Patterns of utilization of advanced practice providers in reproductive endocrinology: a 2023 national survey
Objective: To evaluate the current utilization of advanced practice providers (APPs) within the field of reproductive endocrinology and infertility. Design: Cross-sectional. Setting: Web-based. Patients: A total of 201 APPs surveyed through the American Society of Reproductive Medicine APP Professio...
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Elsevier
2024-12-01
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| Series: | F&S Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666334124001107 |
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| author | Tamara Tobias, A.R.N.P., W.H.N.P.-B.C. Nicole Callahan, M.S.N., F.N.P.-C. Laura Augustine, D.N.P., F.N.P.-C. Barbara Tanaka, M.S.N., W.H.N.P.-B.C. |
| author_facet | Tamara Tobias, A.R.N.P., W.H.N.P.-B.C. Nicole Callahan, M.S.N., F.N.P.-C. Laura Augustine, D.N.P., F.N.P.-C. Barbara Tanaka, M.S.N., W.H.N.P.-B.C. |
| author_sort | Tamara Tobias, A.R.N.P., W.H.N.P.-B.C. |
| collection | DOAJ |
| description | Objective: To evaluate the current utilization of advanced practice providers (APPs) within the field of reproductive endocrinology and infertility. Design: Cross-sectional. Setting: Web-based. Patients: A total of 201 APPs surveyed through the American Society of Reproductive Medicine APP Professional Group. Exposure: Anonymized online survey. Main Outcome Measures: Demographics, scope of practice and responsibilities, and training and onboarding. Results: Respondents were primarily Family Nurse Practitioners (26.4%), Women’s Health Nurse Practitioners (33.3%), or Physician Associates (29.8%). Two-thirds (67.4%) reported that their scope of practice is limited by their employer or practice, 43.5% by state restrictions, and 25.2% by insurance. Survey respondents reported that 44.4% of their time at work is dedicated to performing procedures and scans and 30.6% to conducting consults and follow-ups. The most commonly reported duties were physical examinations (88.6%), intrauterine inseminations (86.6%), saline sonohysterograms (79.6%), endometrial biopsies (76.6%), ultrasounds (74.6%), and problem visits such as for pain, cysts, and bleeding (73.1%). Most survey respondents (61.7%) reported having autonomy in deciding protocols and treatment options for patients in their practice. Respondents described their onboarding training as including observation/on-the-job training (94.0%), independent reading of texts and journals (66.7%), American Society of Reproductive Medicine online courses (45.3%), formal orientation (34.8%), and practice-organized training programs (29.4%). Conclusions: Advanced practice providers are highly trained members of the care team, but continue to be underused within the field of reproductive endocrinology and infertility. Improvements in educational resources and/or use of a formalized program to train APPs to their full scope of practice may help increase clinic efficiency and improve patient access to care. |
| format | Article |
| id | doaj-art-8f2a650654c24d738c20a1f2b2da92e7 |
| institution | DOAJ |
| issn | 2666-3341 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | F&S Reports |
| spelling | doaj-art-8f2a650654c24d738c20a1f2b2da92e72025-08-20T02:39:18ZengElsevierF&S Reports2666-33412024-12-015436336810.1016/j.xfre.2024.09.002Patterns of utilization of advanced practice providers in reproductive endocrinology: a 2023 national surveyTamara Tobias, A.R.N.P., W.H.N.P.-B.C.0Nicole Callahan, M.S.N., F.N.P.-C.1Laura Augustine, D.N.P., F.N.P.-C.2Barbara Tanaka, M.S.N., W.H.N.P.-B.C.3Seattle Reproductive Medicine, Bellevue, WashingtonDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MinnesotaFerring Pharmaceuticals Inc., Parsippany, New JerseyFerring Pharmaceuticals Inc., Parsippany, New Jersey; Correspondence: Barbara Tanaka, M.S.N., W.H.N.P.-B.C., Ferring Pharmaceuticals Inc., 100 Interpace Parkway, Parsippany, NJ 07054.Objective: To evaluate the current utilization of advanced practice providers (APPs) within the field of reproductive endocrinology and infertility. Design: Cross-sectional. Setting: Web-based. Patients: A total of 201 APPs surveyed through the American Society of Reproductive Medicine APP Professional Group. Exposure: Anonymized online survey. Main Outcome Measures: Demographics, scope of practice and responsibilities, and training and onboarding. Results: Respondents were primarily Family Nurse Practitioners (26.4%), Women’s Health Nurse Practitioners (33.3%), or Physician Associates (29.8%). Two-thirds (67.4%) reported that their scope of practice is limited by their employer or practice, 43.5% by state restrictions, and 25.2% by insurance. Survey respondents reported that 44.4% of their time at work is dedicated to performing procedures and scans and 30.6% to conducting consults and follow-ups. The most commonly reported duties were physical examinations (88.6%), intrauterine inseminations (86.6%), saline sonohysterograms (79.6%), endometrial biopsies (76.6%), ultrasounds (74.6%), and problem visits such as for pain, cysts, and bleeding (73.1%). Most survey respondents (61.7%) reported having autonomy in deciding protocols and treatment options for patients in their practice. Respondents described their onboarding training as including observation/on-the-job training (94.0%), independent reading of texts and journals (66.7%), American Society of Reproductive Medicine online courses (45.3%), formal orientation (34.8%), and practice-organized training programs (29.4%). Conclusions: Advanced practice providers are highly trained members of the care team, but continue to be underused within the field of reproductive endocrinology and infertility. Improvements in educational resources and/or use of a formalized program to train APPs to their full scope of practice may help increase clinic efficiency and improve patient access to care.http://www.sciencedirect.com/science/article/pii/S2666334124001107Scope of practicetrainingadvanced practice providerinfertilityIVF |
| spellingShingle | Tamara Tobias, A.R.N.P., W.H.N.P.-B.C. Nicole Callahan, M.S.N., F.N.P.-C. Laura Augustine, D.N.P., F.N.P.-C. Barbara Tanaka, M.S.N., W.H.N.P.-B.C. Patterns of utilization of advanced practice providers in reproductive endocrinology: a 2023 national survey F&S Reports Scope of practice training advanced practice provider infertility IVF |
| title | Patterns of utilization of advanced practice providers in reproductive endocrinology: a 2023 national survey |
| title_full | Patterns of utilization of advanced practice providers in reproductive endocrinology: a 2023 national survey |
| title_fullStr | Patterns of utilization of advanced practice providers in reproductive endocrinology: a 2023 national survey |
| title_full_unstemmed | Patterns of utilization of advanced practice providers in reproductive endocrinology: a 2023 national survey |
| title_short | Patterns of utilization of advanced practice providers in reproductive endocrinology: a 2023 national survey |
| title_sort | patterns of utilization of advanced practice providers in reproductive endocrinology a 2023 national survey |
| topic | Scope of practice training advanced practice provider infertility IVF |
| url | http://www.sciencedirect.com/science/article/pii/S2666334124001107 |
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