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collaboration--your help is needed

I am planning to spend most of this weekend writing a chapter on NP/physician collaboration for a resource book by and for nurse practitioners. I would love to hear from my readers any insights, impressions, beliefs, concerns about the collaborative nature of practices that involve NPs.

If you are an NP,

I would love to read how you have found your relationships with various physicians with whom you have worked. Are they interested in collaboration or do they have other reasons for working with an NP? What are the barriers you have found to NP/doc collaboration? How have you worked to overcome those barriers?

If you are a doc,

what are your impressions of how docs and NPs collaborate? Is this something that you believe to be advantageous to your patients, or does it interfere with your independent practice of medicine? Do you have NPs in your practice? If so or if not, I would love to know why. Are there barriers to collaboration, and if so, do you have suggestions for how to overcome them?

If you are a patient/or the parent of a patient who receives care (in-patient or out-patient) from a system or group that includes NPs

tell me your impressions of whether and how the NP and the doc work together. Do you feel that there is collaboration or do each of the members of the health care team work in isolation?

I realize that these responses will not constitute a scientific sample and that I will not be able to draw conclusions from them. But I want to be able to understand how some perceptions might differ from what is in the literature. I believe that perceptions, attitudes and behaviors have changed over time, but if I don't have input from my readers I won't necessarily know by how much, or if we are truly making progress.

If you have something you want to say, but not in a public forum, please sign in and leave me a message to contact you, which I will do by email (no one can see your email address except for me).

Thanks, every one for your help.

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