Doctors' Writing Contest 2011 Best Practice Solution: A dozen years with midlevels

The author came to a realization one day that while he was operating a successful practice, he now had more patients than he could handle.

Key Points

What could I do to avoid working myself to death and still spend enough time with patients without losing revenue? A cardiologist friend jokingly suggested I clone myself.

Every silver cloud has a dark lining, however. The mistakes I made related to midlevel providers partially contributed to my losing my solo practice. Here I share with you advice to make the use of midlevel providers work in your practice, based on what I have done right and what I have done wrong in 12 years of supervising NPs and PAs.


Midlevels can add much value to your practice-for you and your patients-if you remember these points: