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Area of Science:

  • Healthcare Economics
  • Surgical Practice Management
  • Advanced Practice Providers

Background:

  • Physician assistants (PAs) and nurse practitioners (NPs) are increasingly integrated into various medical specialties.
  • Understanding their scope of practice and financial impact is crucial for practice management.

Purpose of the Study:

  • To examine scope of practice differences between PAs and NPs.
  • To identify the financial costs and benefits of employing physician extenders.
  • To assess the impact of PAs and NPs on plastic surgery practices.

Main Methods:

  • Literature review of PubMed database using keywords related to physician extenders, PAs, NPs, and cost in plastic surgery.
  • Inclusion of studies measuring financial benefits of integrating physician extenders.
  • Secondary search in related surgical specialties: maxillofacial, orthopedic, and otolaryngology.

Main Results:

  • Eight studies met inclusion criteria, analyzing the impact of PAs and NPs in plastic surgery and related fields.
  • All included studies demonstrated a net financial gain from integrating PAs and NPs.
  • Positive effects on practice costs, productivity, and time involvement were observed.

Conclusions:

  • Physician extenders, including PAs and NPs, demonstrate a positive financial impact on plastic surgery practices.
  • Plastic surgeons should be aware of the roles, training, and financial contributions of these providers.
  • The growing presence of PAs and NPs warrants consideration for practice optimization and cost-effectiveness.