APP and physician organizational support, career advancement, satisfaction, and burnout
| Characteristic . | APPs . | Physicians . |
|---|---|---|
| Organizational support for APPs (% agree or strongly agree) | ||
| In my organization, the APP role is well understood by physicians | 85.1% (640/752) | 84.6% (885/1047) |
| APPs are an integral part of my organization | 96.4% (725/752) | 94.0% (983/1046) |
| In my organization, APPs freely apply all their knowledge and skills to provide patient care | 93.1% (698/750) | 87.4% (912/1043) |
| My organization creates an environment where APPs can practice at the top of their license | 80.4% (604/752) | 86.3% (898/1041) |
| Trust between APPs and physicians (% agree or strongly agree) | ||
| Physicians in my practice trust my patient care decisions | 96.7% (359/750) | - |
| I trust the patient care decisions of APPs in my practice | - | 87.6% (914/1043) |
| I do not have to discuss every patient care detail with a physician | 92.8% (699/752) | - |
| I do not have to discuss every patient care detail with APPs in my practice | - | 79.7% (831/1043) |
| APPs’ perceptions of collaboration with physicians (% agree or strongly agree) | ||
| I feel valued by my physician colleagues | 88.3% (661/749) | - |
| My organization does not restrict my abilities to practice within my scope of practice | 81.3% (610/751) | - |
| Physicians’ perceptions of collaboration with APPs (% agree or strongly agree) | ||
| Working with APPs improves patient care quality | - | 85.0% (886/1042) |
| Working with APPs improves practice efficiency | - | 92.7% (965/1041) |
| Working with APPs improves my practice satisfaction | - | 86.5% (899/1039) |
| Career advancement opportunities for APPs (select all that apply) | (n = 749) | (n = 1078) |
| Administrative leadership roles (supervisor, etc.) | 420 (56.1%) | 594 (55.1%) |
| Clinical career advancement (promotion to higher level clinical role, etc.) | 311 (41.5%) | 512 (47.5%) |
| Education leadership roles (APP fellowship director, etc.) | 278 (37.1%) | 280 (26.0%) |
| Academic career advancement (assistant professor upward, etc.) | 155 (20.7%) | 163 (15.1%) |
| Other | 15 (2.0%) | 17 (1.6%) |
| None of the above | 209 (27.9%) | 77 (7.1%) |
| Don’t know | 264 (24.5%) | |
| Job and career satisfaction (% satisfied or very satisfied) | ||
| Volume of your patient load/panel size | 76.8% (575/749) | 65.8% (759/1154) |
| Ability to practice to the highest scope of your training | 76.4% (572/749) | - |
| Career development opportunities as an APP in your organization | 50.1% (375/749) | - |
| Relationship with physicians in your organization | 80.7% (603/747) | - |
| Relationship with APPs in your organization | - | 84.3% (878/1041) |
| Quality of care you are able to provide | - | 84.5% (974/1152) |
| Overall satisfaction with your career | 79.8% (597/748) | 82.6% (955/1156) |
| Burnout | (n = 749) | (n = 1155) |
| I enjoy my work. I have no symptoms of burnout. | 74 (9.9%) | 180 (15.6%) |
| Occasionally I am under stress, and I don’t always have as much energy as I once did, but I don’t feel burned out. | 360 (48.1%) | 637 (55.2%) |
| I am definitely burning out and have 1 or more symptoms of burnout, such as physical and emotional exhaustion. | 219 (29.2%) | 240 (20.8%) |
| The symptoms of burnout that I’m experiencing won’t go away. I think about frustration at work a lot. | 63 (8.4%) | 75 (6.5%) |
| I feel completely burned out and often wonder if I can go on. I am at the point where I may need some changes or may need to seek some sort of help. | 33 (4.4%) | 23 (2.0%) |
| Physician ratings of impact of working with APPs on burnout | (n = 1040) | |
| Significant reduced burnout | 199 (19.1%) | |
| Somewhat reduced burnout | 433 (41.6%) | |
| No impact on burnout | 301 (28.9%) | |
| Somewhat increased burnout | 87 (8.4%) | |
