A Study of Advanced Practice Provider Staffing Models and Professional Development Opportunities at National Comprehensive Cancer Network Member Institutions.
A Study of Advanced Practice Provider Staffing Models and Professional Development Opportunities at National Comprehensive Cancer Network Member Institutions.
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DOI：
10.6004/jadpro.2021.12.7.5
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发表时间：
2021-09
期刊：
影响因子：
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通讯作者：
Kennedy K
中科院分区：
文献类型：
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作者：
Austin A;Jeffries K;Krause D;Sugalski J;Sharrah K;Gross A;Bowers D;Mulkerin D;Brandt N;Begue A;Bell R;Raczyk C;Pickard T;Johnson D;Dest V;Randall R;Zecha G;Kennedy K
国家综合癌症网络(NCCN)最佳实践委员会创建了一个高级实践提供者(APP)工作组，以制定建议，以支持NCCN成员机构的APP角色。工作组进行了三项调查，以了解NCCN成员机构的APP计划结构、人员配备模式和职业发展机会。在共享和独立访问中，1.0应用程序每周进行的全职相当于新访问和跟进的总访问次数从11到97次不等，平均每周40次访问(n=39)。应用程序进行的访问类型包括跟踪共享(47.2%)、跟踪独立访问(46%)、新共享(6.5%)和新独立访问(0.5%)。72%的受访者使用混合模式访问类型，15%的受访者仅使用独立访问，13%的受访者仅使用共享访问(n=39)。在拥有APP导联的95%的中心中，100%的中心表示导联承担着行政和临床责任(n=20)；然而，关于这段时间的分配方式，结果有所不同。提供的职业发展机会包括海报、论文和演示(84%)、领导力发展(57%)、研究机会(52%)、写书章节(19%)和其他职业发展活动(12%；n=422)。20%的应用程序表示，应该提供受保护的时间来参与开发机会。调查结果的多变性证明，该领域将受益于制定应用程序标准。目前缺乏有关帮助支持应用程序的领导结构的信息，还需要进行更多的研究。此外，中心应该持续评估将肿瘤学应用程序的价值最大化所需的职业生涯机会。
The National Comprehensive Cancer Network (NCCN) Best Practices Committee created an Advanced Practice Provider (APP) Workgroup to develop recommendations to support APP roles at NCCN Member Institutions. The Workgroup conducted three surveys to understand APP program structure, staffing models, and professional development opportunities at NCCN Member Institutions. The total number of new and follow-up visits a 1.0 APP full-time equivalent conducts per week in shared and independent visits ranged from 11 to 97, with an average of 40 visits per week (n = 39). The type of visits APPs conduct include follow-up shared (47.2%), follow-up independent (46%), new shared (6.5%), and new independent visits (0.5%). Seventy-two percent of respondents utilize a mixed model visit type, with 15% utilizing only independent visits and 13% utilizing only shared visits (n = 39). Of the 95% of centers with APP leads, 100% indicated that leads carry administrative and clinical responsibilities (n = 20); however, results varied with respect to how this time is allocated. Professional development opportunities offered included posters, papers, and presentations (84%), leadership development (57%), research opportunities (52%), writing book chapters (19%), and other professional development activities (12%; n = 422). Twenty percent of APPs indicated that protected time to engage in development opportunities should be offered. As evidenced by the variability of the survey results, the field would benefit from developing standards for APPs. There is a lack of information regarding leadership structures to help support APPs, and additional research is needed. Additionally, centers should continuously assess the career-long opportunities needed to maximize the value of oncology APPs.