TY - JOUR
T1 - Optimizing clinical care and training in the neonatal intensive care unit
T2 - the relationship between front line providers and physician trainees
AU - The Frontline Provider Interprofessional Writing Group (FLIP)
AU - Dyess, Nicolle Fernández
AU - Keels, Erin
AU - Myers, Patrick
AU - French, Heather
AU - Reber, Kristina
AU - LaTuga, Mariam Susan
AU - Johnston, Lindsay C.
AU - Marc-Aurele, Krishelle
AU - Branche, Tonia
AU - Adams, Aaron
AU - Feister, John
AU - Boyle, Kristine
AU - Odumade, Oludare A.
AU - Scala, Melissa
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2023/12
Y1 - 2023/12
N2 - Changes in neonatal intensive care unit (NICU) coverage models, restrictions in trainee work hours, and alterations to the training requirements of pediatric house staff have led to a rapid increase in utilization of front-line providers (FLPs) in the NICU. FLP describes a provider who cares for neonates and infants in the delivery room, nursery, and NICU, and includes nurse practitioners, physician assistants, and/or hospitalists. The increasing presence and responsibility of FLPs in the NICU have fundamentally changed the way patient care is provided as well as the learning environment for trainees. With these changes has come confusion over role clarity with resulting periodic conflict. While staffing changes have addressed a critical clinical gap, they have also highlighted areas for improvement amongst the teams of NICU providers. This paper describes the current landscape and summarizes improvement opportunities with a dynamic neonatal interprofessional provider team.
AB - Changes in neonatal intensive care unit (NICU) coverage models, restrictions in trainee work hours, and alterations to the training requirements of pediatric house staff have led to a rapid increase in utilization of front-line providers (FLPs) in the NICU. FLP describes a provider who cares for neonates and infants in the delivery room, nursery, and NICU, and includes nurse practitioners, physician assistants, and/or hospitalists. The increasing presence and responsibility of FLPs in the NICU have fundamentally changed the way patient care is provided as well as the learning environment for trainees. With these changes has come confusion over role clarity with resulting periodic conflict. While staffing changes have addressed a critical clinical gap, they have also highlighted areas for improvement amongst the teams of NICU providers. This paper describes the current landscape and summarizes improvement opportunities with a dynamic neonatal interprofessional provider team.
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U2 - 10.1038/s41372-023-01749-7
DO - 10.1038/s41372-023-01749-7
M3 - Article
C2 - 37580512
AN - SCOPUS:85168267864
SN - 0743-8346
VL - 43
SP - 1513
EP - 1519
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 12
ER -