The JADPRO Podcast

On this episode of “MPN Expertise for APPs by APPs,” Heather Bowers, ACNP, and Rhonda Hewitt, NP, discuss how they identify and manage thrombotic risk in their patients with

NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way.

Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Myeloproliferative Neoplasms V.1.2021. © National Comprehensive Cancer Network, Inc. 2021. All rights reserved. Accessed May 11, 2021. To view the most recent and complete version of the guideline, go online to NCCN.org

As the need for oncology services increases and the predicted shortage of oncologists draws near, the number of locum tenens positions is expected to increase. How can advanced practitioners help with the hiring and onboarding of locum tenens physicians while supporting patients and ensuring their continuity of care? In this episode, we address checklists for locum tenens, how to explain the AP role to physicians, and keeping an open line of communication with patients and the entire health-care team.

Resources:
Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-Day Mortality Among Hospitalized Medicare Beneficiaries. JAMA. 2017 Dec 5; 318(21): 2119–2129.

The Quality and Safety of Locum Doctors: A Narrative Review. J R Soc Med. 2019 Nov; 112(11): 462–471.

Use of Locum Tenens Physicians in Oncology Practice. J Oncol Pract. 2010 May; 6(3): 161–163.

Checklist for Hiring a Great Locum. Can Vet J. 2011 Apr; 52(4): 439–441.

General Practice Locum Improvement Tool. BMJ Qual Improv Rep. 2014; 3(1): u202980.w1397. 

Andrew S. Guinigundo, MSN, RN, CNP, ANP-BC, Lead APP at Oncology Hematology Care in Cincinnati, Ohio, talks with host Wendy H. Vogel, MSN, FNP, AOCNP®, about how to explain the advanced practice role to patients, colleagues, and the general public using the rules of personal branding.

Resources:

Understanding the Role of Advanced Practice Providers in Oncology in the United States. J Adv Pract Oncol 2018;9(6):585-598

The Elevator Pitch: Communicating Your Expertise, Experience, and Value to Patients, Co-Workers, and Prospective Employers in an Instant. J Adv Pract Oncol 2021;12(3):250–252

#APCareSafeCare

Jessica Zucker, RN, MSN, AGNP-BC, describes the development and implementation of a new role called the “Inpatient Consult Advanced Practice Provider” (ICAPP) on an inpatient bone marrow transplant unit, and how it led to fewer interruptions to patient care, decreased job stress, and improved job satisfaction for the entire team.

A Role to Alleviate Burnout and Maintain Quality of Care. J Adv Pract Oncol 2021;12(2):203–208

On this episode of “MPN Expertise for APPs by APPs,” Heather Bowers, ACNP, and Charina Toste, NP, review practical strategies for advanced practice providers to proactively assess and monitor disease-related symptoms in patients with polycythemia vera (PV).

NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way.

Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Myeloproliferative Neoplasms V.1.2021. © National Comprehensive Cancer Network, Inc. 2021. All rights reserved. Accessed May 11, 2021. To view the most recent and complete version of the guideline, go online to NCCN.org

Genomic or biomarker testing? Germline or genetic testing? The various terms that providers use about testing can cause confusion and lead to suboptimal testing and care.

Nikki Martin, MA, Director of Precision Medicine Initiatives at LUNGevity Foundation, talks about the work of the Consistent Testing Terminology Working Group to encourage the use of consistent, plain language terms for biomarker and genetic testing that are applicable across cancer types. Allyson Price, MPAS, PA-C, a member of the working group, describes the important role of the advanced practitioner in explaining testing results to patients. 

The official recommendations are: “Biomarker testing” is the preferred term for tests that identify characteristics, targetable findings, or other test results originating from malignant tissue. “Genetic testing for an inherited mutation” or “genetic testing for inherited cancer risk” are recommended to describe tests to identify germline mutation.

Resources:

Working Group White Paper
ASCO abstract
Cancer.Net article

Amy Pierre, MSN, ANP-BC, of Flatiron Health and Memorial Sloan Kettering Cancer Center, describes how career ladders for advanced practitioners can increase job satisfaction, encourage career growth and development, and ultimately, improve patient care.

Related articles from JADPRO:

Applying Metrics to Outpatient Oncology Advanced Practice Providers

Development of a Professional Practice Model for Neuro-oncology Advanced Practitioners at an Academic Medical Center: A Quality Improvement Project

The Development of an Oncology Clinical Nurse Specialist Fellowship Program

Constance Visovsky, PhD, RN, ACNP-BC, Director of the College of Nursing at University of South Florida, gives tips for advanced practitioners on how to develop your topic based on clinical practice, structure your abstract, and tailor it to the conference you’re submitting to.

Consider submitting a poster abstract for JADPRO Live, October 7-10 and 14-17! Abstract submission opens in the spring. 

TaCharra Y. D. Woodard, MSN, APRN, ACNP-BC, AOCNP®, and Carla M. Patel, MSN, APRN, ACNP-BC, of The University of Texas MD Anderson Cancer Center, describe the successful implementation of an enhanced recovery approach in thoracic surgery at their center. Woodard and Patel also provide clinical pearls for improving postoperative outcomes, such as strategies for eliminating lines and tubes, controlling pain, and managing nausea and vomiting.

Read TaCharra and Carla's article, Roadmap to the Enhanced Thoracic Surgical Journey, from the Jan/Feb 2021 issue of JADPRO.

Wendy Vogel, MSN, FNP, AOCNP®, talks about all the factors that should go into determining fair pay for an oncology advanced practitioner, including salary benchmarks, non-billable work, and the need for oncology providers in the area.

Read Wendy's article on fair market value in JADPRO.

Read the national survey on advanced practice providers in the US.