Program length: 12 months (September 1 to August 31 of every year)
Program breakdown: One advanced didactic month followed by 11 months of clinical rotation pertaining to the medical and surgical aspects of liver, kidney, pancreas, and small intestine transplantation
Prerequisites: Graduate of an accredited physician’s assistant or acute care nurse practitioner program with current board certification; North Carolina State licensure or eligibility; Drug Enforcement Administration licensure or eligibility; BLS and ACLS certifications
*RN First Assistant certification is required for ACNPs interested in assisting in the OR, but it is not required for the fellowship
Credential awarded: Completion certificate from Duke University Medical Center and the Duke Department of Surgery
The first month of the program consists of didactic curriculum aimed at providing a comprehensive understanding of various disease processes commonly encountered in perioperative patient care. The curriculum consists of lectures, seminars, and laboratories regarding general surgery and subspecialty topics.
The perioperative management of surgical patients is addressed, including fluid and electrolyte management, hyperalimentation, and acid/base balance. Instruction also covers surgical emergencies and complications as well as evaluation of specific organ systems. This curriculum program is in conjunction with the Duke PA general surgery residency program.
During this time, fellows will also attend Department of Surgery grand rounds, Transplant grand rounds, TRTLE (Transplant Resource Team for Leadership and Education) conferences, and listing conferences. Toward the end of the didactic month, fellows will prepare for clinical rotations by rounding with the transplant team and shadowing the APPs on service.
During the 11-month clinical curriculum, fellows will split their time between the kidney and liver transplant service lines. The first 5 months of the program will be spent with the kidney transplant team and will include inpatient and outpatient rotations. The last 6 months will be spent with the liver transplant team and will again include inpatient and outpatient rotations. Rotations with various consulting services will additionally be included throughout the entire program.
Duties during the clinical months will include history taking and physical examinations, writing patient orders and progress notes in the EMR, multidisciplinary transplant rounds, carrying the functional pager and responding to patient care needs, ordering diagnostic studies, interpreting laboratory results, discussing recommendations with consulting services, assisting in the operating room, and assisting on organ procurements. All clinical activities of the fellow will be supervised by the supervising physician.