Surgical Faculty Perception of Service-Based Advanced Practice Provider Impact: A Southwestern Surgical Congress Multicenter Survey

Am Surg. 2021 Jun;87(6):971-978. doi: 10.1177/0003134820956929. Epub 2020 Dec 9.


Background: A previous single-center survey of trauma and general surgery faculty demonstrated perceived positive impact of trauma and surgical subspecialty service-based advanced practice providers (SB APPs). The aim of this multicenter survey was to further validate these findings.

Methods: Faculty surgeons on teams that employ SB APPs at 8 academic centers completed an electronic survey querying perception about advanced practice provider (APP) competency and impact.

Results: Respondents agreed that SB APPs decrease workload (88%), length of stay (72%), contribute to continuity (92%), facilitate care coordination (87%), enhance patient satisfaction (88%), and contribute to best practice/safe patient care (83%). Fewer agreed that APPs contribute to resident education (50%) and quality improvement (QI)/research (36%). Although 93% acknowledged variability in the APP level of function, 91% reported trusting their clinical judgment.

Conclusion: This study supports the perception that SB APPs have a positive impact on patient care and quality indicators. Areas for potential improvement include APP contribution to resident education and research/QI initiatives.

Keywords: advanced practice provider; nurse practitioner; outcomes; physician assistant; survey.

Publication types

  • Multicenter Study

MeSH terms

  • Academic Medical Centers
  • Adult
  • Attitude of Health Personnel*
  • Clinical Competence
  • Education, Medical, Graduate
  • Female
  • Humans
  • Length of Stay / statistics & numerical data
  • Male
  • Nurse Practitioners*
  • Patient Satisfaction
  • Physician Assistants*
  • Professional Role*
  • Quality Improvement
  • Surgeons / psychology*
  • Surveys and Questionnaires
  • Workload / statistics & numerical data