Advanced Practice Providers in U.S. Urology

A National Survey of Demographics and Clinical Roles

Joshua P. Langston, Venetia L. Orcutt, Angela B. Smith, Heather Schultz, Brad Hornberger, Allison B. Deal, Todd J. Doran, Maxim J. McKibben, E. Will Kirby, Matthew E. Nielsen, Chris M. Gonzalez, Raj S. Pruthi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction Projections suggest a significant shortage of urologists coupled with an increasing burden of urological disease due to an aging population. To meet this need, urologists have increasingly partnered with advanced practice providers. However, to this point the advanced practice provider workforce has not been comprehensively evaluated. Understanding the impact of advanced practice providers on the urology workforce is essential to maximize collaborative care as we strive for value and quality in evolving delivery models. Methods A 29-item, web based survey was administered to advanced practice providers identified by the AUA (American Urological Association), UAPA (Urological Association of Physician Assistants) and SUNA (Society of Urologic Nurses and Associates), querying many aspects of their practice. Results A total of 296 advanced practice providers completed the survey. Advanced practice nurses comprised 62% of respondents while physician assistants comprised the remaining 38%. More than two-thirds of the respondents were female and median age was 46 years. Only 6% reported having participated in formal postgraduate urological training. Advanced practice providers were evenly divided between institutional and private practice settings, and overwhelmingly in urban or suburban environments. The majority of advanced practice providers practice in the ambulatory setting (74%) and characterize their practice as general urology (72%). Overall 81% reported performing procedures independently, with 63% performing some procedures considered to be of moderate or high complexity. Conclusions Advanced practice providers are active in the provision of urological care in many roles, including complex procedures. Given future workforce needs, advanced practice providers will likely assume additional responsibilities. As roles shift we must ensure we have the necessary educational and training opportunities to equip this vital part of our workforce.

Original languageEnglish (US)
Pages (from-to)418-424
Number of pages7
JournalUrology Practice
Volume4
Issue number5
DOIs
StatePublished - Sep 1 2017

Fingerprint

Urology
Demography
Physician Assistants
Institutional Practice
Nurses
N,N-dimethyl-3,3-diphenyl-1-methylallylamine
Urologic Diseases
Private Practice
General Practice
Surveys and Questionnaires
Population
Urologists

Keywords

  • advanced practice nursing
  • health personnel
  • physician assistants
  • urology

ASJC Scopus subject areas

  • Urology

Cite this

Langston, J. P., Orcutt, V. L., Smith, A. B., Schultz, H., Hornberger, B., Deal, A. B., ... Pruthi, R. S. (2017). Advanced Practice Providers in U.S. Urology: A National Survey of Demographics and Clinical Roles. Urology Practice, 4(5), 418-424. https://doi.org/10.1016/j.urpr.2016.09.012

Advanced Practice Providers in U.S. Urology : A National Survey of Demographics and Clinical Roles. / Langston, Joshua P.; Orcutt, Venetia L.; Smith, Angela B.; Schultz, Heather; Hornberger, Brad; Deal, Allison B.; Doran, Todd J.; McKibben, Maxim J.; Kirby, E. Will; Nielsen, Matthew E.; Gonzalez, Chris M.; Pruthi, Raj S.

In: Urology Practice, Vol. 4, No. 5, 01.09.2017, p. 418-424.

Research output: Contribution to journalArticle

Langston, JP, Orcutt, VL, Smith, AB, Schultz, H, Hornberger, B, Deal, AB, Doran, TJ, McKibben, MJ, Kirby, EW, Nielsen, ME, Gonzalez, CM & Pruthi, RS 2017, 'Advanced Practice Providers in U.S. Urology: A National Survey of Demographics and Clinical Roles', Urology Practice, vol. 4, no. 5, pp. 418-424. https://doi.org/10.1016/j.urpr.2016.09.012
Langston, Joshua P. ; Orcutt, Venetia L. ; Smith, Angela B. ; Schultz, Heather ; Hornberger, Brad ; Deal, Allison B. ; Doran, Todd J. ; McKibben, Maxim J. ; Kirby, E. Will ; Nielsen, Matthew E. ; Gonzalez, Chris M. ; Pruthi, Raj S. / Advanced Practice Providers in U.S. Urology : A National Survey of Demographics and Clinical Roles. In: Urology Practice. 2017 ; Vol. 4, No. 5. pp. 418-424.
@article{8a9d713de06a453d99acaed9429e98be,
title = "Advanced Practice Providers in U.S. Urology: A National Survey of Demographics and Clinical Roles",
abstract = "Introduction Projections suggest a significant shortage of urologists coupled with an increasing burden of urological disease due to an aging population. To meet this need, urologists have increasingly partnered with advanced practice providers. However, to this point the advanced practice provider workforce has not been comprehensively evaluated. Understanding the impact of advanced practice providers on the urology workforce is essential to maximize collaborative care as we strive for value and quality in evolving delivery models. Methods A 29-item, web based survey was administered to advanced practice providers identified by the AUA (American Urological Association), UAPA (Urological Association of Physician Assistants) and SUNA (Society of Urologic Nurses and Associates), querying many aspects of their practice. Results A total of 296 advanced practice providers completed the survey. Advanced practice nurses comprised 62{\%} of respondents while physician assistants comprised the remaining 38{\%}. More than two-thirds of the respondents were female and median age was 46 years. Only 6{\%} reported having participated in formal postgraduate urological training. Advanced practice providers were evenly divided between institutional and private practice settings, and overwhelmingly in urban or suburban environments. The majority of advanced practice providers practice in the ambulatory setting (74{\%}) and characterize their practice as general urology (72{\%}). Overall 81{\%} reported performing procedures independently, with 63{\%} performing some procedures considered to be of moderate or high complexity. Conclusions Advanced practice providers are active in the provision of urological care in many roles, including complex procedures. Given future workforce needs, advanced practice providers will likely assume additional responsibilities. As roles shift we must ensure we have the necessary educational and training opportunities to equip this vital part of our workforce.",
keywords = "advanced practice nursing, health personnel, physician assistants, urology",
author = "Langston, {Joshua P.} and Orcutt, {Venetia L.} and Smith, {Angela B.} and Heather Schultz and Brad Hornberger and Deal, {Allison B.} and Doran, {Todd J.} and McKibben, {Maxim J.} and Kirby, {E. Will} and Nielsen, {Matthew E.} and Gonzalez, {Chris M.} and Pruthi, {Raj S.}",
year = "2017",
month = "9",
day = "1",
doi = "10.1016/j.urpr.2016.09.012",
language = "English (US)",
volume = "4",
pages = "418--424",
journal = "Urology Practice",
issn = "2352-0779",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Advanced Practice Providers in U.S. Urology

