title: The substitution of physician assistants and nurse practitioners for physician residents in teaching hospitals.
abstract: This study documents features of clinical departments in teaching hospitals that are using physician assistants (PAs) and nurse practitioners (NPs) to perform some tasks previously done by medical or surgical residents. More than 60 percent of teaching hospital medical directors surveyed reported experience with substitution in their hospitals. The experience overall appears to be positive; one-third of the departments are planning to increase the number of PAs and NPs they use. The results imply that some of the services lost in house-staff reductions called for in many physician workforce reform proposals could be provided by alternative health professionals.
authors.affiliation: Department of Consumer Science, School of Family Resources and Consumer Sciences, University of Wisconsin-Madison, USA.
authors.forename: R
authors.initials: R
authors.lastname: Riportella-Muller
authors.forename: D
authors.initials: D
authors.lastname: Libby
authors.forename: D
authors.initials: D
authors.lastname: Kindig
mesh_terms: D003625:Data Collection; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data; D009722:Nurse Practitioners / Q000706:statistics & numerical data*; D010561:Personnel Staffing and Scheduling / Q000639:trends*; D010823:Physician Assistants / Q000706:statistics & numerical data*; D014481:United States; D000078329:Workforce