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https://www.readbyqxmd.com/read/27918400/a-strategic-approach-for-developing-an-advanced-practice-workforce-from-postgraduate-transition-to-practice-fellowship-programs-and-beyond
#1
Dennis A Taylor, Britney S Broyhill, Allison M Burris, Mary Ann Wilcox
The healthcare provider landscape is rapidly changing. Given the imminent retirement of baby boomer physicians, implementation of the Affordable Care Act, and the increased utilization of health care services by an ever-aging population, the supply of providers cannot keep pace with the demand for services. This has led to an increased utilization of advanced clinical practitioners (ACPs). This article shows how one large highly-matrixed health care system approached identifying this workforce, and how thought leaders worked collaboratively with physicians, administrators, and ACPs to meet a growing demand for providers...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27516120/variation-in-practice-patterns-for-the-management-of-newborn-spina-bifida-in-the-united-states
#2
Daniel Lodwick, Lindsey Asti, Katherine Deans, Peter Minneci, Daryl McLeod
OBJECTIVE: To survey variations in recommended initial management of newborn spina bifida (SB). METHODS: Members of an international pediatric urology listserve and Pediatric Urology Nurse Specialists Organization were surveyed on practice patterns for newborn SB. Pediatric urologists (PU), nurse practitioners (NP) and physician assistants (PA) practicing in the United States were included. RESULTS: 63 practitioners (48% PU and 52% NP/PA) were included...
August 8, 2016: Urology
https://www.readbyqxmd.com/read/27322541/comparing-use-of-low-value-health-care-services-among-u-s-advanced-practice-clinicians-and-physicians
#3
John N Mafi, Christina C Wee, Roger B Davis, Bruce E Landon
BACKGROUND: Many physicians believe that advanced practice clinicians (APCs [nurse practitioners and physician assistants]) provide care of relatively lower value. OBJECTIVE: To compare use of low-value services among U.S. APCs and physicians. DESIGN: Service use after primary care visits was evaluated for 3 conditions after adjustment for patient and provider characteristics and year. Patients with guideline-based red flags were excluded and analyses stratified by office- versus hospital-based visits, acute versus nonacute presentations, and whether clinicians self-identified as the patient's primary care provider (PCP)...
August 16, 2016: Annals of Internal Medicine
https://www.readbyqxmd.com/read/27216363/toward-safer-transitions-a-curriculum-to-teach-and-assess-hospital-to-hospice-handoffs
#4
Neha J Darrah, Nina R O'Connor
CONTEXT: Patient handoffs are an increasingly emphasized skill in medical and nursing education, and handoff education is required by the Accreditation Council for Graduate Medical Education. Traditional handoff tools lack content that is unique to hospice and palliative medicine. OBJECTIVES: The objective of the study was to develop a comprehensive curriculum to teach and assess patient handoffs in hospice and palliative medicine fellowships. METHODS: Eight hospice physicians, nurse practitioners, and nurses were interviewed to determine core content for a hospital-to-hospice handoff...
June 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27153306/factors-related-to-successful-transition-to-practice-for-acute-care-nurse-practitioners
#5
Deborah L Dillon, Mary A Dolansky, Kathy Casey, Carol Kelley
The transition from student to acute care nurse practitioner (ACNP) has been recognized as a time of stress. The purpose of this descriptive, correlational-comparative design pilot study was to examine: (1) the relationships among personal resources, community resources, successful transition, and job retention; (2) the difference between ACNPs with 0 to 4 years and ACNPs with more than 4 years of prior experience as a registered nurse in an intensive care unit or emergency department; and (3) the skills/procedures that ACNPs found difficult to perform independently...
April 2016: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/27136253/role-development-of-nurse-practitioners-and-physician-assistants-in-liver-transplantation
#6
Amanda J Chaney, Denise M Harnois, Kaitlyn R Musto, Justin H Nguyen
BACKGROUND: Nurse practitioners (NPs) and physician assistants (PAs) are increasingly utilized in health care. However, their roles in liver transplantation (LT) have not been investigated. MATERIALS AND METHODS: In this study, we reviewed the employment and development of NPs and PAs and their impact on our deceased-donor LT (DDLT) program. RESULTS: We found a safe and efficient way to utilize NPs and PAs in a DDLT program. Since the beginning of our program, Model of End-Stage Liver Disease (MELD) scores have increased significantly, suggesting patients are sicker at the time of transplant, and wait times of patients have become longer...
