APC Postgraduate Residencies. Mary Ruth Pugh, MSN, FNP-BC
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1 APC Postgraduate Residencies Mary Ruth Pugh, MSN, FNP-BC Trauma Nurse Practitioner, Program Director of Trauma and Critical Care APC Postgraduate Residency, Intermountain Medical Center, Intermountain Healthcare; Salt Lake City, Utah Objectives: Describe the national trends and types of postgraduate residencies Illustrate the purpose of postgraduate residencies including purpose, scope, trends, and specialties Review and summarize information about starting a residency
2 Implementation of an PA/NP Postgraduate Trauma and Surgical Critical Care Residency Mary Ruth Pugh, MSN, FNP-BC Program Director Intermountain Medical Center Salt Lake City, UT
3 Objectives Inform attendants of the residency Present background information Describe current residency plans Obtain suggestions for further progress
4 Definitions APPAP - Association of Post Graduate Physician Assistant Programs ARC- Accreditation Review Commission for Physician Assistant Programs, both entry level and postgraduate ANCC American Nurses Credentialing Center Practice Transition Accreditation Program Fellowship Residency
5 Background APPAP started in Only organization offering accreditation. However, ANCC is starting pilot programs starting PA accredited by the ARC-PA programs exist currently.
6 Background Why Attend? Provides intense, organized didactic and clinical education in a short period of time Attractive to employers Attractive to students
7 Background Why do we need this? Residents trained in trauma and critical care will be valuable to fill local and rural needs for the care of trauma and critically ill patients.
8 Proposal Utah Medical Education Council: The state will need 346 new PAs or APRNs by 2010 to account for population growth, accommodate aging population, and to replace PAs or APRNs leaving the state workforce. The productivity of PAs, APRNs, and physicians in Utah ABSTRACT The physician assistant workforce in Utah is experiencing remarkable growth, with a 9% net annual rate of increase since An additional 84 PAs provided patient care in Utah in the 4-year period of 1998 through 2001, an average increase of 21 per year. The Utah Medical Education Council believes that the demand for PAs will be high over the next 10 to 15 years, with several factors fueling this. Donald M. Pedersen, PhD, PA-C; Boyd Chappell; Gar Elison; Robert Bunnell, MS, PA-C
9 Strengths Program is the first trauma critical care specialized training for NPs and PAs in the mid-west and central states Program enhances the Intermountain Healthcare strengths and outstanding reputation for best practice for all patients. Program is be competitive and state-of-the-art. Allows the trauma service at all facilities to rise to a higher standard of practice and education.
10 Description Initially accept one resident per year. 12 month program Rotations through ICUs, electives, trauma/surgery floor, etc. Research requirement Leadership requirement Resident receives certificate upon completion
11 Sounds great! How much $? Using APPAP s national surveys from program directors, we structure our budget to be similar to other trauma and critical care APC residencies. Ideally, we would prefer two residents per year. Keeping our program intact and the the momentum in a forward direction is a main focus.
