Biomaterial Database

Nurse practitioners, certified nurse midwives, and physician assistants in California. 1998

A L Anderson, and C L Gilliss

Office of the President, University of California, San Francisco, School of Medicine, USA. aanders@ipsa.ucsf.edu

California's health care industry includes workers prepared in many ways to perform many jobs. One significant group of health care workers prepared to provide care that often overlaps with physician-generated services is known as "nonphysician providers." Commonly, this label refers to nurse practitioners (NPs), certified nurse midwives (CNMs), and physician assistants (PAs). In this article, we will describe this group in five main areas: (1) the characteristics of the current and projected workforce and programs preparing these professionals; (2) the current skill expectations and knowledge bases of each; (3) trends in the education of these health professionals; (4) innovative models of education of these health professionals; and (5) the inclusion of NPs, PAs, and CNMs in workforce planning in a changing health care system. We conclude that, particularly in light of the overlapping functions of this provider group with many physician functions, the NP, CNM, and NP workforces must be recognized and considered when planning for the future of the physician workforce.

UI	MeSH Term	Description	Entries
D008880	Midwifery	The practice of assisting women in childbirth.	Traditional Birth Attendant,Midwife,Midwives,Birth Attendant, Traditional,Birth Attendants, Traditional,Traditional Birth Attendants
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
D002140	California	State bounded on the east by Nevada and Arizona, on the south by Mexico and the Pacific Ocean on the south and west, and on the north by Oregon.
D003479	Curriculum	A course of study offered by an educational institution.	Curricula,Short-Term Courses,Course, Short-Term,Courses, Short-Term,Short Term Courses,Short-Term Course
D004517	Education, Professional	Formal education and training in preparation for the practice of a profession.	Professional Education
D006281	Health Occupations	Professions or other business activities directed to the cure and prevention of disease. For occupations of medical personnel who are not physicians but who are working in the fields of medical technology, physical therapy, etc., ALLIED HEALTH OCCUPATIONS is available.	Health Professions,Health Occupation,Health Profession,Profession, Health,Professions, Health
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015397	Program Evaluation	Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.	Evaluation, Program,Family Planning Program Evaluation,Program Appropriateness,Program Effectiveness,Program Sustainability,Appropriateness, Program,Effectiveness, Program,Evaluations, Program,Program Evaluations,Program Sustainabilities,Sustainabilities, Program,Sustainability, Program