Advanced Practice Providers and the Dermatology Literature

Abstract

Numbers and roles of advanced practice providers (APPs) in dermatology have expanded tremendously over the last five decades. Although the imbalance between demand for dermatology services and available dermatologists may contribute to this increase, little research has been done to examine the evolving roles of APPs and ongoing trends as represented by scientific publications. To analyze publication trends, key topics, and perceptions related to APPs, the PubMed database was searched for all articles related to APPs in dermatology published from 1973 to 2018. The number of publications, citation counts, and favorability toward APPs were assessed and scored by two independent evaluators. Increased prevalence of APPs in dermatology mirrors a substantial increase in the total number of APP-related publications, whereas the proportion of publications showing positive perceptions of APPs was found to decrease over time. Top-cited articles focused on dermatology workforce shortages, roles of APPs, and comparisons of efficacy among providers. We hope this study will offer insight to all healthcare providers with considerations regarding the evolving roles of APPs in dermatology.

Characteristics of physician associates/assistants in dermatology

“…The Association of American Medical Colleges reports that there were 12,516 dermatologists in 2020 [ 20 ] The Society of Dermatology Nurse Practitioners reports a 2022 membership of 5000 [ 21 ]. The numbers and roles of PAs and NPs across the nation have expanded, and reports of their activity are growing at a time when growth of dermatologists is modest [ 17 , 18 ].…”