Department of Medicine, Johns Hopkins Bayview Medical Center, Division of Hospital Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Division of Hospital Medicine, University of Colorado School of Medicine, Denver, Colorado, USA.
J Hosp Med. 2022 Mar;17(3):176-180. doi: 10.1002/jhm.12790. Epub 2022 Feb 14.
Advanced practice providers (APPs) graduate from school with variable hospitalist experience. While hospitalist-specific onboarding is recommended for hospitalist APPs, no standard method currently exists to assess their readiness for practice. We created a 17-item instrument called the Cardin Hospitalist Advanced Practice Provider-Readiness Assessment (CHAPP-RA) to assess APPs'; readiness for practice using a milestones-based scale. We piloted CHAPP-RA at a single site where 11 APPs with varied experience were rated by 30 supervising physicians. Supervisors also provided global ratings for overall performance. We investigated the feasibility of CHAPP-RA and collected validity evidence for the interpretation of scores. The mean time to complete one CHAPP-RA was 10.5 min. Supervisors rated novice APPs lower than more experienced APPs, p ≤ .001. CHAPP-RA ratings also correlated strongly with global ratings. CHAPP-RA is feasible to implement and has initial validity evidence.
高级执业医师（APP）在毕业时具有不同的医院医师经验。虽然建议对医院医师 APP 进行专门的入职培训，但目前还没有评估他们是否具备实践准备的标准方法。我们创建了一个名为 Cardin 医院医师高级执业医师准备情况评估（CHAPP-RA）的 17 项工具，该工具使用基于里程碑的量表评估 APP 的实践准备情况。我们在一个单一的地点对 CHAPP-RA 进行了试点，11 名具有不同经验的 APP 由 30 名监督医生进行了评估。监督医生还对整体表现进行了总体评估。我们调查了 CHAPP-RA 的可行性，并收集了对分数解释的有效性证据。完成一份 CHAPP-RA 的平均时间为 10.5 分钟。监督医生对新手 APP 的评分低于经验更丰富的 APP，p≤.001。CHAPP-RA 的评分也与总体评分密切相关。CHAPP-RA 易于实施，并具有初步的有效性证据。
