Advanced practice providers (APPs) are essential to health care delivery in the United States. As the nationwide physician shortage intensifies and scope-of-practice laws better align with APP training and skills, APPs will play an increasingly vital role in delivering high-quality care. The transition to practice (TTP) period for novice and new-to-practice-area APPs is often associated with stress that may result in dissatisfaction and attrition at a significant cost to the institution. Structured onboarding and TTP programs are recognized as key drivers in developing APP confidence and clinical practice while reducing attrition. Organizational orientation, competency validation, protected learning time, and gradual ramp-up to full productivity are essential components to successful onboarding and TTP. This article explores an approach to developing and implementing a standardized onboarding and TTP program at a large regional community health system.
Heather S. Dobbin (Fri,) studied this question.
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