Impact of Physician Assistants on the Outcomes of Patients With Acute Myelogenous Leukemia Receiving Chemotherapy in an Academic Medical Center

The authors' findings suggest that the physician assistant service is associated with increased operational efficiency and decreased health service use without compromising health care outcomes.

Download Full-text

A chemotherapy privileging process for advanced practice providers at an academic medical center

Journal of Oncology Pharmacy Practice ◽

10.1177/1078155219846959 ◽

2019 ◽

Vol 26 (1) ◽

pp. 116-123

Author(s):

Michelle A Carrasquillo ◽

Tyler A Vest ◽

Jill S Bates ◽

Aimee Faso ◽

Jessica Auten ◽

...

Keyword(s):

Supportive Care ◽

Nurse Practitioners ◽

Medical Center ◽

Academic Medical Center ◽

Physician Assistants ◽

Advanced Practice ◽

Training Process ◽

Academic Medical ◽

The Creation ◽

Oncology Practice

Purpose Nurse practitioners, physician assistants, and pharmacists are advanced practice providers who are highly trained and qualified healthcare professionals that can help support traditional demands on oncologists' increased time in direct patient care. The purpose of this study was to detail and assess the creation of a privileging process for this group of medical professionals within an academic medical center. Obtaining the designation of limited oncology practice provider (LOPP) gives the right to modify chemotherapy orders and to order supportive care medications. Methods An interdisciplinary team developed a comprehensive training process inclusive of required educational domains, knowledge goals, and educational activities to become an LOPP. In 2018, five years after the implementation of the privileging process, a survey was distributed to assess perceptions of the training process and integration of LOPPs within oncology practice. Results Most oncologists noted that working with LOPPs is beneficial to oncology practice (94%) and that they make modifying chemotherapy orders more efficient (87%). Greater than 82% of LOPPs also reported that their privileges streamline the chemotherapy process and make them feel valuable. Conclusion The creation of the LOPP designation is an effective way to integrate nurse practitioners, physician assistants, and pharmacists within oncology practice. The inclusion of a focused privileging process ensures the safety of cancer care provided and has created a streamlined process for chemotherapy modifications and supportive care.

Download Full-text

Characteristics of Postgraduate Physician Assistant Residency/fellowship Programs: A National Survey

10.21203/rs.3.rs-136568/v1 ◽

2021 ◽

Author(s):

Vasco Kidd ◽

Sarah Vanderlinden ◽

Roderick Hooker

Keyword(s):

Physician Assistant ◽

Medical Center ◽

Academic Medical Center ◽

Postgraduate Education ◽

Physician Assistants ◽

Teaching Hospitals ◽

Assigned Reading ◽

Academic Medical ◽

Wide Range ◽

The Us

Abstract Introduction: The development of postgraduate programs for physician assistants (PAs) began in 1973 and by 2020 there were approximately 100 programs spread across a broad range of medical and surgical disciplines. An assessment of these programs was undertaken. Method: A non-experimental, descriptive research study was designed to obtain information on the characteristics of PA postgraduate education programs in the US. The source of information was from surveyed members of the Association of Postgraduate Physician Assistant Programs. Questions were drawn from consensus discussions. Programs that were operational in 2020 were eligible to participate. Results: Seventy-two programs were invited to the survey and 34 replied. They are geographically distributed across the US in 13 states. The respondents represent a wide range of medicine: surgery, emergency medicine, critical care, orthopaedics, hospitalist, psychiatry, oncology, primary care, pediatrics, and cardiology. Most programs are associated with an academic medical center. The curriculum includes bedside teaching, lectures, mentorship, assigned reading, procedures, simulation, and conferences. The PA fellow serves as house officer alongside physician residents and fellows. An average program length is 12 months and awards a certificate. Stipends for PA fellows are $50,000-80,000 (2020 dollars) and benefits include paid time off, health and liability insurance. About half of the programs bill for the services rendered by the PA. Over 90% of graduates are employed within two months of fellowship completion. Conclusion: A trend is underway in American medicine to include PAs in postgraduate education. PA fellowships occur across a broad spectrum of medical and surgical areas, as well as diverse institutions and organizations overseeing the programs. Most are in academic medical centers or teaching hospitals. This study expands information on PA fellowships and their operation.

