Scholars@Duke
Perri Anne Morgan

Perri Anne Morgan CV

Professor in Family Medicine and Community Health
Family Medicine and Community Health, Physician Assistant Program
perri.morgan@duke.edu
800 South Duke Street, Box 104780, Durham, NC 27710
800 South Duke Street, Box 104780, Durham, NC 27710
CV

Selected Publications

NP and PA transition to practice: A scoping review of fellowships and onboarding programs.

Journal Article JAAPA · December 1, 2023 OBJECTIVES: Newly graduated NPs and physician associates/assistants (PAs) benefit from transition to practice (TTP) support to move successfully into practice. TTP programs (such as onboarding programs, fellowships, and residencies) hold promise for improv ... Full text Open Access Link to item Cite

Nurse practitioner and physician assistant transition to practice: A scoping review of fellowships and onboarding programs.

Journal Article J Am Assoc Nurse Pract · December 1, 2023 BACKGROUND: Newly graduated nurse practitioners (NPs) and physician assistants (PAs) benefit from transition-to-practice (TTP) support to move successfully into practice. Transition-to-practice programs (i.e., onboarding programs and fellowships/residencie ... Full text Link to item Cite

Impact of primary care usual provider type and provider interdependence on outcomes for patients with diabetes: a cohort study.

Conference BMJ Open Qual · June 2023 BACKGROUND: Interprofessional primary care (PC) teams are key to the provision of high-quality care. PC providers often 'share' patients (eg, a patient may see multiple providers in the same clinic), resulting in between-visit interdependence between provi ... Full text Link to item Cite

PA and NP onboarding in primary care: The participant perspective.

Journal Article JAAPA · February 1, 2023 OBJECTIVE: To describe new graduate physician associate/assistant (PA) and NP perspectives of onboarding programs in their first primary care position. METHODS: Thirteen semistructured interviews were conducted with new graduate PAs and NPs who participate ... Full text Link to item Cite

Physician assistant and nurse practitioner onboarding in primary care: The participant perspective.

Journal Article Journal of the American Association of Nurse Practitioners · February 2023 BackgroundMany new graduate primary care physician assistants (PAs) and nurse practitioners (NPs) can experience stress and difficulty as they transition to practice. Feelings of anxiety and role ambiguity are common and can lead to costly turnove ... Full text Cite

When is caring sharing? Primary care provider interdependence and continuity of care.

Journal Article JAAPA · January 1, 2023 Efforts to improve access to high-quality, efficient primary care have highlighted the need for team-based care. Most primary care teams are designed to maintain continuity of care between patients and primary care providers (PCPs), because continuity of c ... Full text Link to item Cite

Transition-to-practice programs for newly graduated advanced practice registered nurses and physician assistants: a scoping review protocol.

Journal Article JBI Evid Synth · December 1, 2022 OBJECTIVE: The objective of this scoping review is to map the evidence on transition-to-practice programs for newly graduated advanced practice registered nurses and physician assistants, and describe how they differ. Additional objectives include summariz ... Full text Link to item Cite

Teaming up in primary care: Membership boundaries, interdependence, and coordination.

Journal Article JAAPA · February 1, 2022 OBJECTIVE: Increased demand for quality primary care and value-based payment has prompted interest in implementing primary care teams. Evidence-based recommendations for implementing teams will be critical to successful PA participation. This study sought ... Full text Link to item Cite

Emerging practices in onboarding programs for PAs: Strategies for onboarding.

Journal Article JAAPA · January 1, 2021 OBJECTIVE: This is the final article in a series that examines the role of onboarding programs for new physician assistants (PAs) and NPs. On-the-job learning is highly relevant for this workforce. Here we examine the strategies organizations use to impart ... Full text Link to item Cite

Emerging practices in onboarding programs for PAs: Program content.

Journal Article JAAPA : official journal of the American Academy of Physician Assistants · September 2020 ObjectiveHealthcare organizations are interested in creating onboarding programs to assist new PA and NP employees as they transition to practice settings. There is a need for information on what the ideal content and topic areas are for clinics t ... Full text Cite

Utilization and Costs by Primary Care Provider Type: Are There Differences Among Diabetic Patients of Physicians, Nurse Practitioners, and Physician Assistants?

