This research was presented at the Annual Meeting of the Academy of Otolaryngology September 29, 2010.
Article first published online: 12 OCT 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 11, pages 2317–2321, November 2011
How to Cite
Norris, B., Harris, T. and Stringer, S. (2011), Effective use of physician extenders in an outpatient otolaryngology setting. The Laryngoscope, 121: 2317–2321. doi: 10.1002/lary.22192
The authors have no financial disclosures for this article.
The authors have no conflicts of interest to disclose.
- Issue published online: 21 OCT 2011
- Article first published online: 12 OCT 2011
- Manuscript Accepted: 27 JUN 2011
- Manuscript Received: 18 NOV 2010
- Physician extender;
- midlevel providers;
- practice management;
- Level of Evidence: 5.
Physician extenders may be a valuable asset to an outpatient otolaryngology practice. The adjunctive care provided by physician extenders appears to be cost effective and has the advantages of increasing patient education, promoting physician productivity, and improving management of chronic conditions. Practice types that may benefit from advanced practice providers include group or solo practices with high demand or who need improved efficiency. We discuss five different practice models for incorporation of advanced practice providers in an outpatient otolaryngology practice. These models include scribe, collaborative, limited independent, partial independent, and near complete independent practice and are based primarily on the autonomy level of the physician extender. In additon, we examine available literature discussing the cost effectiveness of physician extenders used in an outpatient setting.