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Fighting Mid-Level Medical Providers

5 Responses

1. Anonymous, on May 1, 2014 at 12:19 PM said:

   Nurses are not Doctors

   Earlier this month, the New York State Legislature passed a bill granting nurse practitioners the right to provide primary care without physician oversight. New York joins 16 other states and the District of Columbia in awarding such autonomy. (Most states still require nurse practitioners to work with physicians under a written practice agreement).

   The bill’s authors contend that mandatory collaboration with a physician “no longer serves a clinical purpose” and reduces much-needed access to primary care.

   Anonymous

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2. Ann Miller RN MHA, on July 17, 2014 at 10:07 AM said:

   Missouri Law Creates New ‘Assistant Physician’ Designation

   A controversial new law in Missouri will allow medical school graduates who haven’t yet passed their final credentialing exam to treat patients in underserved primary care settings. The law has encountered strong opposition from organized medicine. Signed last week by Governor Jay Nixon, the law creates the new position of “assistant physician.” These doctors would be supervised on site by a collaborative physician for 30 days. After that, they could treat patients without direct supervision in settings 50 miles away and will be able to prescribe Schedule III, IV, and V drugs.

   The assistant physician can provide only primary care services and only in medically underserved rural or urban areas of the state or in any pilot project areas, the law states. The Missouri State Medical Association (MSMA) helped draft the legislation and said it is necessary because a physician shortage, especially in underserved areas, has limited access to care. Missouri last year was listed by the federal government as one of the ten most medically underserved states in the nation.

   Source: Mark Crane, Medscapre News [7/15/14]

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3. Ann Miller RN MHA, on August 13, 2014 at 5:54 PM said:

   Physician Assistants More Than Double in a Decade

   The number of certified physician assistants (PAs) grew 219% from 2003 to 2013, almost 6% alone during the last year of that decade, according to the 2013 Statistical Profile of Certified Physician Assistants published online by the National Commission on Certification of Physician Assistants (NCCPA).

   The number of certified PAs stood at 95,583 across the United States at the end of 2013, compared with 90,227 in 2012, and 43,500 in 2003. PAs practice in all 50 states and the District of Columbia, according to the NCCPA, the only certifying organization for PAs in the country. Most PAs (66%) are women, and 62.2% of them are under 40 years old. Most PAs (66.2%) have earned a master’s degree.

   Source: Larry Hand, Medscape News [8/13/14]

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4. Anonymous, on January 1, 2015 at 9:41 PM said:

   Some NY Nurse Practitioners Now Freed of Doc Supervision
   

   The new year has brought new regulations for nurse practitioners in New York, many of whom will no longer require a physician’s supervision to practice. Nurse practitioners in New York with over 3,600 hours of clinical practice under their belt, beginning Jan. 1, will no longer be required to have a written collaborative agreement with a physician, nor will they be required to submit patient charts to a physician for review. Instead, experienced practitioners will only be required to have an established relationship with a physician or hospital for referral or consultation.

   The new rules are a part of the Nurse Practitioner Modernization Act, signed into law with the state’s budget in April. The law does not change the rules for nurse practitioners with less than 3,600 hours of practice. They will still be required to have a written agreement with a supervising physician. The new rules mean a nurse practitioner with about two years of full-time clinical practice would meet the requirement. New York will join 19 other states and the District of Columbia that have passed similar legislation creating what the American Association of Nurse Practitioners calls “full practice” environments, in which regulations do not reduce or restrict nurse practitioners’ practices.

   Source: Adam Rubenfire
   Modern Healthcare [12/30/14]

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5. Ruth, on January 26, 2015 at 11:37 AM said:

   More on Nurse Practitioners

   The scope of responsibilities for advanced practice nurses vary by state, but they always include duties essential for quality patient care: performing physical exams, running diagnostic tests and analyzing the results, counseling patients on proper treatment and prescribing medications, to name a few.

   In 2013, nurse practitioners earned a median salary of $92,670 and an average salary of $95,070.

   Ruth

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