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 2017 Scope of Practice Among Recent Family Medicine Residency Graduates Go to Scope of Practice Among Recent Family Medicine Residency Graduates 2022 Variation in Scope and Area of Practice by Family Physician Race and Ethnicity Go to Variation in Scope and Area of Practice by Family Physician Race and Ethnicity 2013 Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines Go to Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines 2021 Primary Care in the COVID-19 Pandemic: Essential, and Inspiring Go to Primary Care in the COVID-19 Pandemic: Essential, and Inspiring
ABFM Research Read all 2017 Scope of Practice Among Recent Family Medicine Residency Graduates Go to Scope of Practice Among Recent Family Medicine Residency Graduates 2022 Variation in Scope and Area of Practice by Family Physician Race and Ethnicity Go to Variation in Scope and Area of Practice by Family Physician Race and Ethnicity 2013 Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines Go to Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines 2021 Primary Care in the COVID-19 Pandemic: Essential, and Inspiring Go to Primary Care in the COVID-19 Pandemic: Essential, and Inspiring
2017 Scope of Practice Among Recent Family Medicine Residency Graduates Go to Scope of Practice Among Recent Family Medicine Residency Graduates
2022 Variation in Scope and Area of Practice by Family Physician Race and Ethnicity Go to Variation in Scope and Area of Practice by Family Physician Race and Ethnicity
2013 Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines Go to Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines
2021 Primary Care in the COVID-19 Pandemic: Essential, and Inspiring Go to Primary Care in the COVID-19 Pandemic: Essential, and Inspiring
