Lastly, once should not determine competency or mastery in a vacuum. Medicine is a team effort, and in the case of an APP, the interaction with the collaborating physician is essential. Table 2 demonstrates the factors needed to achieve success in the APP/physician relationship.9
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ACEP Now: Vol 34 – No 02 – February 2015A successful APP/physician team requires trust, communication, current evidence-based practice guidelines, feedback, and experience. Although state laws vary regarding the extent of practice and level of collaboration for APPs, hospitals and ED groups may set their own standards independently.
The goal is, of course, collaboration among competent APPs, physicians, and other health care providers working together to meet the needs of patients and improving patients’ health and outcomes in the emergency department setting.
Dr. Danielsen is professor and dean of the Arizona School of Health Sciences, a school of A.T. Still University, in Mesa. He has practiced for more than 40 years in the fields of emergency medicine, occupational medicine, internal medicine, and allergy/asthma. He is a faculty member with The Center for Medical Education, Inc., lecturing at the Emergency Medicine Boot Camp.
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- Brykczynski KA. Patricia Benner: Caring, clinical wisdom, and ethics in nursing practice. In: Alligood MR, ed. Nursing Theorists and Their Work. 8th ed. St Louis, Mo: Elsevier; 2014:120-146.
- Lepsinger R, Luca AD. The Art and Science of 360-Degree Feedback. 2nd ed. San Francisco, Calif: Jossey-Bass; 2009.
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- Danielsen R, Ballweg R, Vorvick L, et al. The Preceptor’s Handbook for Supervising Physician Assistants, Chapter 16. Common Sense Supervision. Jones & Bartlett LEARNING: 2012.
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One Response to “Competency Measurement Approach for Advanced Practice Providers in Emergency Medicine”
February 16, 2015
Gerry KeenanA timely explanation!We can only hope it guides reasoned decision making.