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Next in Line: Building a Succession Pipeline for Advanced Practitioners in Oncology
Rose Dimarco1, Meredith Beaton2, Kirollos S Hanna3
1From Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Journal of the Advanced Practitioner in Oncology
|August 1, 2026
Summary
Advanced practitioners (APs) are crucial for specialized care, but many leaders are retiring soon. Proactive succession planning is essential to maintain expertise and ensure continued patient care quality.
Area of Science:
- Healthcare Leadership
- Workforce Planning
- Oncology Nursing
Background:
- Advanced practitioners (APs) are vital for specialized patient care, especially in oncology.
- An aging workforce and burnout highlight the need for leadership succession planning.
- Many AP leaders plan to retire within five years, risking loss of expertise and continuity.
Purpose of the Study:
- To emphasize the critical need for structured leadership succession planning for advanced practitioners.
- To outline a framework for effective AP succession planning.
- To identify barriers and solutions for implementing succession planning.
Main Methods:
- The study reviews current challenges and proposes a comprehensive framework for AP succession planning.
- It highlights the importance of aligning planning with organizational strategy and focusing on talent identification.
- Key elements include defining roles, assessing risks, and securing executive support.
Main Results:
- Few organizations have formal succession planning processes for APs.
- Lack of planning risks losing clinical expertise, leadership continuity, and program stability.
- Structured, inclusive succession planning is crucial for maintaining patient care and a resilient AP workforce.
Conclusions:
- Institutions must implement proactive, inclusive succession planning for APs.
- This is critical in oncology to ensure care coordination and program development.
- Addressing barriers like resistance and bias is key to developing future AP leaders.
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