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. 2018 Apr 30;178(7):988–990. doi: 10.1001/jamainternmed.2018.1515

Table. Percent of Physician Practices With Advanced Practice Clinicians and the Percent Change From 2008 to 2016.

Variable Total Practices, No. Any Advanced
Practice Clinician, %
Any NP, % Any PA, %
2008 2016 2008 2016 Change 2008 2016 Change 2008 2016 Change
Specialty practicesa 132 682 165 655 23.2 28.3 21.7 14.4 19.2 32.6 11.6 14.0 20.3
Medical specialties 87 178 109 125 20.2 23.3 15.7 13.6 16.3 19.9 8.3 9.9 19.3
Surgical specialtiesb 22 881 22 185 17.8 20.6 15.8 5.8 7.7 32.6 13.6 15.3 12.0
Multispecialty 22 623 34 345 40.5 49.0 20.9 26.3 35.5 34.9 22.4 26.1 16.4
Psychiatry 12 909 16 535 14.7 17.4 18.4 13.1 15.9 20.9 2.2 2.7 19.2
Obstetrics/gynecology 12 676 13 148 29.5 29.3 −0.7 25.3 25.3 0.2 6.1 6.5 5.7
Ophthalmology 9939 10 505 0.8 0.7 −10.8 0.3 0.3 3.7 0.6 0.5 −9.1
Cardiology 6142 8483 30.3 31.0 2.4 22.1 24.3 9.6 12.7 12.9 1.8
Orthopedic surgery 6758 7293 28.0 29.1 3.9 4.9 7.0 43.0 25.3 25.4 0.6
General surgery 6213 6400 11.2 13.8 24.0 5.4 7.6 40.1 6.6 7.5 14.6
Neurology 3814 5162 13.8 21.3 54.2 9.5 15.6 64.5 5.4 8.2 52.4
Plastic surgery 6067 4177 6.4 9.8 54.2 2.7 3.8 39.8 3.9 6.4 62.9
Dermatology 5428 6041 27.4 36.3 32.5 8.4 11.5 36.8 21.7 29.5 35.6
Gastroenterology 3873 5496 25.1 28.7 14.2 15.4 19.2 24.7 12.5 14.4 15.1
Primary care practicesc 68 317 69 755 28.4 35.3 24.3 18.8 26.1 38.8 12.5 14.6 16.8
Family practice 30 322 31 936 36.7 44.8 22.1 22.4 31.6 41.0 18.4 21.0 13.9
Internal medicine 22 514 22 424 18.3 23.9 30.8 12.0 17.6 46.2 7.7 9.3 21.3
Pediatrics 12 164 12 939 27.9 34.3 22.8 23.0 29.3 27.3 7.3 9.0 22.4

Abbreviations: NP, nurse practitioner; PA, physician assistant.

a

Specialty practices include medical specialties: addiction medicine, adolescent medicine, aerospace medicine, allergy/immunology, anesthesiology, cardiology, critical care medicine, dermatology, dialysis, emergency medicine, endocrinology, gastroenterology, general preventive medicine, genetic specialist, gynecologic oncology, holistic medicine, infectious disease, nephrology, neurology, nuclear medicine, obstetrics/gynecology, occupational medicine, oncology/hematology, ophthalmology, otolaryngology, pain management, physical medicine/rehab, psychiatry, pulmonology, rheumatology, sleep medicine, sports medicine, urology, vascular and interventional radiology.

b

Surgical specialties include bariatrics, colorectal surgery, general surgery, head and neck surgery, neurological surgery, orthopedic surgery, plastic surgery, thoracic surgery, transplant surgery, trauma surgery, and vascular surgery.

c

Primary care includes family practice, general practice, geriatric medicine, internal medicine, internal medicine/pediatrics, and pediatrics.