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
post 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
post “Family Medicine Was All I Ever Wanted to Do” Dr. Phillip Wagner Read “Family Medicine Was All I Ever Wanted to Do”
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 2020 Team Configurations, Efficiency, and Family Physician Burnout Go to Team Configurations, Efficiency, and Family Physician Burnout 1987 Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations Go to Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations 2014 Creating the Individual Scope of Practice (I-SOP) scale Go to Creating the Individual Scope of Practice (I-SOP) scale 2019 Improving treatment of opioid use disorder in pregnancy: first define the workforce Go to Improving treatment of opioid use disorder in pregnancy: first define the workforce
ABFM Research Read all 2020 Team Configurations, Efficiency, and Family Physician Burnout Go to Team Configurations, Efficiency, and Family Physician Burnout 1987 Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations Go to Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations 2014 Creating the Individual Scope of Practice (I-SOP) scale Go to Creating the Individual Scope of Practice (I-SOP) scale 2019 Improving treatment of opioid use disorder in pregnancy: first define the workforce Go to Improving treatment of opioid use disorder in pregnancy: first define the workforce
2020 Team Configurations, Efficiency, and Family Physician Burnout Go to Team Configurations, Efficiency, and Family Physician Burnout
1987 Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations Go to Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations
2014 Creating the Individual Scope of Practice (I-SOP) scale Go to Creating the Individual Scope of Practice (I-SOP) scale
2019 Improving treatment of opioid use disorder in pregnancy: first define the workforce Go to Improving treatment of opioid use disorder in pregnancy: first define the workforce