Health care practices and institutions are providing variable onboarding models to prepare physician assistants (PAs) and nurse practitioners (NPs) for transition into new practice settings. With the evolution of healthcare delivery and increased opportunities for PAs and NPs to specialize in advanced practice environments, there has been a growing demand for an evidenced-based strategy, structure, and appraisal of content within existing onboarding models. The aim of this paper is to compare two onboarding models for Advanced Practice Providers (APPs): postgraduate training programs and traditional institutional transition to practice programs. With expanding numbers of postgraduate training programs offered nationally and increasing numbers of PA and NP graduates seeking out these opportunities calls into question the differences offered through each model. Postgraduate training programs appear to provide a consistent structure of comprehensive curriculum design, interprofessional learning, meaningful institutional engagement, leadership exposure, and support a superior onboarding support model for PAs and NPs.

Author Bio(s)

Melissa Ricker, PA-C, is the PA Fellowship Director at Atrium Health in Charlotte, North Carolina.

Cragin Greene, PA-C is the Academic Director at Atrium Health in Charlotte, North Carolina.

Anne Vail, DNP, AGNP-C, is the PA Fellowship Director at Atrium Health in Charlotte, North Carolina.




Submission Location


To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.