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James (Frank) F. Titch, DNP, CRNA, RN

Associate Professor
(919) 684-5772
3035 Pearson Building

Frank Titch, Associate Professor in the Nurse Anesthesia specialty, has a Bachelor of Science in Nursing from the University of Texas at Austin. He earned a certificate in Nurse Anesthesia through the Nurse Anesthesia Program at Wilford Hall USAF Medical Center (San Antonio, TX), a Master of Science in Nurse Anesthesia at Virginia Commonwealth University/Medical College of Virginia, and the Doctor of Nursing Practice degree at Duke University.

Dr. Titch's 22 years of service in the Air Force included service as a CRNA in support of an Air Transportable Hospital on the Arabian Peninsula during Operation Desert Shield/Storm and as Chief Anesthetist for four regional Air Transportable Hospitals in theater. He also served as a CRNA at USAF hospitals in England and New Mexico; Chief Nurse Anesthetist, Interim Chief/Anesthesia Element, and General Surgery Flight Commander at USAF Hospital Scott in Illinois; Consultant for Nurse Anesthesia in the Office of the Air Force Surgeon General; and Assistant Professor at the Uniformed Service University in Bethesda, Maryland.

Before his appointment to the DUSON faculty, Dr. Titch was a consulting associate in the Nurse Anesthesia Specialty at DUSON and was clinically active at the Veterans Administration Medical Center (VAMC) in Durham. At DUSON, he directed nurse anesthesia program for over four years and served as lead faculty for eight different courses in the program.
Dr. Titch's research and clinical interests are currently focused on development of best practices in anesthesia during ECT therapy in collaboration with VAMC Durham, including a DNP capstone project on "Implementation and Evaluation of the Innovative Use of Bispectral Index Monitoring to Enhance Assessment of Anesthetic Depth and Prevent Patient Awareness During Electroconvulsive Therapy". Other interests include techniques of regional anesthesia and curriculum development for nurse anesthesia education.

Academic Program Affiliations

  • Doctor of Nursing Practice Program
  • Master of Science in Nursing Program


  • DNP - Duke University School of Nursing
  • MSN - Virginia Commonwealth University

Awards and Honors

  • 2011 || Outstanding MSN Faculty Award, Duke University School of Nursing
  • 2010 || Inducted, Sigma Theta Tau International, Beta Epsilon Chapter
  • 2008 || Ruth E. Long Award for Exceptional Professional Achievement, Duke University Nurse Anesthesia Program; Duke University School of Nursing
  • 2007 || Outstanding Faculty of the Year Award, Duke University School of Nursing
  • 2006 || Durham Anesthesia Outstanding Clinical Instructor of the Year Award, Duke University Nurse Anesthesia Program, Duke University School of Nursing
  • 2001 || Defense Meritorious Service Medal
  • 2000 || Joint Meritorious Unit Award
  • 1999 || Air Force Meritorious Service Medal
  • 1991 || Air Force Achievement Medal
  • 1991 || Air Force Outstanding Unit Award with Valor
  • 1991 || Kingdom of Saudi Arabia Kuwait Liberation Meda
  • 1991 || Kuwait Liberation Medal
  • 1991 || Southwest Asia Service Medal with 3 Devices
  • 1990 || Small Arms Expert with 1 Device
  • 1988 || Air Force Overseas Long Tour
  • 1984 || Agatha Hodgins Award: Outstanding Nurse Anesthetist Graduate
  • 1984 || Air Force Longevity Award with 4 Devices
  • 1984 || Distinguished Graduate, Nurse Anesthesia Residency, Wilford Hall USAF Medical Center
  • 1984 || Inducted, Sigma Theta Tau
  • 1982 || Air Force Commendation Medal with 3 Devices
  • 1980 || National Defense Service Medal

Areas of Expertise

  • Anesthesia

Representative Publications

  • 2015 -- PubMed # : 26137756 Titch, J. F. CPC: One Member's Perspective. AANA J. June, 2015 83(3); 165
  • 2015 -- Johnson, P. M. and Walter, T. R. and Fugate, S. R. and Titch, J. F. Improving labor neuraxial analgesia by reducing anesthesia provider practice variance involving routine platelet counts: A quantitative quality improvement project. Clinical Scholars Review. May 1, 2015 8(1); 110-116
  • 2015 -- PubMed # : 25694569 Titch, J. F. and Vacchiano, C. Pre-ictal bispectral index values; are they accurate? Br J Anaesth. March, 2015 114(3); 529-30
  • 2014 -- Titch, J. F. and Holsinger, T. and Vacchiano, C., and Blood-Siegfried, J. Improving anesthetic depth assessment during electroconvulsive therapy with bispectral index monitoring: A pilot quality improvement project Anesthesia eJournal. 2014 2(2);
  • 2014 -- PubMed # : 25222535 Vacchiano, C. A. and Wofford, K. A. and Titch, J. F. Chapter 1 posttraumatic stress disorder: a view from the operating theater. Annu Rev Nurs Res. 2014 32(1); 1-23
  • 2005 -- Titch, J. F. Intravenous regional anesthesia. In Nurse Anesthesia Secrets edited by . 2005; pp. 473- 477. : Elsevier Mosby. 2005 473- 477
  • 2005 -- Titch, J. F. Peripheral nerve blocks. In Nurse Anesthesia Secrets edited by . 2005; pp. 507- 519. : Elsevier Mosby. 2005 507- 519

