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A collaborative practice agreement (CPA) is a legal document in the United States that establishes a legal relationship between clinical pharmacists and collaborating physicians that allows for pharmacists to participate in collaborative drug therapy management (CDTM).
In United States and Canada, an attending physician (also known as a staff physician or supervising physician) is a physician (usually an M.D., or D.O. or D.P.M. in the United States) who has completed residency and practices medicine in a clinic or hospital, in the specialty learned during residency. [1]
In many states PAs are required to have a direct agreement with a physician. [3] In the UK, PAs were introduced in 2003. They support the work of the healthcare team, but are dependent clinicians requiring supervision from a physician. [4] They cannot prescribe medications nor request ionising radiation investigations (e.g., x-ray) in the UK. [5]
The remaining 23 states require NPs to have a collaborative agreement with a physician to provide patient care. Within these 23 states, 11 further require NPs to have physician supervision or delegation for specific aspects of practice, though the physician might not be physically present at the treatment location. [5]
Physician anesthesiologists are termed "peri-operative physicians", and are involved in optimizing the patient's health before surgery, performing the anesthetic and associated procedures (e.g. neuraxial anesthesia, specialized intravascular access), following up the patient in the post-anesthesia care unit and post-operative wards, and ...
disguised as consulting contracts, royalty agreements, or gifts. The companies and physicians who engage in such kickback schemes are subject to criminal, civil, and administrative prosecution. Additionally, physician ownership of medical device manufacturers and related businesses appears to be a growing trend in the medical device sector.
Mid-level practitioners, also called non-physician practitioners, advanced practice providers, or commonly mid-levels, are health care providers who assess, diagnose, and treat patients but do not have formal education or certification as a physician. The scope of a mid-level practitioner varies greatly among countries and even among individual ...
In states that have opted out of supervision, the Joint Commission and CMS recognize CRNAs as licensed independent practitioners. [5] In states requiring supervision, CRNAs have liability separate from supervising practitioners and are able to administer anesthesia independently of physicians, such as Anesthesiologists. [6] [7] [8] [9]
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