Evidence map›Paper›PMID 34813534›Full record

ArticleJAAPA : official journal of the American Academy of Physician Assistants2021

The acceptability of a novel procedure service run by PAs and NPs.

Nancy Kim, Tara Herbert, Sheyla Marranca, Eric Bergman, Ronald Castillo, Lindsey Romano, Daniel Heacock, William Cushing

Abstract read
In one paragraph

Article in JAAPA : official journal of the American Academy of Physician Assistants, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Nancy KimNancy Kim is an assistant clinical professor of internal medicine at Yale University School of Medicine and Physician Partner, Care Signature, Yale-New Haven Health System in New Haven, Conn. Tara Herbert, Sheyla Marranca, Eric Bergman, Ronald Castillo, Lindsey Romano, and Daniel Heacock practice in the New England Medical Group Hospitalist Service at Yale-New Haven Hospital. William Cushing is executive director of hospital medicine at Yale-New Haven Hospital. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Tara Herbert
Sheyla Marranca
Eric Bergman
Ronald Castillo
Lindsey Romano
Daniel Heacock
William Cushing

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospitalist physicians are performing fewer procedures because of multiple reasons, including expanded responsibilities beyond their patient panel. A procedure service that offloads hospitalists could expedite these necessary services. An opportunity exists for physician assistants (PAs) and NPs to fill this gap.

objectiveTo describe the implementation of a PA- and NP-run procedure service at a large academic hospital.

methodsThis is a retrospective cohort study of procedures by the procedure service at one institution from 2015 to 2019.

resultsOver 5 years, 7,002 procedures were performed, with requests increasing over time. The most frequent procedures were venous access, lumbar puncture, paracentesis, and placement of nasogastric or nasojejunal tubes. Requesting services included hospitalists and residents from internal medicine, surgery, and neurology.

conclusionsA PA- and NP-run procedure service is well accepted at a large academic hospital despite the lack of involvement by attending physicians. Future directions are focused on augmenting coverage and procedures offered.

Indexed as

HospitalistsPhysician AssistantsHumansInternal MedicineMedical Staff, HospitalRetrospective Studies

Identifiers

PMID34813534
PMCPMC8600974

What OpenQuestion holds

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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.