The impact of advanced practice providers on the surgical resident experience: Agree to disagree?

B. Eaton, L. Hessler, L. O'Meara, A. Herrera, R. Tesoriero, J. Diaz, B. Bruns

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Background: We examined and compared APP versus surgical resident perceptions of the role of APPs in surgical subspecialty teams. Methods: Residents/first year surgical critical care fellows and inpatient service-specific APPs responded to a survey that examined perceptions about the APP-resident/fellow relationship. Statistical analysis compared responses using a Pearson chi-square test. Results: Thirty-two resident/fellows (48%) and 10 APPs (42%) responded. There was consensus that having an APP on service decreases workload, contributes to continuity of care and enhances resident-patient coordination education and agreement that there was clear communication and adequate collaboration. Both groups differed with respect to APPs contribution to resident/fellow clinical education, role definition and chain of command. The majority of trainees felt that APPs function at a PGY2 level (51.7%) compared to APPs, who felt that they functioned at a PGY4/5 (22%) or Fellow (44%) level. Conclusion: APPs and resident/fellows agree that APPs impact resident workload, continuity of care and patient-coordination education.

Original languageEnglish (US)
Pages (from-to)1107-1111
Number of pages5
JournalAmerican journal of surgery
Issue number6
StatePublished - Jun 2019
Externally publishedYes


  • Advanced practice providers
  • Education
  • Nurse practitioners
  • Physician assistants
  • Surgical residents
  • Workload

ASJC Scopus subject areas

  • Surgery


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