Now it's time for me to chime in on this subject.
I have no problem with newankle delegating any responsibilities or duties to a new associate, especially if they are duties new ankle presently isn't performing. It is an opportunity for him to grow the practice in another direction, and offer services not previously offered.
However, I do have an issue with saying that duties can be performed by a new DPM or CRNP. I find that slightly insulting and don't personally believe that a DPM with residency training is on the same playing field as a CRNP.
I also don't believe the nursing home jobs you see advertised and new ankles hypothetical job is really a valid comparison. Those signing up for these mega-nursing home companies, have to realize that they will be treating patients in facilities, and not performing surgery, not going to the hospital, not performing consults, not seeing patients in the office, etc.
These companies pay very well and offer great benefits, because they are billing HUGE numbers, and billing very aggressively per visit. The new hire will be required to see as many patients that can be scheduled daily as possible, and the new hire is expected to do more than just palliative care. These companies aggressively perform non invasive vascular studies, ultrasounds, recommend expensive bracing (Richie Braces/Arizona Ankles, etc.) and as a result, bring in big bucks. They "justify" their existence by routinely recommending and performing vascular studies to "prove" these patients have PVD, therefore necessitating palliative care routinely. These jobs 'ain't about just clippin' nails. They are VERY aggressive with procedures and billing.
So I have no problem with newankle's proposal, as long as it involves hiring a DPM, because I don't believe hiring a CRNP will replace any quality DPM. They simply are not the same.
And one last note. I've GOT to bust Kidsfeet's balls just a little. I had a long day today, with barely enough time to grab some food during my 10 hour day. I saw quite a few patients, and 14 new patients today, and that's why I didn't have time to "relax".
Yet I see that Kidsfeet posted at: 9:23. 9:40, 10:50, 11:37, 12:30, 1:26, 2:29, 3:02, 3:03, 3:04, 3:13, 3:26, 3:36, 4:02, 4:18, 4:17 and finally at 6:44 (I guess he was home by then).
I'm a little envious that Kidsfeet has THAT much time during the day to dedicate to posting on this site.......I wonder what his employers would think of that much online "action"????????????????