Can J Surg 2018;61(2):80-81 | PDF
Heather Smith, MD; Craig Kuziemsky, PhD; Caitlin Champion, MD, MSc
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 optimize research and management of limited health care resources.
Accepted Aug. 14, 2017
Affiliations: From the Department of General Surgery, the Ottawa Hospital, Ottawa, Ont. (Smith, Champion); and the Telfer School of Management, University of Ottawa, Ottawa, Ont. (Kuziemsky).
Competing interests: None declared.
Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.
Correspondence to: H. Smith, The Ottawa Hospital, 725 Parkdale Ave, WM 150b, Ottawa ON K1Y 4E9, firstname.lastname@example.org