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Clearly define PAs’, NPs’ roles in your hospitalist program

Hospitalist Leadership Connection, January 17, 2007

Physician assistants (PA) or nurse practitioners (NP) can ease hospitalists' chronically heavy workloads. But before bringing a PA or NP into your hospital medicine program, be clear about your objectives and the physician extenders' responsibilities for patient care, advises an article in the January issue of Hospitalist Management Advisor, published by HCPro.

The article quotes Chad Brickley, PA-C, a PA at Mainline Health System in Philadelphia as saying, "There should be some education of the physician about what the PA can and can't do, and discussion of what the physician's expectations are for the team." Brickley contends that communication between physicians and PAs is often lacking.

The article also states that while some physicians underestimate PAs, others afford them far more responsibilities than they are able to assume, which may be the result of the great variation in the experience, skills, and knowledge of PAs.

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