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Outcomes of a PA/APRN grand rounds pilot: A novel model for increasing engagement
Elizabeth C Pinyan1, Elizabeth Tysinger, Rachel Zimmer
1Elizabeth C. Pinyan is a junior research associate in the UNC Highway Safety Research Center in Chapel Hill, N.C. She previously served as the program assistant for the Center for Advanced Practice at Atrium Health Wake Forest Baptist. Elizabeth Tysinger is an NP and educator in internal medicine in the Multi-Specialty Infusion Clinic at Atrium Health Wake Forest Baptist in Winston-Salem, N.C. Rachel Zimmer is an assistant professor in the Department of Implementation Science, Division of Public Health Sciences at Atrium Health Wake Forest Baptist. Kathleen Wetherell Griffin is a pediatric neurology NP at Atrium Health Wake Forest Baptist. Eileen Ronsheim is an orthopedic NP at Atrium Health Wake Forest Baptist. Andrea McKinnond is an assistant professor and director of clinical education in the PA program at Wake Forest University in Winston-Salem, N.C., and practices in the Department of Otolaryngology/Head and Neck Cancer at Atrium Health Wake Forest Baptist in Winston-Salem, N.C. Chisom Okoye is program coordinator of the Center for Advanced Practice at Atrium Health Wake Forest Baptist. Alisha T. DeTroye is regional director of advanced practice at Atrium Health Wake Forest Baptist and practices in hematology and oncology at Atrium Health Wake Forest Baptist. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
This article describes a framework for the development, implementation, and effect of advanced practice provider (APP) grand rounds. A team of certified registered nurse anesthetists (CRNAs), NPs, and physician associates/assistants (PAs) developed and operationalized a grand rounds initiative in 2019. Since January 2020, 34 live monthly learning sessions have been held in person and virtually. Surveys using Likert-scale questions were provided postattendance to attendees to assess educational growth and opportunities for improvement in future programming. Attendees also were offered an opportunity to give open-ended feedback. Recordings of each presentation were analyzed to identify content alignment with stated academic medical center system goals. Most attendees reported increased projected medical competence, performance, and perceived projected effect on patient outcomes after attending grand rounds. Grand rounds are a novel model for increasing PA, NP, certified nurse-midwife, and CRNA engagement; enhancing evidence-based medical knowledge; and advancing stated academic medical center system goals.
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