Episode 22

How to Integrate Nurse Practitioners and PAs into Your Practice

by OBGYN Business Institute | March 30, 2023

Are you looking for a solution to the shortage of physicians in your practice setting? In this episode, Dr. Mikio Nihira and Dr. Matthew A. Barker discuss using advanced practice providers, nurse practitioners & physician assistants to cover gaps in physician schedules. They address the concerns regarding involving non-physician clinicians in the game and how it may impact the quality of care. 

The conversation also covers the importance of a team approach in healthcare and the need to train advanced practice providers to perform procedures. Tune in to learn more about the evolution of medical training and changing expectations for healthcare providers. Take advantage of this insightful discussion on the future of healthcare.

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Urogynecology for the Advanced Practice Provider

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Key highlights

  • 00:00:47 – Introduction to the episode
  • 00:03:48 – Culture of employing non-physician clinicians in your practice
  • 00:06:07 – Dr. Nihira’s Experience in filling the non-surgical gaps in healthcare
  • 00:13:56 – Burden of documentation and shortage of healthcare providers
  • 00:14:53 – Need for healthcare providers to share the burden of tasks
  • 00:16:35 – Role of academic systems in addressing healthcare provider shortage
  • 00:24:42 – HCA as the biggest purveyor of residents in the US to address the physician shortage
  • 00:25:12 – Importance of work-life balance and the need to train more people
  • 00:27:19 – Address the need for assistance in a volume-based healthcare system
  • 00:28:59 – Concerns about the potential impact on quality with non-physician clinicians
  • 00:29:49 – Importance of training non-physician clinicians in Europe’s obstetrics model
  • 00:32:00 – Final remarks on integrating Nurse practitioners and PAs into your practice

Background of Dr. Barker

Matthew A. Barker, M.D., F.A.C.O.G., is a board-certified obstetrician and gynecologist with extensive experience in women’s healthcare. He received his medical degree from the University of South Dakota, Sanford School of Medicine, in 2002. He completed his residency in Obstetrics and Gynecology at the University of Wisconsin School of Medicine and Public Health in Madison. In addition, he completed a fellowship in Urogynecology in Cincinnati. Dr. Barker is a Fellow of the American College of Obstetricians and Gynecologists and has been in practice for over 20 years. He is dedicated to providing high-quality, patient-centered care to women throughout all stages of life. Dr. Barker is interested in minimally invasive surgery, infertility, and adolescent gynecology. He is also actively involved in medical education and is a full academic professor at the University of South Dakota & practices Urogynecology at Avera Health.

Connect with Dr. Barker

Email: mbarkermd@yahoo.com 

LinkedIn: www.linkedin.com/in/matthew-a-barker-m-d-f-a-c-o-g-313971/ 

Dr. Mikio Nihira

Host Dr. Mikio Nihira

Dr. Mikio Nihira is the Medical Director of SevenStar OB/GYN and a former Clinical Professor of Obstetrics and Gynecology at the University of California at Riverside.

Dr. Nihira is a Fellow of the American College of Obstetrics and Gynecology and the American College of Surgeons. He is a Diplomate of the American Board of Obstetrics and Gynecology as a subspecialist in Female Pelvic Medicine and Reconstructive Surgery. He is a member of the Society of Gynecologic Surgeons, the American Urogynecologic Society, and the National Association for Continence.

He has authored numerous scientific journal articles and textbook chapters in gynecology and urogynecology. He is a nationally recognized expert in female pelvic floor disorders and has been quoted in such publications as the Chicago Sun-Times, Dallas Morning News and Shape magazine.

He is passionate about improving patient care experiences through efforts such as Enhanced-Recovery after Surgery (ERAS) pathways. Critical to this effort is training physicians on how to minimize opioids to manage pain and identify and address substance abuse in patients.

Dr. Nihira is a highly respected and experienced physician, having been in practice for over two decades. His medical career began in 1994 when he graduated with a medical degree from the University of California, Los Angeles. He completed an obstetrics and gynecology residency at the University of California, Los Angeles Medical Center. To further specialize in the field, he finished an urogynecology and reconstructive pelvic surgery fellowship at the Greater Baltimore Medical Center and the University of Maryland. A Southern California native, Dr. Nihira is dual-boarded in obstetrics/gynecology and female pelvic medicine and reconstructive surgery by the American Board of Obstetrics and Gynecology. Additionally, he serves on several national boards for his specialty and chairs UC Riverside’s institutional review board for research projects.

Dr. Nihira is a member of the American College of Obstetrics and Gynecology and the American College of Surgeons. He is a Professor of OB/GYN in the Division of Female Pelvic Medicine and Reconstructive Surgery at UC Riverside. He currently serves as an examiner for the American Board of Obstetrics and Gynecology as a subspecialty examiner for Urogynecologic surgeons.


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