Podcasts about advanced practice providers

Hey y'all, this week, I'm so excited to introduce you to someone who's doing truly innovative work at the intersection of clinical care and coaching.Laura Kirk is the Assistant Director of Advanced Practice Providers at UT Southwestern Medical Center in Dallas, Texas, and she also serves as Vice President of External Education for the Academy of Communication in Healthcare (ACH). She's a Physician Assistant, a certified life coach, a leader, and a total force for humanistic change in the healthcare space.In this episode, Laura shares her personal evolution—from practicing PA to coaching advocate to system-level change agent. At UT Southwestern, she's part of a clinician coaching program designed to support well-being, enhance communication, and ultimately improve patient care.Laura talks about what it's like to see coaching integrated into the heart of a massive academic health system, and why it's worth investing in these skills—not just for personal growth, but for culture change in medicine.

In today's episode, Dr. Karen DeCocker, PMHNP, DNP, CNM, joins the podcast to discuss the use of ketamine to treat depression and various other mental health issues. Dr. DeCocker is the Director of Advanced Practice Providers and Vice President of Clinical Services at Stella Mental Health. Here, she's on a mission to reframe the mental health care paradigm – emphasizing the need to treat brain health with the same level of importance as physical health… Dr. DeCocker provides individualized treatment recommendations across a wide range of advanced protocols, including dual sympathetic reset, ketamine infusions, integration therapy, and more. With more than 13 years of experience as a clinical professional and 30 years of experience in the non-profit and healthcare administration sectors, she has a proven track record of delivering results and fostering a culture of excellence and humanity.  Tune in to learn about: The importance of understanding what's at the core of our physical body symptoms.  A history of ketamine in the mental health sector.  The types of patients that ketamine treatment can work well for.  How ketamine is typically administered.  You can follow along with Dr. DeCocker and her work by visiting the Stella Mental Health website! Episode also available on Apple Podcasts: http://apple.co/30PvU9 Upgrade Your Wallet Game with Ekster!  Get the sleek, smart wallet you deserve—and save while you're at it! Use coupon code FINDINGGENIUS at checkout or shop now with this exclusive link: ekster.com?sca_ref=4822922.DtoeXHFUmQ5  Smarter, slimmer, better. Don't miss out!

For this segment Patricia is joined by Drew and Andy with guest Matthew Delaney to discuss working with APP's in the ED. Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians, visit acoep.org today to learn more.

The variety of practice models in the United States emergency healthcare system is numerous and most of them involve both physicians as well as advanced practice providers (physician assistants and nurse practitioners). Yet, the preparation for how to supervise an APP from a physician perspective, or what to expect from a physician colleague from the APP perspective is not standardized. In this chapter, we sit down with Dr. Eric Boie who is the current medical director for the APP practice at Mayo Clinic in Rochester, Minnesota, as well as Mr. Jeff Wood, PA-C who has been the supervisor of the APPs both in our health system as well in Rochester for nearly a decade until just recently - to discuss our current model of practice, how it supports resident education, how to support APPs autonomy and optimize patient care, how to handle when things don't go as planned and more.    CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com   RELATED READING Clark A, Amanti C, Sheng AY. Supervision of Advanced Practice Providers. Emerg Med Clin North Am. 2020 May;38(2):353-361. doi: 10.1016/j.emc.2020.02.007. PMID: 32336330. Rainer R, Bambach K. Navigating Supervision of Advanced Practice Providers. Emerg Med Clin North Am. 2025 Feb;43(1):131-138. doi: 10.1016/j.emc.2024.05.030. Epub 2024 Aug 1. PMID: 39515936. Lowery B, Scott E, Swanson M. Nurse practitioner perceptions of the impact of physician oversight on quality and safety of nurse practitioner practice. J Am Assoc Nurse Pract. 2016 Aug;28(8):436-45. doi: 10.1002/2327-6924.12336. Epub 2015 Dec 29. PMID: 26712306. Haslam-Larmer L, Krassikova A, Wojtowicz E, Vellani S, Feldman S, Katz P, Robert B, Heer C, Martin-Misener R, May K, McGilton KS. Nurse Practitioner and Physician Collaboration in the Long-Term Care Setting: Secondary Analysis of a Scoping Review. J Am Med Dir Assoc. 2025 Feb;26(2):105418. doi: 10.1016/j.jamda.2024.105418. Epub 2024 Dec 27. PMID: 39701552. McGilton KS, Haslam-Larmer L, Wills A, Krassikova A, Babineau J, Robert B, Heer C, McAiney C, Dobell G, Bethell J, Kay K, Keatings M, Kaasalainen S, Feldman S, Sidani S, Martin-Misener R. Nurse practitioner/physician collaborative models of care: a scoping review protocol. BMC Geriatr. 2023 Feb 16;23(1):98. doi: 10.1186/s12877-023-03798-1. PMID: 36797669; PMCID: PMC9934505. Guidelines Regarding the Role of Physician Assistants and Nurse Practitioners in the Emergency Department. American College of Emergency Physicians Policy Statement Approved June 2023. 

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show!Can we really mandate medical school graduates to dedicate 15 years of full-time practice to repay federal tuition costs? Join us as we scrutinize Congressman Dr. Greg Murphy's controversial proposal. We also discuss why using Advanced Practice Providers is cheaper, but not sustainable in addressing the physician shortage crisis. Timeline00:00 Introduction01:44 Congressman Greg Murphy M.D. controversial tweets.16:40 Where is Dr. Murphy getting his statistics from?22:33 Are doctors going to policed like military workers?29:54 Residency programs not matching the number of medical schools.32:49 Using Nurse Practitioners (NPs) and Physician Assistants (PAs) always backfires.FREE DOWNLOAD -  7 Considerations Before Starting Locum Tenens - https://darkos.lpages.co/7-considerations-before-locumsLINKS MENTIONED Q&A and Suggestions Form - https://forms.clickup.com/9010110533/f/8cgpr25-4614/PEBFZN5LA6FKEIXTWFSIGN UP FOR OUR NEWSLETTER! WATCH THIS EPISODE ON YOUTUBE!Have a question for the podcast?Text us at 833-230-2860Twitter: @drniidarkoInstagram: @docsoutsidetheboxEmail: team@drniidarko.comMerch: https://docs-outside-the-box.creator-spring.comThis episode is sponsored by Set For Life Insurance. What the Darkos use for great disability insurance at a low cost!! Check them out at https://setforlifeinsurance.com/

This education episode of SurgOnc Today® features a roundtable discussion with input from surgical oncologists and a surgical oncology APPs on exploring the different ways APPs can contribute to a surgical oncology practice, both in the inpatient and outpatient settings.

In this episode we dive into Sermo, and their new exclusive online community for Advanced Practice Providers (APPs). Learn how this secure platform fosters professional networking, offers paid survey opportunities, and provides valuable tools like the world's largest drug ratings database.  Discover why Sermo's focus on Advanced Practice Providers makes it a unique and supportive space for career growth and collaboration. We'll also explore how being active in Sermo can help you earn extra money and maximize your experience in terms of connection and networking.  Tune in for an honest review of Sermo and actionable tips for leveraging its resources to thrive in your career! SERMO $20 LINK https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend  SPONSORSPA JOB SOURCE: https://aapa.org/PAJobSource  NEGOTIATION CONSULT: https://www.tracybingaman.com/negotiation-consult  COACHING ⁠1-ON-1 NEGOTIATION CONSULT ⁠⁠https://calendly.com/the-pa-is-in/negotiate⁠⁠⁠  ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠⁠  LINKS ⁠TRACY ON INSTAGRAM ⁠⁠https://www.instagram.com/mrstracybingaman/⁠⁠⁠⁠TRACY ON LINKEDIN ⁠⁠https://www.linkedin.com/in/tracybingaman/⁠⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/thepaisin/support

CME credits: 1.00 Valid until: 17-10-2025 Claim your CME credit at https://reachmd.com/programs/cme/pulmonary-hypertension-for-advanced-practice-providers-risk-stratification-and-diagnosis-to-enhance-quality-of-care-and-outcomes/27146/ This program focuses on early symptom identification and timely diagnosis in patients with pulmonary hypertension (PH). Learn how appropriate risk stratification can facilitate the effective management of PH. Our experts also stress the importance of asking the right questions and offer strategies for achieving well-rounded communication with patients and their caregivers.=

