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Detecting Somatic Genetic Alterations in Tumor Specimens by Exon Capture and Massively Parallel Sequencing

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Innovative Pathways for Advanced Practice Provider Growth: The Memorial Sloan Kettering Cancer Center Ascend Program.

Joanna Yohannes-Tomicich¹, Linda D'andrea², Xin Kenny Lin³

¹From Department of Anesthesiology & Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.

Journal of the Advanced Practitioner in Oncology

|December 5, 2025

Summary

A new career advancement pathway for advanced practice providers (APPs) was created to boost clinical excellence and job satisfaction. This initiative aims to reduce turnover and improve retention in comprehensive cancer centers.

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Area of Science:

Oncology Nursing
Advanced Practice Provider Professional Development

Background:

Advanced practice providers (APPs) are crucial in comprehensive cancer centers.
There is a need to enhance APP career progression, job satisfaction, and retention.

Purpose of the Study:

To develop and implement a structured career advancement pathway for APPs.
To promote clinical excellence, job satisfaction, and retention among APPs at a major cancer center.

Main Methods:

A literature search was conducted using PubMed.
The Memorial Sloan Kettering Cancer Center (MSKCC) Advance Model was developed, integrating the Strong Model and Benner's Novice to Expert model.
The MSK Ascend Program was established based on this theoretical model.

Main Results:

The MSK Ascend Program provides a formal pathway for APP recognition and promotion.
The program encompasses seven domains: direct care, research, change leadership, education, publications, technology, and mentorship.
It supports continuous professional development and advancement of APP practice.

Conclusions:

Leadership support is vital for the program's success and sustainability.
The program fosters professional growth and satisfaction among APPs.
Iterative refinement demonstrates commitment to advancing the APP community.