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About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Independently, and within a team setting, perform various cardiac, pulmonary, and metabolicstresstestingin accordance withAmerican College of Sports Medicine (ACSM) and American Heart Association (AHA) guidelines. Appropriately assess patient's medical history,presenting symptoms, and functional capabilitiesto ensure patient safety and diagnosticreliabilityof test results as outlined with best practices at Duke Hospital.
Plan, provide, supervise, and document appropriately for the following testing procedures:
Invasive and non-invasive cardiopulmonary testingusingVyntus One Metabolic Cart
Exercise echocardiogram Stress Testing
Non-imaging Exercise Tolerance Testing
Pulmonary Function Testing
Six-minute walk Testing
Work Performed
Level I & Level II - Performs all Exercise Specialist duties and diagnostic testing independently as required by work site. - Assist with oversight and daily operations of clinical programs. - Assist manager with program compliance, benchmarking and performance improvement. -. Oversees the performance of exercise tolerance tests, echocardiogram stress tests, both non-invasive and invasive metabolic stress tests performed on a treadmill or cycle ergometer and pulmonary testing (performs these tests clinically and for research cases). -Required to have clinical knowledge of disease management and programming for multiple co-morbidities. - Mentor and lead others in the department (employees and interns) -Recognizes symptom changes/signs of problems and knows the appropriate medical response and processes. Initiates first responder care. - Active in program certification process and regulatory agency review according to work site. -Ability to utilize a multidisciplinary approach to lifestyle modification with comprehensive knowledge of disease processes, and the implication of multiple co-morbidities on exercise tolerance and response. Coordinates patient care with providers based off data obtained through medically supervised exercise sessions.
Essential Responsibilities:
*Oversees exercise tests conducted on a treadmill/cycle ergometer. Performs metabolic stress tests, pulmonary function tests and six-minute walk tests. Obtains medical history, examines patient, and determines the clinical utility of the study, pre-test, probability, indications and contraindications of the test.
*Utilizes chart/computerized medical record reporting system to obtain previous test results to maximize the safety of the exercise study. Identifies high-risk patients by history and examination to determine who may be at excessive risk for the procedure. Determines the appropriate nature of selected pharmacologic studies.
*Demonstrates sound clinical judgment when overseeing exercise. Observes the patient during exercise and monitors symptoms, electrocardiogram and hemodynamic responses to exercise stress and recovery, ensuring that a complete, informative and safe examination or exercise session is performed. Ensures that an accurate test report is prepared.
*Assists in the overall conduct of the laboratory, including assisting with scheduling, maintaining supplies and equipment, and instructing other laboratory staff, allied health professionals and students.
*Presents case reports to healthcare providers' team when appropriate. Interacts with a multidisciplinary team regarding data obtained from the test results. Attends appropriate rounds and conferences; provides in-services when requested and approved by the lab Supervisor.
-Oversees invasive exercise tests, including obtaining metabolic data at rest and/or during stress, which are performed on a cycle ergometer during right heart catherization.
-In addition to daily operation expectations, individuals will serve as the point person reporting to either the lab Supervisor, ordering equipment parts and ordering of medical and non-medical supplies.
Required Qualifications at this Level
Education
Master's degree in Exercise Physiology or Exercise Science. Bachelor's degree plus ACSM RCEP credential accepted
Experience
Level I: Minimum 1 yrs applicable experience, prefer 2
Level II: Minimum 3 yrs applicable experience (leadership experience preferred).
Degrees, Licensure, and/or Certification
Level I: ACSM Clinical Certification as Exercise Physiologist or Clinical Exercise Physiologist
Level II: ACSM Clinical Certification as Clinical Exercise Physiologist
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.
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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob 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.