CHAPTERS00:00 The Rise of Locum Tenens in Healthcare03:11 Flexibility and Work-Life Balance for Physicians05:55 Addressing Burnout and Job Satisfaction09:08 Early Adoption of Locum Tenens by New Graduates12:00 Technology's Role in Enhancing Locum Tenens14:48 The Future of Healthcare StaffingABOUT JEFF Jeff Decker serves as Division President for our Physician and Leadership Solutions and is responsible for the leadership of AMN Healthcare's leadership and physician solutions businesses. Mr. Decker has been with AMN Healthcare for more than 20 years, most recently leading locum tenens, and brings a successful background in recruitment, operations management, marketing and brand development. Prior to joining the company, he was the President of Resources On Call, building the company from a regional resource to a national market segment leader. He has more than 25 years of experience in the healthcare industry, beginning with the branding of Humana while with McCann Erickson, the world's largest and most globally experienced advertising network. Mr. Decker holds a Bachelor's degree from Miami University in Oxford, Ohio, and is engaged in volunteering and informal advisories for non-profits in his community.  ABOUT KERRY Kerry Perez leads the design and development of enterprise strategy in addition to overseeing Marketing, Corporate Communications, and Creative Services. Ms. Perez joined AMN Healthcare in 2007 and has held various roles during her tenure, including recruitment, marketing, innovation, strategy, and M&A. She most recently served as the company's Vice President of Enterprise Strategy. She also stood up AMN Healthcare's Diligence and Integration Management Office, which led the strategic and functional integration of new acquisitions to drive synergy. She was named among Staffing Industry Analyst's Top 40 Under 40 in 2021, and she hosts the AMN Healthcare podcast, Elevate Care. Ms. Perez maintains the guiding principles of being customer obsessed, thinking big and delivering results. She has a passion for mentoring emerging leaders and building effective teams. Ms. Perez holds a Bachelor of Arts degree in Business Economics and a Bachelor of Arts degree in Communication from the University of California at Santa Barbara. For more than four years, she has served on the board of Dallas-based nonprofit, CitySquare, which focuses on fighting the causes and effects of poverty.   Connect with Kerry: https://www.linkedin.com/in/kerrycperez/   FIND US ONWebsite – https://www.amnhealthcare.com/podcast/elevate-care-podcast/YouTube – https://www.youtube.com/@ElevateCarePodcastSpotify – https://open.spotify.com/show/5R2oWLZXYfjtPGW7o5KpuoApple – https://podcasts.apple.com/us/podcast/elevate-care/id1710406359Instagram – https://www.instagram.com/amnhealthcare/LinkedIn – https://www.linkedin.com/company/amn-healthcare/X – https://twitter.com/amnhealthcare/Facebook – https://www.facebook.com/amnhealthcare/ Powered by AMN Healthcare

This week we will discuss the use of Ketamine for treating Depression.  Our guest for this week's show is Karen DeCocker, DNP, PMHNP, CNM Karen DeCocker is the Director of Advanced Practice Providers at Stella overseeing the assessment team. She helps to identify which innovative biological medical treatments & virtual therapies can help relieve symptoms of anxiety, depression, PTSD & traumatic brain injury.  After completing a virtual assessment of each patient, Dr. DeCocker and her team analyze the medical, biological, psychological & social factors to provide personalized treatment recommendations across Stella's advanced protocols such as Dual Sympathetic Reset (advanced stellate ganglion block), Ketamine Infusion Therapy, Transcranial Magnetic Stimulation (TMS), Spravato, integration therapy, and more. Dr. DeCocker's priority is the patient's outcome. She became a nurse practitioner in 2007 after 10 years of hospital nursing experience. As rates of depression and anxiety have increased dramatically, people have sought therapies outside the standard regimen of oral antidepressants and talk therapy. Beginning in the mid-2010s, more and more doctors started offering ketamine as a treatment for depression. In 2019, the Food and Drug Administration (FDA) approved esketamine as a treatment for forms of depression that haven't improved with standard antidepressants (like citalopram/Celexa or bupropion/Wellbutrin).   (Source: Psychology Today) 

Welcome to the next episode of the Thought Garden - on Air! Host Alexis Quintal, CEO and Owner of Rosarium PR & Marketing Collective has invited entrepreneurs who have a story to tell come to bring out their inner author on this show. Today's guest is Ben “Doc” Askins, Owner of Advanced Practice Providers and Author of Anti-Hero's Journey. He is the Psychedelic Science War Storyteller. Connect with Alexis on LinkedIn here: www.linkedin.com/in/alexisrquintal/ Learn more about Rosarium at www.rosarium.work Learn more about Doc Askins's book at https://www.antiherosjourney.com/. Connect with Doc Askin on LinkedIn at https://www.linkedin.com/in/doc-askins-8b80bb27a/

Welcome to the next episode of the Thought Garden - on Air! Host Alexis Quintal, CEO and Owner of Rosarium PR & Marketing Collective has invited entrepreneurs who have a story to tell come to bring out their inner author on this show. Today's guest is Ben “Doc” Askins, Owner of Advanced Practice Providers and Author of Anti-Hero's Journey. He is the Psychedelic Science War Storyteller. Connect with Alexis on LinkedIn here: www.linkedin.com/in/alexisrquintal/ Learn more about Rosarium at www.rosarium.work Learn more about Doc Askins's book at https://www.antiherosjourney.com/. Connect with Doc Askin on LinkedIn at https://www.linkedin.com/in/doc-askins-8b80bb27a/

Dr. Andrea Boohaker is the Associate Vice President of Ambulatory Services at UAB. She was recently in the role of Director of Advanced Practice Providers overseeing approximately 200 APPs within the departments of Orthopedic Surgery, Neurosurgery, Neurology, PM&R, OMFS, Urology, Plastic Surgery, Interventional Radiology, Trauma and Anesthesia Critical Care. She has over 17 years of experience in Orthopedic Trauma and Orthopedic Surgery. She holds a DNP degree from the University of Alabama at Birmingham and an MSN degree from Vanderbilt University. She began her career at The University of Texas at Houston as an orthopedic trauma APP functioning on the inpatient and ambulatory spaces and helped expand the APP footprint to serve the busiest trauma center in the country. Her current clinical practice at UAB involves autonomously treating patients with upper extremity trauma injuries and diagnoses. Dr. Boohaker also serves as a Clinical Assistant Professor of Nursing for the UAB School of Nursing within the MSN Acute Care Track. 

In part two of this discussion, Corinne Young, MSN, FNP‑C, FCCP, and Jessica Glennie, CNP, talk about the role of advanced practice providers in rural areas and how their role may differ from larger medical centers.

Corinne Young, MSN, FNP‑C, FCCP, and Jessica Glennie, CNP, share insights on identifying, diagnosing, treating, and setting goals of care for patients with ILDs as advanced practice providers in a variety of practice settings (Part 1 of 2).

In this conversation, Dr. Tim Richardson from Wichita Urology and Dr. Ben Lowentritt from Chesapeake Urology discuss the integration and utilization of Advanced Practice Providers (APPs) in urology practices, particularly within advanced prostate cancer (APC) clinics. Dr. Lowentritt explains the benefits of using APPs to address physician shortages, increase efficiency, and more. 

Do you wake up feeling exhausted even after a full night's sleep? You might not be alone. Millions of people suffer from sleep apnea, a condition where breathing repeatedly stops and starts during sleep. In this episode of Doc Talk, we chat with two Advanced Practice Providers, Connie Tschetter, CNP, and Kayla Tollefsrud, PA-C, who specialize in sleep disorders. They'll break down everything you need to know about sleep apnea, from the tell-tale signs and symptoms to diagnosis and treatment options. Hosted on Acast. See acast.com/privacy for more information.

As advanced practice provider (APP) postgraduate programs expand, what lessons have we learned as program directors? In this second episode of the APP Fellowship series, Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, is joined by Melissa Ricker, DMSc, PA-C, and Sarah Peacock, DNP, APRN to discuss their experiences as program directors of APP fellowships in critical care. This episode will focus on the benefits and barriers of APP fellowship programs, focusing on the program director's experience.

As advanced practice provider (APP) postgraduate programs expand, what can we learn from the graduates themselves? Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, is joined by Dalton Gifford PA-C and Benjamin Lassow, PA-C to discuss their experiences as recent graduates of APP fellowships in critical care; focusing on the benefits and barriers of APP fellowship programs, and the learner's experience.

