High Attrition Among Non-Physician Practitioners in EDs

Medscape January 30, 2025
Edited by Rimpa Devi

TOPLINE:

A study reveals high attrition rates among non-physician practitioners (NPPs) in emergency departments (ED), with particularly high rates among women and rural nurse practitioners (NPs).

METHODOLOGY:

• Researchers conducted a repeated cross-sectional analysis of 31,679 emergency medicine NPPs (64.6% women) using Medicare Data from 2014 to 2021.
• The analysis included 19,846 physician assistants (PAs) and 11,833 NPs.
• The primary outcome was the annual attrition rate of emergency medicine NPPs, assessed from 2014 to 2019 with rates stratified on the basis of sex, clinician type, and practice location.

TAKEAWAY:

• The annual attrition rate was 13.8%, with women exhibiting higher attrition rates (14.7%) than men (11.8%).
• The attrition rate was 15.9% among NPs and 12.6% among PAs.
• Rural NPPs...

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