Hiring of Advanced Practice Clinicians inowedzera
Nhamba dzinoverengeka dzekuchengetwa kwemashoko, kushandiswa kwevashandi, uye mutsvakurudzo dzakazadzirwa kusvika panguva ino muna 2017 zvinoratidza huwandu hwemashandiro ehutano pamusoro pekuwedzera kwekudiwa uye mari yekuwana maitiro ekufambisa makiriniki, kunyanya vanachiremba vadzidzisi (NPs) nevatsigiri vezvechiremba (PAs).
NPs uye PAs: Basa Rokukura
Maererano nemushumo weNational Commission for Certification yaVhidhiki Vanobatsira, (NCCPA), basa rePA rakakura ne 44% inofadza kubva muna 2010, apo paive neA 89 000 PAs inoshanda muUnited States.
Pakazopera 2016, paiva nezviuru zvinopfuura 115,000 PAs mukuita nyika yose, maererano neCCPA.
Zvinhu zvakasiyana-siyana zvinoita kuti basa rePSA neNPs riwedzere kushanda, kusanganisira kuwedzera kwevanhu, kukwegura kwevanhu, kuchinja kwehutano, uye kushayikwa kwechiremba mukuchengetedza kwepamusoro nekugadzirwa kwepamusoro kunyanya.
Makambani muhurumende yekuchera yezvokurapa ari kuwedzera zvigadzirwa nemishandirapamwe kuti zvigadzirise chido ichi. PracticeMatch, kambani inopa ruzivo rwehutano hwevashandi kune vashandi vezvehutano munyika yose, yakagara yakarongedza mabasa avo kune zvipatara nevashandirwi vanoda varapi. Zvisinei, nekuda kwekuwedzera kwakanyanya kwekudiwa, PracticeMatch munguva pfupi yapfuura yakawedzera zvipo zvavo kuisa APMatch.com, ("AP" = yakagadziriswa) iyo inosanganisira bhizimisi rebasa uye database yakagadziriswa yakanyatsotarisirwa kudikanwa kwebasa reNPs, PAs nevashandi vavo .
Chikumbiro chiri kukwidza chiyero chemari yegore rose kusvika mumatanhatu matanhatu.
"Avhareji yemari yeChipupuriro chePA yaiva $ 104,131 uye yakanyanya kubhadharwa kune avo vanoshanda mukurwara, dermatology, mushonga wekukurumidzira, mishonga yekurapa inorambidza uye chirwere chinoshandiswa pakutsvaga," maererano neshumo inobva kuNCCPA.
Uyezve, PracticeMatch yakarondedzera zvakafanana nemigumisiro inobva kuongororo yegore yekutanga yemari yePAS neNPs.
Mukuwedzera pakupararira kwematanhatu ekubhadharwa kwemari pakati pezvikoro zvose, PracticeMatch tsvaga yakaratidzawo kuwedzera kwekushandisa uye nedhora rekuisa mabhonasi. Bhizinesi yebhishopu yakabhadharwa kuAPS muna 2016 yaiva $ 8,000 yePSA, uye $ 11,000 yeNPs.
Haisi kungoita chete zvidzidzo zvekurapwa navanachiremba vachibhadhara zvakanyanya, uye vachibhadharwa zvakanyanya, vari kufarawo nepamusoro-soro kugutsikana kwebasa, maererano neChipticeMatch ongororo yeNPs dzinopfuura 1 000 uye PAs. Vanongodarika matanhatu kubva muzana vevakabvunzwa vanoti havana chinhu chakanaka kupfuura kugutsikana nebasa ravo sevakafambira mberi mune zvidzidzo. Uyezve, 38 muzana yeNPs uye 44 muzana yeAPS yakashuma kuva "yakagutsikana kwazvo" iyo yaiva yepamusoro-soro yekugutsikana kwehupoti.
Chii NPs uye PAs Do?
Kunyange zvazvo PAs uye NPs dzakasiyana nedzidzo dzakasiyana nedhigirii dzakasiyana, pane zvimwe zvakafanana mune zvavanenge vadzidza mukati meboka rehutano. Vose vari kukwanisa kurapa varwere uye bhizinesi mabhizimusi emakambani ekubhadharwa sekupa mupi wehutano. Nokudaro, NPs uye PAs ndezvevatori vemari vanobudisa mari yezvehutano, pamwe chete navanachiremba. Dzimwe nguva dzaimbozivikanwa se "mid-level" vapeji , PAs naNPs vari kuratidza kuti ivo vari kunze kwenguva iyoyo uye vari kuramba vachifamba munzira yavo pachavo, vachiita zvakakosha mukupiwa kwehutano hwehutano.
Uyezve, NPs uye PAs zvakakosha kune vashandi vehutano uye hutungamiri hwekutakura mishonga yemuviri, kunyanya mukuchengetedza kwepamusoro uye kuporesa. Zvichienderana nemitemo yenyika mune imwe nzvimbo, NPs uye PAs zvinogona kupa mamwe madhiragi ezvimwe zvakasiyana-siyana. Dzimwe hurumende dzinoda kuti chido chekushanda chiremba vashandi vanobhadhara makambani ehushuwarisi pasi peisensi yechiremba, asi vamwe vezvematongerwo enyika vanobvumira zvidzidzo zvekuchiremba kuti vawane uye vashandise maitiro ezvokurapa pachavo, pasina kubatanidzwa kwachiremba.
Mukoti vashandi vanoenda kuchikoro cheukoti, uye kazhinji vachawana dhigirii reBSN (Bachelor of Science) mukurapa vasati vawana chiremba chechikoro kubva kuchirongwa chechiremba anogamuchirwa.
Vamwe vanamukoti vashandi vanoenderera mberi kuwana dhigirii yezinga re doctorate, yakadai saDNP (chiremba weukopi hunoshandiswa).
Vanachiremba vatsigiri vadzidzisi vakagadzirirwa, (zvichida), asi panzvimbo pacho vanoenda purogiramu yemadzidzisi pane imwe chirongwa chechiremba Chiremba Mubatsiri, iyo yakafanana nechechirongwa chechikoro chechiremba chakabatanidzwa chichibatanidza chikoro uye kudzidza zvakadzidziswa nekliniki kuchinja. Nzira dzakawanda dzesangano dzezvesayenzi dzinoita kuti vatsigiri vezvematongerwo enyika vabvumirwe kuwedzera huwandu uye simba rekufambira mberi kwechiremba vanachiremba zvichienderana nekudiwa kukuru kwehutano uye kupererwa kwechiremba.
Dzidzo yepamusoro-shandini vanachiremba vanogonawo kunyanya kushandiswa mune zvakasiyana-siyana zvehutano, kubva pakuchengetedzwa kwepamusoro kusvika kuvhii uye zvimwe zviduku.