| Significantly increased burnout | 20 (1.9%) |
| Characteristic . | APPs . | Physicians . |
|---|---|---|
| Organizational support for APPs (% agree or strongly agree) | ||
| In my organization, the APP role is well understood by physicians | 85.1% (640/752) | 84.6% (885/1047) |
| APPs are an integral part of my organization | 96.4% (725/752) | 94.0% (983/1046) |
| In my organization, APPs freely apply all their knowledge and skills to provide patient care | 93.1% (698/750) | 87.4% (912/1043) |
| My organization creates an environment where APPs can practice at the top of their license | 80.4% (604/752) | 86.3% (898/1041) |
| Trust between APPs and physicians (% agree or strongly agree) | ||
| Physicians in my practice trust my patient care decisions | 96.7% (359/750) | - |
| I trust the patient care decisions of APPs in my practice | - | 87.6% (914/1043) |
| I do not have to discuss every patient care detail with a physician | 92.8% (699/752) | - |
| I do not have to discuss every patient care detail with APPs in my practice | - | 79.7% (831/1043) |
| APPs’ perceptions of collaboration with physicians (% agree or strongly agree) | ||
| I feel valued by my physician colleagues | 88.3% (661/749) | - |
| My organization does not restrict my abilities to practice within my scope of practice | 81.3% (610/751) | - |
| Physicians’ perceptions of collaboration with APPs (% agree or strongly agree) | ||
| Working with APPs improves patient care quality | - | 85.0% (886/1042) |
| Working with APPs improves practice efficiency | - | 92.7% (965/1041) |
| Working with APPs improves my practice satisfaction | - | 86.5% (899/1039) |
| Career advancement opportunities for APPs (select all that apply) | (n = 749) | (n = 1078) |
| Administrative leadership roles (supervisor, etc.) | 420 (56.1%) | 594 (55.1%) |
| Clinical career advancement (promotion to higher level clinical role, etc.) | 311 (41.5%) | 512 (47.5%) |
| Education leadership roles (APP fellowship director, etc.) | 278 (37.1%) | 280 (26.0%) |
| Academic career advancement (assistant professor upward, etc.) | 155 (20.7%) | 163 (15.1%) |
| Other | 15 (2.0%) | 17 (1.6%) |
| None of the above | 209 (27.9%) | 77 (7.1%) |
| Don’t know | 264 (24.5%) | |
| Job and career satisfaction (% satisfied or very satisfied) | ||
| Volume of your patient load/panel size | 76.8% (575/749) | 65.8% (759/1154) |
| Ability to practice to the highest scope of your training | 76.4% (572/749) | - |
| Career development opportunities as an APP in your organization | 50.1% (375/749) | - |
| Relationship with physicians in your organization | 80.7% (603/747) | - |
| Relationship with APPs in your organization | - | 84.3% (878/1041) |
| Quality of care you are able to provide | - | 84.5% (974/1152) |
| Overall satisfaction with your career | 79.8% (597/748) | 82.6% (955/1156) |
| Burnout | (n = 749) | (n = 1155) |
| I enjoy my work. I have no symptoms of burnout. | 74 (9.9%) | 180 (15.6%) |
| Occasionally I am under stress, and I don’t always have as much energy as I once did, but I don’t feel burned out. | 360 (48.1%) | 637 (55.2%) |
| I am definitely burning out and have 1 or more symptoms of burnout, such as physical and emotional exhaustion. | 219 (29.2%) | 240 (20.8%) |
| The symptoms of burnout that I’m experiencing won’t go away. I think about frustration at work a lot. | 63 (8.4%) | 75 (6.5%) |
| I feel completely burned out and often wonder if I can go on. I am at the point where I may need some changes or may need to seek some sort of help. | 33 (4.4%) | 23 (2.0%) |
| Physician ratings of impact of working with APPs on burnout | (n = 1040) | |
| Significant reduced burnout | 199 (19.1%) | |
| Somewhat reduced burnout | 433 (41.6%) | |
| No impact on burnout | 301 (28.9%) | |
| Somewhat increased burnout | 87 (8.4%) | |
| Significantly increased burnout | 20 (1.9%) |