Grant Funding (Selected)

  • Nurse Anesthetists Traineeships

    Health Resources and Service Administration (HRSA)
    07/2009 to 06/2011
    Role: Program Director
  • Nurse Anesthesia Program Rural CRNA Initiative

    Health Resources and Service Administration (HRSA)
    07/2009 to 06/2012
    Role: Project faculty

    Project Goal: The purpose of this project is to increase the number of Masters prepared Certified Registered Nurse Anesthetist (CRNAs) practicing in rural, medically underserved areas of North Carolina by developing and implementing a distance learning component to our existing Nurse Anesthesia Program and by partnering with our existing hospital based clinical sites in rural / medically underserved areas to identify, recruit and enroll qualified nurses in the distance learning option.

  • Evaluation of the Relationship Between Velocity of Cerebral Blood Flow, Cerebral Tissue Oxygen Saturation, and Mean Arterial Pressure in Sitting Orthopedic Shoulder Surgery

    American Association of Nurse Anesthetists Foundation;
    07/2009 to 12/2010
    Role: Co-investigator

    Project Goal: The primary objective of this study is to examine the effects of blood pressure changes on cerebral blood flow velocity and cerebral oxygenation in patients undergoing sitting shoulder surgery to determine if these measures may be useful surrogates for estimating the effects of changes in systemic blood pressure on cerebral blood flow.

  • Nurse Anesthetists Traineeships

    Health Resources and Service Administration
    07/2009 to 06/2010
    Role: Program Director
  • Duke University Nurse Anesthesia Traineeship

    Health Resources and Service Administration
    07/2003 to 06/2007
    Role: Program Director
Tuesday, January 30, 2018

DNP- nurse anesthesia alumni Matthew Heyes, Lauren Schnitzen, Deana Staff and faculty members Charles Vacchiano, Chris Muckler and Frank Titch recently published an article entitled "Recertification and Reentry to Practice for Nurse Anesthetists: Determining Core Competencies and Evaluating Performance via High-Fidelity Simulation Technology" in the Journal of Nursing Regulation. Co-authors include experts from Marquette University. 

Thursday, March 23, 2017

James "Frank" Titch was recently reappointed as chair of the Equipment & Technology CPC Core Module Recognition Panel by the National Board of Certification & Recertification for Nurse Anesthetists (NBCRNA). He will serve a two-year term. The group works with vendors developing new education modules for the NBCRNA's Continued Professional Certification (CPC) Program.

The NBCRNA board of directors are responsible for the reappointment.

Wednesday, January 4, 2017

James "Frank" Titch and nurse anesthesia alumna Tam Tran were featured on the cover of the December 2016 issue of the American Association of Nurse Anesthetists Journal. The publication is seen by more than 50,000 member sof the organization. The cover features Titch instructing Tran.

Friday, September 2, 2016

Nurse Anesthesia alumni Adrienne Schwartz and William Morrow published articles in the summer 2016 issue of the International Student Journal of Nurse Anesthesia. Schwartz's article is entitled "Anesthetic Management of 4-year-old with Bilateral Wilms Tumors," and Morrow's article is entitled "Difficult Airway with a Double-lumen Tube."

Friday, July 22, 2016

Frank Titch was recently featured in a NC Association of Nurse Anesthetists news piece that highlights Titch's transition from military CRNA to civilian CRNA to nurse anesthetist educator. Click here to read article.

Tuesday, June 9, 2015

Frank Titch published a letter to the editor entitled "CPC: One Member's Perspective" in the June issue of the American Association of Nurse Anesthetists Journal.

Thursday, February 19, 2015

Frank Titch and Chuck Vacchiano coauthored a letter to the editor entitled "Pre-ictal bispectral index values; are they accurate?" that has been published in the British Journal of Anaesthesia.

Saturday, January 10, 2015

DUSON faculty members Frank Titch, Chuck Vacchiano and Jane Blood-Siegfried coauthored an article with Dr. Tracey Holsinger from the Durham VA Medical Center entitled "Improving anesthetic depth assessment during electroconvulsive therapy with bispectral index monitoring: A pilot quality improvement project" that has been published by Anesthesia eJournal.

Tuesday, December 23, 2014

At the invitation of Winston-Salem State University, Frank Titch presented "Team-Based Learning: Insights Gained" to their school of nursing faculty on December 11.