Advanced Practice Providers in Hematology: Actionable Findings from National Paired APP and Physician Surveys

Author:

Marshall Ariela L.1,Masselink Leah E2,Kouides Peter A3ORCID,Davies Faith E4,Farooqui Azam5,Nagalla Srikanth6,Herrera Alex F.7ORCID,Mortier Nicole8,Brodsky Robert A.9ORCID,Erikson Clese E2ORCID

Affiliation:

1. University of Minnesota, Minneapolis, Minnesota, United States

2. Fitzhugh Mullan Institute for Workforce Equity, United States

3. University of Rochester School of Medicine, Rochester, New York, United States

4. New-York University, New-York, New York, United States

5. Ironwood Cancer & Research Centers, Chandler, Arizona, United States

6. Miami Cancer Institute, Miami, Florida, United States

7. City of Hope, Duarte, California, United States

8. ASH Research Collaborative, Washington, District of Columbia, United States

9. Johns Hopkins University School of Medicine, Baltimore, Maryland, United States

Abstract

Advanced Practice Providers (APPs) are critical to the hematology workforce. However, there is limited knowledge about APPs in hematology regarding specialty-specific training, scope of practice, challenges and opportunities in APP-physician interactions, and involvement with the American Society of Hematology (ASH). We conducted APP and physician focus groups to elucidate major themes in these areas and used results to inform development of two national surveys, one of APPs and one of physicians who work with APPs. The APP survey was distributed to members of the Advanced Practitioner Society of Hematology and Oncology (APSHO) and the physician survey was distributed to physician members of ASH. 841 APPs and 1334 physicians completed the surveys. APPs reported most hematology-specific knowledge was obtained via on-the-job training, and felt additional APP-focused training would be helpful (as did physicians). Nearly all APPs and physicians agreed that APPs were an integral part of their organizations and that physician-APP collaborations were generally positive. 42.1% of APPs and 29.3% of physicians reported burnout, and over 50% of physicians felt that working with APPs had reduced their burnout. Both physicians and APPs reported interest in additional resources including "best practice" guidelines for APP-physician collaboration, APP access to hematology educational resources (both existing and newly developed resources for physicians and trainees), and greater APP integration into national specialty-specific professional organizations including APP-focused sessions at conferences. Professional organizations such as ASH are well positioned to address these areas. -

Publisher

American Society of Hematology

Subject

Hematology

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