I was puzzled. Was the term "mid-level" a way of quantifying the amount of care the NPs and PAs provided? Was it a way of qualifying the type of care they provided? I felt confused and belittled. I was in the midst of graduate level (advanced) education and as such would be practicing at an advanced level of nursing. The scope of practice within my home state allowed me to practice medicine under the supervision of a collaborating physician. I was dismayed at the term "mid-level" and what it must sound like to a patient, a family member, or another health-care professional. I did not seek employment at that practice upon graduation.
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