In “The Future of Nursing” IOM recommended removal of scope of practice (SOP) barriers for APRNs so they can “practice to the full extent of their education and training.” In response, the AMA and other medical societies expressed their opposition, arguing that physicians have more extensive education and that nurses are not substitutable with primary care physicians. Some observers believe that physician opposition is based on their fear of economic competition that might reduce MD revenues. So it would be great if someone actually studied whether such laws impact how much docs might make. Well, someone did.
A new RWJF commissioned paper, "Physician wages in states with expanded APRN scope of practice," is available
and is the subject of a thoughtful blog
by a healthcare economist.