What question did this study set out to answer?

The aim is to provide a structured framework for enhancing the career development of advanced practice providers.

April 5, 2026

L.E.A.D. from where you are

Key Points

The aim is to provide a structured framework for enhancing the career development of advanced practice providers.
Development of the L.E.A.D. framework at the University of Chicago
Focus on leadership roles and opportunities for APPs
Integration of personal interests into existing structures
Emphasis on academic development
PAMs can decrease burnout among APPs
Improved professional satisfaction is achievable through the framework
The model may increase retention of advanced practice providers

Abstract

As physician associates (PAs) and advanced practice registered nurses (APRNs) have steadily increased in numbers within the clinical realm, attention needs to be given to their career development. Some institutions have created professional advancement models (PAMs) to address career development for these professionals. These programs have the potential to decrease burnout, improve professional satisfaction, and increase retention. However, for advanced practice providers (APPs) to be successful in PAMs or to excel professionally at institutions without PAMs, they need academic and leadership skills, which vary widely among individuals. In this article, we share a career development framework, developed at the University of Chicago, to foster workplace-based academic and leadership skills development among APPs. L.E.A.D. encompasses 1) leadership (L) roles and opportunities, 2) embedding (E) interests in existing structures, and 3) academic (A) development (D) to provide a framework for diversifying APP careers and enhancing professional satisfaction.

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