Download Full-text

A Multi-disciplinary Approach to Managing Chronic Myelogenous Leukemia Patients on Oral Anticancer Therapy at a Large Academic Medical Center

Current Hematologic Malignancy Reports ◽

10.1007/s11899-021-00659-9 ◽

2021 ◽

Author(s):

Angela Canadeo ◽

Mary Fournogerakis ◽

Felicia Zook

Keyword(s):

Chronic Myelogenous Leukemia ◽

Medical Center ◽

Academic Medical Center ◽

Anticancer Therapy ◽

Myelogenous Leukemia ◽

Academic Medical

Download Full-text

Productivity Assessment of Physician Assistants and Nurse Practitioners in Oncology in an Academic Medical Center

Journal of Oncology Practice ◽

10.1200/jop.2011.000395 ◽

2012 ◽

Vol 8 (3) ◽

pp. 167-172 ◽

Cited By ~ 19

Author(s):

Marc Moote ◽

Ron Nelson ◽

Robin Veltkamp ◽

Darrell Campbell

Keyword(s):

Nurse Practitioners ◽

Medical Center ◽

Academic Medical Center ◽

Physician Assistants ◽

Economic Indicators ◽

Productivity Measurement ◽

Academic Medical ◽

Relative Value ◽

Productivity Assessment

Productivity measurement for physician assistants and nurse practitioners can be challenging. This study quantifies their productivity in oncology according to economic indicators such as charges and work relative value units.

Download Full-text

Implementing postgraduate training for physician assistants in emergency medicine at a major urban academic medical center

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2013.02.004 ◽

2013 ◽

Vol 31 (6) ◽

pp. 983-984 ◽

Cited By ~ 2

Author(s):

John Paul Magenis ◽

Scott C. Sherman,

Keyword(s):

Emergency Medicine ◽

Postgraduate Training ◽

Medical Center ◽

Academic Medical Center ◽

Physician Assistants ◽

Academic Medical

Download Full-text

Abstract TP283: Association Between Spanish Language and Emergency Medical Service Use in Ischemic Stroke Patients Treated with IV-tPA

Stroke ◽

10.1161/str.48.suppl_1.tp283 ◽

2017 ◽

Vol 48 (suppl_1) ◽

Author(s):

Sara K Rostanski ◽

Benjamin R Kummer ◽

Joshua I Stillman ◽

Randolph S Marshall ◽

Olajide Williams ◽

...

Keyword(s):

Ischemic Stroke ◽

Service Use ◽

Medical Center ◽

Academic Medical Center ◽

Spanish Speakers ◽

Primary Language ◽

Spanish Speaking ◽

Emergency Medical ◽

Academic Medical ◽

Iv Tpa

Introduction: Use of emergency medical services (EMS) is associated with decreased door-to-needle time in acute ischemic stroke. While racial and ethnic disparities in EMS use are well documented, the role of patient language in EMS use has been understudied. We sought to characterize EMS use by patient language among IV-tPA treated patients at a single center with a large Spanish-speaking patient population. Methods: We identified all patients who received IV-tPA over five years (7/2011-6/2016) at an academic medical center in New York City. Primary language, EMS use, pre-notification, and patient demographics were recorded from the EMR. We compared baseline characteristics, EMS use, and stroke pre-notification between English and Spanish-speaking patients. Logistic regression was used to measure the association between primary patient language and EMS use, adjusting for potential confounders. Results: Over the study period, 391 patients received IV-tPA; 208 (53%) primarily spoke English and 174 (45%) primarily spoke Spanish. Nine patients (2%) spoke other languages and were excluded. Mean age (66 vs. 69, p=0.09), male sex (43% vs. 33%, p=0.05) and median NIHSS (7 vs. 6, p=0.12) did not differ between English and Spanish-speaking patients. Of the 380 (97%) patients with EMS data, EMS use was higher among Spanish-speaking patients (69% vs. 80%, p<0.01). Pre-notification did not differ by language (63% vs. 61%, p=0.8). In a multivariable model adjusting for age, sex, and initial NIHSS, Spanish speakers remained more likely to use EMS (OR 1.9, 95% CI 1.1-3.2, p=0.02). Conclusion: Among patients treated with IV-tPA at an urban academic medical center, EMS usage was higher in Spanish-speakers compared to English-speakers. Although language is not an exact surrogate for ethnicity, these findings are in contrast to previously published work demonstrating low rates of EMS usage among Hispanics. Future studies should evaluate differences in EMS utilization according to primary language as well as ethnicity.

Download Full-text