Ensuring Adequate Preparation for Patient Care Through Interprofessional Team-Based Training and Postgraduate Residencies for Nonphysician Clinicians
Authors: Rebecca S. Brienza
Journal: Annals of Internal Medicine (2023)

Editorials26 December 2023Ensuring Adequate Preparation for Patient Care Through Interprofessional Team-Based Training and Postgraduate Residencies for Nonphysician CliniciansRebecca S. Brienza, MD, MPHRebecca S. Brienza, MD, MPHVA Connecticut Center of Education in Interprofessional Primary Care, West Haven, and Yale School of Medicine, New Haven, ConnecticutAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-3153 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Over recent years, there has been a movement to expand scopes of practice for nurse practitioners (NPs), physician assistants, and other health care professionals to practice independent of physicians. In its position paper, the American College of Physicians (ACP) summarizes ACP recommendations for physician-led, team-based Patient Centered Medical Home (PCMH) models (1). ACP's role in defending the scope of physicians in the PCMH model and other team-based models is laudable. However, I think the recommendations do disservice to the goal of supporting high-functioning teams by overemphasizing the hierarchical nature of the teams with physicians as a dominant lead. A better ...References1. Crowley R, Pugach J, Williams M, et al. Principles for the physician-led Patient-Centered Medical Home and other approaches to team-based care: a position paper from the American College of Physicians Ann Intern Med. 26 December 2023. [Epub ahead of print]. doi:10.7326/M23-2260 LinkGoogle Scholar2. Smith CD, Balabat C, Corbridge S, et al. Implementing optimal team-based care to reduce clinician burnout. NAM Perspectives. Discussion Paper. National Academies of Medicine; 2018. doi:10.31478/201809c CrossrefGoogle Scholar3. Edwards ST, Hooker ER, Brienza R, et al. Association of a multisite interprofessional education initiative with quality of primary care. 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[PMID: 27010049] doi:10.17226/21838 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Rebecca S. Brienza, MD, MPHAffiliations: VA Connecticut Center of Education in Interprofessional Primary Care, West Haven, and Yale School of Medicine, New Haven, ConnecticutDisclosures: The author has reported no disclosures of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M23-3153.Corresponding Author: Rebecca S. Brienza, MD, MPH, VA Connecticut Center of Education, Section of General Internal Medicine, Yale School of Medicine, 950 Campbell Avenue, West Haven, CT 06516; e-mail, rebecca.brienza@va.gov.This article was published at Annals.org on 26 December 2023. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPrinciples for the Physician-Led Patient-Centered Medical Home and Other Approaches to Team-Based Care: A Position Paper From the American College of Physicians Ryan Crowley , David Pugach , Margo Williams , Jason Goldman , David Hilden , Anne Furey Schultz , and Micah Beachy , for the Health and Public Policy Committee and the Medical Practice and Quality Committee of the American College of Physicians Metrics Latest Keywords Health care Health care delivery Nurses Prevention, policy, and public health ePublished: 26 December 2023 PDF downloadLoading ...