research Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Read Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination
Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants 2019 Topic(s) Role of Primary Care, and What Family Physicians Do BACKGROUND AND OBJECTIVES: Little is known about how the presence of nurse practitioners (NPs) and physician assistants (PAs) in a practice impacts family physicians’ (FPs’) scope of practice. This study sought to examine variations in FPs’ practice associated with NPs and PAs. METHODS: We obtained data from American Board of Family Medicine practice demographic questionnaires completed by FPs who registered for the Family Medicine Certification Examination during 2013-2016. Scope of practice score was calculated for each FP, ranging from 0-30 with higher numbers equating to broader scope of practice. FPs self-reported patient panel size. Primary care teams were classified into NP only, PA only, both NP and PA, or no NP or PA. We estimated variation in scope and panel size with different team configurations in regression models. RESULTS: Of 27,836 FPs, nearly 70% had NPs or PAs in their practice but less than half (42.5%) estimated a panel size. Accounting for physician and practice characteristics, the presence of NPs and/or PAs was associated with significant increases in panel sizes (by 410 with PA only, 259 with NP only and 245 with both; all P<0.05) and in scope score (by 0.53 with PA only, 0.10 with NP only and 0.51 with both; all P<0.05). CONCLUSIONS: We found evidence that team-based care involving NPs and PAs was associated with higher practice capacity of FPs. Working with PAs seemed to allow FPs to see a greater number of patients and provide more services than working with NPs. Delineation of primary care team roles, responsibilities and boundaries may explain these findings. Read More ABFM Research Read all 2021 Maternity Care Tracks at US Family Medicine Residency Programs Go to Maternity Care Tracks at US Family Medicine Residency Programs 2019 Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries Go to Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries 2014 Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program Go to Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program 2013 The role of family physicians in mental health care delivery in the United States: implications for health reform Go to The role of family physicians in mental health care delivery in the United States: implications for health reform
ABFM Research Read all 2021 Maternity Care Tracks at US Family Medicine Residency Programs Go to Maternity Care Tracks at US Family Medicine Residency Programs 2019 Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries Go to Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries 2014 Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program Go to Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program 2013 The role of family physicians in mental health care delivery in the United States: implications for health reform Go to The role of family physicians in mental health care delivery in the United States: implications for health reform
2021 Maternity Care Tracks at US Family Medicine Residency Programs Go to Maternity Care Tracks at US Family Medicine Residency Programs
2019 Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries Go to Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries
2014 Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program Go to Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program
2013 The role of family physicians in mental health care delivery in the United States: implications for health reform Go to The role of family physicians in mental health care delivery in the United States: implications for health reform
