Evidence map›Paper›PMID 30343880›Full record

ArticleAmerican journal of surgery2019

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

Abstract read
In one paragraph

Article in American journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Availability of Advanced Practice Providers in Adult Intensive Care Units in the United States: A Survey.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025
    Article
  4. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  5. Article
  6. Strategies to Improve Resident Wellness in Plastic Surgery Training.Plastic and reconstructive surgery. Global open · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

B EatonUniversity of Maryland, R Adams Cowley Shock Trauma Center, Division of Acute Care Surgery, 22 South Greene St, Baltimore MD 21201, USA. Electronic address: beaton@umm.edu.
L HesslerDepartment of Surgery, University of Maryland School of Medicine, 22 South Greene St, Baltimore MD 21201, USA. Electronic address: lhessler@som.umaryland.edu.
L O'MearaUniversity of Maryland, R Adams Cowley Shock Trauma Center, Division of Acute Care Surgery, 22 South Greene St, Baltimore MD 21201, USA. Electronic address: lomeara@umm.edu.
A HerreraCenter for Shock, Trauma and Anesthesiology Research, 110 South Paca St, Room 03-002, Baltimore MD, 21201, USA. Electronic address: aherrera@som.umaryland.edu.
R TesorieroUniversity of Maryland, R Adams Cowley Shock Trauma Center, Division of Acute Care Surgery, 22 South Greene St, Baltimore MD 21201, USA; Department of Surgery, University of Maryland School of Medicine, 22 South Greene St, Baltimore MD 21201, USA. Electronic address: rtesoriero@umm.edu.
J DiazUniversity of Maryland, R Adams Cowley Shock Trauma Center, Division of Acute Care Surgery, 22 South Greene St, Baltimore MD 21201, USA; Department of Surgery, University of Maryland School of Medicine, 22 South Greene St, Baltimore MD 21201, USA. Electronic address: jdiaz@umm.edu.
B BrunsUniversity of Maryland, R Adams Cowley Shock Trauma Center, Division of Acute Care Surgery, 22 South Greene St, Baltimore MD 21201, USA; Department of Surgery, University of Maryland School of Medicine, 22 South Greene St, Baltimore MD 21201, USA. Electronic address: bbruns@umm.edu.
University of Maryland, Baltimore · US

Funding

RESEARCH TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000262 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ANN L GRUBER-BALDINI, DENISE L ORWIG · 1998 to 2026
$8.2M
NIA NIH HHS T32 AG000262
6 · The paper itself

Abstract

backgroundWe examined and compared APP versus surgical resident perceptions of the role of APPs in surgical subspecialty teams.

methodsResidents/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.

resultsThirty-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.

conclusionAPPs and resident/fellows agree that APPs impact resident workload, continuity of care and patient-coordination education.

Indexed as

Attitude of Health PersonnelInternship and ResidencyContinuity of Patient CareFellowships and ScholarshipsFemaleGeneral SurgeryHumansInterprofessional RelationsMaleNurse PractitionersPhysician AssistantsProfessional RoleSurgeonsSurveys and QuestionnairesUnited StatesWorkloadAdvanced practice providersEducationNurse practitionersPhysician assistantsSurgical residentsWorkload

Identifiers

PMID30343880
PMCPMC6995345
OpenAlexW2897428258

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.