Physician extenders on surgical services: the need for a systems perspective.

  title={Physician extenders on surgical services: the need for a systems perspective.},
  author={Heather B Smith and Craig E. Kuziemsky and Caitlin Champion},
  journal={Canadian journal of surgery. Journal canadien de chirurgie},
  volume={61 2},
SUMMARY Adding physician extenders (PEs) to surgical teams has the potential to affect care delivery in multiple ways. To develop evidence-based recommendations on integrating PEs into surgical teams, we must recognize that patient care is a complex, adaptive system and requires a health systems perspective to understand how changes will affect outcomes. It is the best method of assessing the system adaptations and trade-offs of adding PEs prior to implementation. Such work would help to… CONTINUE READING
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