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

Depends. Mine work under me directly in the same office. I review and sign off on all charts. I am readily available if they end up with something they don't feel comfortable handling. Even if I am out of the office, they can call me and even send images of xray, ekg etc for me to review. Technology is great(frick EMR though, y'all can keep that shite). I pay them a salary and have performance bonuses in place. Others may run their own practice and have a physician elsewhere to review and sign off on their charts. The fees here can vary widely. I've heard from a few thousand to up to a $100k. I would be quite hesitant to be the collaborating physician with a NP in a solo practice. They just don't know enough to practice solo, and what you are presented may not be an accurate representation of what was done. I have good NP's and they don't know shite compared to the average MD. It can be lucrative for both parties, but I prefer to be much more hands on than others docs may be. Like someone said earlier, I basically treat mine like a resident. Maybe more of a 1st year than a 3rd year though.