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Comparing trauma surgery outcomes between APPs and resident-run teams
Allysen Shaughnessy1, Andrea Majewski, Morgan Henderson
1At MetroHealth Medical Center in Cleveland, OH, Allysen Shaughnessy is director of APP education and practices trauma surgery and emergency general surgery; Andrea Majewski practices trauma surgery and emergency general surgery; Morgan Henderson is associate director of the trauma/surgical critical care/emergency general surgery APP fellowship; and Alaina M. Lasinski is an attending surgeon and director of emergency general surgery. A. Shaughnessy and M. Henderson are adjunct faculty members at Case Western Reserve University in Cleveland, OH, and A.M. Lasinski is an assistant professor of surgery at Case Western Reserve University as well as a medical officer for the U.S. Department of Health and Human Services National Disaster Medical System. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Since the Accreditation Council for Graduate Medical Education's restriction of residents' work hours, trauma surgery teams have begun utilizing physician associates (PAs) and nurse practitioners (NPs), collectively referred to as advanced practice providers (APPs), to compensate for resident shortages. The increased adoption of APPs in trauma surgical staffing models has led to growing interest in evaluating their impact on quality of care, clinical outcomes, and system-level performance. This literature review aims to evaluate current evidence on APP trauma surgery service outcomes and compare them with those of resident-run teams.
