186:. The scope of a mid-level practitioner varies greatly among countries and even among individual practitioners. Some mid-level practitioners work under the close supervision of a physician (such as doing pre-op and post-op assessment and management, thus allowing surgeons to spend more of their time operating), while others function independently and have a scope of practice difficult to distinguish from a physician. The legal scope of practice for mid-level practitioners varies greatly among jurisdictions, with some having a restricted and well-defined scope, while others have a scope similar to that of a physician. Likewise, the training requirement for mid-level practitioners varies greatly between and within different certifications and licensures.
505:
36:
365:(AP) and occurred as an evolution of many differing professions which use various titles such as ‘Extended Scope Practitioner’. Historically there has been debate over the consistency of quality in these senior clinicians and therefore it became necessary to generate a distinguished definition of the ACP role.
751:, who is licensed, registered, or otherwise permitted by the United States or the jurisdiction in which he/she practices, to dispense a controlled substance in the course of professional practice." Some health professionals considered mid-level practitioners by the United States DEA include:
396:
The deployment of ACPs is considered to be part of a Value Based
Recruitment framework driven by Health Education England (HEE). This seeks to appoint clinicians based upon their competencies, values and behaviours in support of collaborative working and delivering excellent patient care.
105:
advanced practice practitioner, advanced practice provider, advanced practice clinician, advanced clinical practitioner, advanced clinical provider, non-physician practitioner, non-physician provider, physician assistant (hyponym), nurse practitioner (hyponym), advanced practice nurse
420:
The term mid-level practitioner or mid-level provider is related to the occupational closure of healthcare. This concept centered around physicians as the ultimate professional responsible for healthcare. As healthcare demands have increased in the United States due to an
336:
cases in rural areas of India. According to these guidelines, symptomatic cases can be triaged at village level by tele-consultation with a
Community Health Officer (CHO), and cases with comorbidity or low oxygen saturation should be sent to higher centres.
409:, these clinicians are described as "dependent practitioners", meaning that they require supervision at all times by a physician. They cannot prescribe medications nor can they request tests that use ionising radiation such as X-rays.
1129:
393:/ Family Medicine. The majority can independently assess, investigate (through blood tests / imaging etc.), diagnose and formulate a treatment plan including prescribing medications or referring to specialist care.
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461:
in reference to professional practitioners who are not physicians. Each organization prefers to use their specific title, and physicians' organizations are concerned about
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936:
1198:
417:
In the United States, mid-level practitioners are health care workers with training less than that of a physician but greater than that of nurses or medical assistants.
1223:
1104:
306:
are eligible for this cadre. This means that they are trained and legally permitted to provide healthcare in fewer situations than physicians but more than other
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227:
able to diagnose and treat medical conditions, within the scope of their training and licensure, by prescribing medication and/or performing surgery.
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493:
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531:
1130:"Anganwadi Workers, Community Health Officers at Ayushman Bharat Health and Wellness Centres now under Schedule K of Drugs and Cosmetics Rules"
679:
669:
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329:
189:
Because of their diverse histories, mid-level providers' training, functions, scope of practice, regulation, and integration into the formal
193:
vary from country to country. They have highly variable levels of education and may have a formal credential and accreditation through the
941:
242:
194:
1080:
897:
Mid-level health workers: The state of the evidence on programmes, activities, costs and impact on health outcomes - A literature review
628:
197:
in their jurisdictions. In some places, but not others, they provide healthcare, particularly in rural and remote areas, to make up for
45:
78:
1432:
375:
Has acquired expert knowledge and complex decision making skills which may be an extension of their traditional scope of practice
221:
1347:
372:
Is a registered healthcare practitioner with a minimum of 5 years clinical experience (2 years in a senior clinical role)
622:
844:
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261:. Nurse practitioners are permitted to provide several, but not all, of the health care services physicians provide.
