Advanced Practice Role: Physician Assistant (PA)
Physician Assistants as Physician Extenders in the Pediatric Intensive Care Unit Setting-A 5-year Experience
Objective: To describe the scope of practice and complementary role of physician assistants as physician extenders in the pediatric intensive care unit. Design: Descriptive report of a 5-yr experience using a physician assistant-resident staffing model in comparison to the traditional resident-only coverage. Setting: Six-bed pediatric intensive care unit at a tertiary care center subject to […]
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Physician Assistants and Nurse Practitioners in Hospital Outpatient Departments, 1993-1994
Objective: To describe the characteristics of visits to physician assistants (PAs) and nurse practitioners (NPs) in hospital outpatient departments in the United States. Methods: Data from the 1993 and 1994 National Hospital Ambulatory Medical Care Surveys were used to compare hospital outpatient department visits in which the patient was seen by a PA or NP, […]
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Integrating Advanced Practice Providers into Medical Critical Care Teams
Because there is increasing demand for critical care providers in the United States, many medical ICUs for adults have begun to integrate nurse practitioners and physician assistants into their medical teams. Studies suggest that such advanced practice providers (APPs), when appropriately trained in acute care, can be highly effective in helping to deliver high-quality medical […]
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Cost-Effectiveness of Physician Assistants: A Review of Recent Evidence
Evidence on the cost-effectiveness of physician assistants has accumulated in diverse sources in recent years. In this analysis the findings of major studies which bear on the issue are assembled and evaluated. Numerous studies indicate that the utilization of physician assistants has a positive correlation with productivity measures; other studies reveal significant cost savings as […]
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The Obfuscation of Nurses, Physician Assistants and other Personnel as Physician Extenders
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Trends in Midlevel Provider Utilization in Emergency Departments from 1997 to 2006
Objectives: The objective was to quantify the expansion of midlevel provider (MLP) practice in U.S. emergency departments (EDs) over the past decade. Specifically, we sought to quantify the absolute number of patients seen by MLPs, the annual growth rate of patients seen by MLPs, and the expansion in the proportion of EDs using MLPs. Methods: […]
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Assessing the Utilization and Productivity of Nurse Practitioners and Physician’s Assistants: Methodology and Findings on Productivity
This article describes the research design, survey instrument and methodology employed in a national study to assess the utilization and productivity of nurse practitioners and physician assistants (NP/PAs) in primary care settings. All practices (N = 455) used in the study employed formally trained NP/PAs who treated, or were eligible to treate, Medicare patients on […]
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Making Midlevel Providers Click with your Group
Collectively known as midlevel providers, nurse practitioners, physician assistants and nurse midwives can diagnose and treat routine health problems as well as prescribe medicine in most states. Medical groups increasingly view MLPs as key to surviving in the managed-care era. With capitation comes more primary-care visits, particularly those related to prevention, and MLPs are qualified […]
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Physician Assistant Self-Assessment of Entry-Level Competency: A Comparison with Observations of Supervising Physicians
Purpose: The present study was conducted to gain comparative knowledge of physician assistants’ and supervising physicians’ perceptions of adequacy of physician assistant (PA) preparation at entry-level for effective practice in the primary care setting. Methods: The sample included 1,000 PAs working in their first professional employment and their supervising physicians. Each PA/physician pair independently completed […]
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