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American Academy of Pediatrics
Perspectives

The Role of the Advanced Practice Provider and the Evolving Health Care Landscape

Rebecca Carlson, Abigail C. Burkett Vetter, Morgan Hauer, Melissa Forton, Karen Jerardi and Lisa E. Herrmann
Hospital Pediatrics November 2020, 10 (11) 1010-1013; DOI: https://doi.org/10.1542/hpeds.2020-0186
Rebecca Carlson
aChildren’s Minnesota Hospital, Minneapolis, Minnesota;
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Abigail C. Burkett Vetter
aChildren’s Minnesota Hospital, Minneapolis, Minnesota;
bSchool of Nursing, North Dakota State University, Fargo, North Dakota;
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Morgan Hauer
cDepartment of Pediatric Hospital Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin;
dChildren’s Wisconsin Hospital, Milwaukee, Wisconsin;
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Melissa Forton
eDivision of Pediatric Hospital Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio; and
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Karen Jerardi
eDivision of Pediatric Hospital Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio; and
fDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio
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Lisa E. Herrmann
eDivision of Pediatric Hospital Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio; and
fDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio
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As health care delivery in America evolves to meet new complex demands, hospital medicine (HM) has become one of the fastest-growing specialties.1 With expanding workforce needs, the role of the advanced practice provider (APP) has evolved to meet increasing inpatient demands. The addition of APPs to adult HM teams has been described in the literature dating back to the 1990s, revealing that APPs provide a significant portion of medical services in many different settings, including HM.2–4 Because less information is known about the role of APPs in pediatric hospital medicine (PHM), we seek to describe the current state of PHM APPs and the potential positive effects that collaboration between physicians and APPs may have on the care of hospitalized children.

APP Workforce in PHM

The health care workforce composition has been changing over the last several years in response to many factors, including resident work hour reductions and projected physician shortages.5 The passage of the Patient Protection and Affordable Care Act of 2010, which created an increased demand for primary care providers and offered incentives to expand APP training programs, has resulted in an increasing number …

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Hospital Pediatrics: 10 (11)
Hospital Pediatrics
Vol. 10, Issue 11
1 Nov 2020
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The Role of the Advanced Practice Provider and the Evolving Health Care Landscape
Rebecca Carlson, Abigail C. Burkett Vetter, Morgan Hauer, Melissa Forton, Karen Jerardi, Lisa E. Herrmann
Hospital Pediatrics Nov 2020, 10 (11) 1010-1013; DOI: 10.1542/hpeds.2020-0186

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The Role of the Advanced Practice Provider and the Evolving Health Care Landscape
Rebecca Carlson, Abigail C. Burkett Vetter, Morgan Hauer, Melissa Forton, Karen Jerardi, Lisa E. Herrmann
Hospital Pediatrics Nov 2020, 10 (11) 1010-1013; DOI: 10.1542/hpeds.2020-0186
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