KevinMD August 31, 2025
In today’s health care system, primary care is stretched thin. Patients face longer wait times, providers are burned out, and practices are under constant pressure to do more with less time in their hands. In the middle of this strain, I have noticed a troubling trend, divisions between physicians (MDs, DOs) and nurse practitioners (NPs) or physician assistants (PAs).
I strongly believe that patients and even all of us do not benefit from division. We all benefit from collaboration.
Different roles, one shared mission
Yes, physicians and NPs/PAs come from different training backgrounds, and each brings unique strengths to the table. Physicians have years of medical school and residency training, often with deep expertise in diagnostics and complex case management....







