The Lure of Specialty Medicine Pulls Nurse Practitioners From Primary Care

For many patients, seeing a nurse practitioner has become a routine part of primary care , in which these"NPs" often perform the same tasks that patients have relied on doctors for.

"They're succumbing to the same challenges that we have with physicians," said Atul Grover, executive director of the Research and Action Institute at the Association of American Medical Colleges. The rates NPs can command in a specialty practice"are quite a bit higher" than practice salaries in primary care, he said.

Both nurse practitioners and physician assistants are advanced practice clinicians who, in addition to graduate degrees, must complete distinct education, training, and certification steps. NPs can practice without a doctor's supervision in more than two dozen states, while PAs have similar independence in only a handful of states.American Association of Nurse Practitioners

When it comes to the actual work performed, the lines between primary and specialty care are often blurred, said Candice Chen, associate professor of health policy and management at George Washington University. To Grover, of the AAMC, numbers like this signal that there will probably be enough NPs, PAs, and physicians to meet primary care needs. At the same time,"expect more NPs and PAs to also flow out into other specialties," he said.

If physician assistants want to specialize, they also can do so through mentoring, or they can receive"certificates of added qualifications" in 10 specialties to demonstrate their expertise. Most employers don't"encourage or require" these certificates, however, said Jennifer Orozco, chief medical officer at the American Academy of Physician Associates.

Source: Healthcare Press (healthcarepress.net)

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