Lastly, once should not determine competency or mastery in a vacuum. Medicine is a team effort, and in the case of an APP, the interaction with the collaborating physician is essential. Table 2 demonstrates the factors needed to achieve success in the APP/physician relationship.9
Explore This IssueACEP Now: Vol 34 – No 02 – February 2015
A successful APP/physician team requires trust, communication, current evidence-based practice guidelines, feedback, and experience. Although state laws vary regarding the extent of practice and level of collaboration for APPs, hospitals and ED groups may set their own standards independently.
The goal is, of course, collaboration among competent APPs, physicians, and other health care providers working together to meet the needs of patients and improving patients’ health and outcomes in the emergency department setting.
Dr. Danielsen is professor and dean of the Arizona School of Health Sciences, a school of A.T. Still University, in Mesa. He has practiced for more than 40 years in the fields of emergency medicine, occupational medicine, internal medicine, and allergy/asthma. He is a faculty member with The Center for Medical Education, Inc., lecturing at the Emergency Medicine Boot Camp.
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