NP and PA transition to practice: A scoping review of fellowships and onboarding programs

Perri Morgan, Hilary Barnes, Heather R. Batchelder, Brandi Tuttle, Asefeh Faraz Covelli, Christine Everett, George L. Jackson, Lorraine Anglin, Nathalie Ortiz Pate, Patricia Dieter, Janelle Bludorn

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives:Newly graduated NPs and physician associates/assistants (PAs) benefit from transition to practice (TTP) support to move successfully into practice. TTP programs (such as onboarding programs, fellowships, and residencies) hold promise for improving workforce outcomes. The purpose of this scoping review was to describe the literature regarding NP/PA TTP programs.Methods:Using the Joanna Briggs Institute methodology, a specific approach for systematically conducting reviews, publications from January 1990 to May 2022 were included if they addressed fellowships, residencies, or onboarding programs for NPs or PAs. Final data extraction involved 216 articles.Results:The pace of publication increased over time, with a noticeable increase since 2015. Articles were most commonly about fellowships or residencies, NPs, and programs set in nonrural, acute care US settings and in academic health centers.Conclusions:A gap exists in our understanding of onboarding programs and programs focusing on PAs, as well as TTP support in rural and primary care settings. In addition, few articles assess TTP program outcomes such as benefits and costs. This review describes the need for more published literature in these areas.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalJournal of the American Academy of Physician Assistants
Volume36
Issue number12
DOIs
StatePublished - Dec 1 2023

Keywords

  • PA
  • advanced practice registered nurse
  • nurse practitioner
  • onboarding
  • physician associate
  • transition to practice

ASJC Scopus subject areas

  • Nurse Assisting

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