Related Experiment Video
Updated: Aug 14, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
PA and NP onboarding in primary care: The participant perspective
Nathalie Ortiz Pate1, Hilary Barnes, Heather R Batchelder
1Nathalie Ortiz Pate is an assistant professor in the PA program at Campbell University in Lillington, N.C., and practices in family medicine at Moncure (N.C.) Community Health Center. Hilary Barnes is an assistant professor at Widener University School of Nursing in West Chester, Pa. Heather R. Batchelder is a research program leader at Duke University in Durham, N.C. Lorraine Anglin is an assistant professor and academic coordinator of the PA program at Duke University and practices at Triangle Residential Options for Substance Abusers medical clinic in Durham, N.C. Mara Sanchez is an assistant professor and academic coordinator in the PA program at Duke University. Christine Everett is founding PA program director at the Medical College of Wisconsin in Milwaukee, Wisc. Perri Morgan is a professor in the PA program at Duke University. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Objective:
To describe new graduate physician associate/assistant (PA) and NP perspectives of onboarding programs in their first primary care position.
Methods:
Thirteen semistructured interviews were conducted with new graduate PAs and NPs who participated in onboarding programs. Interviews were transcribed and then analyzed using an inductive coding methodology.
Results:
Analyses revealed nine thematic concepts that are described in two frameworks. Structural components are improving competence, training on the electronic health record (EHR), promoting mentorship, orienting to organizational dynamics, tailoring ramp-up of patient scheduling, clarifying expectations, and providing clear organizational support. Psychosocial factors are creating comfort and building self-confidence.
Discussion:
The results describe and delineate important components for onboarding that administrators can incorporate into existing and future programs.
Conclusion:
Understanding participants' experiences with onboarding programs is essential for ensuring successful transition to practice for new graduate PAs and NPs.
More Related Videos
Related Concept Videos
Patient-centered Care
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Methods of Documentation II: POMR
PPE Use in Healthcare Settings I: Donning
Planning Nursing Care I

