Patterns of utilization and evaluation of advanced practice providers on academic hospital medicine teams: A national survey

Evan M. Shannon, Marissa Cauley, Matthew Vitale, Leanne Wines, Vineet Chopra, S. Ryan Greysen, Shoshana J. Herzig, Sunil Kripalani, Kevin J. O'Leary, Eduard E. Vasilevskis, Mark V. Williams, Andrew D. Auerbach, Stephanie K. Mueller, Jeffrey L. Schnipper

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

This survey study aimed to provide a contemporary appraisal of advanced practice provider (APP) practice and to summarize perceptions of the benefits and challenges of integrating APPs into adult academic hospital medicine (HM) groups. We surveyed leaders of academic HM groups. We received responses from 43 of 86 groups (50%) surveyed. Thirty-four (79%) reported that they employed APPs. In most groups (85%), APPs were reported to perform daily tasks of patient care, including rounding and documentation. Less than half of the groups reported that APPs had completed HM-specific postgraduate training. The reported benefits of APPs included improved perceived quality of care and greater volume of patients that could be seen. Reported challenges included training requirements and support for new hires. Further investigation is needed to determine which APP team structures deliver the highest quality care. There may be a role for expanding standardized competency-based postgraduate training for APPs planning to practice HM.

Original languageEnglish
Pages (from-to)186-191
Number of pages6
JournalJournal of hospital medicine
Volume17
Issue number3
DOIs
StatePublished - Mar 1 2022

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