Episode: April 2024 Host: Karl Steinberg, MD, HMDC, CMD Guest(s): Elizabeth Galik, PhD, CRNP (editor-in-chief); Glenn Tillotson; Allison Villegas, PA-C In This Episode: In this episode, host Dr. Karl Steinberg, MD, CMD, and editor-in-chief Dr. Elizabeth Galik, PhD, CRNP, discuss our April issue of Caring for the Ages with special guests Glenn Tillotson PhD, FIDSA, FCCP, and Allison Villegas, PA-C. This month, we honor Ms. Villegas as the winner of the Cowles award for the most-downloaded article in 2023: “Clearing Up Misconceptions About Nurse Practitioners and Physician Assistants in Long-Term Care.” Dr. Tillotson discusses his co-authored article on clostridioides difficile in older adults, while Drs. Galik and Steinberg discuss our cover story on pets and pet therapy in long-term care and Dr. Galik's article on how to advocate for an aging relative during a skilled nursing facility stay. Featured Articles: Pet Presence in Long-Term Care: Making It Happen in Your Community Clostridioides difficile: New Insights on Management in the Older Patient Advocating for an Aging Relative During a Skilled Nursing Facility Stay: Managing Opportunities and Challenges Advanced Practice Providers Take Center Stage with the 2023 Cowles Award       Award Winner: Clearing Up Misconceptions About Nurse Practitioners and Physician Assistants in Long-Term Care Date Recorded: April 5, 2024 Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows: Claim CMD Credit

Vickram Pradhan, an investor at Sopris Capital, joins venture capitalist David Paul to share his background and experience in investing, as well as his role at Sopris. He discusses the importance of building relationships with portfolio companies and providing operational expertise. Vickram also highlights the advantages of Sopris' capital allocation strategy and the flexibility it offers. He explores the growth of tech-enabled services in healthcare and the challenges of differentiating between tech-enabled services and SaaS companies. Vickram concludes by discussing the decentralization of healthcare and the increasing demand for personalized care and ownership of healthcare decisions. You can watch/listen to the podcast on YouTube, Spotify, and Apple.TakeawaysBuilding relationships and providing operational expertise are crucial in early-stage investing.Flexibility in capital allocation strategy allows for better alignment with portfolio companies.Tech-enabled services in healthcare offer opportunities for growth and disruption.The decentralization of healthcare and the increasing demand for personalized care are emerging trends.Reading quarterly letters from hedge funds can provide valuable insights into pricing risk and investment strategies.Chapters02:23 Background and Experience03:24 Foray into Investing and Role at Sopras Capital04:37 Relationship with Sopras Capital05:30 Investment Advice from Andy06:41 Navigating Challenges in Early Stage Investing07:14 Managing Anxiety and Frustration09:21 Founder Buy-In on Operational Expertise09:38 Differentiation in Capital Allocation Strategy14:34 Flexibility in Entry and Exit Strategies15:48 Challenges of Overcapitalization19:22 Tech-Enabled Services vs. SaaS22:52 Decentralization of Healthcare26:11 Shift in Healthcare Awareness and Ownership28:26 Demand for Additional Healthcare Tests30:10 Advanced Practice Providers in Healthcare32:23 Favorite Investors and Reading Recommendations

My guests this week are Medical Science Liaisons, Dawn O'Reilly and Letitia Price, who discuss the benefits of Medical Science Liaisons engaging with Advanced Practice Providers. Learn more about…

Advanced Practice Providers, or APPs, have taken on an increasingly important role in patient care over the years. Comprised of nurse practitioners and physician assistants, APPs receive advanced education and clinical training for performing a wide range of care services, many of which were traditionally carried out by physicians. Yet, there are no residencies or fellowships to transition APPs from the academic to the clinical realm. On the next two episodes, this award-winning podcast examines how organizations and practices can address this gap.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Christen Hunt, DNP, FNP-C, CPNP-AC Associate Vice President Workforce Consulting Vizient   Show Notes: [02:02] Residencies and fellowships and what they mean for APPs [04:41] APPs and orientation – need for a deeper dive [05:13] Growth of APP positions and necessity for new care models [06:44] Fostering the business side of healthcare [07:14] Integrating APPs into the team [08:13] Bringing APPs into the culture   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Christen Hunt's email: christen.hunt@vizientinc.com   Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed    

Are you a practicing PA or PA student and interested in a Doctorate Degree? Listen to this informative podcast where our expert panel discusses the Doctor of Medical Science Degree and other Doctoral Degrees and how it might benefit your career as PA! Bios: Hayden Middleton, DMSc, PA-CHayden Middleton is a primary care PA, clinical researcher, and assistant professor of family medicine at Mayo Clinic in Rochester. He holds a Doctor of Medical Science Degree from Rocky Mountain University of Health Professions in Provo, Utah and completed PA School at Bethel University in St. Paul. In addition to seeing patients in family medicine clinic, he practices in the primary care procedure clinic, performing skin biopsies, large joint injections, and other procedures. Hayden has a special interest in dermatology and dermoscopy both in clinical practice and research. He has published multiple peer-reviewed articles and posters and has presented at both Mayo Clinic and previous MAPA Conferences. He is also a 2023-2024 AAPA-PAEA Research Fellow. He currently serves on the MAPA board, as Director at Large and the MAPA Diversity, Equity, & Inclusion Committee Co-Chair. Leslie Clayton DMSc, PA-C, DFAAPALeslie Clayton DMSc, PA-C, DFAAPA is the current Program Director of Advanced Practice Providers for M Health Fairview. She has been in practice for over 25 years with the majority spent in primary care. In addition to clinical practice, and administrative leadership, she is also an adjunct assistant professor at Saint Catherine University Master of PA Studies Program.  PA Clayton currently serves on the Board of Directors for the American Academy of Physician Associates as the First Vice-Speaker of the House of Delegates.  She has served the MN Academy as a past president and legislative co-chair, as well as several other committees.  She remains a legislative committee member to continue to support the ongoing advocacy efforts on behalf of the PA profession. Brittany Strelow, DMSc, PA-CBrittany Strelow has been a physician assistant at Mayo Clinic, Rochester for the last twelve years. She practices in Community Internal medicine and as adjunct faculty for the Butler DMSc Bridge Program. She holds a doctorate degree in medical science from the University of Lynchburg. Her experience has included Clinical Co-Director of the Mayo Clinic PA Program, adjunct for the Augsburg Physician Assistant program, practicing in Urgent Care and Fast Care at Olmsted Medical Center, and Hematology Outpatient Care at the Mayo Clinic. She has received POCN Top PA: Internal Medicine and Minnesota Academy of PAs Preceptor/Mentor of the Year. She is currently serving on the AAPA Commission of the Public Committee, the Minnesota Board of Medical Practice PA Advisory Council, and as the Minnesota Academy of PAs President. Kimberly Lakhan, DHSc, PA-C, DFAAPADr. Kimberly Lakhan is the Department Chair and Program Director of the Department of Medical Science and PA Medicine Program at Saint Scholastica. In addition, she is a practicing otolaryngology PA. Dr. Lakhan graduated from St. Olaf College with a BA in Chemistry and Psychology (concentration in Neuroscience) and earned her PA as a member of Augsburg's inaugural program. She later earned a master of PA Studies in Otolaryngology (MPAS) from the University of Nebraska Medical Center and a Doctor of Health Science (DHSc) in Global Health from A.T. Still University. She is a grant recipient from The Whiteside Research Institute and Essentia Health Foundation for her research on the prevalence and epidemiology of HPV in oral squamous cell carcinoma. As an active member of the Minnesota Academy of PAs (MAPA), Dr. Lakhan currently serves on the MAPA Executive Board as Treasurer and delegate to the AAPA House of Delegates. She is also a distinguished fellow of the American Academy

In this episode, Tavell L. Kindall, PhD, DNP, ARNP, FNP-BC, AACRN, AAHIVS, FAANP, and Anne Teitelman, PhD, FNP-BC, FANNP, FAAN, discuss key PrEP considerations for advanced practice providers in primary care settings, including: The importance of having PrEP navigators to help with logistics and be a point of contact for patients Where to find education and resources to familiarize yourself with PrEP and its prescribingSafety considerations and adverse events associated with PrEP optionsPrEP coverage and costHow to discontinue PrEP and the risk of resistance if someone acquires HIV while taking PrEPFacultyTavell L. Kindall, PhD, DNP, ARNP, FNP-BC, AACRN, AAHIVS, FAANPDirector, HIV Prevention and TreatmentSt. Thomas Community Health CenterNew Orleans, LouisianaAnne Teitelman, PhD, FNP-BC, FANNP, FAANAssociate Professor Emeritus of Nursing and Global Women's HealthDepartment of Family and Community HealthSchool of NursingUniversity of PennsylvaniaProfessorThomas Jefferson UniversityCollege of NursingPhiladelphia, PennsylvaniaLink to full program: https://bit.ly/3PZGYdR

In this episode, Dr Tavell Kindall and Jona Tanguay discuss actionable strategies for advanced practice providers to increase the frequency at which PrEP is offered and initiated in primary care settings. Topics covered include:Available training resources on how to offer PrEP in primary careAffordable, accessible PrEP options, including patient assistance programsUsing electronic health records to identify candidates for PrEPOpportunities to offer PrEP during appointments regarding birth control, STIs, or any other sexual health concernsHow to offer 3-site STI testing at your facilityWrapping PrEP into primary careIncorporating navigators or care coordinators to reduce logistical barriers and reach underserved populationsRapid testing, mobile testing, and Tele-PrEP as ways to facilitate PrEP initiation and simplify routine PrEP visitsHealthcare professionals' personal biases as a potential barrier to PrEPUsing ICD-10 codes for HIV PrEP as a way to further destigmatize PrEP and simplify billingFaculty:Tavell L. Kindall, PhD, DNP, ARNP, FNP-BC, AACRN, AAHIVS, FAANPDirector, HIV Prevention and TreatmentSt. Thomas Community Health CenterNew Orleans, LouisianaJona Tanguay, MMSc, PA-C, AAHIVSMedical Program Lead - Substance Use Disorders at Whitman-Walker HealthAssociate Medical Director - Transgender Health at Amida CarePresident-Elect at GLMA: Health Professionals Advancing LGBTQ+ EqualityClinical Instructor at Yale School of MedicineFounder at ChemsexHarmReduction.orgWashington, DCContent is supported by independent educational grants from Gilead Sciences, Inc. and ViiV Healthcare.Link to full program: https://bit.ly/3PZGYdR

