Magazine article Medical Economics

Who Are Those Guys?

Magazine article Medical Economics

Who Are Those Guys?

Article excerpt

The thundering hooves you hear in the distance are those of a new generation of clinicinas racing to assume their places in tomorrow's health care systemand today's, for that matter. As the hooves thunder on, there Is more than a fair amount of jockeying for position: Nurse practitioners, physician assistants, certified nurse midwives-where will they all fit in? And what about those other folks, the physicians?

Now please, please, good people of the NP, PA, and CNM communities, don't clog my phone line, rattle my in-box, or inundate my e-mail with complaints about unflattering comparisons to herds of cattle or wild horses. Everybody is just a tad too touchy about image and perception and terminology these days. I'm not going to use the terms "physician extender," "midlevel provider," or "nonphysician practitioner" except to acknowledge how much they are loathed by the people so labeled.

What really matters is the fabric that these well-trained, highly motivated, and dedicated professionals will add to the patchwork we call our health care system. How can their energies and skills help most in furthering the interests of quality patient care?

To gain some insight into that issue, turn to the special section that begins on page 156. Anita J. Slomski, our Chicago-based Group Practice Editor, thoughtfully orchestrated a team effort that looks at the exponential growth of these professions, the turf battles that have ensued, and the liability questions that arise for any physician who hires a PA, NP, or CNM (that's three fewer keystrokes than "midlevel provider"). We also provide a set of tables detailing, state by state, these professionals' prescribing rights and the level of physician supervision required of their work.

Those provisions will continue to change as the jockeying continues in the halls of Congress and our state capitols. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.