Division of Hematology Oncology and Transplantation, University of Minnesota, Minneapolis, MN.
Fitzhugh Mullan Institute for Health Workforce Equity, The George Washington University, Washington, DC.
Blood Adv. 2024 Mar 12;8(5):1179-1189. doi: 10.1182/bloodadvances.2023011927.
Advanced practice providers (APPs) are critical to the hematology workforce. However, there is limited knowledge about APPs in hematology regarding specialty-specific training, scope of practice, challenges and opportunities in APP-physician interactions, and involvement with the American Society of Hematology (ASH). We conducted APP and physician focus groups to elucidate major themes in these areas and used results to inform development of 2 national surveys, 1 for APPs and 1 for physicians who work with APPs. The APP survey was distributed to members of the Advanced Practitioner Society of Hematology and Oncology, and the physician survey was distributed to physician members of ASH. A total of 841 APPs and 1334 physicians completed the surveys. APPs reported most hematology-specific knowledge was obtained via on-the-job training and felt additional APP-focused training would be helpful (as did physicians). Nearly all APPs and physicians agreed that APPs were an integral part of their organizations and that physician-APP collaborations were generally positive. A total of 42.1% of APPs and 29.3% of physicians reported burnout, and >50% of physicians felt that working with APPs had reduced their burnout. Both physicians and APPs reported interest in additional resources including "best practice" guidelines for APP-physician collaboration, APP access to hematology educational resources (both existing and newly developed resources for physicians and trainees), and greater APP integration into national specialty-specific professional organizations including APP-focused sessions at conferences. Professional organizations such as ASH are well positioned to address these areas.
高级执业医师（APP）是血液学领域不可或缺的人才。然而，对于血液学领域的 APP，我们知之甚少，包括他们的专业培训、执业范围、在医生与 APP 互动中面临的挑战和机遇，以及他们与美国血液学会（ASH）的关系。我们组织了 APP 和医生焦点小组，以阐明这些领域的主要主题，并利用研究结果为两项全国性调查提供信息，一项是针对 APP 的，另一项是针对与 APP 合作的医生的。APP 调查分发给血液肿瘤学高级执业医师学会的成员，而医生调查则分发给 ASH 的医生成员。共有 841 名 APP 和 1334 名医生完成了调查。调查结果显示，APP 报告称，他们的大部分血液学专业知识是通过在职培训获得的，并认为额外的 APP 专项培训将很有帮助（医生们也这么认为）。几乎所有的 APP 和医生都认为 APP 是他们组织不可或缺的一部分，医生与 APP 的合作通常是积极的。共有 42.1%的 APP 和 29.3%的医生报告说他们有职业倦怠，超过 50%的医生认为与 APP 合作减少了他们的职业倦怠。医生和 APP 都表示有兴趣获得更多资源，包括 APP-医生合作的“最佳实践”指南、APP 获得血液学教育资源（包括现有的和新开发的医生和学员资源）的机会，以及将 APP 更深入地融入全国特定专业组织，包括在会议上设立针对 APP 的专场。ASH 等专业组织非常适合解决这些问题。