Nursing is the nation's largest health care profession, with nearly 5.2 million registered nurses and more than 355,000 nurse practitioners in the United States. With this many members, nurses have the potential to profoundly influence policy on a global scale. When nurses influence the politics that improve the delivery of health care, they are ultimately advocating for their patients.On this episode of clinical pearls, we are joined by Dr. Eileen Meyer. She is a nurse practitioner and the Assistant Director to Advanced Practice Providers at UAB Medicine, which employs over 900 Advanced Practice Providers. She also is a Clinical Assistant Professor at the UAB School of Nursing and teaches the Health Policy and Politics Course. She served as Vice President for Health Policy for the Nurse Practitioner Alliance of Alabama and now assume the role of Senior Policy Advisor representing over 8,000 nurse practitioners in Alabama.Links: Nurse Practitioner Alliance of AlabamaAmerican Nurses AssociationAmerican Association of Nurse PractitionersAlabama State Nurses Association

In this podcast episode, we delve into the critical topic of patient access and operational throughput. With growing demand for medical services and a looming physician shortage, it's essential to reframe patient access as a pivotal aspect of healthcare production, not merely patient satisfaction.   Episode Synopsis Join us as we discuss current patient access challenges, highlight key focus areas for effective management, and explore the differentiation between patient access and operational throughput, emphasizing role clarity, optimizing staff utilization, and improving communication. The episode also delves into trends in patient access management, including the role of Advanced Practice Providers and the strategic integration of technology to enhance access. Patient access has never been more vital, as patient demand is projected to exceed provider supply. We offer practical strategies for healthcare organizations to excel in patient access and operational throughput.  ·        Patient access and throughput in healthcare (0:11) ·        Patient access and physician shortages in U.S. healthcare (4:37) ·        Streamlining patient access and scheduling (9:20) ·        Patient access and appointment metrics (12:01) ·        Improving patient access and organizational performance (15:52) ·        Improving medical practice efficiency (20:15) ·        Improving patient access in healthcare (26:16) ·        Improving patient access and reducing no-shows (32:03)   Extras ·        Overcoming Obstacles with Performance Improvement for Critical Access Hospitals (https://cokergroup.com/overcoming-obstacles-with-performance-improvement-for-critical-access-hospitals/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-119-navigating-patient-demand-and-physician-shortages&utm_content=patient-access&utm_campaign=physician-services&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=solution) ·        Quantifying Patient Access: Utilize Data to Identify Improvement Opportunities and Monitor Performance (https://cokergroup.com/quantifying-patient-access-utilize-data-to-identify-improvement-opportunities-and-monitor-performance/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-119-navigating-patient-demand-and-physician-shortages&utm_content=patient-access&utm_campaign=physician-services&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=solution)     Podcast Information Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.  ·        Please email us: feedback@cokergroup.com ·        Connect with us on LinkedIn: Coker Group Company Page ·        Follow us on Twitter: @cokergroup ·        Follow us on Instagram: @cokergroup ·        Follow us on Facebook: @cokerconsulting

Listen for an update from MAPA's Legislative Committee members about the recently passed legislative changes that occurred over the past few years, including the PA Modernization Act and the PA Harmonization Act. You'll also hear what the Legislative Committee is currently working on in regards to the PA Compact as well as PAs working in mental health. Learn what you can do to advocate for our PA profession such as joining us for PA Day on the Hill! Do you have questions about MAPA's legislative efforts or about becoming involved with MAPA's Legislative Committee? Reach out by sending an email to mapa.advocate@gmail.com with your questions!Guests: Leslie Clayton DMSc, PA-C, DFAAPA is the current Program Director of Advanced Practice Providers for M Health Fairview. She has been in practice for over 25 years with the majority spent in primary care. In addition to clinical practice, and administrative leadership, she is also an adjunct assistant professor at Saint Catherine University Master of PA Studies Program.  PA Clayton currently serves on the Board of Directors for the American Academy of Physician Associates as the First Vice-Speaker of the House of Delegates.  She has served the MN Academy as a past president and legislative co-chair, as well as several other committees.  She remains a legislative committee member to continue to support the ongoing advocacy efforts on behalf of the PA profession. Becky Ness, PA-C, MPAS, DFAAPA is a nephrology PA with Mayo Clinic Health System, SWMN, current MAPA legislative committee member, former legislative committee co-chair, former MAPA president, and former MAPA HOD/chief delegate.  Alannah Zheng, MSPA, PA-C, CLC is an OBGYN PA with Allina Health. Within MAPA she serves as the chair of the Legislative & Reimbursement Committee, a Delegate to the AAPA HOD, and a committee member on the CME and Scholarship Committees. She is a past Director-at-Large. Host: Katarina Astrup, MSPAS, PA-C is a telepsychiatry PA with Minnesota Clinic for Health and Wellness. She is a Director-At-Large for MAPA and serves on the Social Media and Marketing Committee. 

Drs. Jeremy Levin, Shyam Murali, Mike Radomski, and Kaitlin Ritter talk about integrating Advanced Practice Providers into a trauma program with special guest, Jonathan Messing, MSN, ACNP-BC. Learn about how to start an APP practice within your trauma division on this EAST In the Arena!

PAs have several qualities that make them excellent leaders. In fact, if you're a PA, you're already a leader for your patients, the medical staff, and the admin staff that you work with. Meghan and Aaron are PAs who lead hundreds of APPs within their healthcare organizations. In this episode, we discuss how they got to where they are and what recommendations they would have for any of you interested in pursuing a leadership role as a PA. Guests: Aaron Browne, PA-C is the Vice President of APP Services at M Health Fairview and practices in urgent care.  Meghan McCoy, PA-C is the Director of Advanced Practice Providers at Hennepin Healthcare and practices in ENT.  Host: Katarina Astrup, PA-C practices telepsychiatry through Minnesota Clinic for Health and Wellness, serves on MAPA's Social Media and Marketing Committee, and is a Director-At-Large for MAPA.  Do you have questions about being a PA leader? Reach out to Meghan or Aaron:  Meghan McCoy, PA-C: meghan.mccoy@hcmed.org  Aaron Browne, PA-C: aaron.browne@fairview.org 

On this week's episode of The Healthcare Plus Podcast, host Quint Studer is joined by special guest Matthew Bates. Matthew Bates is a Managing Director with Kaufmann Hall and leads their physician enterprise service line. His expertise includes envisioning and executing transformations in healthcare around the physician enterprise, ambulatory healthcare delivery, healthcare economics and data & analytics. Quint and Matthew discuss the financial pressures facing healthcare industry leaders today and discuss strategic solutions to improve create alignment and improve margins. To be successful in the current environment, Matthew Bates says leaders must focus on three key things: 1. Evolving physician alignment, relationships, and engagement2. Adjusting care delivery models to maximize the impact of advanced practice providers3. Rethinking the front door to the health system and how to engage patients outside of the emergency departmentListen to the full episode for further insights on how Matthew and his team at Kaufman Hall are guiding healthcare leaders to success today. Links:Operating a Provider Enterprise: Leveraging the Promise of Advanced Practice Providers | Kaufman HallPhysician Flash Report: Q1 2023 | Kaufman HallModels of Care Study | Healthcare Plus Solutions GroupAbout Matthew BatesMatthew Bates is a Managing Director with Kaufman Hall and leads their physician enterprise service line. Matthew has 30+ years of healthcare experience working with physicians and C-suite leaders in the US and beyond. His expertise includes envisioning and executing transformations in healthcare around the physician enterprise, ambulatory healthcare delivery, healthcare economics and data & analytics.Matthew is a frequent author and speaker on the topics of the US healthcare economy, the future of healthcare and the evolving physician enterprise. He is the lead author of Kaufman Hall's Physician Flash Report and numerous other thought leadership pieces. He is also the co-author of the book, Leading Medical Group Transformation.Prior to joining Kaufman Hall, Mr. Bates was a Managing Director at Deloitte in their Strategy and Operations practice and launched their Healthcare AI & Data Strategy offerings. Before that, he was a Managing Director at Huron Consulting and a Senior Leader with Studer Group. Mr. Bates holds a Masters of Public Health (MPH) degree from the University of Denver and a Bachelor's in Health Care Management from the Metropolitan State University of Denver. He also serves on the curriculum committee for the Commission on Accreditation of Healthcare Management Education (CAHME).Matthew is married to his primary care provider with whom he is raising twins in Montana. His son is into freestyle skiing and his daughter is a rodeo barrel racer. And when Matthew finds a quiet moment to slip away, you will find him standing in a cold mountain stream fly fishing.Contact Matthew Bates: MBates@kaufmanhall.com406-285-1652

