As a medical student, you should have your facts in order prior to making inaccurate statements
(though it doesnt seem to impact the current president).
The term midlevel is formally opposed by the major American professional associations of Nurse Practitioners, Physician Assistants, and Nurses in general as well as some professional Physician Associations
American Academy of Physician Assistants
https://www.aapa.org/wp-content/uploads/2017/01/Policy-Manual-16-17.pdf
HP-3100.1.3AAPA believes that, whenever possible, PAs should be referred to as “physician assistants” and not combined with other providers in inclusive non-specific terms such as “midlevel practitioner”, “advanced practice clinician”, or “advanced practice provider”.[Adopted 2008, reaffirmed 2013]
American Pediatric Surgical Nurses Association
http://c.ymcdn.com/sites/www.apsna....n-statements/PositionStatement_MLP_Final_.pdf
APSNA Position: APSNA endorses the consensus statement issued by AANP on the use of terms such as mid-level provider and physician extender.
Emergency Nurses Association
https://www.ena.org/SiteCollectionDocuments/Position Statements/Joint/AANPNPConsensusStatement.pdf
ENA Position: ENA endorses the consensus statement issued by AANP on the use of terms such as mid-level provider and physician extender.
Medicare/CMS
https://www.acep.org/Clinical---Practice-Management/Medicare-Mid-Level-Provider-FAQ/
FAQ 1. What is a Non-Physician Practitioner (NPP) and how does the definition apply in the ED? What is the appropriate terminology for NPs and PAs in the ED?
An NPP in the ED is defined by Medicare as either a nurse practitioner (NP) or a physician assistant (PA). Of note, there is no agreed upon terminology that encompasses NPs and PAs in the ED. In grouping these providers, the DEA uses the term "midlevels" while the Federal agencies use a variety of references. For the sake of this FAQ, NPs and PAs will be referred to as advanced practice providers (APPs), as this seems to be gaining favor.
American College of Emergency Physicians (in support of Society of Emergency Medicine Physician Assistants)
http://www.acepnow.com/title-physician-assistant
The policy of the Society of Emergency Medicine Physician Assistants (SEMPA) is that physician assistants should only be referred to by the title “physician assistant” or the common abbreviation PA. In the case of an emergency medicine physician assistant, the abbreviation EMPA is also acceptable.
SEMPA opposes the use of terminology such as mid-level provider, physician extender, physician’s assistant, and non-physician provider when referring to a physician assistant.
It should also be noted the term "Mid-Level-Provider" was formally defined and implemented as a final rule by the DEA in 1993 in order provide a classification for
"DEA registrations granting controlled substances privileges consistent with the authority granted them under state law." Undoubtedly, this is where the term flowed from down thru state regulation in order to closely match terminology from the DEA.
