Mid-level practitioner

Mid-level practitioners, also referred to as Assistant practice clinicians, are health care providers who have received different training and have a more restricted scope of practice than physicians and other health professionals in some states, but who do have a formal certificate and accreditation through the licensing bodies in their jurisdictions. Advanced Practice Provider (APP) is the generally accepted term for Nurse Practitioners, Nurse Anesthetists, Physician Assistants, Clinical Nurse Specialists, and Nurse Midwives; not "Mid-level provider".

Because of their diverse histories, a multitude of mid-level health worker categories can be found in different countries under different titles. Their training, functions, scope of practice, regulation, and integration into the formal health system vary from country to country. Mid-level practitioners have many different titles, e.g. physician assistant, clinical officer, pharmacist, or nurse practitioner. They are increasingly being used to render services autonomously, particularly in rural and remote areas, to make up for physician shortages.

In 2008, a new mid-level practitioner role was introduced in South Africa, known as clinical associates. The role was intended to support the district hospital workforce.

Mid-level practitioners in the UK are known as 'Advanced Clinical Practitioners' (ACP) and is an evolution of many differing professions which use various titles such as ‘Extended Scope Practitioner’ or ‘Advanced Practitioner’. Historically there has been debate over the consistency of quality in these senior clinicians and therefore it became necessary to generate a distinguished definition of the ACP role. The ACP:

This is an emerging role and is showing a good deal of promise in meeting the demands of the UK's rapidly evolving healthcare requirements. ACPs may practice in the acute setting (ED, critical care, medical or surgical wards) or community General Practice / family medicine. The majority can independently assess, investigate (through blood science / imaging / labs etc), diagnose and formulate a treatment including prescribing medications or referring to specialist care.

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