Table of Contents Author Guidelines Submit a Manuscript
Nursing Research and Practice
Volume 2012, Article ID 671974, 5 pages
Research Article

Physician Wages in States with Expanded APRN Scope of Practice

Department of Health Policy, School of Public Health and Health Services, The George Washington University, Washington, DC 20052, USA

Received 17 August 2011; Accepted 31 October 2011

Academic Editor: Linda Moneyham

Copyright © 2012 Patricia Pittman and Benjamin Williams. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


In recent years, states have looked to reforms in advanced practice nursing scope of practice (SOP) barriers as a potential means to increase access to primary care while reducing costs. Currently, 16 states and the District of Columbia permit advanced practice registered nurses to practice independently of physicians, allowing them to perform functions such as diagnosing and prescribing under their own authority within the primary care setting. Given the resistance of many physician associations to these reforms, we asked whether the economic interests of primary care physicians might be affected by reforms. Using the Bureau of Labor Statistics data on earnings, we compared primary care physicians' earnings in states that have instituted SOP reforms to those that maintain these practice barriers. We also compared surgeons' earnings as a control group. Lastly, we compared the rate of growth in the earnings of primary care physicians and surgeons over the last ten years. This preliminary analysis revealed no evidence of differences in earnings across the two groups of states.