Developing and Sustaining Nurse Practitioner and Physician Assistant Services: A Decade Of Lessons Learned

Amid surging APP adoption in hospital medicine, distill a decade of lived lessons into practical strategy. You will acquire tools to design and evaluate inpatient APP care models, describe culture and leadership structures that sustain them, and provide right patient–right provider alignment. Then compare and contrast two proven models, synthesize best practices, and apply them to elevate outcomes and team resilience.

Create Account

Availability

On-Demand

Expires on Apr 30, 2027

Cost

Member: $0.00

Non-Member: $55.00

Credit Offered

0.75 CME Credit

0.75 ABIM-MOC Point

0.75 Participation Credit

Overview
Faculty
Accreditation
Recommended

Learning Objectives
After completing this activity, learners should be able to:

Acquire an understanding of the incorporation of Advanced Practice Providers (APPs) within Hospital Medicine.
Describe lessons learned and successful institutionâ€specific examples regarding developing, sustaining, and expanding inpatient medical and surgical APP care models.
Provide general considerations when establishing and/or evaluating an inpatient APP care model.
Compare and contrast two successful APN/PA care models.

Faculty

Bridget McGrath
Mindy Jacobs
Reasheal Watts
Brian Callender

Faculty Disclosures (PDF)

Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.

Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Best Practice Care Models for Effective Hospital Medicine Teams

Blueprints to build high-performance hospital medicine teams: this on-demand session brings NP/PA leaders to share proven models from the past and present, critique pitfalls, and design next‑gen team structures. Participants discuss real cases, synthesize staffing approaches, and apply tools to optimize workflows and improve patient outcomes—leaving with actionable templates to elevate care and team performance.

Multiple Credits

$0.00 - $55.00

Readiness for Practice - How to Assess an APP for Successful Onboarding and Clinical Proficiency

From day one, set APPs up to excel. In this on‑demand session, hospital medicine leaders design competency‑based onboarding for hospitalist APPs, assess performance with validated tools, and use real assessment data to create targeted coaching plans. You’ll understand gaps, evaluate progress, and generate standardized workflows that improve clinical proficiency, retention, and patient outcomes—while amplifying best practices across SHM platforms.

Multiple Credits

$0.00 - $55.00

IV vs Oral: Evidence Based Antibiotic Use

Evidence is shifting practice: IV therapy has long ruled bacteremia, endocarditis, and osteomyelitis, yet robust studies support oral options in select adults. In this on-demand course, review the historical rationale, evaluate current data, and show how to use PO step-down. Recognize appropriate and inappropriate candidates, synthesize practical protocols, and apply criteria to improve safety, outcomes, and stewardship.

Multiple Credits

$0.00 - $55.00

Inpatient Management of Alcohol Withdrawal and Medications for Alcohol Use Disorder

When withdrawal strikes on the ward, precision matters. Through a focused inpatient case, you'll recognize high-risk patients, describe withdrawal pathophysiology, and review benzodiazepines, phenobarbital, dexmedetomidine, and ketamine. Then discuss gabapentin/anticonvulsants, apply front-loading, symptom-triggered and fixed-schedule dosing, assess withdrawal scales, weigh IV vs oral thiamine, and evaluate AUD medications via the 2023 JAMA meta-analysis for safer care.

Multiple Credits

$0.00 - $55.00

Cannabis for the Hospital Clinician

From bedside questions to ICU consults, sharpen your cannabis fluency. In this on-demand course, you’ll recognize how the endocannabinoid system sustains homeostasis and cell signaling, describe pharmacokinetics across oral, inhaled, and topical routes, identify key THC/CBD drug interactions, and discuss inpatient concerns from cannabis hyperemesis to cardiovascular risk—so you understand and apply evidence with confidence.

Multiple Credits

$0.00 - $55.00

Patient Centered Discharge - Caring for Patients Leaving Against Medical Advice

When patients leave AMA, preventable harm and costs surge. What can clinicians do in the moment that matters? In this on-demand session, you will analyze the system-level impact of AMA discharges, understand patient profiles and motivations, evaluate best-practice conversations, and design documentation that mitigates risk. We also debunk liability myths so you can apply clearer, safer discharge decisions and improve outcomes.

Multiple Credits

$0.00 - $55.00

Building a Successful Hospitalist Medicine Procedure Service is More than Just Doing Procedures

Year one, 1,000+ procedures—this on‑demand session distills a proven, hospitalist‑led blueprint for building a sustainable procedure service. You will determine your institution’s “why,” establish day‑to‑day operations and training, and know how to scale thoughtfully. We design and critique multidisciplinary workflows, apply finance‑savvy metrics, and help you comprehend outcomes data so you can create a service that lasts.

Multiple Credits

$0.00 - $55.00

SHM Converge On Demand 2025

Stay at the forefront of hospital medicine with SHM Converge On Demand 2025, bringing together 110+ sessions spanning 20 tracks. Discover fresh insights from expert faculty, strengthen clinical decision-making, and explore new approaches to improving outcomes and efficiency. With added On Demand–only content, this bundle offers flexible, high-impact learning designed to fit your schedule and practice needs.

Multiple Credits

$499.00 - $649.00