The Emergence of the Physician Assistant Role in a Canadian Acute Care Surgery Setting

Lack, Andrea

doi:10.26226/morressier.596648e5d462b80290b521be

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“…The effect of this provider was not specifically addressed in our analysis. 39 However, the inclusion of advanced providers (physician assistants and nurse practitioners) is becoming more common in many centres and shows much promise in terms of optimizing the balance of patient care and the resident learning experience in teaching services. 40,41 The decision to establish an ACS service in our academic network was made on an individual basis by each site in different years, largely to improve the delivery of EGS patient care rather to create optimal educational experiences for residency training.…”

Section: Stage Of Residencymentioning

confidence: 99%

Impact of the acute care surgery model on resident operative experience in emergency general surgery

Meschino

Giles

Engels

et al. 2021

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Background: The acute care surgery (ACS) model has been shown to improve patient, hospital and surgeon-specific outcomes. To date, however, little has been published on its impact on residency training. Our study compared the emergency general surgery (EGS) operative experiences of residents assigned to ACS versus elective surgical rotations. Methods: Resident-reported EGS case logs were prospectively collected over a 9-month period across 3 teaching hospitals. Descriptive statistics were tabulated and group comparisons were made using χ2 statistics for categorical data and t tests for continuous data. Results: Overall, 1061 cases were reported. Resident participation exceeded 90%). Appendiceal and biliary disease accounted for 49.7% of EGS cases. Residents on ACS rotations reported participating in twice as many EGS cases per block as residents on elective rotations (12.64 v. 6.30 cases, p < 0.01). Most cases occurred after hours while residents were on call rather than during daytime ACS hours (78.8% v. 21.1%, p < 0.01). Senior residents were more likely than junior residents to report having a primary operator role (71.3% v. 32.0%, p < 0.01). Although the timing of cases made no difference in the operative role of senior residents, junior residents assumed the primary operator role more often during the daytime than after hours (50.0% v. 33.1%, p = 0.01). Conclusion: Despite implementation of the ACS model, residents in our program obtained most of their EGS operative experience after hours while on call. Although further research is needed, our study suggests that improved daytime access to the operating room may represent an opportunity to improve the quantity and quality of the EGS operative experience at our academic network.

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Section: Stage Of Residencymentioning

confidence: 99%

Impact of the acute care surgery model on resident operative experience in emergency general surgery

Meschino

Giles

Engels

et al. 2021

cjs

View full text Add to dashboard Cite

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The Emergence of the Physician Assistant Role in a Canadian Acute Care Surgery Setting

Abstract: Background:• The Physician Assistant (PA) role emerged within the Canadian military healthcare setting in 1984 and remains relatively new in the Canadian healthcare system.

Cited by 1 publication

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Impact of the acute care surgery model on resident operative experience in emergency general surgery

Impact of the acute care surgery model on resident operative experience in emergency general surgery

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