So out in the varied land of hospital medicine, I have noticed something that I have no clear explanation for. It turns out there is often a gap in productivity between that of NP/PA providers and physicians. The range of the gap varies wildly – I just got off the phone with a group leader who has observed a 50 percent difference to a smaller gap of perhaps 10 percent. In my very rough and unscientific analysis, I routinely see a 15 to 20 percent gap.
But I simply don’t understand why this gap exists. The physical time to see and examine a patient, coordinate care with consultants and case managers, discuss the plan of care with family, write a note and bill is the same regardless of experience or credentials behind a name.
Or is it?
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