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An oncology fellowship for advanced practice providers (APPs) shows benefits in retention and provides support through facilitated conversations, despite no significant changes in resilience or stress levels during the program.

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Area of Science:

  • Oncology
  • Healthcare Workforce Development
  • Advanced Practice Providers

Background:

  • Projected shortages in oncology providers due to aging populations and increased cancer survivor numbers.
  • Advanced practice providers (APPs) face burnout and stress due to inadequate preparation for oncology care.
  • Need for specialized training programs to support APPs transitioning into oncology roles.

Purpose of the Study:

  • To describe resilience, stress, and compassion among APP fellows in a transition-to-practice oncology program.
  • To explore the impact of intentional, facilitated conversations on APP fellows.
  • To assess APP retention rates within the fellowship program.

Main Methods:

  • Descriptive study of 18 APP fellows at a comprehensive cancer center (2019-2020).
  • Resilience, stress, and compassion measured using validated scales at baseline, 6, 12, and 18 months.
  • Qualitative data collected on facilitated conversations via program evaluation.

Main Results:

  • No statistically significant changes in resilience, perceived stress, or compassion were observed during the fellowship.
  • Facilitated conversations highlighted themes of challenges, fatigue, empathy, relationships, role, self-awareness, and self-care.
  • APP retention remained steady despite pandemic-related challenges.

Conclusions:

  • Oncology fellowships offer benefits for advanced practice providers.
  • Intentional, facilitated conversations provide crucial reflection and support during APP transition-to-practice programs.
  • Such programs may help mitigate burnout and improve retention in the oncology APP workforce.