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 language | English (US) |
|---|---|
| Pages (from-to) | 186-191 |
| Number of pages | 6 |
| Journal | Journal of Hospital Medicine |
| Volume | 17 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 2022 |
Funding
The authors additionally thank HOMERuN Executive Committee members including Drs. Grant Fletcher, James Harrison, Peter Lindenauer, Melissa Mattison David Meltzer, Joshua Metlay, Jennifer Myers, Sumant Ranji, Gregory Ruhnke, Edmondo Robinson, and Neil Sehgal for their assistance in developing the survey. They also thank Tiffany Lee for her project management assistance for HOMERuN.
ASJC Scopus subject areas
- Fundamentals and skills
- Care Planning
- Assessment and Diagnosis
- Health Policy
- Leadership and Management
- Internal Medicine
