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Position Papers |

Physician Assistants and Nurse Practitioners

American College of Physicians.
[+] Article, Author, and Disclosure Information

This paper was authored by Harold C. Sox, Jr., MD; Jack A. Ginsburg, MPE; H. Denman Scott, MD, MPH. It was developed for the ACP Task Force on Physician Supply: James P. Nolan, MD, Chair; William Cannon, MD; Clifton R. Cleaveland, MD; Robert Copeland, MD; Frank Davidoff, MD; Susan Deutsch, MD; F. Daniel Duffy, MD; Paul A. Ebert, MD; Robert I. Frye, MD; Paul F. Griner, MD; Rolf M. Gunnar, MD; Ruth Hanft, PhD; Howard Shapiro, PhD; Joseph S. Solovy, MD; Steven A. Wartman, MD, PhD. Ruth Hanft dissented from positions 4 and 6. Approved by the Board of Regents on 18 April 1994. Requests for Reprints: Jack A. Ginsburg, MPE, American College of Physicians, 700 Thirteenth Street Northwest, Suite 250, Washington, D.C. 20005.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1994;121(9):714-716. doi:10.7326/0003-4819-121-9-199411010-00014
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This position paper by the American College of Physicians Task Force on Physician Supply examines expanded roles for physician assistants and nurse practitioners in light of projected shortages of primary health care providers.Meta-analyses and other literature reviews comparing the care provided by nurse practitioners and physician assistants with that by primary care physicians had methodologic shortcomings that made the data difficult to interpret. There were no studies comparing nurse practitioners in independent practice with physicians. Seven policy positions are articulated.





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