I am thinking about hiring a midlevel provider (either a NP or a PA) for my practice. How much supervision will be required?
Since NPs and PAs are licensed differently, there are different supervision requirements for both. NPs practice under standardized procedures with protocols; PAs can practice with one of two mechanisms for supervision: the MD countersigns the chart notes (or some percentage thereof) or the standardized procedures/protocols required of NPs. Both professionals can practice with remote supervision by telephone, but of course, that will depend on the experience of the PA or NP. Many sites use the same method of supervision for both NPs and PAs who practice there. You may wish to reference certain texts as the basis for your clinical protocols. Two examples include:1. Nurse Practitioner/Physician Collaborative Practice: Clinical Guidelines for Ambulatory Care, UCSF Nursing Press, GM Collins-McBride and JM Saxe, Editors, ISBN 0943671161. 2. The Roles of Physician Assistants and Nurse Practitioners in Primary Care by Kay Clawson, ISBN 1-879694-07-7.Your malpractice carrier might also be able
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