Reports Summarize Managed Care Study Results from University of Chicago Pritzker School of Medicine (Turnover Among Early Career Advanced Practice Providers in Urology): Managed Care

2025 SEP 19 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators discuss new findings in Managed Care. According to news reporting originating in Chicago, Illinois, by NewsRx journalists, research stated, “To understand the patterns and predictors of practice movement among advanced practice providers (APPs). The role of APPs in urology has grown significantly, yet early career turnover is common and remains poorly understood.”

The news reporters obtained a quote from the research from the University of Chicago Pritzker School of Medicine, “We conducted a retrospective cohort study using Medicare Data on Provider Practice and Specialty files between 2010 and 2021. We identified nurse practitioners and physician assistants who first billed Medicare Part B in urology practices. Time-to-event analysis was performed to examine the risk of practice movement, and Cox proportional hazards regression models identified factors associated with movement. Of the 1003 APPs identified, 307 (30.6%) moved to a different practice, with a median time to movement of 14 months. Physician assistants were more likely to move compared to nurse practitioners, and APPs who moved were more often female and in practices with fewer physicians and other APPs. Most APPs who left urology transitioned to non-surgical specialties, with only 8.8% joining another urology practice. Practice movement among APPs in urology is common in the early career and most APPs who leave urology practices go on to work in other specialties. Factors such as clinician type, gender, and practice size may influence practice movement. Our findings suggest that smaller practices may require improved strategies to retain APPs.”

According to the news reporters, the research concluded: “Further work is needed to better understand reasons for this turnover and identify strategies for retention.”

This research has been peer-reviewed.

For more information on this research see: Turnover Among Early Career Advanced Practice Providers in Urology. Urology, 2025;203:16-22. Urology can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA. (Elsevier - www.elsevier.com; Urology - http://www.journals.elsevier.com/urology/)

Our news correspondents report that additional information may be obtained by contacting Armaan Singh, University of Chicago Pritzker School of Medicine, Chicago, IL. Additional authors for this research include Max J. Hyman, Susanne A. Quallich, Ted A. Skolarus and Parth K. Modi.

The publisher of the journal Urology can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA.

(Our reports deliver fact-based news of research and discoveries from around the world.)