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Effective use of physician extenders in an outpatient otolaryngology setting
Author(s) -
Norris Byron,
Harris Tristen,
Stringer Scott
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.22192
Subject(s) - otorhinolaryngology , medicine , asset (computer security) , physician assistants , ambulatory care , autonomy , clinical practice , family medicine , private practice , best practice , nursing , nurse practitioners , health care , management , surgery , computer science , computer security , political science , law , economics , economic growth
Physician extenders may be a valuable asset to an outpatient otolaryngology practice. The adjunctive care provided by physician extenders appears to be cost effective and has the advantages of increasing patient education, promoting physician productivity, and improving management of chronic conditions. Practice types that may benefit from advanced practice providers include group or solo practices with high demand or who need improved efficiency. We discuss five different practice models for incorporation of advanced practice providers in an outpatient otolaryngology practice. These models include scribe, collaborative, limited independent, partial independent, and near complete independent practice and are based primarily on the autonomy level of the physician extender. In additon, we examine available literature discussing the cost effectiveness of physician extenders used in an outpatient setting.