BackTable / Urology / Podcast / Episode #7
Bringing APPs Into Your Practice
with Brad Hornberger, PA and Dr. Aditya Bagrodia
Dr. Aditya Bagrodia and Dr. Jose E Silva interview Brad Hornberger, PA-C in the UTSW Urology department, about bringing advanced practice providers (APPs) into your practice, and how to do it successfully. Brad goes into detail about his journey as a urological PA, advice for on-boarding new APP’s, and training PAs to do in-patient consults and assist in the OR.
BackTable, LLC (Producer). (2021, May 19). Ep. 7 – Bringing APPs Into Your Practice [Audio podcast]. Retrieved from https://www.backtable.com
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Brad Hornberger, PA
Brad Hornberger is a practicing PA-C in the UTSW Urology department in Dallas, Texas.
Dr. Aditya Bagrodia
Dr. Aditya Bagrodia is an associate professor of urology and genitourinary oncology team leader at UC San Diego Health in California and adjunct professor of urology at UT Southwestern.
Dr. Jose Silva
Dr. Jose Silva is a board certified urologist practicing in Central Florida.
In this episode of BackTable Urology, Brad Hornberger, PA in UT Southwestern’s Urology department, joins Dr. Aditya Bagrodia and Dr. Jose Silva to discuss how to successfully incorporate advanced practice providers (APPs) like physicians’ assistants and nurse practitioners into your urology practice.
First, Brad shares tips for onboarding new APPs. He emphasizes that onboarding depends on the experience of the new hire, as there is a difference between training a new graduate versus an experienced APP. He suggests a time period of 6 months for onboarding, which includes 6-12+ weeks of shadowing. He also notes the need to identify a champion who can take responsibility and set expectations for the new hire. Additionally, Brad explains two models of clinical supervision for APPs--the shared visit model, where the APP presents the patient to the urologist, versus the independent provider model, where the APP sees the patient autonomously. Determining which model works best depends on the experience of the new hire, state laws, and billing logistics.
Brad also briefly explains how to train APPs to assist in the operating room. He recommends a gradual apprenticeship system, where APPs are able to scrub in one-on-one with an experienced APP or a urologist. OR onboarding often depends on whether the APP has laparoscopic or robotic operating experience. Brad emphasizes that exposure to both clinical and surgical environments may be very professionally and intellectually enriching for APPs, who in turn will be more likely to stay at a practice for longer.
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.