August 7, 2023

Last week, the APMA Center for Professional Advocacy (CPA) hosted the first-ever Mini Summit, addressing DPM supervision of nurse practitioners (NPs) and physician assistants (PAs). The mini summit focused on the current state of podiatric physicians and their collaboration opportunities with physician extenders such as nurse practitioners (NPs) and physician assistants (PAs). Two main concerns were addressed: the lack of options for DPMs to supervise these health-care practitioners in many states, and the increasing trend of nurse practitioners and physician assistants seeking independent practice.

The summit featured presentations from podiatric physicians with direct experience on these issues. Mark Block, DPM, and Gary Degen, DPM, presented “Scope Creep and Supervision—The Value Proposition in Obtaining Supervision.” This presentation included discussion of recent examples of challenges faced by the attendees, including Belle Cares and the American Foot Care Nurses Association.

Ira Kraus, DPM, and Robert Sage, DPM, presented “Success Stories in Supervision—What is the Harm in Supervising Physician Extenders.” This presentation focused on how to obtain the ability to supervise, including providing pointers for state components, such as finding a legislative attorney with strong relationships and enhancing member engagement.

Following these presentations, participants had an opportunity to engage directly with the presenting physicians as well as with their peers in an open forum discussion. Participants also discussed their goals for combating scope creep, emphasizing the importance of building strong relationships.

The APMA Mini Summit on Physician Extenders provided an intimate opportunity for professionals to share knowledge, discuss challenges, and explore ways to address the evolving dynamics between podiatric physicians and physician extenders. Members can view presentations and find more information at www.apma.org/MiniSummit. Contact the CPA with any questions or concerns.

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