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Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education

INTRODUCTION: The effects of non-physician practitioners (NPP) such as physician assistants and nurse practitioners on the education of emergency medicine (EM) residents have not previously been specifically evaluated. Emergency medicine societies have made policy statements regarding NPP presence i...

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Autores principales: Phillips, Andrew W., Sites, Jeremy P., Quenzer, Faith C., Lercher, Daniel M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284528/
https://www.ncbi.nlm.nih.gov/pubmed/37278773
http://dx.doi.org/10.5811/westjem.58759
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author Phillips, Andrew W.
Sites, Jeremy P.
Quenzer, Faith C.
Lercher, Daniel M
author_facet Phillips, Andrew W.
Sites, Jeremy P.
Quenzer, Faith C.
Lercher, Daniel M
author_sort Phillips, Andrew W.
collection PubMed
description INTRODUCTION: The effects of non-physician practitioners (NPP) such as physician assistants and nurse practitioners on the education of emergency medicine (EM) residents have not previously been specifically evaluated. Emergency medicine societies have made policy statements regarding NPP presence in EM residencies without the benefit of empiric studies. METHODS: A cross-sectional, mixed methods questionnaire with strong validity evidence was distributed to current EM residents who were members of a large national society, the American Academy of Emergency Medicine Resident and Student Association (AAEM/RSA), between June 4–July 5, 2021. RESULTS: We received 393 partial and complete responses, representing a 34% response rate. A majority of respondents (66.9%) reported that NPPs have a detracting or greatly detracting impact on their education overall. The workload in the emergency department was reported generally as lighter (45.2%) to no impact (40.1%), which was cited in narrative responses as an aspect of both enhancing and detracting from resident physician education. Non-physician practitioner postgraduate programs in EM were associated with a 14x increase in the median number of procedures forfeited over the course of the prior year (median = 7.0 vs 0.5, P<.001). Among respondents, 33.5% reported feeling “not confident at all” in their ability to report concerns about NPPs to local leadership without retribution, and 65.2% reported feeling “not confident at all” regarding confidence in the Accreditation Council for Graduate Medical Education to satisfactorily address concerns about NPPs raised in the end-of-year survey. CONCLUSION: Resident members of the AAEM/RSA reported having concerns about the effects of NPPs on their education and their confidence in being able to address the concerns.
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spelling pubmed-102845282023-06-22 Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education Phillips, Andrew W. Sites, Jeremy P. Quenzer, Faith C. Lercher, Daniel M West J Emerg Med Original Research INTRODUCTION: The effects of non-physician practitioners (NPP) such as physician assistants and nurse practitioners on the education of emergency medicine (EM) residents have not previously been specifically evaluated. Emergency medicine societies have made policy statements regarding NPP presence in EM residencies without the benefit of empiric studies. METHODS: A cross-sectional, mixed methods questionnaire with strong validity evidence was distributed to current EM residents who were members of a large national society, the American Academy of Emergency Medicine Resident and Student Association (AAEM/RSA), between June 4–July 5, 2021. RESULTS: We received 393 partial and complete responses, representing a 34% response rate. A majority of respondents (66.9%) reported that NPPs have a detracting or greatly detracting impact on their education overall. The workload in the emergency department was reported generally as lighter (45.2%) to no impact (40.1%), which was cited in narrative responses as an aspect of both enhancing and detracting from resident physician education. Non-physician practitioner postgraduate programs in EM were associated with a 14x increase in the median number of procedures forfeited over the course of the prior year (median = 7.0 vs 0.5, P<.001). Among respondents, 33.5% reported feeling “not confident at all” in their ability to report concerns about NPPs to local leadership without retribution, and 65.2% reported feeling “not confident at all” regarding confidence in the Accreditation Council for Graduate Medical Education to satisfactorily address concerns about NPPs raised in the end-of-year survey. CONCLUSION: Resident members of the AAEM/RSA reported having concerns about the effects of NPPs on their education and their confidence in being able to address the concerns. Department of Emergency Medicine, University of California, Irvine School of Medicine 2023-05 2023-05-03 /pmc/articles/PMC10284528/ /pubmed/37278773 http://dx.doi.org/10.5811/westjem.58759 Text en © 2023 Wu et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Original Research
Phillips, Andrew W.
Sites, Jeremy P.
Quenzer, Faith C.
Lercher, Daniel M
Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education
title Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education
title_full Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education
title_fullStr Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education
title_full_unstemmed Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education
title_short Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education
title_sort effects of non-physician practitioners on emergency medicine physician resident education
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284528/
https://www.ncbi.nlm.nih.gov/pubmed/37278773
http://dx.doi.org/10.5811/westjem.58759
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