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Scope of practice is defined as all the accepted services provided by a particular profession. It provides the parameters within which a profession provides services. A scope of practice may be determined in a number of ways. A recognized professional organization may develop and define the scope of practice for a particular profession. Health care examples would include the various medical specialties with their specialty boards, such as the American Association of Nurse Anesthetists for Nurse Anesthesia. The hospital credentialing process defines the scope of practice for any single individual health care provider within the hospital setting. State statute or law may more rigidly define the scope of medical practice. It is done to specifically separate and define the services provided by nonphysician health care providers (that is, physician assistants and nurse practitioners) from the practice of medicine, which only physicians can perform. This is usually performed through the state licensure boards, which license health care providers to provide services within their scope of practice.

Conflicts Arising over the Scope of Practice

Conflicts between health care providers or provider organizations can arise when scopes of practice overlap. These can be as minor as conflicts over hospital credentialing when two medical specialties provide similar services or procedures. Conflicts can become more serious when health care providers, other than physicians, are providing services traditionally provided by physicians. Most of these conflicts have been resolved by state statutes that clearly define the scope of practice for these nonphysician health care providers. Conflicts may also arise in the development of these “legal” scopes of practice, because they more often focus on boundary setting between the professions and what discrete activities belong to a specific specialty than on the overlapping competencies of the professions.

  • scope of practice
  • health care provider
George V.Jirak
10.4135/9781412950602.n711

Further Reading

Furrow, B. R., Greaney, T. L., Johnson, S. H., Jost, T. S., & Schwartz, R. L.(2001)Health Law: Cases, Materials, and Problems (4th ed., pp. 117-125). St. Paul, MN: West.
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