Working under an MD

This will vary by the practice and the physician as well as by state.

Most NPs practice fairly independently. I will say, I feel very strongly, that all providers should practice collaboratively and consult with each other, whether that is in clinic or on wards.

Colllaboration is not necessary and should not be mandated at the government level. If you need help you should be bale to decide yourself an dnot be forced to collab wiht a md.

Colllaboration is not necessary and should not be mandated at the government level. If you need help you should be bale to decide yourself an dnot be forced to collab wiht a md.

Why are you so obtuse?

I live in a collaborative state. My collaborator is 250 miles away and I've seen only twice at a conference. Nice guy. Other than that, I have very infrequent and limited interaction. When I do contact him it's because he's also my administrative superior and has to sign CME reimbursement and leave statements.

Colllaboration is not necessary and should not be mandated at the government level. If you need help you should be bale to decide yourself an dnot be forced to collab wiht a md.

If you re-read the original post by BostonFNP it said that healthcare providers "should" collaborate and consult with one another. No one said anything about mandatory collaboration.

And you know this based on?

Collaboration between all members of the healthcare team is important, especially for the PCPs (regardless if they are NP/PA/MD/DO). There can be arguments about collaborative requirements in regard to independent practice, however, that doesn't mean collaboration should cease. I speak to at least 10-20 different HCPs per day from radiology to specialists to VNA to HHAs.

BostonFNP, I like how you look at collaboration and consulting. Healthcare providers at all levels should be working together and consulting one another to deliver the best quality of patient care.

For example, my PCP regularly consults with my neurologist before he adjusts any medications or implementing treatments that may impact the treatment of my seizure disorder. I'm thankful that they collaborate well and I don't think any less of my PCP as a physician because he doesn't try to manage my seizure disorder on his own or because he doesn't claim to be a neurologist. You can still be a solid NP and independent provider while working collaboratively with other healthcare providers (which seems like the point that BostonFNP was making).

!Chris