Just a short poll to see if the practice is widespread...

WTF? The thought of a residency program that has mid-levels supervising the education of MDs is extremely unsettling. I would not want to be a part of that program. I would not want to be a patient at that hospital either.

-The Trifling Jester

WTF? The thought of a residency program that has mid-levels supervising the education of MDs is extremely unsettling. I would not want to be a part of that program. I would not want to be a patient at that hospital either.

-The Trifling Jester

I've seen it happen at FM programs when the FM residents are covering for inpatients. I'm curious to know if it happens in other primary care fields as well...

This is not necessarily a bad thing. We have our residents work directly with OB-GYN NP's learning the fine points of pelvic exams, and with our optomotrist learning the basic eye exam, and with the nurses in the coumadin clinic. They are great experiences. However, final oversight of all residents on all rotations rests with a physician (who takes the feedback from the RN/NP/PA/OD very seriously)

This is not necessarily a bad thing. We have our residents work directly with OB-GYN NP's learning the fine points of pelvic exams, and with our optomotrist learning the basic eye exam, and with the nurses in the coumadin clinic. They are great experiences. However, final oversight of all residents on all rotations rests with a physician (who takes the feedback from the RN/NP/PA/OD very seriously)

I agree I think the above use of "midlevels" or whatever you want to call them is great in the above situations. What I thought the OP was referring to was oversight in clinic, on wards, etc which I would think would not be optimal.

agree with last poster.
I don't think NP's or PA's should be supervising residents in clinic or on the wards, though it's important to learn to work with them, and learn from them too.

What I thought the OP was referring to was oversight in clinic, on wards, etc which I would think would not be optimal.

That is indeed what I'm referring to. I'm comparing FM/IM/ER to see if this practice exists in their respective worlds. Thus far it seems to be far more common in the FM world than in the other two.