 Did you know that nurse practitioners can work in primary care and specialty care? Did you know that Centra employs four different kinds of advanced practice providers across our system?In this episode of “& so much more,” our host Cami Smith sits down with Morgan McDowell, the Director of APP (Advanced Practice Provider) Education and a nurse practitioner at Centra Health to answer these questions and more. Together, they delve into the world of healthcare education and debunk some common misconceptions surrounding clinicians who are not doctors. Morgan, an APP herself, sheds light on the comprehensive education and training that Advanced Practice Providers undergo. From nurse practitioners to physician assistants, APPs play a vital role in healthcare delivery that is effective and patient centered. In their discussion, Cami and Morgan also help us to understand the extensive knowledge base and skills that APPs possess. Directly challenging the stereotypes often associated with non-physician caregivers, this conversation ultimately helps us to understand the vital role that these providers play in shaping the delivery of healthcare both now and into the future.Guests: Morgan McDowell - Director APP EducationFor more content from Centra Health check us out on the following channels.YouTubeFacebookInstagramTwitter

Understanding the regulatory environment is key to managing risks associated with working with advanced practice providers (APPs), Dr. Alan Lembitz, COPIC's Chief Medical Officer says. But he cautions providers to understand this isn't always simple. He reminds providers that it's on them to ensure they are following the regulatory rules, which vary based on state and provider type. COPIC has seen cases of plaintiff attorneys alleging APPs practicing outside of the scope of licensure and inadequate supervision. In this episode, Dr. Lembitz breaks down high-risk areas, as well as what physicians and APPs need to know about managing risks in all practice settings.***Information provided in this podcast should not be relied upon for personal, medical, legal, or financial decisions and you should consult an appropriate professional for specific advice that pertains to your situation. Health care providers should exercise their professional judgment in connection with the provision of healthcare services. The information contained in this podcast is not intended to be, nor is it, a substitute for medical diagnosis, treatment, advice, or judgment relative to a patient's specific condition.  On Demand Courses mentioned are restricted to COPIC Insured Providers and not open to the public. 

Kate Taylor, Senior Manager, ECG Management Consultants, speaks with Holley Lutz, Partner, Dentons, and Bruce Toppin, Chief Legal Officer, North Mississippi Health Services, about the current legal landscape surrounding Advanced Practice Providers (APPs). They discuss industry imperatives for change with regards to APPs, the relationship between independent physicians and hospital-employed APPs, and the split/shared regulatory changes and the implications on the physician-APP relationship. Holley and Bruce spoke about this topic at AHLA's 2023 Physicians and Hospitals Law Institute in Orlando, FL. Sponsored by ECG.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Big changes are coming. In this episode, Captain Integrity Bob Wade continues his discussion of split/shared billing for Advanced Practice Providers (APPs) with Jodi Nayoski and Andrea Ferrari of Pinnacle Healthcare Consulting. Hear how the crediting of wRVUs will be affected, the impact the change will have on measures of productivity, why you should consider changes to provider compensation plans, what it means for compensation for NPPs, and how Fair Market Value (FMV) plays into things. Learn more at CaptainIntegrity.com

It's going to get confusing. In this episode, Captain Integrity Bob Wade talks split/shared billing for Advanced Practice Providers (APPs) with Jodi Nayoski and Andrea Ferrari of Pinnacle Healthcare Consulting. Hear when the new guidelines go into effect, why the documentation must be substantive, how to correctly identify the date of service, the difference between APPs and NPPs, and what this all means for split/shared visits. Learn more at CaptainIntegrity.com

Kathryn Moore discusses training backgrounds and advanced training options for Advanced Practice Providers, tips for integration into practice, and how to get the most out of your relationship with APPs- with Dr. Joel Morgenlander, Professor of Neurology at Duke University and developer of the Neurology Residency Program for APPs at Duke.

Incorporating Advanced Practice Providers (APPs) has many benefits and risks. In this episode, Captain Integrity Bob Wade lays out those compliance risks and safeguards. Hear the 4 components of the quadruple aim, why you need documentation for incident-to and split/shared visits, how to handle credit given to any physician for the wRVUs performed by the APP, who's considered an APP, and the discussion point in which Bob might be stepping into quicksand. Learn more at CaptainIntegrity.com

Tune into this interview live from the 48th Oncology Nursing Society (ONS) Congress, in which Elizabeth Archer-Nanda, Founding Member of the Behavioral Oncology Program and Clinical Director of Advanced Practice Providers at Norton Cancer Institute, and Meagan Dwyer, a Licensed Clinical Psychologist, discuss their presentation Compassionate Cancer Care: A Trauma-Informed Approach to Mental and Emotional Patient Health Needs. Their talk encompasses the mental health concerns experienced by cancer patients and how clinicians can apply self-care with a trauma-informed approach.

In this episode, Tobie and Trisha talk with the senior director of Advanced Practice at Children's Mercy, Sheri Shiddell, to discuss the future of Advanced Practice Providers and how leadership can encourage this unique group of providers to transform healthcare for patients and families.

“They're our mentors, they're our friends, they're our colleagues, they're our peers. They recognize, 'Hey, we have this need ... you have these skills. How do we leverage this and really serve our patients to the best of our ability?'"  —Carrie Hayes, PA, Chair of the SIR Nurse Practitioner & Physician Assistant SectionHost Warren Krackov, MD, FSIR, speaks with SIR NP&PA Section Chair Carrie Hayes, PA, and Membership Chair Nick Oravetz, PA,  about how advanced practice providers (APPs) can help interventional radiologists meet the needs of patients, paths to becoming a PA or NP in IR, and more.Related resources:Information about the SIR NP&PA SectionIRQ article: "The advantages of nurse practitioners and physician assistants in IR," by Kathy Taylor, MS, FNP-BC (Winter 2019)Note: This episode was recorded on Feb. 25, 2023.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

To better understand the role and importance of Advanced Practice Providers in oncology care, Chadi hosts Sarah Wyman, MSN, ACNP-BC, and Katie Simon, MMSc, PA-C, both co-leads of the APPs on the inpatient malignant hematology services team at Emory University Winship Cancer Institute. They begin by explaining the similar training and skill sets of NPs and PAs, the history of these positions over the past 25 years, and the day-to-day responsibilities for inpatient APPs. Then, they share how discharge planning is handled, the level of autonomy granted to APPs in decision making and test ordering, how doctors relate to APPs in the clinic (and whether there is friction), and their role in initiating end-of-life discussions, among so much more. Check out Chadi's website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

03/05/23The Healthy Matters PodcastSeason 2 - Episode 07 - Healthcare's Alphabet SoupThere's no "I" in team, and technically, there's also no "I" in MD, PA, RNP, AAP, etc…  But it takes each of these to build out a modern healthcare system's team-based approach to serving a community.  So, who and what are they?It's likely that you've been seen by a PA or an NP at some point, and there's a growing number of them in our clinics and hospitals every day.   How do they differ from an MD?  What types of care do they provide?  And should you feel confident being seen by one?   In Episode 7, Dr. Hilden (MD, MPH, FACP… Yep, more letters...) and guest Meghan McCoy (PA-C), the Director of Advanced Practice Providers at Hennepin Healthcare, help clarify these titles and what they actually mean.  They explain the training and skills behind each role, where you might encounter them, and how the team functions as a whole.  It's healthcare's alphabet soup on Episode 7 - join us!Got a question for the doc?  Or an idea for a show?  Contact us!Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Twitter - @drdavidhildenFind out more at www.healthymatters.org

Nurse Practitioners and Physician Assistants can be a vital part of the mission team. We will use this session to discuss how APPs can be utilized on the field, how to prepare for missions, what to expect from your first trip, and so much more. Please join us!