Journal Article Med Care · August 2020 OBJECTIVE: The objective of this study was to compare health care utilization and costs among diabetes patients with physician, nurse practitioner (NP), or physician assistant (PA) primary care providers (PCPs). RESEARCH DESIGN AND METHODS: Cohort study us ... Full text Link to item Cite

PA job availability in primary care during 2014 and 2016.

Journal Article JAAPA · July 2020 OBJECTIVES: The objective of this project was to evaluate demand for PAs by examination of job postings. We compared proportions of PAs in primary care with proportions of job postings in primary care in 2014 and 2016 and described job postings for PAs by ... Full text Link to item Cite

Emerging practices in onboarding programs for PAs and NPs.

Journal Article JAAPA · March 2020 OBJECTIVE: To describe administrative factors that should be considered when designing an onboarding program for physician assistants (PAs) and NPs. METHODS: Interview study of 13 administrators of onboarding programs. Interviews were transcribed and analy ... Full text Link to item Cite

Predicted shortages of physicians might even disappear if we fully account for PAs and NPs.

Journal Article JAAPA · October 2019 Healthcare workforce projections have important policy implications. Provider shortages can shortchange patients, and overproduction of providers imposes costs on society. The most publicized physician supply and demand projections, commissioned annually b ... Full text Link to item Cite

Primary care provider type: Are there differences in patients' intermediate diabetes outcomes?

Journal Article JAAPA · June 2019 Growing demand for services is leading primary care organizations to explore new delivery models. One approach incorporates multiple primary care providers on a team. Effective incorporation of multiple clinicians into teams requires well-defined roles, in ... Full text Link to item Cite

Impact Of Physicians, Nurse Practitioners, And Physician Assistants On Utilization And Costs For Complex Patients.

Journal Article Health Aff (Millwood) · June 2019 Because of workforce needs and demographic and chronic disease trends, nurse practitioners (NPs) and physician assistants (PAs) are taking a larger role in the primary care of medically complex patients with chronic conditions. Research shows good quality ... Full text Link to item Cite

Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants: A Cohort Study.

Journal Article Ann Intern Med · December 18, 2018 BACKGROUND: Primary care provided by nurse practitioners (NPs) and physician assistants (PAs) has been proposed as a solution to expected workforce shortages. OBJECTIVE: To examine potential differences in intermediate diabetes outcomes among patients of p ... Full text Link to item Cite

Interpersonal continuity of primary care of veterans with diabetes: a cohort study using electronic health record data.

Journal Article BMC Fam Pract · July 30, 2018 BACKGROUND: Continuity of care is a cornerstone of primary care and is important for patients with chronic diseases such as diabetes. The study objective was to examine patient, provider and contextual factors associated with interpersonal continuity of ca ... Full text Link to item Cite

Patient preference in primary care provider type.

Journal Article Healthc (Amst) · March 2018 BACKGROUND: Given the growing roles of nurse practitioners (NPs) and physician assistants (PAs), patients are increasingly able to choose their primary care provider type. Studies examining patient preferences among provider types are limited and ours is t ... Full text Link to item Cite

Knowing Your Worth: Salary Expectations and Gender of Matriculating Physician Assistant Students.

Journal Article J Physician Assist Educ · March 2018 PURPOSE: The male-female wage gap is present and persistent in the health care sector, even among physician assistants (PAs). Explanations for the persistent gender earnings gap include differential salary expectations of men and women based, in part, on w ... Full text Link to item Cite

Job openings for PAs by specialty.

Journal Article JAAPA · January 2018 OBJECTIVE: Physician assistants (PAs) have adapted to roles in virtually every practice specialty. One factor that has affected PAs' specialty choices has been the availability of jobs. We describe 2014 job postings for PAs at the national level by practic ... Full text Link to item Cite

Primary care multidisciplinary teams in practice: a qualitative study.

Journal Article BMC Fam Pract · December 29, 2017 BACKGROUND: Current recommendations for strengthening the US healthcare system consider restructuring primary care into multidisciplinary teams as vital to improving quality and efficiency. Yet, approaches to the selection of team designs remain unclear. T ... Full text Open Access Link to item Cite

Scarcity of Primary Care Positions May Divert Physician Assistants Into Specialty Practice.

