Originally Posted by laxman310
The solution IS midlevels, that we oversee and train, and that we bill for. Optimally the patient would always have access to the doctor, knowing that it would cost more to see them, Initial visits should always be staffed with the doc (IMHO) to establish rapport and provide a quick screening.
Once you've trained them, tested them, and had the AAD issue them a certificate of competence, what exactly is stopping them from demanding independent practice rights? Why should an "residency trained" PA settle for letting you bill for their services? The anesthesiologists got greedy too, training CRNAs so they could run (and bill for) 6 ORs at the same time - now look at the mess they've created for themselves.
I honestly can't understand why physicians as a group are so penny-wise and pound-foolish.