This article examines the how pharmacists are taking on more clinical roles, as well as a new California law that designates pharmacists as health care providers and allows them to give routine vaccinations and provide some travel and birth-control medications.
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Interdisciplinary Workforce Legislation
The American Journal of Nursing recently published the article “Original Research: Perceptions of Employment-Based Discrimination among Newly Arrived Foreign-Educated Nurses” by Pittman, Davis, Shaffer, Herrera and Bennett. This article examined whether foreign-educated nurses believed they were treated equitably in the US workplace from 2003 to 2007. The researchers found that 51% of respondents reported receiving insufficient orientation and 40% reported at least one discriminatory practice with regard to wages, benefits, or shift or unit assignments. Those educated in low-income countries and those recruited by staffing agencies were more likely to report inequitable treatment compared to their U.S. counterparts. How can policy makers ensure that foreign-educated nurses are treated fairly? Send us your thoughts to be added to our blog!
On Thursday, February 13thThe George Washington University’s Center for Health Workforce Research & Policy will host the panel discussion "Patient Navigation Role Delineation.” The panel discussion will feature Anne Willis, Director of the Division of Cancer Survivorship at the George Washington University Cancer Institute. This presentation will review a collaborative effort to support the patient navigation workforce by identifying the unique role that non-clinically licensed patient navigators play in the healthcare system, establishing and validating core competencies and developing competency-based training. This event is free and will be held at 2021 K Street, NW, Suite 800, Washington, DC 20037. Please RSVP to Emily Bass at firstname.lastname@example.org to attend. See you there!
Currently under Kansas law, advanced practice registered nurses (or APRNs) must work under a “collaborative practice agreement” with a supervising doctor before providing health care services within the nurse’s certified level of training. A proposal expected to soon be before legislators would free APRNs from that requirement and allow them to diagnose, treat, and prescribe medications for their patients without an agreement with a physician.
Florida State Representative Michelle Rehwinkel Vasilinda is pushing for changes to make sure all Floridians have access to quality healthcare in Florida by expanding nurse practitioners responsibility. Florida currently has some of the tightest restrictions on nurse practitioners in the country.
In November the Health Resources and Services Administration (HRSA) released the report Projecting the Supply and Demand for Primary Care Practitioners Through 2020, which examines the future supply and demand of primary care practitioners. The report finds that due to population growth and aging there will be a shortage of 20,400 primary care physicians by 2020. The report also concludes that the increasing utilization of physician assistants (PAs) and nurse practitioners (NPs) is likely to mitigate this projected need for primary care physicians.
On December 4thScott Gottlieb and Ezekiel Emanuel published the op-ed “No, There Won’t Be a Doctor Shortage” in the New York Times. Gottlieb and Emanuel argue that it is unlikely that the United States will face a physician shortage. The authors contend that physician workforce projections do not account for the continuously changing health care environment which emphasizes efficiency, the increasing utilization of and improvements in technology, the expanding roles of PAs, NPs and other health care providers, and lessons learned from Massachusetts’ health care reform efforts, which did not result in a physician shortage.
We would also like to call your attention to the study Residency Programs for New Nurse Graduates: How Widespread are They and What are the Primary Obstacles to Further Adoption? by Polly Pittman, Carolina Herrera, Emily Bass and Pamela Thompson. This study examines the prevalence of hospital RN residences, what types of hospitals have RN residencies, how RN residencies are funded and the barriers to establishing RN residency programs. Of the 219 hospitals surveyed, 36.9% offered nurse residencies in 2011. Nurse residencies were more common in urban settings, midsized hospitals, not-for-profit hospitals and hospitals located in the South. Financial costs were the greatest challenge to implementing a nursing residency program.
Certain nurses with additional training could prescribe drugs without doctor approval under a controversial bill approved by the Michigan Senate on Wednesday. Senators voted 20-18 to pass Senate Bill 2, which allows for the licensure of advanced practice registered nurses, or APRNs, who can diagnose, treat patients and prescribe drugs without physician supervision.
Overview of the upcoming work to be conducted at the UCSF Health Workforce Research Center.
The study The Changing Physician Assistant Profession: A Gender Shift recently published in the Journal of the American Academy of Physician Assistants provides a chronological overview of the evolving of physician assistant (PA) movement. The PA profession began as an opportunity for male Vietnam War veterans to transition into the civilian workforce, and over time transformed into a competitive profession for young, predominantly female college graduates. This paper documents - from the 1960’s through today - the development of the PA profession from historical, cultural, gender, and sociological viewpoints.
A new Missouri law is providing more freedom for physician assistants to care for patients. Advocates hope the change will alleviate the shortage of primary care doctors in Branson, Missouri and across the state — a shortage expected to worsen as the Affordable Care Act expands health care benefits to millions more Americans.
A new Missouri law will allow nurse practitioners to treat patients under a doctor’s supervision using phone, email or video.
On Tuesday, April 23rd the Senate Health, Education, Labor and Pensions (HELP) Committee’s Subcommittee on Primary Health and Aging held the congressional hearing Successful Primary Care Programs: Creating the Workforce We Need. Senator Bernie Sanders (I-VT) chaired this hearing, which focused on potential solutions to shortages in the primary care workforce. Expanding federal support for community health centers, extending funding to Teaching Health Centers (THCs) and expanding the National Health Service Corps were potential solutions that were highlighted in the hearing. A startling statistic from this meeting points out that THCs get $230 million for 5 years, while Medicare GME spends $50 billion to train residents in traditional hospital-based setting over the same period.
The National Center for Interprofessional Practice and Education is a public-private partnership that contributes to the transformation of health care by identifying ways to improve health, enhance patient care and control costs through integrating interprofessional practice and education. By rigorously aligning and integrating the needs and interests of health professions education with practice, the center aims to create a transformational “nexus” to incubate ideas, define the field, guide program development and research.
10 women professors who reached a $4.65 million settlement with the University of Medicine and Dentistry of New Jersey. They were systematically underpaid as male colleagues outpaced them in salary and promotions — year after year.
"The Northern Ontario School of Medicine (NOSM) is one of six medical schools in North America under the microscope as part of a U.S.-based study examining new models of medical education for the 21st century."