polarbebe Posted August 25, 2018 Share Posted August 25, 2018 Looking for help from other PAs at hospital/systems that have established a “PA clinical ladder” to get some ideas. I’m at a large metropolitan hospital system that is looking to initiate a PA clinical ladder system wide. What does that mean? So far I take it to mean: veteran PAs not interested in management seeking further challenges and recognition for advanced clinical knowledge with the goal to act as “experts”, help standardize PA knowledge (give lectures etc), help new grads, etc. If you have a system at your hospital or health care system, how is it employed? What are the requirements (obviously tied to some metric, years, certifications)? What are their responsibilities? Any extra compensation? Any noticeable improvement in PA staff morale, retention, etc? Any proof of improved patient care through any data? At this point there is a lot of talk at the committee level and throwing around ideas . Any ideas/thoughts appreciated. Quote Link to comment Share on other sites More sharing options...
ravenspac Posted August 25, 2018 Share Posted August 25, 2018 Putting one in our hosptial based on nursing ladder because we've hired NPs as the managers of all pas and nps. It's Bs like participating in clinical trials, working on doctorate etc. None of it is based on anything but degree escalation and it's a giant Fu to pa and nps who just want to do clinical work 1 Quote Link to comment Share on other sites More sharing options...
ajnelson Posted August 27, 2018 Share Posted August 27, 2018 Looking for help from other PAs at hospital/systems that have established a “PA clinical ladder” to get some ideas. I’m at a large metropolitan hospital system that is looking to initiate a PA clinical ladder system wide. What does that mean? So far I take it to mean: veteran PAs not interested in management seeking further challenges and recognition for advanced clinical knowledge with the goal to act as “experts”, help standardize PA knowledge (give lectures etc), help new grads, etc. If you have a system at your hospital or health care system, how is it employed? What are the requirements (obviously tied to some metric, years, certifications)? What are their responsibilities? Any extra compensation? Any noticeable improvement in PA staff morale, retention, etc? Any proof of improved patient care through any data? At this point there is a lot of talk at the committee level and throwing around ideas . Any ideas/thoughts appreciated. I'm back at work tomorrow. Let me see if I can find our organizational chart. 1 Quote Link to comment Share on other sites More sharing options...
medic25 Posted August 29, 2018 Share Posted August 29, 2018 I am on the hospital committee currently building a clinical ladder for all APPs in the hospital (PA, NP, CNM, CRNA). Nothing ironed out yet, but I'd be happy to share once we get something up and running. 1 1 Quote Link to comment Share on other sites More sharing options...
EMNP Posted August 29, 2018 Share Posted August 29, 2018 Medic25, please do share the specifics of this as I want to start one for my hospital as well.Sent from my iPhone using Tapatalk Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 29, 2018 Moderator Share Posted August 29, 2018 at one of my prior jobs, PAs/NPs were offered a sabbatical at 1/2 pay for 6 months every 7 years to improve an element of their clinical practice. that place had a pay/step scale based on seniority with 2 guaranteed raises/yr. we were part of the rn union 2 Quote Link to comment Share on other sites More sharing options...
ravenspac Posted August 29, 2018 Share Posted August 29, 2018 7 hours ago, EMNP said: Medic25, please do share the specifics of this as I want to start one for my hospital as well. Sent from my iPhone using Tapatalk ours is going to basically be a carbon copy of the University of Maryland model...which basically has flawed and scant data to back it up. they didnt control for age or length of tenure at hospital its a degree escalation, nothing more Quote Link to comment Share on other sites More sharing options...
monniw Posted September 1, 2018 Share Posted September 1, 2018 Our hospital recently formed an APP Council basically to advocate for APPs (PAs, NPs, CNS). Our long term goal is to establish an APP leadership structure. As of today, we do not report to anyone in an 'official capacity'. We have to demand our own annual reviews and therefore our own performance raises to a non-clinician (administrator), who basically signs a our paychecks. Other than our supervising physicians, we have no APP leadership structure or opportunity for professional growth. We hope to start the conversation of how to put a structure like that in place. I know other hospitals are moving towards this model - if anyone has any info on how they started up theirs I would greatly appreciate it!! I work in CA so PA advocacy is very rudimentary... our medical staffing is still calling us "allied health" *cringe!* Quote Link to comment Share on other sites More sharing options...
polarbebe Posted March 31, 2019 Author Share Posted March 31, 2019 So after half a year, several committees have been formed with the mission to “standardize, engage, professionally develops PAs into leadership, education, research or clinical expert role to promote job satisfaction, retention which will turn into best practice and improved patient outcomes” If you know of any systems or institutions that have implemented any type of structure (successful or unsuccessful) I would really like to learn from it and how you thought it may or may not have benefitted any APPs Thank you in advance. Quote Link to comment Share on other sites More sharing options...
medic25 Posted March 31, 2019 Share Posted March 31, 2019 (edited) We developed our clinical ladder, but still haven't implemented it (waiting for final finance approval, since it could affect salary for over 1300 PAs, NPs, CRNAs and CNMs in our system). Look at the AAPA Distinguished Fellow application for inspiration; we award points for various achievements such as precepting students, committee leadership, publications, etc. We also built in a big emphasis on mentorship, with those higher up on the ladder being expected to provide guidance to junior APPs. Edited March 31, 2019 by medic25 1 2 Quote Link to comment Share on other sites More sharing options...
polarbebe Posted April 17, 2019 Author Share Posted April 17, 2019 Has anybody found any literature on this topic? The only article we found so far: "Professional Advancement for Advanced Practice Clinicians" found in JNP, Journal for Nurse Practitioners, Volume 14, Issue 1, January 2018 Authored by: Carmel McComiskey, CPNP-AC/PC, Shari Simone, DNP, CPNP-AC, Deborah Schofield, DNP, ANP-BC, Karen McQuillan, MS, CNS-BC, RN, Brooke Andersen, M Thanks in advance. Quote Link to comment Share on other sites More sharing options...
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