re: NP - Physician collaboration, how does this work?

Depends on the personality of the two. I've seen both success and failure. Failures are predominately related to not getting a clear cut agreement/process in place and sticking to it. Chart review is key to make sure the NP is delivering best practices care and the MD is providing a level of mentoring that is appropriate. The ones I've seen fall apart was ego related where the NP would not take direction very well or the Physician micro managed to a level it frustrated the NP and felt like he did not trust him/her.