The University of Maryland Medical System is rich in specialty services for the patients of Maryland and the entire region. Nurse practitioners provide expert care within each of the specialty areas below.
To learn more about each area, select a specialty or simply scroll down the page:
Acute
Pain Management -- R Adams Cowley Shock Trauma Center
The Acute Pain Management Service provides comprehensive pain management for patients
utilizing patient controlled anesthesia, patient controlled epidural anesthesia,
regional anesthesia as well as complex oral pain medications.
Cardiology
Nurse Practitioners within the Division of Cardiology provide comprehensive, focused care for patients pre- and post-interventional and electrophysiology procedures. Inpatient and outpatient care is also provided by specialized nurse practitioners to patients with advanced heart failure, and pre- and post-cardiac transplant. A wide variety of LVADs are managed by the pre-transplant team as well.
Cardiology Services for Renal Transplantation
Nurse Practitioners work closely with the Transplant Surgery team to evaluate the cardiac needs of patients being considered for renal
transplantation. This dynamic service applies evidenced-based evaluations of patients prior to surgery, and therefore contributes to the outstanding success of one of the largest renal transplant programs in the world.
Diabetes
Nurse practitioners within the Joslin Diabetes Center provide a collaborative
team approach to diabetes management. The practice is composed of diabetologists, endocrinologists, nurse practitioners,
podiatrists, ophthalmologists and mental health care providers. Care provided
by the nurse practitioner focuses on the medical management of diabetes, risk
identification and reduction. A multidisciplinary approach is utilized to assist
in the prevention of long-term diabetes complications.
Emergency Surgery -- R Adams Cowley Shock Trauma
Center
Nurse practitioners with this team provide care to patients with conditions
requiring emergent general-surgery interventions, or are critically ill and
require the attention of a surgical team in a tertiary care setting. These patients
are followed through their inpatient stay and outpatient recovery.
Hematology/Oncology
Nurse practitioners with the Hematology/Oncology Service follow patients through
their disease course from initial consultation to protracted follow-up. Our
practice includes patients with benign hematological disorders such as anemia,
clotting or bleeding disorders, thrombocytopenia, thrombocytosis or malignant
disorders such as lymphoma, leukemia, MGUS, multiple myeloma and patients requiring
peripheral blood stem cell transplant.
Neurology -- Brain Attack Center
The Maryland Brain Attack Center (MBAC) is a multidisciplinary core of patient
care providers, researchers, and educators working together to curb disability
from stroke. We provide comprehensive acute stroke consultation for the state
of Maryland, including a network of hospitals that cooperatively work toward
achieving the best outcomes for our region's stroke patients. Our objectives
target the potential stroke patient, the EMS community, emergency medicine providers and the stroke patient and family to:
Neuroradiology Service:
The Neuroradiology Service provides both diagnostic and interventional capabilities
to treat a full range of patient diagnoses: acute stroke, carotid stenosis,
traumatic carotid/vertebral artery injuries, ruptured and unruptured aneurysms and
spinal pain interventions, including vertebroplasty and kyphoplasty.
Neurosurgery
The Neurosurgery team offers an array of treatments for all types of neurosurgical
conditions. The department places special emphasis on neuro-oncology, spinal
surgery, epilepsy surgery, Gamma Knife radiosurgery, cerebrovascular surgery
and pediatric neurosurgery. A multidisciplinary approach to patient care is
maintained.
OB/GYN
The talented team of obstetricians, gynecologists, midwives and nurse practitioners
at University of Maryland Women's Health are committed to guiding patients through
every stage of pregnancy and assisting you with issues related to reproductive
health through its Division of General Obstetrics and Gynecology.
The University of Maryland Women's Health Center is committed to making your delivery as stress-free as possible. The healthy mother-to-be and baby receive prenatal care and delivery in comfortable, attractive birthing rooms that are staffed by obstetric anesthesiologists 24 hours a day. They also provide assistance for a range of other gynecologic problems facing women. The Urogynecology (urinary incontinence) Program features complete diagnostic evaluation with the most advanced technologies and offers a variety of treatments ranging from exercise and diet to surgery.
Oncology -- Breast
Nurse practitioners for the Marlene and Stewart Greenebaum Cancer Center and
the Breast Evaluation and Treatment Program (BEP) manage outpatients during
any part of their breast cancer treatment from initial diagnosis, during chemotherapy,
long-term follow-up, metastatic disease, etc. NPs also see patients in the BEP,
which is a high-risk clinic for women with non-invasive breast carcinoma (DCIS<
ADH), mastitis, fibroadenoma, family history, etc.
Oncology -- GU
Provides medical care and manages symptoms to improve quality of life associated
specifically with genitourinary cancers and chemotherapy.
