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Few nurse practitioners, physician assistants pursue careers in pediatric health
Date:10/18/2010

ANN ARBOR, Mich. Pediatric health care work force planning efforts are increasingly incorporating the roles of nurse practitioners and physician assistants, especially in plans to alleviate the perceived shortage of pediatric subspecialists.

However, results from four new studies of pediatric nurse practitioners, family nurse practitioners, neonatal nurse practitioners, and pediatric physician assistants published online today in the journal Pediatrics do not seem to support that idea. The work was conducted by the University of Michigan's Child Health Evaluation and Research (CHEAR) Unit, led by Gary Freed, M.D., M.P.H., chief of the Division of General Pediatrics and director of the CHEAR Unit.

"Although there are overall increases among those professionals, there has been no increase in the number of nurse practitioners and physician assistants going into pediatric health care," Freed says. "Newly trained professionals in those jobs will likely decrease going forward as more health care systems are designed to take care of the elderly population. Health systems need to re-think many of their future plans."

Study findings:

  • A study looking at the roles and scope of practice of pediatric nurse practitioners found that the majority currently works in primary care and most do not have any inpatient roles. Independent pediatric nurse practitioner practices are not responsible for a significant portion of pediatric visits. Pediatric nurse practitioners are unlikely to alleviate the currently perceived shortage of pediatric subspecialists without a significant change in the pediatric nurse practitioner workforce distribution.
  • A study looking at the roles and scope of practice of family nurse practitioners in the care of pediatric patients found that among family nurse practitioners who care for children, pediatric patients represent only a small fraction of their patient populations. Family nurse practitioners
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Contact: Margarita B. Wagerson
mbauza@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

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