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1274:"Developing a new mid-level health worker: lessons from South Africa's experience with clinical associates"
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are now allowed to supply certain medicines to the patients, as they have been included in
Section 23 of
1417:
735:
as defined by the DEA Office of
Diversion Control, "...means an individual practitioner, other than a
1278:
1248:"Govt issues guidelines on Covid management in rural, peri-urban areas | India News - Times of India"
1224:"Amid rising COVID-19 cases in rural areas, Centre's guidelines to contain virus spread – Check here"
434:
179:
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919:
Mid-level health providers: a promising resource to achieve the health
Millennium Development Goals
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1007:"Over 12 lakh people treated for free under Ayushman Bharat; 10000 Wellness Centres operational"
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In recent years some organizations and specialties have proposed the discontinuance of the term
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who assess, diagnose, and treat patients but do not have formal education or certification as a
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of 2010 there has been a shift toward more independence in practice for professionals such as
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273:. The role was intended to support the community-level Health and Wellness Centres in India.
213:
includes in this category all healthcare providers with all of the following qualifications:
1295:
1287:
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982:
723:
The term mid-level practitioner as found in the DEA classification in
Section 1300.01(b28),
593:
422:
390:
1159:
664:
1394:
U.S. Department of
Justice Drug Enforcement Administration, Office of Diversion Control
1366:
U.S. Department of
Justice Drug Enforcement Administration, Office of Diversion Control
1300:
1273:
1199:"Centre releases Covid-19 guidelines for rural areas, focus on surveillance, screening"
405:
Physician
Associates (PAs) practising in the United Kingdom is the equivalent title to
17:
597:
56:
1426:
804:
269:
In 2019, a new mid-level health care provider role was introduced in India, known as
190:
605:
345:
In 2008, a new mid-level practitioner role was introduced in South Africa, known as
241:
In Canada there are four "allied primary health practitioners" identified under the
1105:"NMC Bill's Mid-Level Community Health Provider An Interim Option: Health Ministry"
809:
794:
744:
116:
60:
310:. In India, Community Health Officer is another name for mid-level practitioner.
799:
584:
Devi, Sharmila (2011). "US nurse practitioners push for more responsibilities".
442:
132:
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780:
748:
322:
389:
ACPs may practice in the acute setting (ED, critical care, etc) or community
1174:"Centre issues guidelines on Covid-19 management in rural, peri-urban areas"
736:
183:
1309:
1291:
925:, Geneva: World Health Organization, Global Health Workforce Alliance, 2010
285:
are trained health care providers who have a defined scope of practice. In
1081:"Roles and responsibilities of mid level health provider-Indian Journals"
849:
333:
155:
128:
770:
740:
292:
254:
731:
is used as a means of organizing drug diversion activities. The term
151:
349:. The role was intended to support the district hospital workforce.
1336:. 28 November 2014. Archived from the original on 27 December 2016.
286:
547:
Use of Terms Such as Mid-Level
Provider and Physician Extender
469:
Professional Health Care Organizations' positions on the term
29:
754:
1057:"Ministry of Health & Family Welfare 2020 ACHIEVEMENTS"
629:"Pediatric Nurse Practitioner Professional Profile and FAQ"
1418:
Global Health Workforce Alliance: mid-level health workers
220:
having at least two years training at university or other
691:
332:
published guidelines for the prevention and control of
1387:"Mid-Level Practitioners Authorization by State Chart"
636:
National Association of Pediatric Nurse Practitioners
615:
National Association of Pediatric Nurse Practitioners
614:
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trained and legally authorized to provide healthcare,
1327:"East Midlands Advanced Clinical Practice Framework"
715:, which was what the acronym historically stood for
983:"Health and Wellness Centres under Ayushman Bharat"
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110:
101:
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1272:Doherty, J; Conco, D; Couper, I; Fonn, S (2013).
1362:"Mid-Level Practitioners Authorization by State"
357:Mid-level practitioners in the UK are known as
696:AAEM - American Academy of Emergency Medicine
8:
1321:
1319:
937:"3124 - Allied primary health practitioners"
385:Will maintain training and CPD requirements
91:
912:
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319:Ayushman Bharat Health and Wellness Centres
571:American Association of Nurse Anesthetists
431:Patient Protection and Affordable Care Act
59:. Please do not remove this message until
1299:
507:A Guide for Writing and Talking About PAs
79:Learn how and when to remove this message
1128:Bureau, Medical Dialogues (2021-03-03).
