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A new secondary onboarding program for advanced practice providers (APPs) in hospital medicine significantly improved their competencies and confidence. Physicians also found the program beneficial for standardizing care and would recommend it.

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Area of Science:

  • Medical Education
  • Healthcare Management
  • Advanced Practice Providers

Background:

  • Academic medical institutions face challenges in optimizing the integration and development of advanced practice providers (APPs).
  • A comprehensive secondary onboarding and development program can address skill gaps and enhance provider performance.

Purpose of the Study:

  • To evaluate the impact of a secondary onboarding and development program for APPs within a hospital medicine group.
  • To assess improvements in APP competencies and provider satisfaction.

Main Methods:

  • A mixed-methods study involving physicians and APPs at a tertiary academic medical institution.
  • Quantitative analysis included pre- and posttests, physician evaluations, and APP self-assessments.
  • Qualitative analysis utilized semistructured interviews to explore participant experiences.

Main Results:

  • APP posttest scores improved from 71.7% to 83.0%, and self-assessments increased from 3.52/5 to 3.84/5.
  • Physician evaluations of APPs improved from 4.24/5 to 4.38/5.
  • Qualitative data revealed increased APP confidence and perceived standardization of care among physicians.

Conclusions:

  • The secondary onboarding and development program effectively enhanced APP competencies and confidence.
  • The program was viewed as beneficial for standardizing care and received high recommendation rates from both APPs and physicians.