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- Attending Physician
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wow, that's really messed up.
I'm actually surprised nobody else has seen this. NP's and PA's are very common in the hospital, both academic and community. I've had mid-level preceptors in rotations ranging from internal medicine to surgery to psychiatry to family medicine. The clerkship director or attending is an MD but the mid-levels are often equivalent to residents in terms of responsibility with their own set of patients. Some of them play the role of hospitalists admitting and rounding on patients (under an attending) while others are relied on for consults (again under an attending).

