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Understanding what surgical advanced practice providers want: A survey of autonomy, tasks, and training preferences
Charlotte L Harrington1, Max J Hyman2, Nathan J Graham1
1Department of Surgery, University of Chicago, Chicago, IL, 60637, USA.
Background:
Advanced practice providers (APPs) are essential to the surgical workforce, yet their roles, training, and drivers of satisfaction remain poorly understood. Identifying factors that support APP satisfaction is critical to workforce planning.
Methods:
We conducted a cross-sectional survey (June 5-25, 2024) of surgical APPs at three U.S. academic medical centers. The primary outcome was overall job satisfaction; the primary independent variable was frequency of independent clinical decision-making. Multivariable ordinal logistic regression was performed. Secondary analyses assessed task preferences, perceived appropriateness of independent practice by task, and training experiences.
Results:
Among 110 respondents, more frequent independent decision-making was associated with higher job satisfaction. APPs desired more procedural involvement and less documentation. Patient education, order entry, consenting, and documentation were commonly viewed as appropriate for independent practice. In-person and APP-specific training were rated most effective. Aligning responsibilities and training with APP preferences may improve satisfaction and workforce stability.
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