Medical Economics July 5, 2023
Rebekah Bernard MD

What is the impact of nonphysician providers on physician education?

Most medical students and resident physicians in academic medical centers today work side-by-side with nonphysician practitioners (NPPs)—nurse practitioners (NPs) and physician assistants (PAs). While teaching facilities report resident work-hour restrictions as a leading cause for hiring NPPs, little research has been performed to evaluate the impact of these NPPs on resident physician education. According to Andrew W. Phillips, MD, MEd, the lead author of a new study evaluating the effect of NPPs on emergency medicine resident physicians, there is cause for concern.

“Most residents in our study reported that NPs and PAs in the emergency department detracted from their education,” said Phillips, noting that one factor was the forfeiture of...

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