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医学遗传学领域的高级执业人员:一项全国性调查。

Advanced practice providers in the medical genetics workforce: A nationwide survey.

作者信息

Patterson Wesley G, Offord Stephanie J, Buch Laura D, Lewis Gina M, Andrews Ashley, Sparks Kaelyn B, Cooley Coleman Jessica A, Tribble Leta M

机构信息

Department of Pediatrics, Greenwood Genetic Center, Greenwood, SC.

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.

出版信息

Genet Med. 2024 Dec;26(12):101254. doi: 10.1016/j.gim.2024.101254. Epub 2024 Sep 10.

Abstract

PURPOSE

This study characterizes the current landscape of genetics advanced practice providers (APPs) in the United States.

METHODS

A 35-question survey was emailed to the Genetics APP Listserv in the fall of 2023. Questions represented 5 domains: demographics, practice, onboarding, compensation, and perceptions.

RESULTS

A total of 105 genetics APPs (93%) completed the survey. Genetics APPs evaluate various patient types and populations in multiple settings, working an average of 41.3 hours and seeing 15 patients weekly. Nearly all see new (96%) and follow-up (98%) patients and utilize telemedicine (93%). Half (51%) have only worked in the genetics specialty during their career. Overall, APPs are generally satisfied with their career as a genetics APP (98%) and work-life balance (86%), and most (86%) feel that they function at the top of their scope.

CONCLUSION

Study findings elucidate the current state of genetics APPs. Results define the characteristics and role of an APP in the genetics specialty and will guide employers and genetics organizations to utilize APPs at the top of their scope and recruit new APPs to this exciting field. A collaborative effort is needed to increase the overall genetics workforce, decrease patient wait times, and increase access to genetics care.

摘要

目的

本研究描述了美国遗传学高级实践提供者(APP)的当前状况。

方法

2023年秋季,通过电子邮件向遗传学APP邮件列表发送了一份包含35个问题的调查问卷。问题涵盖5个领域:人口统计学、实践、入职培训、薪酬和看法。

结果

共有105名遗传学APP(93%)完成了调查。遗传学APP在多种环境中评估各类患者类型和人群,平均每周工作41.3小时,接待15名患者。几乎所有APP都接待新患者(96%)和随访患者(98%),并使用远程医疗(93%)。一半(51%)的APP在其职业生涯中仅从事过遗传学专业工作。总体而言,APP对其作为遗传学APP的职业(98%)和工作与生活平衡(86%)普遍感到满意,大多数(86%)认为自己在其职责范围内发挥着最大作用。

结论

研究结果阐明了遗传学APP的当前状况。结果明确了APP在遗传学专业中的特征和作用,并将指导雇主和遗传学组织充分利用APP的职责范围,并招聘新的APP进入这个令人兴奋的领域。需要共同努力以增加遗传学领域的整体劳动力,减少患者等待时间,并增加获得遗传学护理的机会。

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