Non-physician practitioners in radiation oncology: Advanced practice nurses and physician assistants Journal Article


Authors: Kelvin, J. F.; Moore-Higgs, G. J.; Maher, K. E.; Dubey, A. K.; Austin-Seymour, M. M.; Daly, N. R.; Mendenhall, N. P.; Kuehn, E. F.
Article Title: Non-physician practitioners in radiation oncology: Advanced practice nurses and physician assistants
Abstract: Purpose: With changes in reimbursement and a decrease in the number of residents, there is a need to explore new ways of achieving high quality patient care in radiation oncology. One mechanism is the implementation of non-physician practitioner roles, such as the advanced practice nurse (APN) and physician assistant (PA). This paper provides information for radiation oncologists and nurses making decisions about: (1) whether or not APNs or PAs are appropriate for their practice, (2) which type of provider would be most effective, and (3) how best to implement this role. Methods: Review of the literature and personal perspective. Conclusions: Specific issues addressed regarding APN and PA roles in radiation oncology include: definition of roles, regulation, prescriptive authority, reimbursement, considerations in implementation of the role, educational needs, and impact on resident training. A point of emphasis is that the non-physician practitioner is not a replacement or substitute for either a resident or a radiation oncologist. Instead, this role is a complementary one. The non-physician practitioner can assist in the diagnostic work-up of patients, manage symptoms, provide education to patients and families, and assist them in coping. This support facilitates the physician's ability to focus on the technical aspects of prescribing radiotherapy. Copyright (C) 1999 Elsevier Science Inc.
Keywords: cancer radiotherapy; oncology; medicare; reimbursement mechanisms; patient care; medical education; internship and residency; radiation oncology; accreditation; certification; guidelines; residency education; hospital management; licensure; nurse practitioner; nurse; physician assistant; nursing, practical; physician assistants; humans; human; priority journal; article; clinical nurse specialist
Journal Title: International Journal of Radiation Oncology, Biology, Physics
Volume: 45
Issue: 2
ISSN: 0360-3016
Publisher: Elsevier Inc.  
Date Published: 1999-09-01
Start Page: 255
End Page: 263
Language: English
DOI: 10.1016/s0360-3016(99)00180-7
PUBMED: 10487543
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 16 August 2016 -- Source: Scopus
Altmetric Score
MSK Authors
  1. Joanne F Kelvin
    62 Kelvin