Volume 11 - Issue 9 - September 2003

I magine an office where prompt appointments are the norm, with patient visits scheduled the same week if not the same day patients call. In this office, mid-level providers such as physician assistants (PAs) and nurse practitioners (NPs) deliver much of the routine care, while the dermatologist spends the bulk of his or her time on the most complex and challenging cases. Also imagine that the patients who come to this dermatology practice have first received an appropriate level of care at their primary care provider (PCP), and that only after the case extends beyond the PCP’s reach is th