Comments on: Are mid-levels being misused? http://www.kevinmd.com/blog/2007/10/are-mid-levels-being-misused.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/10/are-mid-levels-being-misused.html#comment-81102 Anonymous Thu, 18 Oct 2007 02:17:00 +0000 http://clients.emmense.com/kevinmd/2007/10/are-mid-levels-being-misused.html#comment-81102 Mid-levels are being misused when they are used to make the physicians work loard manageable and predictable by haveing the mid-level take care of the urgent and more acute matters. Lives have been lost becuase of this. <br/><br/>In outpatient clinics mid-levels should be used for the rountine algorithym driven follow-ups while the urgent visits and people with unknown diagnoses should be seen by the people best trained to detect the serious cases. <br/><br/>In inpatient settings mid-levels should be used to manage discharge planning and following up on results--not the initial H & P or eval where subtle advantages in training in clinical diagnostic evaluation can make all the difference in the world. Mid-levels are being misused when they are used to make the physicians work loard manageable and predictable by haveing the mid-level take care of the urgent and more acute matters. Lives have been lost becuase of this.

In outpatient clinics mid-levels should be used for the rountine algorithym driven follow-ups while the urgent visits and people with unknown diagnoses should be seen by the people best trained to detect the serious cases.

In inpatient settings mid-levels should be used to manage discharge planning and following up on results–not the initial H & P or eval where subtle advantages in training in clinical diagnostic evaluation can make all the difference in the world.

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