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Towards a standardized process of onboarding advanced practice providers into headache medicine practices in the United States: Expert consensus from the American Headache Society practice management committee.

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Title: Towards a standardized process of onboarding advanced practice providers into headache medicine practices in the United States: Expert consensus from the American Headache Society practice management committee.
Authors: Cook, Calli (AUTHOR), Freeman, Marshall C. (AUTHOR), Ailani, Jessica (AUTHOR), Ehrlich, Annika (AUTHOR), Grosberg, Brian (AUTHOR), Kabbouche, Marielle (AUTHOR), Moriarty, Maureen (AUTHOR), Secora, Karissa (AUTHOR), VanderPluym, Juliana (AUTHOR), Klein, Brad (AUTHOR), Birlea, Marius (AUTHOR)
Source: Headache: The Journal of Head & Face Pain. Feb2026, Vol. 66 Issue 2, p502-510. 9p.
Subjects: Headache treatment, Consensus (Social sciences), Medical protocols, Frey's syndrome, Supervision of employees, Neurologists, Headache, Interviewing, Trigeminal nerve diseases, Employee recruitment, Curriculum planning, Advanced practice registered nurses, Labor demand, Clinical competence, Research methodology, Physicians, Quality assurance, Medical needs assessment, Employee selection, Delphi method, Medical practice, Educational attainment
Geographic Terms: United States
Abstract: Objectives: Discuss the current status of advanced practice providers (APPs) onboarding to headache medicine (HM) practices in the United States and present recommendations of the American Headache Society (AHS) APP Work Group to improve the onboarding process. Background: A high demand for care, national shortage of specialists, and multiple advancements in HM have led to an increasing interest and presence of APPs of various backgrounds in the field, currently without a unifying onboarding process. Efforts to standardize and optimize the onboarding process for APPs in HM practices are necessary, to ensure high standards in quality of care. Methods: The APP Work Group of the AHS Practice Management Committee developed comprehensive recommendations through literature review, survey of AHS members, and expert consensus. A modified Delphi protocol was used to establish key onboarding goals, definitions, and best practice recommendations. Results: Recommendations are made regarding duration of onboarding, appropriate supervision, formal education and procedural skills, scope of practice, grading and documentation of competence, and reciprocal feedback. Conclusion: Currently, there are no standard onboarding and training guidelines for APPs in the field of HM. We provide recommendations for a more systematic approach to help develop qualified providers and enhance their retention in HM practices. Plain Language Summary: Across US healthcare systems, including headache medicine (HM), the role of advanced practice providers (APPs) is growing due to high demands for care. To achieve optimal headache care at the national level, an important step is streamlining onboarding and training for APPs. In this protocol paper, the American Headache Society provides recommendations for the onboarding of APPs into HM, including onboarding processes, supervision, education, and scope of practice. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Objectives: Discuss the current status of advanced practice providers (APPs) onboarding to headache medicine (HM) practices in the United States and present recommendations of the American Headache Society (AHS) APP Work Group to improve the onboarding process. Background: A high demand for care, national shortage of specialists, and multiple advancements in HM have led to an increasing interest and presence of APPs of various backgrounds in the field, currently without a unifying onboarding process. Efforts to standardize and optimize the onboarding process for APPs in HM practices are necessary, to ensure high standards in quality of care. Methods: The APP Work Group of the AHS Practice Management Committee developed comprehensive recommendations through literature review, survey of AHS members, and expert consensus. A modified Delphi protocol was used to establish key onboarding goals, definitions, and best practice recommendations. Results: Recommendations are made regarding duration of onboarding, appropriate supervision, formal education and procedural skills, scope of practice, grading and documentation of competence, and reciprocal feedback. Conclusion: Currently, there are no standard onboarding and training guidelines for APPs in the field of HM. We provide recommendations for a more systematic approach to help develop qualified providers and enhance their retention in HM practices. Plain Language Summary: Across US healthcare systems, including headache medicine (HM), the role of advanced practice providers (APPs) is growing due to high demands for care. To achieve optimal headache care at the national level, an important step is streamlining onboarding and training for APPs. In this protocol paper, the American Headache Society provides recommendations for the onboarding of APPs into HM, including onboarding processes, supervision, education, and scope of practice. [ABSTRACT FROM AUTHOR]
ISSN:00178748
DOI:10.1111/head.70038