Surgical Faculty Perception of Service-Based Advanced Practice Provider Impact: A Southwestern Surgical Congress Multicenter Survey. Issue 6 (June 2021)

• Record Type: Journal Article
• Authors: Eaton, Barbara C.; Vesselinov, Roumen; Ahmeti, Mentor; Stansbury, Jessica Jean; Regner, Justin; Sadler, Craig; Nevarez, Stephanie; Lissauer, Matthew; Stout, Lauren; Harmon, Laura; Glassett, Brittany; Hampton, David A.; Castro, Helen J.; Cunningham, Kyle; Mulkey, Sarah; O'Meara, Lindsay; Dia, Jose J.; Bruns, Brandon R.
• Is Part Of: American surgeon. Volume 87:Issue 6(2021)
• Page Start: 971
• Page End: 978
• Publication Date: 2021-06
• Subjects: advanced practice provider -- nurse practitioner -- physician assistant -- outcomes -- survey; Surgery -- Periodicals; Surgery -- United States -- Periodicals; 617.0973
• DOI: 10.1177/0003134820956929
• Languages: English
• ISSNs: 0003-1348

Abstract

Background: A previous single-center survey of trauma and general surgery faculty demonstrated perceived positive impact of trauma and surgical subspecialty service-based advanced practice providers (SB APPs). The aim of this multicenter survey was to further validate these findings. Methods: Faculty surgeons on teams that employ SB APPs at 8 academic centers completed an electronic survey querying perception about advanced practice provider (APP) competency and impact. Results: Respondents agreed that SB APPs decrease workload (88%), length of stay (72%), contribute to continuity (92%), facilitate care coordination (87%), enhance patient satisfaction (88%), and contribute to best practice/safe patient care (83%). Fewer agreed that APPs contribute to resident education (50%) and quality improvement (QI)/research (36%). Although 93% acknowledged variability in the APP level of function, 91% reported trusting their clinical judgment. Conclusion: This study supports the perception that SB APPs have a positive impact on patient care and quality indicators. Areas for potential improvement include APP contribution to resident education and research/QI initiatives.