Question: What are the training requirements of mid level providers?
From: Andrew S. of Rochester, NY
Answer: Besides physicians, there are other members of the health care team who provide a certain level of care to patients. They are mid-level practitioners and include Nurse Practitioners and Physician Assistants. They are licensed and often provide more than a registered nurse can provide, but less than a physician provides. Mid-level practitioners also include certified registered nurse practitioners (CRNPs), nurse midwives, and nurse anesthetists. These professionals are all registered nurses, most with bachelor’s degrees or the equivalent, and additional training for certification. Physician assistants graduate from a 5 to 6 year program. All mid-level practitioners are licensed within the state where they practice. If permitted by the state, nurse midwives may treat patients independently. Most other mid-level practitioners work under the direct supervision of a physician. Federal law allows mid-level practitioners to treat patients for certain conditions without physician oversight if they work in a rural area that has a shortage of PCPs (primary care physicians).



Ruthann Russo, PhD, JD, MPH, RHIT, is a healthcare expert with more than 20 years of experience working in and advising healthcare organizations.



