However, many rheumatologists feel that the successful management of patients with connective tissue diseases requires a team approach. “I think almost every rheumatology practice could benefit from a nurse practitioner,” Dr. Queen states, “but I think working collaboratively is most successful when there is a commitment from the beginning to provide training and support so that the nurse practitioner or mid-level provider understands your values and goals, is secure in their ability to evaluate patients and make treatment decisions within their competency, and is always comfortable asking for help when they are uncertain or need guidance.” McDowell says having similar philosophies, mutual respect, and clear expectations has enabled her to form a mutually fulfilling alliance with Dr. Queen, and emphasizes that a collegial working relationship is key.
Though research conducted on the contributions of mid-level providers—particularly in the field of rheumatology—is sparse, there are many successful collaborations, and the market demand for mid-level provider services may outweigh the present concerns. As the landscape of healthcare delivery evolves, these partnerships are likely to be the paradigm on which future healthcare systems are based. “The challenge in medicine today is learning to embrace change and look at change as an opportunity—and an opportunity to do a better job is there,” says Dr. Queen.
Dr. Landis is a rheumatologist and a freelance writer.
Advice from the Experts: Qualities of an Effective Mid-Level Provider in Rheumatology
I think the most important qualities—besides being an excellent clinician—would be having a willingness to work with chronic disease and an ability to teach patients effectively, no matter their educational level. Patients are often scared and confused about their disease process and medications and need information that they can understand.
–Joyce Carlone, MN, RN, CFNP, rheumatology nurse practitioner for 24 years
Some of the important [qualities] for a rheumatology nurse practitioner are curiosity, an interest in long-term relationships with patients [and their families], and the patience and determination to see things through. There are no cures or quick results to be seen in our business.
–Leslie McDowell, ANP, MSN, rheumatology nurse practitioner for 14 years
Reference
- Hooker R, Cipher D, Sekscenski E. Patient satisfaction with physician assistant, nurse practitioner, and physician care: A national survey of Medicare beneficiaries. J Clin Outcomes Manage. 2005;12(2):88-92.
