C/L: PA vs NP

[slappy]

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For those in consult-liaison psychiatry, between NPs and PAs, who do you find more helpful, and why?

 

[VMSmith]

You mean NPs or PAs from the medical services calling consults? Or NPs or PAs working on the CL service?

 

[slappy]

I apologize. I should've been clearer. NPs vs PAs working for you on the C/L service.

 

[Shikima]

Whichever is interested in learning and can keep an open mind. I supervise a NP for C&L currently, she's learning.... needed to break it down for her as a MS4 and then slowly advance.

 

[PikminOC]

I apologize. I should've been clearer. NPs vs PAs working for you on the C/L service.

At my hospital, I mentioned this. They became apoplectic, stating they never thought to use an NP as a physician extender...

 

[Armadillos]

At my hospital, I mentioned this. They became apoplectic, stating they never thought to use an NP as a physician extender...

Must be a regional thing, almost every specialty at my medical center has NPs working under physicians. The PAs seem to mostly be in the ER and surgery clinics.

 

[SmallBird]

For those in consult-liaison psychiatry, between NPs and PAs, who do you find more helpful, and why?

Our C/L service is divided in two. One component is the "Behavioral Intervention Team" - they do consults on the medical floors, often initiating consults themeselves for high risk patients, and do a lot of work around health behavior, people who are non-adherent to medical recommendations, etc. This service is partially paid for by other departments and the hospital as they were able to demonstrate the capacity to reduce length of stay and readmission rates. This part of the C/L service is basically run by NP's who are very well suited to this type of work and do a great job.

The other component of the consult service does everything else, sees patients with suspected PNES, does most of the derlirium consults, takes the consults from oncology, transplant, HIV, post-cardiac etc. This service does not have NP's and is driven by the CL attendings, fellows and residents.

I think it's a great example of a rational way to divide up roles between NP's and psychiatrists that appears to work to everybody's satisfaction.

 

[Shikima]

Our C/L service is divided in two. One component is the "Behavioral Intervention Team" - they do consults on the medical floors, often initiating consults themeselves for high risk patients, and do a lot of work around health behavior, people who are non-adherent to medical recommendations, etc. This service is partially paid for by other departments and the hospital as they were able to demonstrate the capacity to reduce length of stay and readmission rates. This part of the C/L service is basically run by NP's who are very well suited to this type of work and do a great job.

The other component of the consult service does everything else, sees patients with suspected PNES, does most of the derlirium consults, takes the consults from oncology, transplant, HIV, post-cardiac etc. This service does not have NP's and is driven by the CL attendings, fellows and residents.

I think it's a great example of a rational way to divide up roles between NP's and psychiatrists that appears to work to everybody's satisfaction.

Can you send me any documentation from your institution on how this is arranged?

 

[heyjack70]

Our C/L service is divided in two. One component is the "Behavioral Intervention Team" - they do consults on the medical floors, often initiating consults themeselves for high risk patients, and do a lot of work around health behavior, people who are non-adherent to medical recommendations, etc. This service is partially paid for by other departments and the hospital as they were able to demonstrate the capacity to reduce length of stay and readmission rates. This part of the C/L service is basically run by NP's who are very well suited to this type of work and do a great job.

The other component of the consult service does everything else, sees patients with suspected PNES, does most of the derlirium consults, takes the consults from oncology, transplant, HIV, post-cardiac etc. This service does not have NP's and is driven by the CL attendings, fellows and residents.

I think it's a great example of a rational way to divide up roles between NP's and psychiatrists that appears to work to everybody's satisfaction.

Is this at an academic hospital?

 

[SmallBird]

Can you send me any documentation from your institution on how this is arranged?

Not sure what would be helpful that I could send - this paper talks about the approach although it doens't speak about the APRN/MD staffing arrangement:

http://www.sciencedirect.com/science/article/pii/S0033318211002386

And yeah, this is at an academic hospital.