Role of the physician extender in the long-term care setting

Although health professionals must feel confident in their own respective roles and have clearly defined duties, the physician-physician extender relationship should be synergistic. The goal is to improve health care. A successful approach is possible only if the health professionals have time and experience working together to develop mutual trust and confidence. Acquired skills as well as limitations must be known. To facilitate an optimal working relationship, after the initial period of collaboration, the health professionals should meet regularly to discuss any problems that may arise; the physician should always be available for consultation and never shirk responsibility when the physician extender expresses uncertainty or doubt. The use of problem-oriented records also may facilitate communication; care plans should be developed jointly.