Feature
Balancing practice
Procedural and clinical roles of advanced practice providers By Tali Fudim, NP
A
dvanced practice providers (APPs) have become an integral part of the interventional radiology
service. We are heavily involved in all phases of the patient-care value chain—consultation, education, triage, procedure, advocacy, multidisciplinary team collaboration and many others. However, there is no standardized process for training procedural or clinical APPs, and each practice utilizes APPs differently.
The goal of this panel discussion is to contrast and compare clinical and procedural APP practice in IR from both the APP and physician perspectives. This insight may be useful for any colleagues looking to change or expand their careers as well as any physicians and practice administrators interested in utilizing APPs more.
evaluation and management (E&M) and provide periprocedural care for our clinical IR service. They support all procedural radiology, even if the actual procedure is performed by a diagnostic abdominal or MSK radiologist.
Tell us about the APP model at your practice. How are they trained? When are they considered independent? Muneeb Ahmed, MD, FSIR: In our practice, we have a large group of APPs across the hospital who perform clinical
Panel participants
Muneeb Ahmed, MD, FSIR Beth Israel Deaconess Medical Center
Michael J. Miller, Jr., MD, FSIR Atrium Health and Wake Forest Baptist
Andrew Bojanowski, PA Mecklenburg Radiology Associates
Julie Fung, PA-C Mount Sinai Medical Center
We use an apprenticeship model of onboarding, with the new APP working with or shadowing an experienced APP over several months. We aim for comfort covering different procedural areas across the institution. Based on feedback from the supervising APPs, APPs-in-training are transitioned to independence when they have completed this onboarding.
Our APP group also performs minor procedures. All APPs undergo annual
irq.sirweb.org | 15
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40