1032:"Why we need community health providers"
692:"American Academy of Emergency Medicine"
665:"Provider, Use of Term (Position Paper)"
515:American Academy of Physician Associates
494:American Academy of Physician Associates
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55:Relevant discussion may be found on the
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555:American Academy of Nurse Practitioners
532:American Academy of Nurse Practitioners
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680:American Academy of Emergency Medicine
382:) training course in Advanced Practice
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969:"NPS ordering ultrasounds and X-rays"
670:American Academy of Family Physicians
653:American Academy of Family Physicians
330:Ministry of Health and Family Welfare
7:
942:National Occupational Classification
657:Against use of "provider" in general
325:of Drugs and Cosmetics Rules, 1945.
243:National Occupational Classification
903:, Geneva: World Health Organisation
378:Will undertake a two-year level 7 (
279:Mid Level Health Providers (MLHPs)
25:
275:Community Health Officers (CHOs)
34:
719:Drug Enforcement Administration
359:Advanced Clinical Practitioners
222:institution of higher education
429:and the implementation of the
271:Community Health Officer (CHO)
1:
598:10.1016/S0140-6736(11)60214-6
27:Clinical health care provider
623:Pediatric nurse practitioner
283:non-physician practitioners,
790:Anesthesiologist assistants
729:Code of Federal Regulations
172:advanced practice providers
168:non-physician practitioners
61:conditions to do so are met
1449:
840:Anesthesiologist Assistant
687:Advanced Practice Provider
453:Concerns about terminology
259:anesthesiologist assistant
1346:: CS1 maint: unfit URL (
835:Allied health professions
315:Community Health Officers
211:World Health Organization
1433:Health care occupations
1334:National Health Service
870:Pathologists' assistant
845:Certified Nurse‐Midwife
830:Advanced practice nurse
164:Mid-level practitioners
18:Mid-level practitioners
1292:10.3402/gha.v6i0.19282
1085:www.indianjournals.com
855:Health human resources
733:mid-level practitioner
484:Preferred Alternative
471:mid-level practitioner
363:Advanced Practitioners
92:Mid-level practitioner
711:*preferred even over
180:health care providers
1279:Global Health Action
1228:www.timesnownews.com
761:Physician assistants
435:physician assistants
401:Physician Associates
308:health professionals
245:(NOC) section 3124:
1254:. PTI. May 16, 2021
1134:medicaldialogues.in
949:. November 21, 2011
894:Lehmann, U (2008),
875:Physician assistant
766:Nurse practitioners
713:physician assistant
474:
439:nurse practitioners
407:physician assistant
347:clinical associates
313:Recently in India,
247:physician assistant
199:physician shortages
93:
48:of this article is
1252:The Times of India
1178:The Indian Express
1158:has generic name (
865:Nurse practitioner
776:Nurse anesthetists
540:Nurse practitioner
468:
427:physician shortage
251:nurse practitioner
947:Statistics Canada
860:Nurse anesthetist
820:
819:
709:
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592:(9766): 625–626.
579:Nurse anesthetist
447:dental therapists
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638:. March 2015
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205:Definitions
139:Description
133:health care
69:August 2023
1258:2021-05-18
1233:2021-05-18
1209:2021-05-18
1184:2021-05-18
1139:2021-03-29
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1090:2021-03-29
1066:2021-03-30
1042:2021-03-29
1017:2021-05-18
992:2020-01-14
987:pib.gov.in
881:References
749:podiatrist
701:2019-03-27
586:The Lancet
323:Schedule K
176:mid-levels
147:employment
97:Occupation
46:neutrality
1286:: 19282.
737:physician
727:, of the
642:March 27,
481:Position
459:mid-level
368:The ACP:
361:(ACP) or
184:physician
156:hospitals
145:Fields of
106:(hyponym)
57:talk page
1427:Category
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