Pharmacists Colocated with Primary Care Physicians: Teaming up for Patient Access

Despite evidence supporting the integration of pharmacists in team-based primary care, little evidence exists on the colocation of pharmacists with primary care physicians (PCPs) in the United States and even less information exists on the factors associated with these models in primary care. Increasing the colocation of pharmacists and PCPs gives practitioners greater ability to…

Moral Distress Among Clinicians Working in US Safety Net Practices During the COVID-19 Pandemic: A Mixed Methods Study

News photos and stories of health professionals in intensive care units overflowing with ill patients have been among the most iconic images of the COVID-19 pandemic. These clinicians have shown physical and emotional exhaustion, and also claim to be morally distressed by witnessing and participating in patients’ care and deaths in sheer numbers under circumstances…

Experience of Physician Assistants and Nurse Practitioners in Onboarding Programs

Newly graduated nurse practitioners (NPs) and physician assistants (PAs) face challenges in adapting to their first jobs. Because of this, some organizations are instituting formal NP and PA onboarding programs, which have been associated with increased engagement of NPs/PAs, decreased turnover, and higher clinical productivity.  This policy brief examines which components of NP and PA…

Identifying Successful Strategies for New Nurse Practitioner (NP) and Physician Assistant (PA) Onboarding Programs

Positive transition to practice experiences for nurse practitioners (NPs) and physician assistants (PAs) are important for reducing turnover and maintaining continuity of care for patients. Onboarding programs are an important element of transition to practice experiences, but little is known about what specifically makes certain onboarding programs successful and why. This brief describes a study…

What Do EHRs Tell Us About How We Deploy Health Professionals to Address the Social Determinants of Health

Health providers often attempt to capture social determinants of health (SDOH) in electronic health records (EHR) and use these data to adjust care plans. Standardizing SDOH documentation in the EHR between members of the health workforce may help ensure that patients’ social risk factors, including food and housing insecurity, are addressed. This article assesses how…

Experiences of Safety-Net Practice Clinicians Participating in the National Health Service Corps During the COVID-19 Pandemic

The COVID-19 pandemic has had harsh impacts on low-income and racial and ethnic minority communities, as well as the clinicians who provide care to these communities. This article examines the results of a survey of safety-net health care practitioners (including physical, dental, and behavioral health providers) participating in the National Health Service Corps in 20…

Addressing Burnout Among the Frontline Healthcare Workforce during COVID-19: A Scoping Review and Expert Interviews

As the COVID-19 pandemic continues, so does the levels of stress, burden, and burnout of health care workers. Researchers at the Carolina Health Workforce Research Center conducted a scoping review of published literature on burnout interventions implemented for healthcare workers during COVID-19, as well as expert interviews with healthcare administrators involved in COVID-19 burnout response…

Which Definition of Rurality Should I Use? The Relative Performance of 8 Federal Rural Definitions in Identifying Rural-Urban Disparities

There are large variations in the level of agreement among areas that are identified as “rural” under various rurality definitions. Rural-urban disparities are sensitive to the specific definition and which population characteristic that is being considered. This article explores 8 federal rural definitions and the degree to which they identify the same areas as rural….

The Institutional, Professional, and Societal Drivers of Job Satisfaction and Wellbeing Among Physicians

Despite recent research on wellbeing in medicine, much of it fails to address the broader structural factors that contribute to physician satisfaction and wellbeing. To address that gap, researchers used a novel socio-ecological framework adapted from a National Academies of Science, Engineering, and Medicine’s “systems model,” and conducted interviews with 65 attendings, residents, medical students,…

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