Who has higher hierarchy a physician or a nurse practitioner director? It is possible that the nurse practitioner director be the boss of a physician? Or at least act like one? I’m not referring to more complex office visits but to the point where the physician is pretty much doing all the job! Especially when the company is short staffed

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Both are different departments. You aren't comparing apples to apples here. I don't think the nurse practitioner director can be the boss of a physician.


Doctor. Like the military, a 1 yr lieutenant will always be ranked higher than a 30 yr sergeant.

Yea have to agree with this. The doctor will always be above a nurse of any sort, even the director.

There is no hospital system that will ever allow thay to happen. Worked in hospitals and systems forever. Their is physican leadership that is led by physicians. There can be Chief Nursing Operator in some hospitals but they will never be able to oversee physician unless they become actual c-Suite executives. Even then, those people rarely defy what physican leaders are saying. They will be out if they do

Thanks so much for replying, great answers and I agree with each one of you. This is happening at my workplace, The NP director is friend of the Medical director, the physician is pretty much doing everything while the NP is relaxing seeing patients when she feels like it, the physician is brainwashed, I just don’t know how the physician can tolerate this? I just can’t believe my eyes!

Oh heck no. This would never fly where I work. The doctor should def say something but I know sometimes that is awkward and not easy to do.

They are from two different departments. Physicians will always be ahead of the nurses even if the latter is tenured for more than 10 years already. Be that nurse is a director or the Head of the department. Nurses can't give instructions to Doctors, can they?


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