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The Disappearing Doctor: Challenging the Provider Paradigm

By Christina Shenvi, MD, PhD, MBA, FACEP | on August 11, 2025 | 1 Comment
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Together, the loss of autonomy, the shift to a task-based focus, the increasing pressures on physicians, and their devaluation as “providers” all contribute to the high rates of burnout currently experienced by attending physicians and residents, and the growing number of physicians who are leaving clinical practice. Use of the term provider is not the primary driver of burnout and workforce attrition. Rather, widespread and unquestioning adoption of the term is a symptom of greater problems.

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ACEP Now: August 2025 (Digital)

Respecting Professional Identity

A microaggression is a subtle, often unintentional, form of discrimination or devaluation. Although the term “provider” might seem harmless, its use in reference to physicians is a microaggression by devaluation. It strips physicians of the title that conveys their level of expertise and responsibility. It is akin to referring to university professors as information providers, judges as a sentence providers, or police officers as safety providers. Although those descriptors are not wholly wrong, they are not reflective of the full scope of their role and, importantly, are not respectful of their desired form of address.

Eliminating Use of “Provider”

In 2019, ACEP’s Council adopted a resolution that eliminated use of the word “provider” in all ACEP communications. Resolution 13, approved the Board of Directors on Oct. 30, 2019, calls instead for ACEP to refer to health care professionals by their education degree and titles. For example, instead of calling a nurse practitioner a “provider,” they would simply be referred to as a nurse practitioner.

In October 2023, ACEP issued a policy statement reaffirming this stance, saying that “ACEP believes that, to ensure transparency and clarity for patients and families, health care professionals in the health care setting should be identified based on their specific health care professional training, specific skill sets, and abilities.

ACEP strongly supports health care professionals being identified as physicians, nurse practitioners, or physician assistants, respectively, and strongly opposes the use of the generic term “provider” or any other non-specific terminology. In addition to physicians, nurse practitioners, and physician assistants, the emergency department care team is composed of many other clinical and non-clinical staff. ACEP recommends the use of the terminology “health care staff” or “health care workers” when referring to the entire team.

Use of the term often stems from administrative convenience or to create a sense of equivalence among health care team members. Although interdisciplinary collaboration and respect are crucial; they should not come at the cost of erasing individual professional identities. Acknowledging the differences among health care workers is not intended to establish a hierarchy, but to appreciate and respect the unique value each person in his or her role contributes to the team.

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Topics: Burnoutcorporate medicineOpinionPhysician Autonomyphysician-led careProfessional IdentityWorkforce

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One Response to “The Disappearing Doctor: Challenging the Provider Paradigm”

  1. August 29, 2025

    Pam Bensen, MD Reply

    Dr. Shenvi,
    This is a wonderful article. There are other words we can substitute in the same context as ‘physician’ where a substitute has subtlety altered perceptions. The use of the word ‘reimbursement’ rather than ‘payment’ has resulted in a radically different perception of the financial arrangements for physician services.
    I would love to read an article where you applied your logic and knowledge to the word ‘reimbursement’ to provide the same insights as found here.
    I wrote a similar article to ACEP asking them to replace reimbursement with payment, but got no where. I am going to compare your article to my request and see if I can improve mine and resubmit it unless you would do it instead. Keep up the great work

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