Advanced practice providers (APPs) are a key component to effective team-based care, but what is it that our APP team-members can do in an oncology practice? Join the Co-hosts of the APP podcast series, Todd Pickard (MD Anderson Cancer Center) and Stephanie Williams (Northwestern University Feinberg School of Medicine), along with guests Wendy Vogel (BroadcastMed/APSHO)) and Tammy Triglianos (University of North Carolina Basnight Cancer Hospital), as they highlight the services and examples of what APPs in oncology can do, their role as an APP in team-based care, if and how they bill for their services, and how they are reimbursed.  Speaker Disclosures: Stephanie Williams: Consultant or Advisory Role – CVS Caremark Tammy Triglianos: Consulting or Advisory Role – Pfizer Todd Pickard: No relationships to disclose Wendy Vogel: No relationships to disclose  Resources: Podcast: Advanced Practice Providers - APPs 101: What and Who Are Advanced Practice Providers (APPs)? Podcast: Advanced Practice Providers – An APP's Scope of Practice Advanced Practice Providers - APPs 101: Physicians Assistants (PAs) and Advanced Practice Registered Nurses (APRNS) in Oncology If you liked this episode, please follow the show. To explore other educational content, including courses, visit education.asco.org. Contact us at education@asco.org. TRANSCRIPT The disclosures for guests on this podcast can be found in the show notes. Dr. Stephanie Williams: Hello, everyone, and welcome back to the ASCO Education podcast, and our fourth episode of the Advanced Practice Providers series. I'm Dr. Stephanie Williams, a medical oncologist, and your co-host for the series, along with physician assistant Todd Pickard. We'd also like to introduce you to our guest panelists today. Returning guest, Wendy Vogel, along with Tammy Triglianos. We'll take a moment to let them introduce themselves, starting with Wendy. Wendy Vogel: Hi. Thanks so much for having me today. I'm Wendy Vogel. I'm an oncology nurse practitioner by trade, and I am the Executive Director of APSHO, the Advanced Practitioner Society for Hematology and Oncology. And thanks for having me here today. I'm really excited to be here.  Dr. Stephanie Williams: Tammy.  Tammy Triglianos: Hi, everyone. Thank you for having me. And I'm excited to join this group for our conversation today. I'm Tammy Triglianos. I am a certified oncology nurse practitioner practicing in North Carolina. My career has been dedicated to caring for oncology patients, even starting out as a nursing assistant and then as a registered nurse practicing in a variety of settings. I've been a nurse practitioner for almost 20 years now, with the past 15 specializing in GI medical oncology.  Dr. Stephanie Williams: Thank you.  Todd Pickard: Thanks, everybody, for being here today.  Dr. Stephanie Williams: In today's episode, we will be highlighting the services and examples of what advanced practice providers in oncology can do and describing if and how they bill for their services and how they are reimbursed.  So let's get started. Wendy and Tammy, I'm starting in my clinic, 8:30 in the morning. We have a full panel of patients, patients who just need reassessment, chemotherapy prescribed, reevaluation, bone marrow biopsies, test results. How do we work together to see, as a team, these particular patients, or in other words, what can you do to help me through my days as an oncology practitioner?  Wendy Vogel: Wow, that's a great question to just jump right in and start with. I'm excited to talk about that. Well, I think that, you know, as we always are talking about our team approach, we would look at that schedule. And hopefully, the AP and you have their own schedule so that we're able to divide and conquer and be able to accomplish that schedule, see all the patients in the most efficient manner possible. Hopefully, I've looked at all my patients beforehand and see if there's anything that I need to collaborate with you on. Looking at our labs, you know, maybe scans, talking about any changes in plans that we might anticipate together, and so on.   Tammy, would you do the same?  Tammy Triglianos: Yeah, I'd like to echo your point, Wendy. Having independent schedules, I think, makes for a more efficient workflow in the clinic. And in my practice we have a team meeting with our clinical pharmacist, physician, myself, and our nurse navigator, and review last week's and even prep for the upcoming week, trying to anticipate and make sure people are set up and orders are in, and we're prepared for the week to come. Day of, as you know, can get pretty hectic. But since we've done a lot of that prep work, I think it makes for the unknowns that pop up in clinic easier to connect with each other, with my physician and other team members.  Todd Pickard: I agree. I think the great thing about how physicians and APPs work in teams is that the team can decide what's best. I have done everything from having my own independent template so that I have patients that I'm responsible for to a general template where the physician and I just divide and conquer at the beginning of clinic, and we say, “Okay, you see these patients, I'll see these patients, and we'll back each other up if we need to.” All the way to seeing every single patient along with the physician when we are seeing a lot of news and consults, very complex, very acutely ill patients. And we basically just work as a team the entire day on everything.  So it's really interesting about the conversation that I think we'll end up doing today is the “what” versus “how.” What APPs do is– really, honestly, APPs can do anything and everything unless a state scope of practice or an institution's policy specifically says they can't. That's the good news is that we pretty much can do everything but the “how,” that's a really interesting question because a lot of different things come into play. Position preferences, which could be influenced by their own personal experience or their own personal preferences of style versus, you know, having a misunderstanding of what APPs can and can't do. Then there's the institutional policies and the state scope of practices that come into play. So I think this where we'll end up spending some time today.  And, you know, Stephanie, maybe we could start the conversation with you a little bit around physician preferences and what your experience has been, and some of the things that you've noted around the physicians as part of this team.  Dr. Stephanie Williams: I've worked with APPs, both inpatient and outpatient, and I think it is very important to have that team-based approach. Patients really appreciate that, knowing that there is always a provider, someone there that they can turn to. And I think that's one of the great things about APPs is they always seem to be there for patients to turn to and for our nurses to turn to, to get help too. Both our clinic nurses, our infusion nurses, and our inpatient nurses really appreciate having that extra clinical provider available to them. I think as a physician, during my day, what I would like to see is us getting through our panels of patients, whether we're together, which is not as efficient as if we're independently seeing patients, but also help with things like procedures that need to be done on patients, phone calls at the end of the day, peer-to-peer reviews in order to get either medications or tests done for our particular patients. Filling out forms, no one likes doing that. No one likes filling out disability forms or other insurance forms, but those are all things that we all need help with in terms of doing. Ordering consults, seeing new patients together. I work in the transplant field, so they're complicated patients, so it actually is very helpful to have, to see a patient with your advanced practice provider so that you can come up with a treatment plan together that you know you can then follow throughout the course of hopefully that patient's treatment and recovery. Chemotherapy orders is another place that we need, that can be very valuable, whether it's the initial chemotherapy order, which were usually the physician or pharmacist initiated, but those follow-up chemotherapy appointments or problems in the infusion clinic are also helpful areas.  There are some physicians, though, who want to have an APP simply as their scribe, to follow them around in clinic and to then begin whatever orders they feel is appropriate for that particular patient. That is not the most efficient way to see patients, particularly when you have a large panel of patients that you have to see.  Wendy Vogel: Exactly. It really isn't. I will just tag off something you said about the AP being the scribe. That's probably one of the most expensive scribes that a physician could employ, and what a better use of our time is to not be a scribe. You know, there are other people who could really efficiently be a scribe better than the AP, and the AP could actually be seeing patients and gaining reimbursement for the practice.  Tammy Triglianos: An additional comment on team-based care. I work with a physician where we alternate visits, and I think that has really worked well in establishing a relationship with patients. We both have very high touch points with the patients, very involved, and patients feel like there's that team that's always available because always one of us is usually available. Dr. Stephanie Williams: How long did it take you all, all three of you, to develop that relationship with your physician colleagues to work tightly in a team? Todd Pickard: That's really a great question, Stephanie, because I think one of the strengths of the relationship is that level of trust and comfort and not really to view it as a hierarchical relationship, but really a team. We're there for each other. And you know, that depends, you know, there's personalities involved, people's previous experience, you know. If you've only had great experiences with APPs, probably trust them right away. If you've had difficult relationships with APPs or teams that didn't work well, it may take longer. I'd say the best approach is for both the APP and the physician to really look at this as, “How can we accomplish our work together that provides the best quality and the highest level of safety for our patients?” And really just set the expectations of ‘this is a trusting relationship where we work together, we support each other, and we're willing to talk about where the limits of our knowledge are. And for both of us, that's when we get consultations with other folks, and so we just approach it from this perspective.' And of course, you know,over time, that just strengthens and grows. And when you have a really good, strong, trusting relationship, that's where the real power of the team comes into play. Wendy Vogel: I like what you said about trusting. You know, the AP has to trust in the physician to be able to go and ask questions and to be mentored, and vice versa, too. I think we play to each other's strengths. If my strength is talking about hospice to a patient that needs to change trajectory of course, then maybe that's what I do better. And there are other things that another team member would do better, but feeling comfortable and saying, “You know, this is what I do good,” or, “Hey, I need help with this. I don't do this as well as I would like to.” Dr. Stephanie Williams: Tammy, anything? You said you work with one physician. How did that develop?  Tammy Triglianos: Right now, that's my current setup because of volumes, but I have worked with a team of physicians as well, which, when you're an APP working with a team of three, four plus physicians, that can kind of get a little bit tricky, people fighting for your time. I think being in parallel clinics has helped establish our trusting relationship because all day long, you're with that person navigating care together. We've been together probably 14 years, so that's really dipping back into my memory bank of the beginning of our time together. But I think it's what Wendy was talking about is just approaching each other with questions or, “Hey, why did you do that?” Or “Help me understand this.” And I think our approach to each other wasn't, “Why did you do that?” But, “Help me understand your thoughts on this.” Or “Can I talk through this with you to make sure I'm on the right page.” And how that response came back, then I think that has helped develop a trusting relationship.  Dr. Stephanie Williams: You both bring up excellent points because there still exists that power gradient between the physician, the advanced practice provider, and a staff nurse or an infusion nurse. And it's really important to overcome that so that people are comfortable in terms of taking care of the patient, to give the patient the best possible care that there is. Todd Pickard: Yeah, I mean, I think this is a great time to really just highlight the fact that there's a lot of misinformation and misunderstanding out there around APPs, what they can, what they can't do, what they will, what they won't do. In some corners, there's this fear that APPs will go rogue, and that will harm patients. And really, that is an irrational fear because when we are trained, we are trained very clearly about when you reach your own limits, that you are required and obligated as part of your professional practice to find that support, find those resources, get consultations, work with your team to understand so that you serve the patient. And I think it's really important that folks remember that with this respect and trust and accountability, because asking for help is not a failure. Asking for help shows a successful dynamic within a team so that the entirety of the team brings to bear their expertise, their knowledge, their skills, and their judgment. And when the team doesn't know what to do, that's when you've got to reach out to your consults and your other resources. So I think that's an important thing to remind everybody is that we're all here trying to do the same work, and it doesn't do any good if you spend a lot of time wondering, “What's Todd up to today?” So I think it's important to realize and for us to kind of dispel those kinds of myths. Wendy Vogel: I think, despite a social media post by one of our well-known medical associations that will remain unnamed, we don't think that healthcare is a game. We are absolutely serious about this, and we love taking care of our oncology patients. This is something that we're trained to do and that we want to work together as a team. Great thoughts, Todd. Dr. Stephanie Williams: In terms of actual practice in the states that you're at, are there any restrictions, either statewide, institution-wise, on what you can and can't do? Tammy Triglianos: I think a big topic that comes up a lot is signing treatment plans or antineoplastic treatment plans. And I don't know across the states, but in my state, that is not a state restriction. But not allowing APPs to sign antineoplastic treatment plans is more of an institutional restriction, and that varies. Recently, I was able to work with a team of people to update our policy to allow APPs to sign antineoplastic treatment plans and how it works at my institution, they go through a privileging process, so essentially it's an opt-in privilege. So, APPs can obtain approval to sign treatment plans, and it is restricted to cycle two and after. So the treatment plan initiation and signing the first cycle is done by the physician, and APP can place the treatment plan and get it teed up. But it actually is signed by a physician for cycle one, and then an APP is now allowed to sign beyond cycle one. We have a few guidelines like they have to be in their subspecialty practice and be manipulating treatment plans that are cosigned by the physician initially and have certain subspecialty training. So, yeah, I'm excited about this update to allow APPs to practice to the top of their license.  Todd Pickard: Stephanie, this is such an important concept and one that we have hit upon in all of our podcasts. And really, the limits of APPs outside of physician preferences are really state laws and institutional policies. And so, the answer to your question is ‘yes, and it depends on where you are'. So, for example– Tammy gave an example of what's going on in her institution. In my institution, all chemotherapy plans must have a double signature, whether it's initiated by a physician or a pharmacist, or an APP, and that's a safety and quality check. And so everybody just needs to understand, again, limits generally are only in state laws and institutional policies rather than what APPs are trained to do or what folks will reimburse for. And so, really, that's where you have to do the most detailed examination is: what state are you in and what does your institution or your practice say? Generally speaking, most states allow teams at the local level to kind of figure out what they want to do. Sometimes they'll limit a certain medication, like a schedule II drug or a certain other medication. Institutions sometimes do the same thing. But the good news is, if it's not explicit in state law, you can change institutional policy and physician preference all day long.  Wendy, what's your experience been?  Wendy Vogel: Oh, I totally agree. I think it's important for APs to know who's setting the institutional policies and for physicians to know this as well because it may be someone who is not familiar with what the AP role could really be. What do they know about the advanced practitioner? We mentioned that earlier. But I think it also brings up a very important gap that we've seen in oncology, is what's the training of the AP to be able to write anti-cancer therapy orders, and it's a wide variety. There are very few, for instance, nurse practitioner oncology certification or graduate programs. Most of us are trained in a generalist level as a family nurse practitioner. PAs, as you said before on this podcast, you are trained at a generalist level, and we get a lot of our specialty education on the job or through other advanced education. So we're coming into this at all different levels: brand new APs, brand new to oncology APs, and we've seen a gap at the educational level across the US is not the same.  One of the things that APSHO has done to relieve this, and I'm so excited to be able to share with you guys, is we've just recently launched the APSHO Cancer Therapy Prescribing Course. This, I think, will set the benchmark that we've just talked about and bridge this gap, and allow APs to really practice to the top of their licensure, as Tammy mentioned earlier. It's a very comprehensive online, self-paced course providing that advanced education to prescribe cancer therapies and to manage that hem/onc patient throughout the treatment trajectory. It does not just include the cancer therapies but other things we need to know as APs, like: what kind of drugs do we give with the cancer therapies, what are the standards of care, what do we do in clinical trials? And so just all this that we need to know, and I hope this will bridge that gap, if you will, for this education.  Dr. Stephanie Williams: Excellent points. I think it also requires physician education to know and understand what advanced practice providers can do. And I think an advantage to our younger generation physicians is that they are now growing up in institutions where APPs are normal, as opposed to older physicians like myself, where we really do have to learn what can be done and what can't be done so that we can trust what everyone is doing there. Todd Pickard: Are we normal? Yes. But what you really mean is that we're present. It's really about interprofessional education, and I think there's a lot of importance of that concept. If we're going to be delivering care in teams, we should be trained in teams so that you grow up side by side and so that way it does seem normal. I'm working in a team; where's the social worker? Where's the APP? You know, where's the pharmacist? Because that's how you trained, and that's how we really deliver care. That's the honest truth. No man or no woman is an island in medicine. We all work in teams, whether we recognize that or not. And so I think it's great when you hear about folks that are actually training side by side because it just dispels some of this anxiety, some of these misconceptions, and you're just used to the team being around, and it's like, “Okay, where's my team?” And then it doesn't become unusual. It's just normal. Wendy Vogel: Yeah, we're all sitting here nodding our heads together. You all can't see us, but we're all nodding. So, Stephanie, I really want to know, how do you educate your colleagues who might not be as receptive to the idea of an advanced practitioner writing cancer therapy orders? Dr. Stephanie Williams: I have to tell you, it's difficult sometimes, Wendy, or it has been difficult in the past. The problem becomes not so much a “do you know what you're doing,” problem is how does the reimbursement - I hate to say this – how does reimbursement figure into all this? If I let an APP see half of my patients, who gets that money? And then the other thing is just how do I efficiently use an APP? And we are trying, and  ASCO through the Clinical Practice Committee, to try to get out there and reach out to practices, particularly rural practices, to help them understand the role and the value of advanced practice providers. And I think it's going to be a reach-out effort, leading by example, showing people that this is the way we can do it and we have to do it this way because we need practitioners out there to take care of patients. Todd Pickard: I want us to all pause here because what you just talked about is critically important. And we all know this is part of medicine, whether we like it or not. But reimbursement, how we get paid, and productivity, how we are recognized for what we do, are concepts that sometimes get mixed up. So when you're talking about reimbursement, APPs are reimbursed just like physicians for everything that we do. Depending on who's paying the bill, they may reduce that reimbursement. So CMS reduces generally to 85% of the physician fees. Medicaid is all over the place, depending on your state and the third-party payers, like the commercial insurance, that's based on whatever you've negotiated in your contract. Sometimes it's a little, and sometimes it's the same. So APPs get reimbursed, period. What level they get reimbursed compared to the physician's reimbursement is really up to a lot of different factors.  But productivity, I think that's the thing that we really get hung up on is, well,who's going to get credit for this work? And guess what? The beauty of that is you get to decide. Every practice, every institution makes up those rules. And so, you know, the take-home message here is, don't confuse reimbursement with productivity. Reimbursement is a lot of external factors that are either statutory, or they're contractually negotiated. But productivity is an internal accounting, and you can use team-based metrics. Who's to stop you from saying ‘we reward and recognize both the physician and the APP in these teams.' They both get credit, and they both get productivity measurements and recognition. And so I think that's where we really need to drive home the message is it's not about setting each other up as competitors. It's redesigning our internal productivity measures so that it's collaborative and that all the work that's being done by the entire team is being recognized and rewarded. Wendy Vogel: A lot of what we do, as Stephanie referred to earlier, is not reimbursable. All those peer-to-peer reviews, we don't get paid for that. None of us do. Calling patients back, liaisoning with the nursing staff, and answering their questions through the triage line, so much of that is vital to supporting a practice, and you can't do it without all that, but it doesn't appear on the bean counter's metric sheet. So how do we do that? I don't have the answer to that. Tammy Triglianos: Yeah, and I think in oncology/hematology, there's a lot of frequent touch points in between provider visits, and that doesn't equate to money, but equates to high-quality care, to have access to skilled providers to help manage all the complications, and, you know,in between stuff that happens between provider visits. Dr. Stephanie Williams: Wendy, there have been changes now in terms of who can enroll and write treatment orders for patients on cancer clinical trials. Could you go over those changes with us and how APPs can now fully participate in this process? Wendy Vogel: So there were some recent changes to CTEP and then now allowing APs to sign clinical trial orders. This is huge because it really makes the process of getting patients their drugs in the infusion suite much quicker. We don't have to track down a physician to sign those clinical trial orders. The AP can do that. And so this process is made much smoother. I think we'll see a lot of other cooperative groups and institutions follow suit with this. And I think this was a real demonstration of the AP's quality of care and the safety of AP prescribing and being able to have this privilege. Todd Pickard: Well, this has been a fascinating conversation today, and I would like everybody to have a final say. What's your take-home message today about what APPs can and can't do. And Tammy, we'll start with you.  Tammy Triglianos: Thank you. This was a great conversation today. Happy to be a part of it. Know that APPs with supportive, appropriate training, and, you know, I just have to shout out to Wendy and APSHO for the chemo prescribing course. I think this is huge for bridging a gap. Lots of education programs don't have oncology subspecialty, and this is such a comprehensive course that bridges a gap that I think will be huge. And I hope every oncology cancer center adopts, incorporating this to elevate the education and offer some subspecialty education to our oncology APPs. Kudos for all the team-based care and physician and APP teams out there that are really working hard to care for our cancer patients. Todd Pickard: Wendy, what are some of your final thoughts? Wendy Vogel: I have to agree with Tammy. I'm really excited about the APSHO Cancer Therapy Prescribing Course. I think that we can, together as a team, really make a difference in cancer care, playing to each other's strengths, and I think that would be my takeaway is: how can we better play to each other's strengths? Todd Pickard: Stephanie, what about some of your final thoughts? Dr. Stephanie Williams: I think working with APPs is critical to the success of any medical practice and to any physician who takes care of patients. Todd Pickard: Well, I appreciate all the insights. And just as a reminder, APPs and physicians, generally speaking, can decide whatever they want that is best for the practice, best for their patients, and delivers high-quality and safe care. Just be aware of your state regulations and find those institutional policies that are holding you back. Good news on the institutional policies - you can change them just like you can change your productivity metrics and models. So the good word is APPs and physicians can work in amazing teams, and we have all the power at our disposal to do so.  Well, I want to thank you to my co-host, Dr. Williams, along with Wendy and Tammy, for joining our discussion today and sharing all of your experience and highlights into the services that APPs can deliver. It's clear that APPs and physicians working together in teams are vital to a strong and efficient delivery of our team-based care.  Well, until our next episode, thanks, everybody, and take care. Thank you for listening to the ASCO Education Podcast. To stay up to date with the latest episodes, please click subscribe. Let us know what you think by leaving a review. For more information, visit the Comprehensive Education Center at education.asco.org. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.

