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The investigators have previously demonstrated utilizing a validated tool, that the quality of referrals from nurse practitioners (NP) and physician assistants (PA) is less than referrals from physicians. The investigators hypothesize that with local physician input, the quality of referrals from nurse practitioners and physician assistants will improve. This is a prospective study comparing patient referrals from nurse practitioners and physician assistants with and without prior discussion with a local physician.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NPs & PAs referral discussions with a supervising physician | Experimental | required consultations between NPs and PAs and their supervising physicians |
|
| NPs and PAs - no consultations with supervising physisians | Other | NPs and PAs who are not required to discuss patient referrals |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Consultations between NPs and PAs and their supervising physicians | Behavioral | Required discussion with physician prior to referral by a nurse practitioner or physician assistant |
| Measure | Description | Time Frame |
|---|---|---|
| Improved referrals from nurse practitioners and physician assistants to physicians as determined using a previously validated tool | 2 years |
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All nurse practitioners and physician assistants in the Mayo Clinic Health System
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| Name | Affiliation | Role |
|---|---|---|
| Robert Lohr, MD | Mayo Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic in Rochester | Rochester | Minnesota | 55905 | United States |
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| Label | URL |
|---|---|
| Mayo Clinic Clinical Trials | View source |
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| versus NPs and PAs who are not required to discuss patient referrals (control group). | Behavioral |
|
| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |
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