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Area of Science:

  • Medical Education
  • Surgical Care
  • Healthcare Administration

Background:

  • Increasing demands on burn care teams due to physician shortages and work hour restrictions.
  • Burn centers face challenges in maintaining adequate staffing for 24-7 patient care.
  • Current burn center teams have limited Advanced Practice Provider (APP) integration.

Purpose of the Study:

  • To develop and implement an APP onboarding curriculum to expand a burn center team.
  • To assess the impact of increased APP staffing on patient care, team dynamics, and financial outcomes.
  • To establish a sustainable model for APP integration in burn care settings.

Main Methods:

  • Designed a comprehensive APP onboarding curriculum covering burn and ICU topics.
  • Hired and integrated 10 new APPs into a 24-7 staffing model within 19 months.
  • Tracked APP productivity using relative value units (RVUs) and evaluated team performance.

Main Results:

  • Successfully filled 10 out of 12 planned APP positions, enhancing team capacity.
  • APPs now provide continuous patient management across various care settings (ICU, floor, OR, ED, clinic).
  • Data indicates a positive correlation between APP complement and team productivity, demonstrating financial benefits.

Conclusions:

  • A structured APP onboarding program can effectively expand burn center teams.
  • Increased APP integration improves patient care continuity and team efficiency.
  • This model offers a scalable solution for other burn centers facing staffing challenges.