What care are non-physician clinicians providing?
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At best, a dermatologist only has two hands. However, as the swell of patients entering the health system under the Affordable Care Act (ACA) continues, physicians have more hands – and brains – at their disposal as non-physician clinicians (NPCs) are increasingly incorporated into the workforce.

In 2014, the AAD’s Dermatology Practice Profile Survey found that 46 percent of dermatologists reported that their practice employed at least one NPC, an increase of 5.1 percentage points from 2012. This hiring trend is likely to continue as a growing portion of the dermatology workforce seeks to add a NPC to their practice. In 2014, 18 percent of survey respondents sought a nurse practitioner or physician assistant, up 7 percentage points from 2009.

NPCs are more likely to participate in medical treatment than they are in surgical or cosmetic care. Returning patients are more likely to be seen by NPCs than new ones, regardless of the type of care those patients seek. See below for a breakdown of which patients dermatologists see themselves and which they have seen by NPCs in their practices.