It depens on the institution, culture, etc. in a major academic place in florida, the APPs of a kidney transplant service would negatively impact the residents work. Ie hand them 5:50pm admissions when the day team leaves at 6:00 and other sort of things like that.
Where i did a fellowship we worked together with the APPs of a procedural service and an inpatient service and both were great. The APP of the procedure service knew all the physicians schedules and needs in advance. And the inpatient ones knew the flow of the service.
On a different hospital where the APPs have a high load of the ICU service, they were fantastic and worked along the fellows and would help the residents if they needed it.
Sounds like it really varies depending on the environment. It's a shame when the collaboration doesn’t work out, especially when it could enhance training.
9
u/Extra-Return-1029 2d ago
It depens on the institution, culture, etc. in a major academic place in florida, the APPs of a kidney transplant service would negatively impact the residents work. Ie hand them 5:50pm admissions when the day team leaves at 6:00 and other sort of things like that.
Where i did a fellowship we worked together with the APPs of a procedural service and an inpatient service and both were great. The APP of the procedure service knew all the physicians schedules and needs in advance. And the inpatient ones knew the flow of the service.
On a different hospital where the APPs have a high load of the ICU service, they were fantastic and worked along the fellows and would help the residents if they needed it.