%0 Journal Article
%T Physician extenders on surgical services: the need for a systems perspective
%A Caitlin Champion
%A Craig Kuziemsky
%A Heather Smith
%J Archive of "Canadian Journal of Surgery".
%D 2018
%R 10.1503/cjs.011117
%X 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
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866139/