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Case Studies >
 Case
Study: Physician Reviews Nurse Practitioner's Care
Situation:
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A medium sized physician group has hired a Nurse Practitioner to assist in a
very busy pediatrics clinic
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One physician feels the care delivered is below the standard of care on several
cases
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Peers of the physician are reluctant to voice opinion, but individually give
support of the practitioner's care
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Physician with concerns refuses to discuss concerns with practitioner
QMCG Team Role: Assist the group's manager with an objective
review and facilitate open discussion of concerns while enhancing lines of
communications and work interactions:
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Objective peer review by a Board Certified Pediatrician with experience working
with and monitoring physician extenders
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Advise in communication building techniques and team approach facilitation for
group members
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Provide state law statute materials describing regulated relationship
components to build a group policy on utilization of the specialized nursing
team member to enhance practice efficiency
Peer Review Study Conclusions:
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Care by practitioner found to be at or above standard of care in every case
reviewed
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Individual concerns by physician answered in writing
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Brain stormed during a conference call the approach options for presenting
findings to group members
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Focused strategies on enhanced communication structure of physician and
practitioner to increase efficiency, comfort and dignity of both members
Medical Staff/Clinic Accomplishments:
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Physician with concerns has voluntarily moved to different location of the
practice
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Practitioner feels exonerated of criticism
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Entire staff more comfortable with how to best utilize the unique role of the
practitioner to better the medical practice
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Win - win solution felt by all parties involved
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