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Number of Nurse Practitioners Continues to Rise

The American Association of Nurse Practitioners (AANP) released new data showing that over 248,000 Nurse Practitioners (NPs) are currently licensed to practice in the United States. This aligns with the recent 36% job growth projected by the Bureau of Labor Statistics which translates to an estimated 56,000 jobs by 2026.

This news follows the healthy optimism surrounding the NP profession as it was recently ranked number 4 on U.S. News’ annual 100 “Best Jobs” list for 2018. The strong career outlook is spurred by the severe shortage of healthcare professionals in the U.S. which necessitated the creation of the advanced practice nursing role in the mid-1960s.

AANP’s annual survey also shows that an estimated 77.8% of all NPs are utilized in primary care delivery and work in a variety of practice settings resulting in an estimated 1.02 billion patient visits by NPs in 2017 alone. The progression of the NP profession has increased access to quality patient care, making the future bright for nursing and healthcare in America as a whole.


Will Healthcare Reform affect “first, do no harm”?

Is it possible that legislators in Washington, DC can actually change the ethical boundaries of healthcare providers?  The American Medical Association’s answer is a resounding YES.  This well-respected organization contends that the “Better Care Reconciliation Act” violates the “first, do no harm” standard of care on many levels!  The US Senate released the discussion draft of the legislation on June 22, 2017 and the American Medical Association responded in just four days with a scathing letter to Senate leaders.

Most commonly known as the Hippocratic Oath, primum non nocere has been an axiom central to the practice of medicine – Above All, Do No Harm!  The concept dates back to the Middle Ages but is more commonly attributed to English Physician Thomas Sydenham and is used as a guide to the ethical practice of medicine.  It is intended to be a vivid reminder that every medical decision has the potential to do harm.  Another way to think about it is: when there is an existing problem, it may be better to do nothing than risk causing additional harm.

In the June 26th letter addressed to Majority Leader McConnell and Leader Schumer, the AMA presents a laundry list of concerns.  Most important is access to healthcare for ALL individuals. Proposals in the discussion draft convert Medicaid to a system that limits the federal government’s obligation to care for patients in need with a predetermined formula based on per-capita-caps.  In addition, the proposal artificially limits increases in Medicaid expenditures below medical inflation which threatens the ability of states to care for the most vulnerable patients.  The letter goes on to cite the AMA’s opposition to mandates that restrict where low income patients can receive treatment – in particular a […]

Assistant Physicians in Missouri

In May, 2017, the 99th Missouri General Assembly passed a provision that will provide some much needed relief to the primary care provider shortage in the state of Missouri.  As soon as the provision is signed by the governor, there will be a new healthcare provider designation – Assistant Physician.  You read that right!  I’m not mistakenly talking about Physician Assistants, this is a brand new category of heath care providers.

Missouri currently has 225 primary care physician shortage areas, including more than 25% of Missourians.  This means more than 1.5 million people in Missouri do not have ready access to a primary care physician.  Enter Assistant Physicians!


In order to apply for licensure as an Assistant Physician, you must meet the following qualifications:

  • Graduate from an accredited medical school (MD or DO)
  • Be a resident of the United States or a legal resident alien
  • Successfully complete Step 1 and Step 2 of the USMLE within 2 years of application*
  • Have not completed residency within 2 years of application*
  • Have proficiency in the English language

*there is an inserted provision which says any medical school graduate who could have applied for a license and complied with the above qualifications between August 28, 2014 and August 28, 2017 can apply and be deemed in compliance

Practice as an Assistant Physician

  • Within six months of licensure, you must enter into an Assistant Physician – Physician Collaborating Practice Arrangement
  • You may ONLY provide primary care
  • You may ONLY practice in medically underserved rural or urban areas.
  • You must clearly identify yourself to patients as an Assistant Physician and may use the terms “doctor”, “Dr.” or “doc”.
  • You must renew your license every three years and
  • You must comply with CME requirements


If you […]

Texas Nurse Practitioners Moving Closer to Full Practice Authority in 2017

Will 2017 be the year that Texas Nurse Practitioners gain full practice authority?  For the first time in Texas legislative history, a House Committee heard testimony regarding full practice authority of Nurse Practitioners (Advanced Practice Registered Nurses).  This is a critical step in getting the legislation to the House floor for a vote!

HB1415 was authored by Representative Stephanie Klick of North Richland Hills and had the support of 22 fellow Representatives. Prior to her election in 2012, Rep. Klick was a practicing Nurse, Nurse Supervisor and Nursing Consultant. This bill is a reflection of her belief that Nurse Practitioners in Texas should be free to practice to the full extent of their education and expertise. Full practice authority of Nurse Practitioners is already the law in 22 states and the District of Columbia.

The goal of the bill is to provide greater access to health care, particularly in rural and medically under-served parts of the state.  Nurse Practitioners are a high-quality, cost-effective way to solve the critical shortage of primary care providers in Texas.  Allowing Nurse Practitioners to provide primary care to patients without the requirement that they first enter into a contract with a physician will bring health care to those who need it most!

At, we strive to #CareForHealthcare and believe that full authority practice for Nurse Practitioners in Texas is long-overdue!

Chelsea Owens, JD


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Strategic Merger of TMA Healthcare and

TMA Healthcare StaffingFOR IMMEDIATE RELEASE: May 19th, 2016

Kevin Kirkpatrick             

905-419-0222 and TMA Healthcare Staffing Strategically Merge

Expanding Healthcare Recruitment Services Across North America

Toronto, Ontario and Tyler, Texas: Canada based recruiting and staffing company TMA Healthcare Staffing has strategically merged with U.S. based to provide recruitment services across boarders in North America. The organization will continue to operate under the well-known brand while providing stronger support to hospitals, clinics, government entities and private organizations throughout the United States and Canada. The merger brings together experienced recruiters that can navigate the similarities and differences of the two models of healthcare.

Kevin Kirkpatrick, Founder and CEO of TMA joins the leaderhip team and expresses the motivation behind the merger by saying, “Merging with brings a larger defined medical recruiting model with a large investment in technology that will enable greater relationships”

Blake Moser, CEO of states, “As the baby-boomer generation ages we are are seeing an increased hiring demand for healthcare professionals in both countries. The merger of TMA with allows us to combine resources, technology, and contacts to lead more professionals to the employers that are seeking to provide high-level quality care to patients.”

Highlights of the merger:

  • Combined teams include over 30 years of healthcare recruitment experience.
  • A proprietary contact database of over 500,000 healthcare professionals.
  • Continuity between recruiting in the United States and Canada.
  • A unique team approach to recruiting using proven methods from project management, marketing, and sales.

About Since 2006 has provided recruitment services for physicians, nurse practitioners, physician assistant, executives, administrators, therapists and nursing. Expertise in all medical […]

By |May 18th, 2016|Categories: News|0 Comments