12 Thank you
13 References Asprey, D., Helms, L. (1999). A Description of Physician Assistant Postgraduate Residency Training: The Director s Perspective. Perspective on Physician Assistant Education, 10 (3), Ballard, L.B., Beinfield, M.S., Laffaye, H.A., Baue, A.E. (1989). The Training and Utilization of Surgical Physician Assistants. Arch Surg, 124, Bray, T. J., Althausen, P. L., O Mara., T.J. (2008). Growth and Development of the Northern Nevada Orthopaedic Trauma System from 1994 to 2008: An Update. The Journal of Bone and Joint Surgery, Incorporated. 90, Brenneman, A., Hemminger, C., Dehn, R. (2007). Surgical Graduates Perspectives on Postgraduate Physician Assistant Training Programs. The Journal of Physician Assistant Education, 18(1), Christmas, A. B., Reynolds, J., Hodges, S., Franklin, G. A., Miller, F. B., Richardson, J. D., Rodriguez, J. L. (2004). Physician Extenders Impact Trauma Systems. The Journal of Trauma Injury, Infection and Critical Care. 58(5), Fanta, K., Cook. B., Falcone, R.A., Rickets, C., Schweer, L., Brown, R. B., Garcia, V.F. (2006). Pediatric Trauma Nurse Practitioners Provide Excellent Care with Superior Patient Satisfaction. Journal of Pediatric Surgery. 41, Fishfader, V., Hennig, B.,Knott, P. (2002). Physician Assistant Student and Faculty Perceptions of Physician Assistant Residency Training Programs. Perspective on Physician Assistant Education, 13(1), Haan, J. M., Dutton, R. P., Willis, M., Leone, S., Kramer, M. E., Scalea, T. M. (2006). Discharge Rounds in the 80-Hour Workweek: Importance of the Trauma Nurse Practitioner. The Journal of Trauma, Injury, Infection, and Critical Care. 63(2), Heinrich, J.J., Fichandler, B.C., Beinfield, M., Frazier, W., Krizek, T.J., Baue, A.E. (1980). The Physician s Assistant as Resident on Surgical Service. Arch Surg, 115, Heinrich, J.J., Fichandler, B.C., Beinfield, M., Frazier, W., Krizek, T.J., Baue, A.E. (1980). The Physician Assistant as Resident on Surgical Service. Connecticut Medicine. 44(12), Hooker, R. (2009). Assessing the value of Physician Assistant Postgraduate Education. Journal of American Academy of Physician Assistants, 22(5), 13. Hills, K. J., Dieter, P. M. (2010). The Physician Assistant Teaching Fellowship: A Model for Faculty Recruitment. The Journal of Physician Assistant Education, 21(2), Into the Future: Physician Assistants Look to the 21 st Century: A Strategic Plan for the Physician Assistant Profession. Knott, P. (2008). Postgraduate Education for the Physician Assistant: Where Are We Heading? The Journal of Physician Assistant Education, 19(3), 6-7. Knott, P. (2009). Postgraduate Physician Assistant Program Accreditation: The First Year in Review. The Journal of Physician Assistant Education, 20(3), Martin, K.D. (2004). Trauma Advance Practice Nurses: Implementing the Role. Journal of Trauma Nursing. 11(2), Nyberg, S. M., Keuter, K. R., Berg, G.M., Helton, A. M., Johnston, A. D. (2010). Acceptance of Physician Assistants and Nurse Practitioners in Trauma Centers. Journal of the American Academy of Physician Assistants. 23(1), Nyberg, S. M., Waswick, W., Wynn, T., Keuter, K. (2005). Midlevel Providers in a Level I Trauma Service: Experience at Wesley Medical Center. The Journal of Trauma, Injury, Infection, and Critical Care. 63(1),
14 References Oswanski, M. F. Sharma, O. P., Raj, S.S. (2004). Comparative Review of Use of Physician Assistants in a Level I Trauma Center. The American Surgeon. 70, Polansky, M. (2007). A Historical Perspective on Postgraduate Physician Assistant Education and the Association of the Postgraduate Physician Assistant Programs. The Journal of Physician Assistant Education, 18(3), Reines, H. D., Robinson, L., Duggan, M., O Brien, B. M., Aulenback, K. (2006) Integrating midlevel practitioners into a teaching service. The American Journal of Surgery, 192, Salyer, S. W. (2008). A Clinical Doctorate in Emergency Medicine For Physician Assistants: Postgraduate Education. The Journal of Physician Assistant Education, 19(3), Sherwood, K. L., Price, R.R., White, T. W., Stevens, M.H., Van Boerum, D.H. (2009). A Role in Trauma for Advanced Practice Clinicians. The Journal of the American Academy of Physician Assistants. 22(6), Verhoeven, A. (1998). Interest in and Opinions on Postgraduate Emergency Medicine Physician Assistant Residency Training Programs. A National Survey. Perspective on Physician Assistant Education, 9(2), Wiemiller, M. J., Somers, K.K., Adams., M. B. (2008). Postgraduate Physician Assistant Training Programs in the United States: Emerging Trends and Opportunities. The Journal of Physician Assistant Education, 19(4), Will, K.K., Budvari, A.I., Wilkens, J.A., Mishark, K., Hartsell, Z.C. (2010). A Hospitalist Postgraduate Training Program for Physician Assistants. Journal of Hospital Medicine, 5(2),
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