The changing landscape of PAs and NPs in nephrology. 2021

Jane Davis, and Kim Zuber
Jane Davis is an NP in the Division of Nephrology at the University of Alabama at Birmingham. Kim Zuber is executive director of the American Academy of Nephrology PAs in St. Petersburg, Fla. Ms. Davis is on the Amgen Speakers Bureau and the ANNA-Amgen chapter programs bureau. The authors have disclosed no other potential conflicts of interest, financial or otherwise.

BACKGROUND Physician assistants (PAs) and NPs have expanded roles in nephrology as both the patient load and acuity of care needed for this population have increased. OBJECTIVE To evaluate the workforce patterns of PAs and NPs working in nephrology over the past decade. METHODS Using the biannual survey from the National Kidney Foundation Council of Advanced Practitioners, data were collected and analyzed over the past decade. RESULTS Surveys of nephrology practitioners show the evolution of the dialysis-focused practitioner to one encompassing all aspects of nephrology: hospital, ICU, research, office, and all types of dialysis. Salaries and benefits have increased to compensate for the expansion of responsibilities. CONCLUSIONS PAs and NPs in nephrology have the opportunity to use their skills and training in caring for this high-risk population.

UI MeSH Term Description Entries
D009398 Nephrology A subspecialty of internal medicine concerned with the anatomy, physiology, and pathology of the kidney.
D009722 Nurse Practitioners Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician. Nurse Practitioner,Practitioner, Nurse,Practitioners, Nurse
D010823 Physician Assistants Health professionals who practice medicine as members of a team with their supervising physicians. They deliver a broad range of medical and surgical services to diverse populations in rural and urban settings. Duties may include physical exams, diagnosis and treatment of disease, interpretation of tests, assist in surgery, and prescribe medications. (from http://www.aapa.orglabout-pas accessed 2114/2011) Doctor's Assistant,Feldsher,Feldshers,Physician Assistant,Physicians' Assistants,Physicians' Extender,Physicians' Extenders,Doctor's Assistants,Assistant, Doctor's,Assistant, Physicians',Assistants, Doctor's,Assistants, Physician,Assistants, Physicians',Doctor Assistant,Doctor Assistants,Doctors Assistant,Extender, Physicians',Extenders, Physicians',Physician Extender,Physician Extenders,Physician's Assistants,Physician's Extender,Physician's Extenders,Physicians Assistants,Physicians Extender,Physicians' Assistant
D011158 Population Growth Increase, over a specific period of time, in the number of individuals living in a country or region. Population Explosion,Baby Boom,Baby Bust,High Fertility Population,Natural Increase,Past Trends,Population Growth and Natural Resources,Population Size and Growth,Zero Population Growth,Baby Booms,Baby Busts,Explosion, Population,Explosions, Population,Growth, Population,High Fertility Populations,Increase, Natural,Increases, Natural,Natural Increases,Past Trend,Population Explosions,Population, High Fertility,Populations, High Fertility,Trend, Past,Trends, Past
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D003956 Dialysis A process of selective diffusion through a membrane. It is usually used to separate low-molecular-weight solutes which diffuse through the membrane from the colloidal and high-molecular-weight solutes which do not. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Dialyses
D006280 Health Workforce The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization. Health Manpower,Health Occupations Manpower,Manpower, Health,Manpower, Health Occupations,Workforce, Health
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D024382 Professional Role The expected function of a member of a particular profession. Professional Roles,Role, Professional,Roles, Professional

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