A mid-level practitioner, also called physician's assistant, is a healthcare provider who has received different training and has a more limited practice scope than doctors and other health professionals in several states , but who have official certificates and accreditation through licensing agencies in their jurisdictions. Advanced Practice Provider (APP) is a term that Nurse Practitioners, Nurse Anesthetists, Doctor Assistants, Clinical Nurse Specialists, and Midwife Nurses prefer for themselves; not "Medium-level providers". The terms "Medium-level providers" or "Mid-level practitioners" have been widely accepted over the years and are generally used by most physicians as well as by the Federal Government of the United States.
Due to its diverse history, many categories of middle-level health workers can be found in different countries with different titles. Their training, function, scope of practice, regulation, and integration into formal health systems vary from country to country. Medium-level practitioners have many different titles, e.g. a physician's assistant, clinician, or nursing practitioner. They are increasingly being used to provide services independently, especially in rural and remote areas, to cover the shortage of doctors.
Video Mid-level practitioner
MLP by country
South Africa
In 2008, a new mid-level practitioner role was introduced in South Africa, known as a clinical colleague. This role is intended to support the workforce of the district hospital.
United Kingdom
Medium-level practitioners in the UK are known as Advanced Clinical Practitioners (ACPs) and are the evolution of many different professions that use titles such as 'Extended Practitioners' or 'Advanced Practitioners'. Historically there has been a debate about the consistency of quality in this senior physician and therefore it becomes necessary to produce a clear definition of the role of ACP. ACP:
- Is a registered health practitioner with at least 5 years of clinical experience (2 years in senior clinical role)
- Have acquired expert knowledge and complex decision-making skills that may be an extension of their traditional practice sphere
- Will take a two-year training course (Master's degree) in Advanced Practice
- Will retain CPD training and requirements
This is an emerging role and shows a lot of promise in meeting the demands of rapidly growing healthcare requirements in the UK. ACP can practice in acute settings (ED, critical care, medical or surgical wards) or community general practice/family medicine. Majority can independently assess, investigate (through science/blood imaging/laboratory, etc.), Diagnose and formulate treatments including prescribing medications or referring to specialist care.
The deployment of ACPs is considered to be part of the Values-Based Recruitment Framework driven by English Health Education (HEE). It seeks to appoint physicians based on their competencies, values ​​and behaviors in support of collaborative work and provides excellent patient care.
United States
In the United States, middle-level practitioners are the terms used to describe the category of health care workers with fewer training than doctors, but larger than regular nurses and other medical assistants. In recent years some organizations and specialties have proposed termination of mid-term terms referring to non-physician professional practitioners. This shift follows a paradigm shift toward a collaborative team-based care model, where there is no dominant professional. Other groups such as the American Academy of Family Physicians consider the term appropriate because it describes a clear distinction between training and expertise of doctors and non-doctors, and considers the term "provider" which includes both physicians and non-doctors to undermine.
The term middle-level practitioner or mid-level provider is related to the closure of health work. The concept is centered around doctors as the primary professional responsible for health care. As healthcare demands have increased in the United States because of the aging population, the shortage of doctors and the implementation of Patient Protection and the Affordable Care Act of 2010 there has been a shift towards more self-reliance in practice for professionals such as advanced practice nurses, pharmacists, dentists, podiatrist, dentist, and physician assistant previously described as part of this category.
As an example of a shift from the US Medicare system the terms both advanced nurse practices and physician assistants as "non-physician practitioners" (NPP). Medicare will pay for emergency services when the service meets the definition and requirements of critical care care.
Controversy
The American Academy of Nurse Practitioners (AANP) released a position statement in 2009, updated in 2010, 2013 and 2015 to denounce the use of some delegating terminology. Terms such as "mid-level providers," "extender doctors," "limited license providers," "non-physician providers," and "allied health providers" when referring to nurse practitioners are considered insulting by AANP. Practitioners of the American Nurse Academy prefer nurse practitioners called "Nurse Practitioners", "independent licensed providers," "primary care providers," "health care professionals," and "doctors." refers to the legal and professional paradigm that nursing practice is considered separate and independent from other licensed professionals.
Drug Enforcement Administration
The term mid-level practitioner as found in the DEA classification in Section 1300.01 (b28), Title 21, of the Code of Federal Regulations is not the appointment of health care and should not be confused with the terms as defined above. DEA uses the term medium level as a means of organizing drug diversion activities. Medium-level practitioners' terms as used by the DEA's Office of Transfer Control include doctors, other than doctors, dentists, veterinarians or podiatrists, who are licensed, registered, or allowed to issue controlled substances in professional practice.. Some healthcare professionals consider middle-level practitioners by DEA United States of America solely for the purpose of drug transfer control including:
Maps Mid-level practitioner
See also
- Allied health profession
- Health human resources
References
External links
- The Global Health Workers Alliance: mid-level health workers
Source of the article : Wikipedia
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