Daily Archives : April 9th, 2013

More reasons to hate on the term “mid-level” – as if there weren’t enough already…

As many of you know I do not particularly care for the term “mid-level” practitioner.  Just in case you aren’t familiar with my opinions on the subject you can read one of my posts from May 2012 in which I give numersous reasons to shun the term.  (if you agree please share!)

Now, as if there weren’t already enough reasons to dislike that label I have found yet another – and it is a doozy.

I came across a link to what is actually a very handy grid from which outlines the DEA authorization to prescribe controlled substances in each state. It is a state by state guide to which schedules we are allowed to prescribe.  This is actually quite a helpful resource if you are considering a move to another state or perhaps thinking of doing a NP or PA travel or locum tenens assignment.

The guide starts out with the official definition of a “mid-level” provider.

Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an individual practitioner, other than a physician, dentist, veterinarian, or podiatrist, who is licensed, registered, or otherwise permitted by the United States or the jurisdiction in which he/she practices, to dispense a controlled substance in the course of professional practice. Examples of mid-level practitioners include, but are not limited to, health care providers such as nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists and physician assistants who are authorized to dispense controlled substances by the state in which they practice.

OK, I don’t like this definition but I can live with it, at least for now.  But then I kept reading and I see that also included in this mid-level category is “animal shelters” and “euthanasia technicians”.  WTF?

This is still a helpful guide but it really is hard to look past this.  Who can we complain to?

You really must see it for yourself.  Click here.