title: Midlevel practitioner role evolution in an American College of Surgeons-verified trauma surgery service: the 23-year experience at Hurley Medical Center.
abstract: The purpose of this study was to evaluate our 23-year experience with midlevel practitioners in an American College of Surgeons-verified trauma surgery service in the absence of a surgical residency. A retrospective review of the utilization of trauma surgery midlevel practitioners was performed at a community hospital American College of Surgeons-verified trauma center from 1985 to 2007. The trauma surgery service has expanded in volume, acuity, and services offered over the 23-year period. This model has allowed us to establish effective and efficient surgical coverage while growing the trauma program, as well as general surgery and bariatric services.
authors.affiliation: Trauma and Neuro Services, Hurley Medical Center, One Hurley Plaza, Flint, MI 48503, USA. jmikhai1@hurleymc.com
authors.forename: Judy
authors.initials: J
authors.lastname: Mikhail
authors.forename: William
authors.initials: W
authors.lastname: Millerz
authors.forename: James
authors.initials: J
authors.lastname: Wagner
mesh_terms: D006801:Humans; D007400:Interprofessional Relations; D008824:Michigan; D013527:Perioperative Nursing; D010557:Personnel Administration, Hospital; D010823:Physician Assistants; D024382:Professional Role; D012189:Retrospective Studies; D014193:Trauma Centers / Q000458:organization & administration; D014194:Traumatology / Q000458:organization & administration; D000078329:Workforce