March 2016: Progress in Transplantation
https://www.readbyqxmd.com/read/26934621/needs-assessment-survey-for-nurse-practitioner-and-physician-assistant-colonoscopists-for-a-gastroenterology-community-of-practice
#7
Jordan Hopchik
Demand for colonoscopy exceeds capacity in the Veterans Health Administration and the private sector. A small number of innovative Veterans Affairs and private sector facilities have created colonoscopy-training fellowships for nurse practitioners and physician assistants (nonphysicians). Additionally, a gastroenterology community of practice might provide knowledge sharing and professional networking opportunities for nonphysician colonoscopists based on assessment of their need for professional activities...
March 1, 2016: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/26334434/children-s-cancer-and-environmental-exposures-professional-attitudes-and-practices
#8
Christine M Zachek, Mark D Miller, Christopher Hsu, Joshua D Schiffman, Stephen Sallan, Catherine Metayer, Gary V Dahl
BACKGROUND: Epidemiologic studies worldwide have provided substantial evidence of the contributions of environmental exposures to the development of childhood cancer, yet this knowledge has not been integrated into the routine practice of clinicians who care for children with this disease. To identify the basis of this deficit, we sought to assess the environmental history-taking behavior and perceptions of environmental health among pediatric hematologists and oncologists. PROCEDURE: A web-based survey was sent from June to October 2012 to 427 pediatric oncologists, fellows, and nurse practitioners from 20 US institutions, with an overall response rate of 45%...
October 2015: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/26312606/developing-a-pipeline-for-the-community-based-primary-care-workforce-and-its-leadership-the-kraft-center-for-community-health-leadership-s-fellowship-and-practitioner-programs
#9
Derri Shtasel, Katherine Hobbs-Knutson, Harriet Tolpin, Debra Weinstein, Gary L Gottlieb
PROBLEM: Community health centers (CHCs) face challenges recruiting and retaining primary care clinicians. Providing advanced training that enhances clinical skills within a public health framework, teaches leadership, protects time for scholarly activities, and focuses on the social mission may be a successful career development strategy. APPROACH: In July 2012, the Kraft Center for Community Health Leadership developed and implemented two 2-year programs to develop physician and nursing leaders with blended academic-community career paths and identities...
September 2015: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26258194/nurse-practitioner-gains-prestigious-fellowship
#10
(no author information available yet)
No abstract text is available yet for this article.
May 2015: Australian Nursing & Midwifery Journal
https://www.readbyqxmd.com/read/26200725/postgraduate-fellowships-what-is-in-it-for-new-acute-care-nurse-practitioners
#11
Nadia Andrade
No abstract text is available yet for this article.
July 2015: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/25833714/generating-evidence-to-narrow-the-treatment-gap-for-mental-disorders-in-sub-saharan-africa-rationale-overview-and-methods-of-affirm
#12
C Lund, A Alem, M Schneider, C Hanlon, J Ahrens, C Bandawe, J Bass, A Bhana, J Burns, D Chibanda, F Cowan, T Davies, M Dewey, A Fekadu, M Freeman, S Honikman, J Joska, A Kagee, R Mayston, G Medhin, S Musisi, L Myer, T Ntulo, M Nyatsanza, A Ofori-Atta, I Petersen, S Phakathi, M Prince, T Shibre, D J Stein, L Swartz, G Thornicroft, M Tomlinson, L Wissow, E Susser
There is limited evidence on the acceptability, feasibility and cost-effectiveness of task-sharing interventions to narrow the treatment gap for mental disorders in sub-Saharan Africa. The purpose of this article is to describe the rationale, aims and methods of the Africa Focus on Intervention Research for Mental health (AFFIRM) collaborative research hub. AFFIRM is investigating strategies for narrowing the treatment gap for mental disorders in sub-Saharan Africa in four areas. First, it is assessing the feasibility, acceptability and cost-effectiveness of task-sharing interventions by conducting randomised controlled trials in Ethiopia and South Africa...
June 2015: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/25612763/ultrasound-credentialing-in-north-american-emergency-department-systems-with-ultrasound-fellowships-a-cross-sectional-survey
#13
Venkatesh R Bellamkonda, Hamid Shokoohi, Abdulmohsen Alsaawi, Ru Ding, Ronna L Campbell, Yiju Teresa Liu, Keith S Boniface
OBJECTIVE: To describe the credentialing systems of North American emergency department systems (EDS) with emergency ultrasound (EUS) fellowship programmes. METHODS: This is a prospective, cross-sectional, survey-based study of North American EUS fellowships using a 62-item, pilot-tested, web-based survey instrument assessing credentialing and training systems. The American College of Emergency Physicians (ACEP) distributed the surveys using SNAP survey (Snap Surveys Ltd, Portsmouth, New Hampshire, USA)...