Jack Flynn and Alex Gornitzky from CHOP and University of Michigan, respectively, join the show to discuss their recent article on the psychology of scoliosis bracing. The lightning round focuses on recent publications by Dr. Flynn with some controversies mixed in to give the guests a chance to "stir the pot." Your hosts are Carter Clement from Children's Hospital of New Orleans, Josh Holt from University of Iowa, and Craig Louer from Vanderbilt. The episode is sponsored by nView Medical. Music by A. A. Alto.   “Main Event” article:   Why Don't Adolescents Wear Their Brace? A Prospective Study Investigating Psychosocial Characteristics That Predict Scoliosis Brace Wear. Gornitzky et al. JPO Jan 2023. https://pubmed.ncbi.nlm.nih.gov/36194756/   Lightning (a.k.a. “Jumpin Jack Flash”) Round articles:   Lengthening Behavior of Magnetically Controlled Growing Rods in Early-Onset Scoliosis: A Multicenter Study. Heyer et al. JBJS Oct 2022. https://pubmed.ncbi.nlm.nih.gov/36367763/   Best Practice Guidelines for Surgical Site Infection in High-risk Pediatric Spine Surgery: Definition, Prevention, Diagnosis, and Treatment. Badin et al. JPO Nov-Dec 2022. https://pubmed.ncbi.nlm.nih.gov/36037438/   A Modern Day Timeline for In-Hospital Monitoring in Perfused, Pulseless Pediatric Supracondylar Humerus Fractures. Heyer et al. JPO Nov-Dec 2022. https://pubmed.ncbi.nlm.nih.gov/35980760/   Preoperative MRI Reliably Predicts Pedicle Dimensions on Intraoperative CT Images in Structural Main Thoracic Curves in Patients With Adolescent Idiopathic Scoliosis. Mitchell et al. Spine (Phila PA 1976) Sept 2022. https://pubmed.ncbi.nlm.nih.gov/35867611/   Early Knee Range of Motion Following Operative Treatment for Tibial Tubercle Avulsion Fractures Is Safe. Huang et al. JPO Oct 2022. https://pubmed.ncbi.nlm.nih.gov/35968996/   Getting the Message: The Declining Trend in Opioid Prescribing for Minor Orthopaedic Injuries in Children and Adolescents. Krakow et al. JBJS Jul 2022. https://pubmed.ncbi.nlm.nih.gov/35793795/   Complications following surgical treatment of adolescent idiopathic scoliosis: a 10-year prospective follow-up study. Hariharan et al. Spine Deformity Sept 2022. https://pubmed.ncbi.nlm.nih.gov/35488969/   Evidence Behind Upper Instrumented Vertebra Selection in Adolescent Idiopathic Scoliosis: A Systematic and Critical Analysis Review. Baghdadi et al. JBJS Reviews Sept 2021. https://pubmed.ncbi.nlm.nih.gov/35417439/   Better Patient Care Through Physician Extenders and Advanced Practice Providers. Milewski et al. JPO May-June 2022. https://pubmed.ncbi.nlm.nih.gov/35405696/   Thoracic Curve Correction Ratio: An Objective Measure to Guide against Overcorrection of a Main Thoracic Curve in the Setting of a Structural Proximal Thoracic Curve. Landrum et al. Journal of Clinical Medicine Mar 2022. https://pubmed.ncbi.nlm.nih.gov/35329871/   Benchmarking surgical indications for adolescent idiopathic scoliosis across time, region, and patient population: a study of 4229 cases. Heyer et al. Spine Deformity July 2022. https://pubmed.ncbi.nlm.nih.gov/35258846/   When Is an Isolated Olecranon Fracture Pathognomonic for Osteogenesis Imperfecta? VanEenenaam et al. JPO May-June 2022. https://pubmed.ncbi.nlm.nih.gov/35200208/   Unplanned Return to the Operating Room (UpROR) After Pediatric Diaphyseal Femoral Fractures. Baghdadi et al. JPO Feb 2022. https://pubmed.ncbi.nlm.nih.gov/34923506/   Awake serial body casting for the management of infantile idiopathic scoliosis: is general anesthesia necessary? LaValva et al. Spine Deformity Oct 2020. https://pubmed.ncbi.nlm.nih.gov/32383143/   Do Year-Out Programs Make Medical Students More Competitive Candidates for Orthopedic Surgery Residencies? Bram et al. Journal of Surgical Education Nov-Dec 2020. https://pubmed.ncbi.nlm.nih.gov/32505668/   Why Irrigate for the Same Contamination Rate: Wound Contamination in Pediatric Spinal Surgery Using Betadine Versus Saline. Cohen et al. JPO Nov-Dec 2020. https://pubmed.ncbi.nlm.nih.gov/33044376/   Mistakes Made and Lessons Learned: A Mid-Career Pediatric Orthopaedic Surgeon's Journey to Sustain Energy and Avoid Burnout. Flynn. JPO July 2020. https://pubmed.ncbi.nlm.nih.gov/32502065/

