Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: Drs Mundinger and Kane assert the
importance of nurse practitioners as primary care clinicians. We wholeheartedly
endorse the notion that physicians are not the only primary care clinicians,
and acknowledge the valuable role played by nurse practitioners, physician
assistants, and other professionals in primary care. However, we believe that
arguments about which discipline is the "best" provider of primary care are
counterproductive. It is time to move beyond "turf battles" so that all primary
care clinicians may collaborate in designing more effective and satisfying
primary care systems, drawing on the unique skills of each discipline.
Kevin Grumbach, Thomas Bodenheimer. Challenges Facing Family Practice and Primary Care. JAMA. 2003;289(3):297–300. doi:10.1001/jama.289.3.297-a