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Peer-reviewedCC BY-NC-ND 4.0JACC Case Reports

Advancing Cardiovascular Nurse Practitioner and Physician Associate Workforce

4 affiliations
  1. 1Division of Circulatory Failure, Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA
  2. 2Division of Community Cardiology, Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA
  3. 3Division of Critical Care Cardiology, Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA
  4. 4Division of Structural Heart Disease, Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA

Abstract

Background: Cardiovascular practices increasingly rely on nurse practitioners and physician associates to support specialty care delivery, procedural growth, and patient access. Workforce instability, inconsistent onboarding, and limited professional development opportunities may negatively impact engagement and retention.

Project Rationale: A structured, longitudinal workforce development initiative was implemented within a large academic cardiovascular practice to improve nurse practitioners and physician associate engagement, professional growth, and workforce stability.

Project Summary: This 2-year quality improvement initiative implemented a systems-level workforce development program across onboarding, mentorship, professional development, collaboration, research engagement, and leadership development. Perceived leadership support improved from 54% to 80%, research participation increased 120%, leadership and committee involvement increased 267%, peer-reviewed publications increased 24%, continuing medical education participation increased 27%, and academic rank advancement increased from 43% to 48%.

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BibTeX
@article{severson2026advancing,
  title = {{Advancing Cardiovascular Nurse Practitioner and Physician Associate Workforce}},
  author = {Sara Severson and Michele Yeadon and Michelle Booth-Kowalczyk and Jane Linderbaum and Melissa Skov},
  journal = {JACC Case Reports},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jaccas.2026.109309},
  url = {https://doi.org/10.1016/j.jaccas.2026.109309},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Advancing Cardiovascular Nurse Practitioner and Physician Associate Workforce
AU  - Sara Severson
AU  - Michele Yeadon
AU  - Michelle Booth-Kowalczyk
AU  - Jane Linderbaum
AU  - Melissa Skov
PY  - 2026
DA  - 2026/09/16
JO  - JACC Case Reports
DO  - 10.1016/j.jaccas.2026.109309
UR  - https://doi.org/10.1016/j.jaccas.2026.109309
AB  - Background: Cardiovascular practices increasingly rely on nurse practitioners and physician associates to support specialty care delivery, procedural growth, and patient access. Workforce instability, inconsistent onboarding, and limited professional development opportunities may negatively impact engagement and retention.  Project Rationale: A structured, longitudinal workforce development initiative was implemented within a large academic cardiovascular practice to improve nurse practitioners and physician associate engagement, professional growth, and workforce stability.  Project Summary: This 2-year quality improvement initiative implemented a systems-level workforce development program across onboarding, mentorship, professional development, collaboration, research engagement, and leadership development. Perceived leadership support improved from 54% to 80%, research participation increased 120%, leadership and committee involvement increased 267%, peer-reviewed publications increased 24%, continuing medical education participation increased 27%, and academic rank advancement increased from 43% to 48%.
SN  - 2666-0849
ER  -