Cardiology Nurse Practitioner Insights: Training, Mentorship, Impact

Jesuit Nugas’s path from his childhood in the Philippines to his career in advanced cardiology practice is rooted in a lifelong belief that caring for others is both a calling and a cultural inheritance. After arriving in the United States, he discovered a route that allowed him to blend deep compassion with clinical expertise—ultimately leading him to pursue cardiology and advanced practice nursing. His experience in the School of Nursing’s cardiology postgraduate certificate program not only strengthened his skills, but also shaped the way he cares for patients, mentors colleagues, and envisions the future of his career. Nugas reflected on the pivotal moments, mentors, and motivations that continue to guide his work in cardiovascular care.

How did you first find your way into nursing?

I was born and raised in the Philippines, and I moved to the United States in 2012 after I was sponsored with an immigrant visa by a hospital in Albany NY. Nursing wasn't something I randomly chose, however—I felt that it was a path very connected to who I am and the culture I grew up in. In Filipino culture, caring for others, especially your family, is second nature. In my culture, nursing is often seen not as a job but as a way of life because Filipinos have this deeply caring spirit. We are raised to look after our family, our neighbors, even strangers. There was always this quiet understanding that we show love through service—that is how I found my way into nursing. I wanted to be in a profession where I could make a real difference in people's lives, especially in moments where they feel vulnerable. This profession gave me the chance to combine my compassion with knowledge and skills that feel very meaningful every time I work. 

What made you decide to become a nurse practitioner, and what sparked your interest in cardiology specifically?

Becoming a nurse practitioner wasn't actually a part of my original plan when I first came to the U.S. In the Philippines that role wasn't really a visible career path, so I didn't even know that it was an option. My perspective changed while I was working as a bedside nurse in New York and had the chance to see a nurse practitioner in action—someone who rounds with the teams, making clinical decisions and building meaningful relationships with the patients. I was truly inspired by the impact they had, and I realized that nurse practitioners hold a unique space in the healthcare system. They are nurses at heart grounded in compassion and holistic care, yet they think and function as skilled providers who can diagnose, manage, and advocate at a high level.

But what really drew me in was when I saw how nurse practitioners took the time to listen, to educate and empower patients, not just treat a diagnosis. I began to imagine myself in that role being able to combine my nursing foundation with deeper clinical knowledge and greater responsibility in shaping patient outcomes. That was the moment I knew I wanted to pursue this pathway. My interest in clinical cardiology developed naturally through patient care. The heart fascinates me, as it's only the size of a fist, yet it drives every aspect of human life. I appreciate how broad and evolving the field is—it offers opportunities to grow into many areas, such as heart failure, electrophysiology, structural heart care, preventative cardiology, and more. All those options keep me excited about lifelong learning. Most of all, I find it rewarding to care for patients at some of their most vulnerable moments and help them regain function and quality of life. 

What made you choose Duke’s postgraduate certificate program in Cardiology?

Before enrolling at Duke, I spent a lot of time looking into different postgraduate certificate programs in cardiology. There were several options, but Duke stood out to me because of how well structured the program is. It is thoughtfully designed to build strong clinical knowledge while supporting students every step of the way. A major reason I chose Duke was its reputation, especially in the field of cardiology, knowing I would be learning from an institution recognized for innovation, leadership, and cardiovascular care. I was also impressed by the faculty, who are leaders in the cardiology field.

I started the program in January 2020 right before the pandemic hit, and I remember wondering how everything would unfold. But what really confirmed my decision was seeing how Duke responded to [the challenges of] that time. The program never wavered in its standards, even as learning shifted online. The quality of education, engagement from professors, and level of student support remained exceptional. It showed me how committed Duke was to its learners and to excellence in education.

Were there any moments, mentors, or experiences at Duke that really made an impact on you?

One of the greatest highlights of my time at Duke was being mentored by Dr. Margaret Bowers. She is an exceptional cardiology nurse practitioner, and her guidance truly shaped how I think and practice today. She taught me how to approach patients with both clinical precision and genuine compassion, and that mentorship continues to influence my care philosophy. 

What does your day-to-day look like in your current role, and what parts of the work energize you the most?

My day usually starts with reviewing patient data, including labs, imaging, telemetry, and doing thorough bedside assessments before rounding with my supervising attending to finalize the plan of care. I see this as more than just checking boxes. It is an opportunity to truly understand where each patient is in their care plan and what they need to move forward. A big part of my day is spent educating patients and their families. I make it a priority to explain diagnoses, medications, and the next steps in a way that feels clear and empowering rather than overwhelming. I want them to feel involved in the decision-making process and confident about the plan, especially as we prepare for discharge and the transition home.

I also enjoy collaborating closely with the nursing staff. I often take time to discuss the rationale behind certain treatments, review pathophysiology related to a particular case, and create space for questions. Those conversations strengthen the whole team and ultimately improve patient care. But what energizes me the most is seeing patients and families gain understanding and their trust in their care, whether it’s helping someone feel less anxious about a new diagnosis, or catching a subtle change that makes a difference in their care, or mentoring a nurse who wants to learn more. Those moments remind me why I love what I do.

As you look ahead, what are you excited about—whether its new skills you want to build, goals you’re working toward, or ways you hope to grow in your career?

When you’re not in the clinic, how do you like to spend your time? Any hobbies or interests that help you unwind?

When I’m not in the clinic, I enjoy channeling my creativity into my wedding cake business, which has become a really rewarding outlet outside of healthcare. Designing and creating cakes allows me to slow down, work with my hands, and express a different side of myself that I truly enjoy. I also love traveling with my loved ones, which is one of the best ways for me to unwind and recharge. Exploring new places together, experiencing different cultures, and making shared memories helps me maintain balance and come back to work feeling refreshed and inspired. 

Learn more about Duke University School of Nursing's cardiology specialty

Cardiology Certificate