July 9, 2021
Many thanks to Rhonda Finnie, DNP, APRN (and a lot of other acronyms due to her many certifications!) for joining me today to examine the role of nurse practitioners and other nonphysician providers in the health care team.
We discussed the recent article published in JAMA Neurology by Calli Cook, DNP, and Heidi Schwarz, MD, that called attention to the role of advanced practice clinicians (APCs) in neurology (1). Rhonda’s clinical focus for more than 15 years has been neurology and neurosurgery. Currently, she works as a nurse with a 5-member neurosurgical group where she evaluates and cares for patients in the emergency room and intensive care unit. Her clinical activities allow the neurosurgeons to spend more time in the operating room employing their unique skills
Advanced practice clinicians are a growing part of the healthcare workforce. For example, of the 36,000 members of the American Academy of Neurology, more than 1,600 are APCs. How these providers integrate into patient care with respect to autonomy and scope of practice is very much a work in progress. The inclusion of “midlevels” has not been without its growing pains. Rhonda clarified how the addition of APCs to the healthcare team can benefit patients.
Rhonda explained that postgraduate education such as specialty boards can help APCs prepare for roles in neurology. Mastering the neurologic clinical examination is another key to success.
Physicians and organizations that employ APCs need to have appropriate expectations. Rhonda emphasized that APCs are “not there to replace the physician.” Physicians shouldn’t feel threatened by the integration of APCs into the healthcare team.
Please enjoy this 20-minute interview. Your feedback is always welcome.
PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"
Cook CL, Schwarz HB. Advanced Practice Clinicians-Neurology’s Underused Resource, JAMA Neurology, May 24, 2021, doi:10.1001/jamaneurol.2021.1416.
For more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthor
If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"
To never miss a program, subscribe at www.andrewwilner.com. You'll learn about new episodes and other interesting programs I host on Medscape.com, ReachMD.com, and RadioMD.com.
Please rate and review each episode.
To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com
Finally, this production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens.
If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.
Or paste this link into your browser: