Optimizing the Model for the Use of Midlevel Providers in Dermatology at Cleveland Clinic

The presentation outlines the Cleveland Clinic's approach to optimizing the use of midlevel providers, specifically Advanced Practice Providers (APPs)—which include nurse practitioners and physician assistants—in dermatology. With a rich history and extensive network across various locations, the Cleveland Clinic handles a high volume of patient visits annually. The chair shares insights into the staffing challenges faced in dermatology, noting that only a fraction of graduating dermatology residents enter academic roles, necessitating the hiring and efficient utilization of APPs. The clinic has seen significant growth in APP employment, increasing from one to sixteen over nearly two decades, and they play a crucial role in managing dermatologic conditions not solely handled by dermatologists. The training and supervision of APPs cover regulatory guidelines, scope of practice, and patient safety. The clinic prioritizes clear communication with patients about the providers' roles, enhancing understanding and care quality. Innovative strategies like teledermatology and education initiatives for primary care physicians have improved access and triaging of dermatological cases. The speaker emphasizes the successful integration of APPs within the team, resulting in reduced wait times for patients and improved early diagnosis of skin cancers, indicating overall high patient satisfaction and effective care delivery.