Oncology
-- Thoracic
The Thoracic Oncology program is one of a kind, providing a multidisciplinary approach to lung cancer treatment.
It incorporates the disciplines of surgical oncology, radiation oncology and
medical oncology to ensure that patients receive a highly individualized program
of care they need while undergoing complex, aggressive therapies.
Pediatric Critical Care
The pediatric critical care group provides
comprehensive care to critically ill infants and children.
Pediatric Hematology/Oncology Department:
A pediatric oncology group affiliated with the Children's Oncology Group, a
cooperative group of children's hospitals in North America which give nationally
standardized treatment for children with serious hematological and oncologic
conditions. The group also participates in a Maryland/Washington D.C. cooperative
group for the management of children with sickle cell disease.
Preventive Cardiology
The Division of Cardiology partners with the Division of Transplantation to assure
a high level of quality care for all patients who are being evaluated for renal
and pancreas transplantation. Our cardiac team provides consultation and comprehensive
cardiac support to the pre-evaluation transplant team for approximately 700
patients per year. We are excited to be a successful interdisciplinary model
working together to reduce the number of cardiac surgical complications and
help ensure the survival of our transplant patients.
Preventive Cardiology Services
Nurse Practitioners play a crucial role in the development of programs and the
care of patients in need of preventive cardiology services. Patients are evaluated
using state-of-the-art imaging and laboratory analysis, with care provided by
the nationally known nurse practitioner staff. The impact of their expertise
is felt throughout Maryland as the NP's participate in statewide programs to
extend care well beyond the UMMC campus.
Surgical Oncology
This group provides surgical intervention for malignancies of the GI tract, from the G-E
junction to the anus, as well as soft-tissue malignancies of the trunk and extremities
(specifically sarcomas and melanomas) and liver-directed therapies. We evaluate
the need for surgery, discuss the case in a multidisciplinary tumor board,
and therefore work in tandem with medical oncology and radiation oncology. We
also follow patients on a long-term basis for monitoring and recurrence of disease.
Transplant
Solid organ transplant (STO) is the surgical transplant team that is responsible
for kidney, liver and pancreas transplantation. The University of Maryland's
Division of Transplantation is one of the nation's largest transplant programs.
A multidisciplinary approach is utilized to deliver state-of-the-art care to
recipients of kidney, liver and pancreas transplants.
Traumatology -- R Adams Cowley Shock Trauma
Center
The Traumatology nurse practitioners at the R Adams Cowley Shock Trauma Center
are a vital part of a trauma admitting team, which provides comprehensive care
for patients from admission through discharge. These patients range in severity
of illness from simple single-system injury to multi-system injury and failure.
Additionally, many of the nurse practitioners are experts in specific aspects
of patient injury such as abdominal trauma, ARDS and trauma pathophysiology.
Trauma Neurosurgery -- R Adams Cowley Shock
Trauma Center
Nurse practitioners with the trauma neurosurgery team are key members of a service
that sees more than 1,500 patients a year. As part of the team, the nurse practitioners
perform initial evaluations, assist with operative repair and follow neurosurgical
patients through their recovery both as inpatients and outpatients.
Trauma Orthopaedic Surgery -- R Adams Cowley
Shock Trauma Center
Nurse practitioners with the Orthopaedic Trauma Service provide care for patients
with musculoskeletal injuries from admission through outpatient follow-up including
casting and splinting, insertion of traction pins and fracture reductions.
Trauma Plastic Surgery -- R Adams Cowley Shock
Trauma Center
Part of a service that specializes in microvascular tissue flaps and cranio-facial
reconstruction, the nurse practitioner on this team performs initial evaluations,
bedside surgical repair and assists with operative treatment of a variety of
injuries. After initial evaluation and treatment, the nurse practitioner follows
these patients through their recovery.
Vascular Surgery
The Maryland Vascular Center at UMMC and the Baltimore Washington Medical Center
provides comprehensive evaluation and treatment of all major vascular disorders,
specializing in the most complex vascular problems. Services include: outpatient
consultation, sophisticated non-invasive diagnostic testing, endovascular diagnosis
and treatment and inpatient consultation and treatment.
Division of Wound Healing and Metabolism
Soft Tissue Service -- R Adams Cowley Shock Trauma Center
The Soft Tissue Service receives patients by referral
locally and from surrounding states with the diagnosis of necrotizing fasciitis,
fournier's gangrene or complex infected ulcers. Most patients are systemically
septic or in compensated septic shock on arrival and require aggressive resuscitation
and hemodynamic line placement and monitoring. Multiple operative debridements,
aggressive antibiotics and hyperbaric oxygen are the cornerstones to successful
outcomes for these complex patients.
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