The changing landscape of nephrology physician assistants and nurse practitioners

Abstract

Background:Physician assistants (PAs) and nurse practitioners (NPs) have expanded roles in nephrology as both the patient load and acuity of care needed for this population have increased.Purpose:To evaluate workforce patterns of PAs and NPs working in nephrology over the past decade.Methods:Using the biannual survey from the National Kidney Foundation Council of Advanced Practitioners, data were collected and analyzed over the past decade.Results:Surveys of nephrology practitioners show the evolution of the dialysis-centralized practitioner to one encompassing all aspects of nephrology: hospital, intensive care unit, research, office, and all types of dialysis. Salaries and benefits have increased to compensate for the expansion of responsibilities.Implications for practice:Physician assistants and NPs in nephrology have the opportunity to use their skills and training in caring for this high-risk population.