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

Advanced Practice Provider (APP) for Complex Menopause Care

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(s): Primarily telehealth. Possibility of clinic locations in Wake and Durham County

The Duke Department of Obstetrics and Gynecology is seeking an Advanced Practice Provider (APP) to join its team of experienced Complex Menopause providers. The APP will deliver evidence-based care, patient education, and counseling that helps patients navigate midlife health concerns. The team includes generalist OB/GYN physicians with Menopause Society certification who will provide mentorship and clinical oversight.

The schedule is variable and may require flexibility, including early-evening and weekend hours to support patient and clinician scheduling needs.

Primary responsibilities:

• Provide evaluation, management, education, counseling, and treatment for patients with common and complex menopause-related concerns, including:
• Medical management of menopausal health concerns, including menopausal hormone therapy
• Symptomatic perimenopause, including hormonal contraception, IUD use, and cyclic progestogen therapy
• Menopausal and perimenopausal symptom management for patients with hereditary breast and ovarian cancer risk, high-risk cancer patients, and cancer survivors, using hormonal and non-hormonal approaches as appropriate. Patient population may include natural, premature, early, surgical, and radiation-induced menopause
• Menopausal and perimenopausal symptom management in patients with higher-risk conditions, including tobacco use, clotting disorders, cardiovascular disease, valvular disease, liver disorders, and transplant history
• Assessment of abnormal and postmenopausal bleeding
• Menopause-related cognitive and mood changes
• Genitourinary syndrome of menopause
• Midlife vulvar dermatoses and vulvovaginitis
• Midlife weight management
• Sexual health and sexual dysfunction, including desire, arousal, orgasm, genitourinary, and pelvic floor concerns, and related treatment options

Gynecological Care: Based on menopause patient volume, the APP may provide in-person routine gynecologic care and treatment for common concerns including:

• Family planning and reproductive life-planning counseling
• Routine screening examinations and cervical cancer screening
• Referrals for age- and risk-appropriate screening, including mammography, bone density testing, and colorectal cancer screening
• Screening and treatment for sexually transmitted infections
• Evaluation of breast changes or masses
• Evaluation of pelvic or abdominal pain
• Routine postoperative follow-up and problem visits
• Treatment of vulvar cysts and abscesses

Responsibilities may also include in-person assessment and treatment opportunities such as:

• IUD placement and removal
• Endometrial biopsy
• Vulvar biopsy
• Other in-person gynecologic assessments and treatments within the APP's scope, credentials, and privileges

Job Eligibility Requirements:

Education:

• Nurse Practitioners: Requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
• Physician Assistants: Requires completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.
• Certified Nurse Midwife: Requires completion of an accredited graduate-level nurse?midwifery program at the MSN or DNP level.

Certification:

• BLS required

License:

• Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. National certification as a Nurse Practitioner required.
• 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.
• Certified Nurse Midwife: Must have current or compact RN licensure in the state of North Carolina. National certification as a Nurse Midwife required.
• DEA license for applicable practice state(s)

Experience:

• Two or more years of experience as a Nurse Practitioner, Physician Assistant or Certified Nurse Midwife in Women's Health
• Experience managing midlife Women's Health concerns
• Experience or training in sexual health management and/or prescribing anti-obesity pharmacotherapy
• Certification by The Menopause Society, or comparable menopause-focused training is preferred or must be licensed within six months of employment

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 ideasan 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.