How do surgical residents and non-physician practitioners play together in the sandbox?

Current Surgery
Andrew ResnickJon B Morris

Abstract

The reduction of resident work hours due to the 80-hour workweek has created pressure on academic health-care systems to find "replacement residents." At the authors' institution, a group of nurse practitioners (NPs) and physician assistants (PAs), collectively referred to as non-physician practitioners (NPPs), were hired as these reinforcements, such that the number of NPPs (56) was almost twice the number of clinical categorical surgery residents (37). An experienced leader with national credibility was hired to run the NPP program. On each service, the call system was changed to a night float system, whereby residents were pulled from traditional resident teams to serve as nighttime residents during the week. A total of 1-3 NPPs were hired for each team, but whether NPPs worked for the team as a whole, or were assigned to individual attendings, was left to the discretion of the division chiefs. One year after the start of this program, the authors wanted to study the effects it has had on both surgery resident education and NPP job satisfaction. An electronic, anonymous survey was conducted during a monthly surgery resident meeting, and out of 72 categorical and preliminary surgery residents, 50% submitted answers to 12 ques...Continue Reading

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Citations

Jan 25, 2012·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Monisha SudarshanShannon A Fraser
Mar 12, 2011·Chest·Hayley B GershengornPhillip Factor
Aug 28, 2012·Seminars in Thoracic and Cardiovascular Surgery·Jonathan Berger, Jonathan D'Cunha
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Feb 11, 2021·Plastic and Reconstructive Surgery. Global Open·Shannon M MalloyBrian I Labow

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