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Fall 2011

Regrettable nomenclature

Date: October 3, 2011

The wonderful sentiments of Dr. Lipsett, about evolving to a team-based approach in “A Difficult Equation” [Spring/Summer, p. 4], are unfortunately undermined by the use of the terms “physician extenders” and “midlevel clinicians” for nurse practitioners and physician assistants. These providers are professional clinicians who pass stringent certification exams and a regular recertification process. While their training differs from that of physicians, their different perspective adds diversity to patient and family care. Some have worked for years in the hospital and so arevaluable resources for residents in training. NPs and PAs will feel more valued as team members whenthey are addressed by their proper titles.

Marian Grant, BSN ’00,

Assistant Professor
University of Maryland School of Nursing