{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:55:03Z","timestamp":1765878903152,"version":"3.48.0"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of the Child Neurology Society"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A worldwide shortage of pediatric neurologists, combined with increased demand, increased wait times, and clinician burnout, have led to substantial access limitations. Given these challenges, we need to ensure advanced practice providers (APPs) in pediatric neurology are utilized effectively. Our results provide a framework for optimizing modern pediatric neurology practice through a thoughtful consideration of APP integration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A survey was sent through two large neurology academic organizations. Emails were also sent to known professional contacts across 59 practice sites. An electronic survey in REDCap with 31 open\u2010ended or multiple\u2010choice questions about demographics, supervision, inpatient and outpatient clinical processes, procedures, and scholarly activities was sent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Surveys were completed from 29 sites. Sixteen of these sites (55%) reported APPs do not have demographic restrictions in their outpatient practice. At many practice sites APPs perform inpatient consultations, with variable models for independence and partnership with attending neurologists. APPs subspecialize frequently and perform a variety of procedures including lumbar punctures and headache treatment injections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most US\u2010based APPs in outpatient pediatric neurology practice autonomously and also frequently perform procedures. APP independence in the inpatient setting should be expanded. As pediatric neurology practices evolve, information regarding the landscape of APP clinical responsibilities will aid in increasing access to care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cns3.70041","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:41:34Z","timestamp":1764160894000},"page":"292-298","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Landscape of Advanced Practice Provider Responsibilities in Pediatric Neurology"],"prefix":"10.1002","volume":"3","author":[{"given":"Chelsey F.","family":"Stillman","sequence":"first","affiliation":[{"name":"Section of Neurology, Department of Pediatrics University of Colorado Anschutz Medical Campus Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona P.","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Section of Neurology, Department of Pediatrics University of Colorado Anschutz Medical Campus Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill M.","family":"Marks","sequence":"additional","affiliation":[{"name":"Section of Neurology, Department of Pediatrics University of Colorado Anschutz Medical Campus Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig A.","family":"Press","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Neurology University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly G.","family":"Knupp","sequence":"additional","affiliation":[{"name":"Section of Neurology, Department of Pediatrics University of Colorado Anschutz Medical Campus Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin C.","family":"Ess","sequence":"additional","affiliation":[{"name":"Section of Neurology, Department of Pediatrics University of Colorado Anschutz Medical Campus Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000001077"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2020-0186"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000210217"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-142-10-200505170-00010"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0b013e3181d5bf14"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000689"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/10775587231186720"},{"issue":"5","key":"e_1_2_10_9_1","first-page":"230","article-title":"Advanced Practice Nurse Outcomes 1990\u20102008: A Systematic Review","volume":"29","author":"Newhouse R. 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D.Brown et al. \u201cAAN Position: Neurology Advanced Practice Providers \u201d2020 https:\/\/www.aan.com\/policy-and-guidelines\/policy\/position-statements\/neurology-advanced-practice-providers."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000012111"},{"key":"e_1_2_10_13_1","unstructured":"\u201cThe Field of Child Neurology \u201d Child Neurology Foundation July 17 2020 www.childneurologyfoundation.org\/providers-or-researchers\/the-field-of-child-neurology\/."},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000312287.53064.d2"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NT.0000805192.96987.9c"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NT.0000553602.57538.f5"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-023-01750-0"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_10_19_1","unstructured":"HarderandBen \u201cBest Children's Hospitals for Neurology & Neurosurgery \u201d U.S. News & World Report July 17 2024."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2019.07.002"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2162"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109770"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gim.2024.101254"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12352"}],"container-title":["Annals of the Child Neurology Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cns3.70041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:50:11Z","timestamp":1765878611000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cns3.70041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,26]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/cns3.70041"],"URL":"https:\/\/doi.org\/10.1002\/cns3.70041","archive":["Portico"],"relation":{},"ISSN":["2831-3267","2831-3267"],"issn-type":[{"type":"print","value":"2831-3267"},{"type":"electronic","value":"2831-3267"}],"subject":[],"published":{"date-parts":[[2025,11,26]]},"assertion":[{"value":"2025-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}