October 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25612364/understanding-rural-health
#14
(no author information available yet)
No abstract text is available yet for this article.
September 2014: Nursing New Zealand, Kai Tiaki
https://www.readbyqxmd.com/read/25487037/an-interprofessionally-developed-geriatric-oncology-curriculum-for-hematology-oncology-fellows
#15
Ahmed Eid, Caren Hughes, Meghan Karuturi, Connie Reyes, Jeffrey Yorio, Holly Holmes
OBJECTIVE: Because the cancer population is aging, interprofessional education incorporating geriatric principles is essential to providing adequate training for oncology fellows. We report the targeted needs assessment, content, and evaluation tools for our geriatric oncology curriculum at MD Anderson Cancer Center. METHODS: A team comprising a geriatrician, a medical oncologist, an oncology PharmD, an oncology advanced nurse practitioner, and two oncology chief fellows developed the geriatric oncology curriculum...
March 2015: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/25423938/developing-a-national-mentorship-scheme-to-enhance-the-contribution-of-clinical-academics-to-health-care
#16
Geraldine Byrne, Annie Topping, Sally Kendall, Berenice Golding
AIM: To provide a template for developing a national mentoring scheme to enhance the contribution practitioner researchers can make to the quality of health care in England. BACKGROUND: The authors describe the background to and organisation of a mentorship scheme to support those awarded National Institute for Health Research (NIHR) fellowships as part of the Clinical Academic Training (CAT) scheme for nurses, midwives and the allied health professionals in England...
November 2014: Nurse Researcher
https://www.readbyqxmd.com/read/25112021/a-nurse-practitioner-s-experience-in-a-post-graduate-nurse-practitioner-urology-fellowship
#17
Gilbert M Comola
In 2012 the Division of Urologic Surgery at Washington University School of Medicine developed and piloted a 12-month post-graduate nurse practitioner fellowship. The author completed this fellowship. This is a report on the experiences.
May 2014: Urologic Nursing
https://www.readbyqxmd.com/read/24977677/pediatric-hospitalists-and-medical-education
#18
Mary C Ottolini
Pediatric hospital medicine (PHM) is moving toward becoming an American Board of Pediatrics (ABP) subspecialty, roughly a decade after its formal inception in 2003. Education has played a central role as the field has evolved. Hospitalists are needed to educate trainees, medical students, residents, fellows, and nurse practitioner and physician assistant students in inpatient pediatric practice. Continuous professional development is needed for hospitalists currently in practice to augment clinical skills, such as providing sedation and placing peripherally inserted central catheter lines, and nonclinical skills in areas such as quality improvement methodology, hospital administration, and health service research...
July 2014: Pediatric Annals
https://www.readbyqxmd.com/read/24630203/effect-of-provider-experience-on-clinician-performed-ultrasonography-for-hydronephrosis-in-patients-with-suspected-renal-colic
#19
Meghan K Herbst, Graeme Rosenberg, Brock Daniels, Cary P Gross, Dinesh Singh, Annette M Molinaro, Seth Luty, Christopher L Moore
STUDY OBJECTIVE: Hydronephrosis is readily visible on ultrasonography and is a strong predictor of ureteral stones, but ultrasonography is a user-dependent technology and the test characteristics of clinician-performed ultrasonography for hydronephrosis are incompletely characterized, as is the effect of ultrasound fellowship training on predictive accuracy. We seek to determine the test characteristics of ultrasonography for detecting hydronephrosis when performed by clinicians with a wide range of experience under conditions of direct patient care...
September 2014: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24593328/moving-from-silos-to-teamwork-integration-of-interprofessional-trainees-into-a-medical-home-model
#20
Theodore Long, Sarah Dann, Marissa Lynn Wolff, Rebecca S Brienza
As the United States faces an impending shortage in the primary care workforce, interprofessional teamwork training to improve clinic efficiency and health outcomes is becoming increasingly important. Currently there is limited integration of interprofessional training in educational models for health professionals. The implementation of Patient Aligned Care Teams at the Department of Veterans Affairs (VA) has provided an opportunity for interprofessional collaboration among trainee and faculty providers within the VA system...
September 2014: Journal of Interprofessional Care
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