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Writer's pictureDr. Jessica Chung, DNP, NP-C

Find the Right Collaborative Physician For Your Private Practice

The views, thoughts, and opinions expressed in the text belong solely to the author, and not necessarily to the author's employer, organization, committee, or other group, entity, or individual. The information in the text is not to be considered professional, legal, medical, or financial advice.

When it comes to the continuous enhancement of care provided to your network of clients, a properly collaborative staff will be more effective at carrying out their daily roles. Your business will be able to provide patients with more thorough, cost-effective care as well as a new emphasis on health promotion, which will be crucial in addressing ongoing healthcare concerns.


What Is a Collaborative Physician?

A collaborative physician is a medical expert who works with a nurse practitioner , physician assistant or other specialties to offer the legally required clinical monitoring in states with proximity requirements. Some doctors might be the owners of a professional organization that was created to meet the ownership requirements in the specific states that have a corporate practice of medical rules.


Usually, the physician receives a set annual charge, an hourly rate, or a combination of the two. The time commitment and particular conditions of the agreement determine how much the physician gets paid.


What Is the Role of the Collaborative Physicians in Private Practice?

While each state has its own specific regulations for a collaborative relationship, clinical care cannot be provided by nurse practitioners without some level of physician oversight or engagement.


The responsibilities of collaborative physicians can range from being a contractually necessary partner between their expert corporation and the management services company that manages the practice when necessary in some states, to clinical oversight and supervision of a clinic for emergency procedures and protocols.


Collaborative physicians should consult with the nurse practitioners, respond to queries, review client reports, make diagnoses, order tests, and write prescriptions for medications. They must also be available to respond to emergencies and have completed any training required for the variety of practices they are permitted to engage in, including those carried out in clinics, urgent care centers, med spas, mobile practices, patients' homes, and via telemedicine. It is advisable for both parties to have skilled legal counsel involved in the creation of the management services agreement due to state-by-state variations in medical director or collaborative physician regulations.


In many places, nurse practitioners must be under some sort of physician supervision in order to practice medicine with complete authorization to assess, diagnose, treat, and prescribe medication. State-specific requirements for supervision levels range from monthly in-person meetings to chart review quotas to prescription/protocol review. Such requirements may be transitory (three years, a set number of clinical hours) or continuous for the state license. Therefore, a nurse practitioner will probably need to enter into a collaboration agreement in order to provide care in a particular state, where it is advantageous to hold multiple state licenses.


Why Is the Collaboration of Physicians Needed in Operating Private Practice?

The need for physician oversight to be compliant with state legislation is one of the numerous obstacles that nurse practitioners and physician assistants who want to run their own businesses should overcome. Without the appropriate direction, this can be quite challenging to manage.


Some states require collaboration across the field, while others simply need it for certain practice areas, such as the prescription of legend medications and/or illegal substances. It may be necessary to have written protocols, textbook references, or you may only need to contact people as necessary.


According to the American Association of Nurse Practitioners (AANP), an individual may need physician supervision throughout their whole career in places with restricted practices. Nurse practitioners have more freedom in reduced-practice jurisdictions because they can work with doctors without being directly supervised. Before being given complete independence in practice, nurse practitioners may need to work with doctors for a while in some regions.


What Are the Criteria of an Effective Collaborative Physician?

Some healthcare professionals would face a challenge in identifying a process for starting a business. Therefore, integrating good medical directors or collaborative physicians would remarkably assist you in running your new business effectively. Any agreement you do with a collaborative physician should comply with all state laws, prescription rules, and physician ownership requirements. Additionally, it is crucial that the physician comprehends your business objectives, since every opportunity requires individualized care.


You need to ask yourself the following when you are looking for collaborative physicians: What level of participation will you need from your collaborative physician?

  • Some businesses need the physician for clinical help, while others for emergencies only or predominantly to be compliant with the laws of your state. Whatever your business needs, collaborative physicians have you covered.

How to Find a Collaborative Physician?


One of the most effective strategies to establish a cooperative relationship is frequently word of mouth. By asking around in social media groups, attending live and online industry events, joining networking organizations, and connecting on LinkedIn, many nurse practitioners are able to connect with physicians who share their interests.


Once you have found a collaborator, you must put your arrangement in writing by creating a collaboration agreement. Templates for collaboration agreements are available from numerous state nursing boards or state professional nursing associations.


We know how challenging it is to launch your business or private practice and not have a physician that is affordable, reliable, supportive, and available. This self-paced Collaborative physician network will teach you everything you need to know about finding collaborative or supervising physicians and medical directors in their state.



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