T2 - A National Survey of Demographics and Clinical Roles

AU - Langston, Joshua P.

AU - Orcutt, Venetia L.

AU - Smith, Angela B.

AU - Schultz, Heather

AU - Hornberger, Brad

AU - Deal, Allison B.

AU - Doran, Todd J.

AU - McKibben, Maxim J.

AU - Kirby, E. Will

AU - Nielsen, Matthew E.

AU - Gonzalez, Chris M.

AU - Pruthi, Raj S.

PY - 2017/9/1

Y1 - 2017/9/1

N2 - Introduction Projections suggest a significant shortage of urologists coupled with an increasing burden of urological disease due to an aging population. To meet this need, urologists have increasingly partnered with advanced practice providers. However, to this point the advanced practice provider workforce has not been comprehensively evaluated. Understanding the impact of advanced practice providers on the urology workforce is essential to maximize collaborative care as we strive for value and quality in evolving delivery models. Methods A 29-item, web based survey was administered to advanced practice providers identified by the AUA (American Urological Association), UAPA (Urological Association of Physician Assistants) and SUNA (Society of Urologic Nurses and Associates), querying many aspects of their practice. Results A total of 296 advanced practice providers completed the survey. Advanced practice nurses comprised 62% of respondents while physician assistants comprised the remaining 38%. More than two-thirds of the respondents were female and median age was 46 years. Only 6% reported having participated in formal postgraduate urological training. Advanced practice providers were evenly divided between institutional and private practice settings, and overwhelmingly in urban or suburban environments. The majority of advanced practice providers practice in the ambulatory setting (74%) and characterize their practice as general urology (72%). Overall 81% reported performing procedures independently, with 63% performing some procedures considered to be of moderate or high complexity. Conclusions Advanced practice providers are active in the provision of urological care in many roles, including complex procedures. Given future workforce needs, advanced practice providers will likely assume additional responsibilities. As roles shift we must ensure we have the necessary educational and training opportunities to equip this vital part of our workforce.

AB - Introduction Projections suggest a significant shortage of urologists coupled with an increasing burden of urological disease due to an aging population. To meet this need, urologists have increasingly partnered with advanced practice providers. However, to this point the advanced practice provider workforce has not been comprehensively evaluated. Understanding the impact of advanced practice providers on the urology workforce is essential to maximize collaborative care as we strive for value and quality in evolving delivery models. Methods A 29-item, web based survey was administered to advanced practice providers identified by the AUA (American Urological Association), UAPA (Urological Association of Physician Assistants) and SUNA (Society of Urologic Nurses and Associates), querying many aspects of their practice. Results A total of 296 advanced practice providers completed the survey. Advanced practice nurses comprised 62% of respondents while physician assistants comprised the remaining 38%. More than two-thirds of the respondents were female and median age was 46 years. Only 6% reported having participated in formal postgraduate urological training. Advanced practice providers were evenly divided between institutional and private practice settings, and overwhelmingly in urban or suburban environments. The majority of advanced practice providers practice in the ambulatory setting (74%) and characterize their practice as general urology (72%). Overall 81% reported performing procedures independently, with 63% performing some procedures considered to be of moderate or high complexity. Conclusions Advanced practice providers are active in the provision of urological care in many roles, including complex procedures. Given future workforce needs, advanced practice providers will likely assume additional responsibilities. As roles shift we must ensure we have the necessary educational and training opportunities to equip this vital part of our workforce.

KW - advanced practice nursing

KW - health personnel

KW - physician assistants

KW - urology

UR - http://www.scopus.com/inward/record.url?scp=85026475692&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85026475692&partnerID=8YFLogxK

U2 - 10.1016/j.urpr.2016.09.012

DO - 10.1016/j.urpr.2016.09.012

M3 - Article

VL - 4

SP - 418

EP - 424

JO - Urology Practice

JF - Urology Practice

SN - 2352-0779

IS - 5

ER -