Dr. Summers is the Chief Medical Officer of Atrium Health Wake Forest Baptist Medical Center in Winston Salem, NC. In October 2020, Wake Forest Baptist Health formalized a strategic partnership with Charlotte-based Atrium Health to become one of the largest academic health systems in the U.S.Dr. Summers joined Wake Forest Baptist Health in July of 2010 as a Hospitalist in the Section of General Medicine. By 2012, he was named the first Chief in the Section on Hospital Medicine. In 2014, he was appointed Associate Chief Medical Officer, and in 2018 was promoted to Chief Medical Officer at Wake Forest Baptist Medical Center. As CMO, he holds responsibilities including leadership over the Medical Staff, Advanced Practice Providers, Care Coordination, and the Clinical Documentation Excellence Team.Dr. Summers career has been defined by the ability to implement new processes quickly and efficiently to improve patient care. He has succeeded in three major academic medical centers making change (East Carolina Health, Mayo Clinic, Atrium Health Wake Forest).He brings disciplined leadership to bear on complex issues where clinical expertise, strategic thinking, and organizational savvy are essential. As a leader, he uses experience and insight to provide structure, order, and clarity to help make rapid and lasting progress on critical issues.His work at Atrium Health Wake Forest Baptist Health has changed the organization over the last twelve years. Among the many projects, he has implemented at Wake Forest include the following: The Section of Hospital Medicine, The Patient Flow Operations Center, The Inpatient Diabetes Management Service, The Orthopedic/Hospitalist Co-management Service, Bed Geography for all Inpatient services, the Discharge Lounge, the Discharge holding unit, a new ED triage process to maximize throughput, and a transfer process between network hospitals to maximize bed space.One of Dr. Summers areas of interest is patient flow. His efforts in this area, along with his leadership in Care Coordination and the Physician Advisor Program, have led to one of the lower LOS indexes in the country for academic medical centers.Dr. Summers earned his Bachelor's degree at the University of Virginia and his Medical Degree at the University of Alabama School of Medicine. He is board certified by the American Board of Internal Medicine.Active in professional organizations, Dr. Summers currently serves on the AAMC CMOG Steering Committee. He was also named by Becker's Hospital Review in 2022 as one of the 89 Chief Medical Officers of Hospitals and Health Systems to know.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.