Correlation between surgical booking by a PA and surgical procedure performed.


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:
13 Feb 2024
Historique:
medline: 13 2 2024
pubmed: 13 2 2024
entrez: 13 2 2024
Statut: aheadofprint

Résumé

This study evaluated the concordance between clinical evaluation and diagnosis by a physician associate/assistant (PA) and the preoperative and intraoperative evaluations by a pediatric urologic surgeon. A retrospective chart review was performed for patients independently evaluated and scheduled for surgery by a single PA between 2017 and 2020. Concordance was measured by comparing the PA's office note with the surgeon's preoperative note and operative report. Of the 242 patients scheduled for surgery, 11 underwent an operative report procedure change and 11 others underwent a preoperative note procedure change. Concordance increased from 89.09% in 2017 to 92.31% in 2020 but was not statistically significant (P = .230). Urologic conditions evaluated demonstrated an increase in the variety and complexity of conditions. A supervisory/collaborative model involving a well-trained PA yields excellent outcomes in terms of concordance with surgical scheduling and procedure performed.

Identifiants

pubmed: 38349074
doi: 10.1097/01.JAA.0000997704.21391.cc
pii: 01720610-990000000-00099
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright © 2024 Wolters Kluwer Health | Lippincott Williams & Wilkins.

Références

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Auteurs

Deep A Gandhi (DA)

Deep A. Gandhi is a student in the University of Central Florida's College of Medicine in Orlando, Fla. At Nemours Children's Hospital, Florida in Orlando, Kaity Colón-Sanchez practices in urology and Pamela Ellsworth is chief of the Division of Pediatric Urology. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Classifications MeSH