The changing landscape of PAs and NPs in nephrology.
Journal
JAAPA : official journal of the American Academy of Physician Assistants
ISSN: 1547-1896
Titre abrégé: JAAPA
Pays: United States
ID NLM: 9513102
Informations de publication
Date de publication:
01 Jan 2021
01 Jan 2021
Historique:
entrez:
17
12
2020
pubmed:
18
12
2020
medline:
3
6
2021
Statut:
ppublish
Résumé
Physician assistants (PAs) and NPs have expanded roles in nephrology as both the patient load and acuity of care needed for this population have increased. To evaluate the workforce patterns of PAs and NPs working in nephrology over the past decade. Using the biannual survey from the National Kidney Foundation Council of Advanced Practitioners, data were collected and analyzed over the past decade. Surveys of nephrology practitioners show the evolution of the dialysis-focused practitioner to one encompassing all aspects of nephrology: hospital, ICU, research, office, and all types of dialysis. Salaries and benefits have increased to compensate for the expansion of responsibilities. PAs and NPs in nephrology have the opportunity to use their skills and training in caring for this high-risk population.
Sections du résumé
BACKGROUND
BACKGROUND
Physician assistants (PAs) and NPs have expanded roles in nephrology as both the patient load and acuity of care needed for this population have increased.
PURPOSE
OBJECTIVE
To evaluate the workforce patterns of PAs and NPs working in nephrology over the past decade.
METHODS
METHODS
Using the biannual survey from the National Kidney Foundation Council of Advanced Practitioners, data were collected and analyzed over the past decade.
RESULTS
RESULTS
Surveys of nephrology practitioners show the evolution of the dialysis-focused practitioner to one encompassing all aspects of nephrology: hospital, ICU, research, office, and all types of dialysis. Salaries and benefits have increased to compensate for the expansion of responsibilities.
CONCLUSIONS
CONCLUSIONS
PAs and NPs in nephrology have the opportunity to use their skills and training in caring for this high-risk population.
Identifiants
pubmed: 33332839
doi: 10.1097/01.JAA.0000723944.52480.d8
pii: 01720610-202101000-00014
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1-8Informations de copyright
Copyright © 2021 American Academy of Physician Assistants.
Références
Centers for Disease Control and Prevention. CKD information sheet. www.cdc.gov/kidneydisease/pdf/2019_National-Chronic-Kidney-Disease-Fact-Sheet.pdf . Accessed November 9, 2020.
National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. US Renal Data System. 2019 USRDS annual data report: epidemiology of kidney disease in the United States. https://usrds.org/annual-data-report/previous-adrs . Accessed November 16, 2020.
American Board of Internal Medicine. March 2016 data report. www.asn-online.org/education/training/workforce/Nephrology_Workforce_Study_Report_2016.pdf . Accessed November 9, 2020.
Anumudu SJ, Erickson KF. Physician reimbursement for outpatient dialysis care: past, present, and future. Semin Dial . 2020;33(1):68–74.
Erickson KF, Tan KB, Winkelmayer WC, et al. Variation in nephrologist visits to patients on hemodialysis across dialysis facilities and geographic locations. Clin J Am Soc Nephrol . 2013;8(6):987–994.
Erickson KF, Winkelmayer WC, Chertow GM, Bhattacharya J. Medicare reimbursement reform for provider visits and Health outcomes in patients on hemodialysis. Forum Health Econ Policy . 2014;17(1):53–77.
Quigley L, Salsberg E, Collins A. Early career nephrologists: results of a 2017 survey. www.asn-online.org/education/training/workforce/Nephrology_Early_Career_Survey_Report_2018.pdf . Accessed November 16, 2020.
Seaborg E. Peritoneal dialysis fluid shortage disrupted growth of popular therapy. www.kidneynews.org/kidney-news/cover-story/peritoneal-dialysis-fluid-shortage-disrupted-growth-of-popular-therapy . Accessed November 9, 2020.
Davis JS, Zuber K. The nephrology interdisciplinary team: an education synergism. Adv Chronic Kidney Dis . 2014;21(4):338–343.
Zuber K, Davis J, Erickson KF. Nephrology advanced practitioners in the United States, 2010-2018. Clin J Am Soc Nephrol . 2019;14(9):1381–1382.
Davis JS, Zuber K. The role of advanced nurse practitioners in nephrology. Dial Transplant . 2009;38(12):488–491.
Salsberg E, Quigley L, Masselink L, et al. The US nephrology workforce 2015: developments and trends. online.org/education/training/workforce/Nephrology_Workforce_Study_Report_2015.pdf. Accessed November 9, 2020.
American Society of Nephrology. Nephrology certification exam pass rate drops sharply. www.kidneynews.org/kidney-news/current-issue/nephrology-certification-exam-pass-rate-drops-sharply . Accessed November 9, 2020.