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30 Things To Consider When Choosing A Collaborating Physician

Currently, 32 states and the District of Columbia at some point allow Nurse Practitioners to practice independently without a formal written practice agreement with a physician.

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Some of these states allow nurse practitioners to practice independently as soon as they are licensed. Others allow for independent practice (also called Full Practice Authority) after a "Transition To Practice" period where a designated number of supervised hours must be completed prior to independent practice.


The remaining 18 states have no transition to practice period and require a nurse practitioner to have a written practice protocol with a physician to practice as an advanced practice nurse all of the time.

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Therefore, many nurse practitioners must secure a collaborating physician to run their own clinic or private practice; it's a necessary business expense.


When choosing a collaborating physician, there are several important factors to consider to ensure a successful and productive working relationship.


Here's a list of 30 things to consider:

  1. Medical Specialty: Ensure that the collaborating physician specializes in a field that complements your own.

  2. Experience: Evaluate the collaborating physician's years of experience and track record in their specialty.

  3. Reputation: Research the physician's reputation among peers, patients, and within the medical community.

  4. Board Certification: Verify that the physician is board-certified in their respective specialty.

  5. Licensure: Ensure that the collaborating physician holds a valid medical license in your state or region.

  6. Location: Consider the proximity of the collaborating physician's practice or hospital to your own.

  7. Availability: Determine their availability for consultations, meetings, and emergencies.

  8. Communication Style: Assess their communication skills and compatibility with your own communication style.

  9. Workload: Ensure that the collaborating physician has the capacity to take on additional responsibilities.

  10. Collaborative History: Inquire about their past collaborations with nurse practitioners or other healthcare providers.

  11. Practice Setting: Consider whether the physician's practice setting aligns with your own career goals.

  12. Practice Size: Evaluate the size of their practice and patient population.

  13. Billing and Compensation: Discuss billing and compensation arrangements, including revenue sharing and insurance participation.

  14. Clinical Philosophy: Ensure that your clinical philosophies and approaches to patient care are compatible.

  15. Hospital Privileges: Verify that the collaborating physician has privileges at the hospitals where you work.

  16. Call Schedule: Discuss call schedules and responsibilities, including after-hours coverage.

  17. Malpractice Insurance: Ensure that both you and the collaborating physician have appropriate malpractice insurance coverage.

  18. Electronic Health Records (EHR): Determine whether their EHR system is compatible with yours.

  19. Patient Demographics: Consider whether the physician's patient population matches your own target demographic.

  20. Staff Collaboration: Assess their willingness to collaborate with your nursing staff and other team members.

  21. Quality Metrics: Discuss quality improvement initiatives and how you'll measure success.

  22. Continuing Education: Determine their commitment to ongoing medical education and professional development.

  23. Conflict Resolution: Establish a process for resolving conflicts or disagreements.

  24. Research Opportunities: Explore the potential for research collaborations, if relevant.

  25. Referral Network: Assess the physician's referral network and ability to connect patients to specialists.

  26. Cultural Sensitivity: Ensure that the collaborating physician is culturally sensitive and respects diversity.

  27. Technology Adoption: Evaluate their use of technology for patient care, such as telemedicine or electronic prescribing.

  28. Patient Satisfaction: Consider patient satisfaction ratings and feedback for the collaborating physician.

  29. Contract Terms: Carefully review the terms of any collaboration agreement or contract.

  30. Legal and Regulatory Compliance: Ensure that both you and the collaborating physician adhere to all relevant laws and regulations governing your practice.

Remember that choosing a collaborating physician is a critical decision that can significantly impact your career and the quality of patient care you provide. Take the time to thoroughly assess and discuss these factors before entering into a collaboration agreement.



Dr. Renee Parisi

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