Current Evidence and Controversies: Advanced Practice Providers in Healthcare

American Journal of Managed Care (08/15/2019) Vol. 25, No. 8, P. 366 Sarzynski, Erin; Barry, Henry

A comparison of advanced practice providers (APPs) and physicians' education, training, scope of practice, and quality of care with that of physicians has determined the importance of a framework for promoting team-based primary care from both physicians and APPs. One promising model is competency-based medical education, which favors a curriculum based on trainees showing proficiency and reaching milestones. Collaboration to improve patient care should involve transparency among all providers about their education, training, credentials, and certification.

Also needed is standardizing state laws overseeing APPs to avoid incentivizing specialty practice in less restrictive states and instilling accountability among APPs and physicians for competency-based standards aligned with their scope of practice. "Beyond these principles, we believe that a conceptual framework is necessary to guide key aspects of interdisciplinary care — education, practice, policy, and evaluation," the authors conclude.

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