• Breast changes or masses

• Pelvic/abdominal pain

• Routine Postoperative follow-up and problem visits

• Cervical and vulvar biopsies

• Treatment of vulvar cysts and abscesses

• Endometrial biopsies

Miscellaneous

• 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 physician, nursing staff as well as other relevant healthcare providers.

• Collaborate with primary care providers, endocrinology, cardiology, oncology, mental health, and sexual health providers to provide care tailored to the patient's needs and risk factors.

• Provide timely documentation in the electronic medical record of all relevant data including results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions and communications with physician/advanced practice provider colleagues.

• Provide timely response to patients Maestro Care and phone messages.

• Precept learners from a variety of disciplines.

Job Eligibility Requirements

Education

• Nurse Practitioners: 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

License

• Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. BLS required. 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.

Experience

• Prefer 1+ years of work experience as a Nurse Practitioner or Physician Assistant in Women's Health

• Prefer candidates with experience in management of midlife women's health concerns.

• Experience/training in sexual health management and/or prescribing anti-obesity pharmacologics experience is a plus.

• If not already certified, the expectation would be to obtain a certificate as a Menopause society certified practitioner within the first year.

• NCMP Certification Program, Certified Menopause Practitioner & Physician | The North American Menopause Society, NAMS

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 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.

Nearest Major Market: Durham

Nearest Secondary Market: Raleigh