Journal Article Med Care Res Rev · February 2017 BACKGROUND: Physician assistants (PAs) are often suggested as a partial solution to predicted primary care workforce shortages, but a declining proportion of PAs are entering primary care practice. Policy efforts have focused on increasing primary care PA ... Full text Link to item Cite

Factors Associated With Having a Physician, Nurse Practitioner, or Physician Assistant as Primary Care Provider for Veterans With Diabetes Mellitus.

Journal Article Inquiry · January 1, 2017 Expanded use of nurse practitioners (NPs) and physician assistants (PAs) is a potential solution to workforce issues, but little is known about how NPs and PAs can best be used. Our study examines whether medical and social complexity of patients is associ ... Full text Link to item Cite

Primary care physician assistant and advance practice nurses roles: Patient healthcare utilization, unmet need, and satisfaction.

Journal Article Healthc (Amst) · December 2016 PURPOSE: Team-based care involving physician assistants (PAs) and advance practice nurses (APNs) is one strategy for improving access and quality of care. PA/APNs perform a variety of roles on primary care teams. However, limited research describes the rel ... Full text Link to item Cite

Patient characteristics associated with primary care PA and APRN roles.

Journal Article JAAPA · December 2016 OBJECTIVES: Physician assistants (PAs) and advanced practice registered nurses (APRNs) can perform multiple roles on primary care teams, but limited research describes the patients they serve. We sought to identify patient characteristics associated with r ... Full text Link to item Cite

Dr Carek's Commentary on Training PAs and NPs.

Journal Article Fam Med · October 2016 Link to item Cite

Dr. Carek's Commentary on Training PAs and NPs

Journal Article Family medicine · October 1, 2016 Link to item Cite

Physician assistant specialty choice: Distribution, salaries, and comparison with physicians.

Journal Article JAAPA · July 2016 OBJECTIVES: To describe trends in physician assistant (PA) specialty distribution, compare these trends with physicians, and quantify the relationship of PA specialty prevalence with both PA and physician salary. METHODS: PA specialty and salary data were ... Full text Link to item Cite

Specialty distribution of physician assistants and nurse practitioners in North Carolina.

Journal Article JAAPA · April 2016 Physician workforce projections often include scenarios that forecast physician shortages under different assumptions about the deployment of physician assistants (PAs) and nurse practitioners (NPs). These scenarios generally assume that PAs and NPs are an ... Full text Link to item Cite

Facilitating Research in Physician Assistant Programs: Creating a Student-Level Longitudinal Database.

Journal Article J Physician Assist Educ · September 2015 As physician assistant (PA) roles expand and diversify in the United States and around the world, there is a pressing need for research that illuminates how PAs may best be selected, educated, and used in health systems to maximize their potential contribu ... Full text Link to item Cite

Nurse practitioners, physician assistants, and physicians in community health centers, 2006-2010.

Journal Article Healthc (Amst) · June 2015 PURPOSE: Community health centers (CHCs) fill a vital role in providing health care to underserved populations. This project compares characteristics of patient visits to nurse practitioners (NPs), physician assistants (PAs), and physicians in CHCs. METHOD ... Full text Link to item Cite

Handcuffs.

Journal Article JAAPA · May 2015 Full text Link to item Cite

Time spent with patients by physicians, nurse practitioners, and physician assistants in community health centers, 2006-2010.

Journal Article Healthc (Amst) · December 2014 BACKGROUND: As health systems struggle to meet access, cost and quality goals in the setting of increased demand, nurse practitioners (NPs) and physician assistants (PAs) are expected to help meet the need for care. The amount of time spent with each patie ... Full text Link to item Cite

Characteristics of primary care office visits to nurse practitioners, physician assistants and physicians in United States Veterans Health Administration facilities, 2005 to 2010: a retrospective cross-sectional analysis.

