Advanced Practice Role: Physician Assistant (PA)
The Utilization of Physician Extenders. Mid-Level Providers in a Large Group Practice within a Tertiary Health Care Setting
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Educating Advanced Level Practice within Complex Health Care Workplace Environments through Transformational Practice Development
Over the past 20 years health care reform has influenced the development of advanced level practitioner roles and expectations. How advanced level practitioners work to survive the highly stimulating, yet sometimes overwhelming aspects of balancing high quality provision with political reform agendas, amidst economic constraint is considered. Transformational approaches (encompassing education and practice led service […]
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Use of Physician Extenders in Surgical Pathology Practice
Context: Use of a variety of nonphysician personnel for surgical pathology gross examination is generally known to be increasing, although detailed information regarding nonphysician use is currently unavailable. Objective: To measure and describe the use of nonphysician personnel for surgical pathology gross examination in order to gain a better understanding of the current surgical pathology […]
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A Descriptive Analysis of Factors Influencing Physician Assistant Specialty Selection
This study assessed factors impacting practice selection among primary care and specialty physician assistants (PAs). Certified PAs randomized by the National Commission on Certification of Physician Assistants (NCCPA) (30,000) were surveyed, with 2,020 responses (RR = 6.7%). Results showed that factors influencing primary care and specialty selection differ. Increasing reimbursements may not increase selection of […]
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Comparison of Resident and Mid-Level Provider Productivity in a High-Acuity Emergency Department Setting
Introduction: Mid-level providers (MLPs) are used in many emergency departments (EDs) to provide care in a low-acuity, high-volume setting, and are able to see more patients and generate more relative value units (RVUs) than residents in this setting. It is unknown if MLPs are as productive as emergency medicine residents in a high-acuity setting. Objective: […]
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Use of Midlevel Providers in US EDs, 1993 to 2005: Implications for the Workforce
Objective: The aim of the study was to evaluate use of physician assistants (PAs) and nurse practitioners (NPs) in US emergency departments (EDs). Methods: We analyzed visits from the 1993 to 2005 National Hospital Ambulatory Medical Care Survey, seen by midlevel provider (MLP), and compared characteristics of MLP visits to those seen by physicians only. […]
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Relative Value Units and Productivity: Part 2 of 4
The initial article in this series (Volume 17, No. 5: 225-228) discussed relative value unit (RVU) basics and touched on some of the more practical applications of RVUs for managing a medical practice. This article addresses how RVUs differ from encounters and fees in terms of measuring provider productivity and resource consumption. RVUs empower practice […]
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To Teach or Not to Teach: 2011 National Survey of Physician Assistants and Preceptor Experiences
Purpose: The availability of clinical preceptors is essential for education and workforce planning. The purpose of this study is to describe the proportion and the characteristics of physician assistants (PAs) involved as preceptors. It also aims to identify the most important incentives and barriers for PAs to precept students. Methods: A cross-sectional study was conducted […]
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