Neonatal postgraduate training program for physician assistants: meeting a need in neonatal care

Jawdeh, Elie G. Abu; Hardin‐Fanning, Frances; Kinnard, Tria B.; Cunningham, M. Douglas

doi:10.1038/s41372-019-0350-9

Cited by 10 publications

(20 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, they recognized the training model for NNPs as well developed and how it may serve as a model for other NICU care providers 7,28. Although there are recommendations to train and utilize neonatal PAs along with NNPs as mid-level providers, most of the training programs have been developed in the Eastern United States 10…”

Section: Discussionmentioning

confidence: 99%

“…The use of neonatal PAs is not new but training in these early programs was not formalized 8,9. In 2005, a postgraduate training program was established at the University of Kentucky, Lexington, to provide comprehensive training, which includes approximately 3000 hours of didactic teaching, bedside teaching, simulation exercises, and patient care 10,11. As part of the Kentucky Neonatal PA Residency Program, the Neonatal PA residents “are assigned for 2 months to an APP Team”10 (p748) work for a portion of their time with the neonatal APPs and given procedural priority but mentorship is not, specifically, described.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Do We Nurture Our Young? Qualitative Conceptual Analysis of Worst and Best Mentorship Experiences Among Neonatal Advanced Practice Providers

Morris

Bosque

2021

Advances in Neonatal Care

View full text Add to dashboard Cite

Background: There is increasing demand for neonatal advanced practice providers (APPs) and a shortage of neonatal nurse practitioners (NNPs). In many neonatal intensive care units, neonatal physician assistants are trained and hired, as well as new graduate NNPs. Neonatal APPs are utilized as mentors in a regional neonatology program in the Pacific Northwest. As part of a long-term goal to develop an educational program for neonatal APP mentors, an initial survey was administered. Purpose: The purpose of this survey was to raise personal insight and identify themes about 51 neonatal APP mentors' recollections of one's own worst and best mentorship experiences. Methods: The design used in this content analysis of survey responses included a phenomenological, qualitative approach. The participants received an online survey consisting of 2 questions asking them to describe their worst and best mentorship experiences. The blinded results were analyzed via content analysis by 2 coinvestigators. Results: Consistent themes about worst experiences include "Eat our young," "I am better than you," "Thrown under bus," and "Unwanted." Consistent themes about best experiences include "Validation," "Empowerment," "Positivity," and "Inclusion." Implications for Practice: Recommendations for successful neonatal APP mentorship based upon the recurrent themes include use of consistent, engaged, trained, and supported mentors, provision of on-time constructive feedback, avoidance of public criticism, private and public praise, focus on the learner, preparation for tasks, and semiautonomy, with adequate support. Implications for Research: Absenteeism, recruitment, retention, and satisfaction data may be measured to determine whether structured mentorship programs are beneficial.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Do We Nurture Our Young? Qualitative Conceptual Analysis of Worst and Best Mentorship Experiences Among Neonatal Advanced Practice Providers

Morris

Bosque

2021

Advances in Neonatal Care

View full text Add to dashboard Cite

show abstract

“…Recently, the comprehensive curriculum of this program at the University of Kentucky was further described and evaluated favorably by PA participants. 3 A timeline for clinical training was presented and included time spent with NICU nurses and on the APP team, which comprised both NNPs and neonatal PAs. Although nurses and PAs were represented as coauthors of this publication, and mentioned as advisors, it is stated that the supervisors and employers are neonatologists.…”

Section: Review Of Literaturementioning

confidence: 99%

“…Although nurses and PAs were represented as coauthors of this publication, and mentioned as advisors, it is stated that the supervisors and employers are neonatologists. 3 Academic training of NNPs is well established, with role, preparation, scope of practice, and licensing well defined by the professional and certification organizations. [15][16][17][18][19] Ideal characteristics of preceptor mentors for academic NNP programs have been described as individuals who develop "meaningful, long-term relationships with the student by choice, with repetitive, planned, purposeful interactions."…”

Section: Review Of Literaturementioning

confidence: 99%

See 1 more Smart Citation

Growing Neonatal Advanced Practice Providers via Mentorship Can Fill the Need

Morris

Smith

Fitzgerald

et al. 2021

Advances in Neonatal Care

View full text Add to dashboard Cite

Background: The need for neonatal advanced practice providers (APPs) has been described. Hospital training programs for neonatal physician assistants (PAs) have been developed by physicians. No publications exist about programs administered by neonatal APPs for both new graduate neonatal nurse practitioners (NNPs) and neonatal PAs. Purpose: The purpose of this work was to mentor, train, and hire neonatal APPs in a program administered by neonatal APPs. Methods: We developed a 2-pronged approach to attract PAs and new graduate NNPs. Marketing strategies included receptions, information, and mentorship. A 12-month neonatal PA fellowship program included clinical mentorship and weekly didactics. Case-based presentations were provided by neonatal APPs, neonatologists, and allied professionals. The new graduate NNP program included clinical mentorship and monthly meetings with peer support, lectures, and case presentations. Neonatal APPs were clinical mentors. Team-building activities supported mentorship and collaboration among all care providers. Findings: In less than 5 years, 10 PAs and 11 new graduate NNPs have been trained and hired, as well as experienced neonatal APPs hired for this regional neonatology program. For the first time in years, locum tenens neonatal APPs are not required. We have developed a “tool kit” of content, activities, exercises, and evaluations to support successful attainment of expected competencies. Implication for Research: Future studies can measure retention, satisfaction, and clinical outcomes. Implication for Practice: A successful training program has been implemented to meet the growing demand. We support the values of integrity, collaboration, and equity to facilitate this successful paradigm shift among all neonatal professional team members.

show abstract

Anticipating the Effects of Accreditation Council for Graduate Medical Education-Mandated Residency Curriculum Changes on Neonatal Intensive Care Unit Staffing Models and Costs

Lakshminrusimha,

Li,

DeLemos

et al. 2024

The Journal of Pediatrics

View full text Add to dashboard Cite

Neonatal postgraduate training program for physician assistants: meeting a need in neonatal care

Cited by 10 publications

References 14 publications

Do We Nurture Our Young? Qualitative Conceptual Analysis of Worst and Best Mentorship Experiences Among Neonatal Advanced Practice Providers

Do We Nurture Our Young? Qualitative Conceptual Analysis of Worst and Best Mentorship Experiences Among Neonatal Advanced Practice Providers

Growing Neonatal Advanced Practice Providers via Mentorship Can Fill the Need

Anticipating the Effects of Accreditation Council for Graduate Medical Education-Mandated Residency Curriculum Changes on Neonatal Intensive Care Unit Staffing Models and Costs

Contact Info

Product

Resources

About