Journal Article Hum Resour Health · November 13, 2012 BACKGROUND: Primary care, an essential determinant of health system equity, efficiency, and effectiveness, is threatened by inadequate supply and distribution of the provider workforce. The Veterans Health Administration (VHA) has been a frontrunner in the ... Full text Open Access Link to item Cite

Satisfaction guaranteed? An analysis of lecturer characteristics associated with physician assistant student satisfaction.

Other The journal of physician assistant education : the official journal of the Physician Assistant Education Association · 2012 Cite

Physician assistants and nurse practitioners: a missing component in state workforce assessments.

Journal Article J Interprof Care · July 2011 Featured Publication Due to current or predicted health workforce shortages, policy makers worldwide are addressing issues of task allocation, skill mix, and role substitution. This article presents an example of this process in the United States (US). Health workforce analyst ... Full text Link to item Cite

How do non-physician clinicians respond to advanced cancer patients' negative expressions of emotions?

Journal Article Support Care Cancer · January 2011 PURPOSE: Patients with advanced cancer often experience negative emotion; clinicians' empathic responses can alleviate patient distress. Much is known about how physicians respond to patient emotion; less is known about non-physician clinicians. Given that ... Full text Link to item Cite

Choice of specialties among physician assistants in the United States.

Journal Article Health Aff (Millwood) · May 2010 Although the physician assistant (PA) profession was created to bolster the primary care workforce, PAs have assumed increasing roles in subspecialties. This paper compares specialty prevalence between physicians and physician assistants, analyzes trends i ... Full text Link to item Cite

Comparing oncologist, nurse, and physician assistant attitudes toward discussions of negative emotions with patients.

Journal Article J Physician Assist Educ · 2010 PURPOSE: Although research shows that empathic communication improves patient outcomes, physicians often fail to respond empathically to patients. Nurses and physician assistants (PAs) may be able to help fill the need for empathic communication. Our study ... Full text Link to item Cite

Impact of physician assistant care on office visit resource use in the United States.

Journal Article Health Serv Res · October 2008 Featured Publication OBJECTIVE: To investigate whether the use of physician assistants (PAs) as providers for a substantive portion of a patient's office-based visits affects office visit resource use. DATA SOURCE: Medical Expenditure Panel Survey (MEPS) Household Component da ... Full text Link to item Cite

Missing in action: care by physician assistants and nurse practitioners in national health surveys.

Journal Article Health Serv Res · October 2007 Featured Publication OBJECTIVE: To assess applicability of national health survey data for generalizable research on outpatient care by physician assistants (PAs) and nurse practitioners (NPs). DATA SOURCES: Methodology descriptions and 2003 data files from the National Ambula ... Full text Link to item Cite

What about physician assistants?

Journal Article Health Aff (Millwood) · 2005 Full text Link to item Cite

Improving physician assistant education and practice in SUD and policy recommendations on substance abuse education for physician assistants.

Journal Article Subst Abus · September 2002 Barriers to improved substance abuse education for PAs include limited time in curricula, a shortage of appropriate clinical training sites, insufficient faculty experience and interest regarding SUD, lack of advanced training opportunities for practicing ... Full text Link to item Cite

Improving physician assistant education and practice in SUD and policy recommendations on substance abuse education for physician assistants.

Journal Article Substance abuse : official publication of the Association for Medical Education and Research in Substance Abuse · 2002 Barriers to improved substance abuse education for PAs include limited time in curricula, a shortage of appropriate clinical training sites, insufficient faculty experience and interest regarding SUD, lack of advanced training opportunities for practicing ... Cite

Black/white differences in hypertension in the elderly: an epidemiologic analysis in central North Carolina.

Journal Article Am J Epidemiol · January 1, 1993 Hypertension in blacks, compared with whites, occurs at higher prevalence rates, is more severe, and carries a worse prognosis for cardiovascular morbidity and mortality. The authors examined the degree to which black/white differences in hypertension in t ... Full text Link to item Cite

Interaction between Chlamydia spp. and human polymorphonuclear leukocytes in vitro.

Journal Article Infection and immunity · June 1986 Chlamydia psittaci and Chlamydia trachomatis elementary bodies (EB) incubated in the presence of complement or specific antibody or both caused chemotaxis of human polymorphonuclear leukocytes (PMN) in vitro. Reticulate bodies and culture supernatants had ... Cite