The impact of advanced practice providers on the surgical resident experience: Agree to disagree?

Abstract:

BACKGROUND:We examined and compared APP versus surgical resident perceptions of the role of APPs in surgical subspecialty teams. METHODS:Residents/first year surgical critical care fellows and inpatient service-specific APPs responded to a survey that examined perceptions about the APP-resident/fellow relationship. Statistical analysis compared responses using a Pearson chi-square test. RESULTS:Thirty-two resident/fellows (48%) and 10 APPs (42%) responded. There was consensus that having an APP on service decreases workload, contributes to continuity of care and enhances resident-patient coordination education and agreement that there was clear communication and adequate collaboration. Both groups differed with respect to APPs contribution to resident/fellow clinical education, role definition and chain of command. The majority of trainees felt that APPs function at a PGY2 level (51.7%) compared to APPs, who felt that they functioned at a PGY4/5 (22%) or Fellow (44%) level. CONCLUSION:APPs and resident/fellows agree that APPs impact resident workload, continuity of care and patient-coordination education.

journal_name

Am J Surg

authors

Eaton B,Hessler L,O'Meara L,Herrera A,Tesoriero R,Diaz J,Bruns B

doi

10.1016/j.amjsurg.2018.10.014

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

1107-1111

issue

6

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(18)30405-7

journal_volume

217

pub_type

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