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Perceptions of Role Transition into Practice among Advanced Practice Providers and Physicians.

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This study explored advanced practice provider (APP) and physician experiences during the first year of practice. Findings highlight similar confidence levels but differing views on support and independence, informing better APP transition programs.

Keywords:
clinical competencefellowshipsnurse practitionersphysician assistants

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Area of Science:

  • Healthcare Workforce Studies
  • Advanced Practice Provider Education
  • Physician-APP Collaboration

Background:

  • Transition into practice programs are crucial for novice healthcare providers.
  • Understanding the experiences of Advanced Practice Providers (APPs) is essential for workforce development.
  • Limited research compares APP and physician perceptions of novice practitioner integration.

Purpose of the Study:

  • To examine APP experiences to inform transition-to-practice programs.
  • To compare APP and physician perceptions of novice practitioner acclimation in the first year.
  • To identify areas for improvement in APP onboarding and support.

Main Methods:

  • Cross-sectional survey design utilizing web-based questionnaires.
  • Distributed separate surveys to APPs (N=122) and physicians (N=84).
  • Analyzed perceptions of confidence, anxiety, inadequacy, support, and independence.

Main Results:

  • APP experiences aligned with previous findings on confidence, anxiety, and inadequacy.
  • Physicians and APPs largely agreed on confidence/competence post-orientation (16/23 items).
  • Significant differences noted in perceptions of physician support, time management, and time to full functionality/independence.

Conclusions:

  • Understanding APP and physician perspectives is key to enhancing APP preparation.
  • Formalized transition programs can address identified gaps in support and independence.
  • Improved APP integration supports team-based, interprofessional healthcare delivery.