credentialing and privileging - peer references (ahc) | ambulatory | human resources hr
who can provide a peer reference for independent or non-independent allied health practitioners such as nurse practitioners, physician assistants, and psychologists, midwives, and social workers when there is no other similar practitioner on staff?
*any examples are for illustrative purposes only.*  
  
the definition of a peer (see hr 02.01.03 ep 6) is someone from the same discipline. for example, physicians for physicians, dentists for dentists, podiatrists for podiatrists, etc. it does not have to be someone in the same specialty (orthopedist, etc.).  
  
to be able to provide a reference, the peer must be familiar with the individual's actual performance.  for a nurse practitioner, physician assistant, psychologist or social worker, ideally, this would be an individual from the same discipline.  therefore, the organization should attempt to obtain such references. this could be an individual from within the same organization or someone from outside the organization.  
  
in situations where there is no nurse practitioner, physician assistant, psychologist, or social worker to provide a peer reference, it is acceptable for a physician with like qualifications that is familiar with the practitioner's performance, to provide the reference. for example, an internist could provide a reference for a physician assistant, an anesthesiologist for a nurse anesthetist, a psychiatrist for a psychologist, and a psychologist, with similar responsibilities, could provide a reference for a social worker.
it's also important to consider the strengths and weaknesses of your personality / work style. mf credit arms will behave more like banking/pe where you work in deal teams, iterative processes, and driving towards pushing out a collective work product. personalities tend to be much more conformist, clean cut, vanilla professionals that are competent enough but nothing special.
independent hfs have much less structure, although this is obviously a broad generalization. much more likely that you will have people that are somewhat of misfits socially, weird, and have hard edges. better yet , find out if there are any epileptologists ( neurologist who specialize w/ people who have epilepsy ) in your area. the next best thing would be, to call the epilepsy foundation. they maybe able to help you find a good dr.. and not a pa. both treat patients.

pt's evaluate and decide what needs to be done during treatment as well as establish a prognosis. 

once seen by the pt, a pta can perform treatments and can, in some circumstances adapt elements to the program as long as it is consistent with the plan established by the pt. however, this varies from state to state as to how much a pta can adapt a program...in some states, a pta can't even progress someone on a weight machine without approval of the pt. 

salary of a pt can be anywhere between 50-100% higher than a pta.

the amount of patients might be the same...however, sometimes pta might get more patients because they might be doubled during some treatments while a pt might be having more evaluations to do (which are one on one). a pt will certainly have more responsibility for paperwork. 

pta programs are usually housed a community colleges and you can get a complete list of both pt and pta programs in the us from www.apta.org. [Psychiatrist](https://www.lybrate.com/psychiatrist). Acquaintances - people I work with, know through other friends, members of committees or groups I belong to. These are people I know but do associate with outside of the confines of the source of our meeting. We are 'friendly' but not yet friends.   

Groupies - OK this is not a recognized friendship group but these at the people to me that I spend time with but would not necessarily share my deepest thoughts and hopes with nor would I want to know theirs. This is light and fun based.   

Confidants - People I share my self with who know about me and whom I know all about. These are friends in the truest sense of the word for they are not only people I share time with but people I share everything with and whom I would consider family. Get your attorney's office manager and your doctor's office manager on a conference call. Get this straightened out. 


This shouldnot be a problem of the patient/client! Lien letters (LOP) should be arranged between office staff. Come on now.


Perhaps a replacement ..... you can contact one health medical group by telephone. most people do both, but obstetricians deal with pregnancy and gynaecologists with non-pregnancy female problems.<br/><br/>best wishes a doctor is a medical professional who specialises in treating and healing sick or damaged individuals. a doctor must have a legal and legitimate licence to work in any hospital or clinic. to practise medicine in india, one must register with the ''medical council of india'' (mci) and get a licence. medical degrees are offered by a number of universities and institutes in india and overseas. a doctor will ask the patient a few questions and examine his physical condition before treating him. I'm so sorry. This is hard to accept. But sometimes people get to the point that they don't want to socialize. My mother - who was once very social - simply arrived at a point where she only wanted those close to her or the nursing home staff around. She was in a lot of pain which I think was much of it.   
  
If your mother was once social, then you could ask the doctor to experiment with her medications. There may be other options.  
  
However, sometimes we have to accept that these diseases take their course and we can only do so much. Forcing what the person obviously doesn't want isn't helpful.  
  
Offering suggestions - yes - so continue to do that. I'm certain that the AL staff does the same. But you can't make it happen if it's not going to happen. Offer all of the support that you can.  
Take care of yourself, too.  
Carol