“A physician is obligated to consider more than a diseased organ, more even than the whole man – he must view the man in his world.” — Dr. Harvey Cushing
Fam Pract Manag. 2014 Jul-Aug;21(4):36.
Author disclosure: no relevant financial affiliations disclosed.
The growing patient population, innumerable regulations, and intense financial and time pressures have compounded the challenges of primary care practice. To distribute the workload and achieve efficiencies, many practices are expanding the role of allied health professionals such as nurse practitioners and physician assistants or creating new roles, such as health education specialists.1
Although these team members certainly have a role in the evolving model of primary care, let's be candid: As a physician, it is unsettling to watch fundamental patient care tasks progressively being handed to others who may lack extensive medical training.
1. Chambliss ML, Lineberry S, Evans WM, Bibeau DL. Adding health education specialists to your practice. Fam Prac Manag. 2014;21(2):10–15.
2. Epstein RM, Franks P, Shields CG, et al. Patient-centered communication and diagnostic testing. Ann Fam Med.2005;3(5):415–421.
3. Fiscella K, Meldrum S, Franks P, et al. Patient trust: is it related to patient-centered behavior of primary care physicians? Med Care. 2004;42(11):1049–1055.
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