About The Position

Duke Emergency Medicine offers frontline, rapid, high-impact, top-of-scope care to patients with diverse and complex emergency conditions in a fast-paced, high-acuity environment. The role provides unmatched clinical variety, caring for everything from minor injuries to life-threatening emergencies across multiple settings, ensuring skills remain sharp and work dynamic. The team-based emergency care model involves practicing alongside expert emergency physicians, nurses, and interdisciplinary teams in a collaborative, world-class academic environment focused on safe, efficient, and high-quality emergency care. The position benefits from advanced emergency medicine training and support, including comprehensive onboarding, emergency-specific continuing education, simulation opportunities, ultrasound education, and mentorship to build confidence and expertise. There are opportunities to lead in emergency care innovation, participating in protocol development, throughput optimization, research, and quality initiatives. The culture is resilient and mission-driven, with a well-established advanced practice team that thrives in high-stakes environments, supports one another, and shares a deep commitment to patient care. Duke Emergency Medicine is seeking Critical Care Advanced Practice Providers to join its nationally recognized team at Duke University Hospital, a premier tertiary referral center and Level I Trauma Center. The state-of-the-art Emergency Department supports high-acuity, high-impact care with five adult emergency care areas, advanced in-department CT scanners, X-ray suites, point of care ultrasound equipment, a 24-bed Clinical Evaluation Unit (CEU), a dedicated 13-bed Pediatric Emergency Department, and a 7,000-square-foot ambulance bay.

Requirements

  • Completion of an accredited Physician Assistant program.
  • A Bachelor's degree required (for Physician Assistants).
  • Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing (for Nurse Practitioners).
  • BLS/ACLS certification required.
  • ATLS certification required to participate in trauma care (may obtain after start date).
  • Must be licensed as a Physician Assistant in the State of North Carolina (for Physician Assistants).
  • Must have active certification as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA) (for Physician Assistants).
  • Must have current or compact RN licensure in the State of North Carolina (for Nurse Practitioners).
  • Must have a national certification as a Nurse Practitioner (for Nurse Practitioners).
  • DEA licensure required.
  • At least one year of advanced practice Emergency Medicine experience or have completed a residency/fellowship in Emergency Medicine.

Nice To Haves

  • Master's degree strongly preferred (for Physician Assistants).
  • Critical Care / Acute Care NP Master's or completion of ACNP/CCNP post-Master's program strongly preferred (for Nurse Practitioners).
  • Certification as an Acute Care or Critical Care Nurse Practitioner strongly preferred (for Nurse Practitioners).

Responsibilities

  • In collaboration with attending physician(s), provides direct clinical services for critically ill patients according to established protocols and utilizing evidence-based clinical practice standards.
  • Performs triage, physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies, diagnostic procedures and professional consultations, prescribes appropriate interventions and medications, coordinates the care of patients, and provides direct patient care services.
  • Formulates and implements treatment plans for acute illness management and observation care in collaboration with the attending physician(s).
  • Analyzes clinical practice patterns so to provide the best medical care and to increase effectiveness and efficiency.
  • Communicates verbally and in writing all pertinent patient information to supervising physician, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
  • Provides 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; communications with physician colleagues.
  • Contributes to excellence in patient care, teaching, consulting, and provides leadership to the organization and to the advanced practice profession.

Benefits

  • Comprehensive onboarding
  • Emergency-specific continuing education
  • Simulation opportunities
  • Ultrasound education
  • Mentorship
  • Enhanced Incentives (for Nocturnist Roles)
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