Activity ID



May 22, 2023

Format Type


CME Credit



CME Provider

Louisiana Medical Mutual Insurance Company (LAMMICO)


Physicians considering working with a Nurse Practitioner often ask, “What is a Collaborative Practice Agreement?”, “Will this increase my liability?” and “I’ve been asked to just sign off on the NP’s records; what do I do?” This monograph will answer these questions. Working with an APRN can benefit physicians, depending on the needs of their practice, and provided that the risks are managed. This updated risk management guide for physicians will define terms, identify quick-click resources, and explain the steps for successfully managing risk in a working relationship with Advanced Practice Registered Nurses.

Diplomate Engagement

Pre-and Post-test results are provided to diplomate and an evaluation survey is issued upon completion of the course. A follow-up post-activity survey is also issued 3-4 months after completion that asks what practice changes have been made.

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NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

Access your own state regulations on APRNs.
Describe the recommended elements to include in a Collaborative Practice Agreement or contract with an APRN and how these elements reduce risk.
Define non-disclosure of assignment and how to avoid this risk.
Explain how to respond to a request from your hospital to sign off on the hospital-employed NPs' notes.
Describe the collaborating physician's responsibility to be available for consultation by the APRN.


Physician Liability, Nurse Practitioners, APRN, State Nursing Practice Acts, Managing Risk, NPs, Signing Off, MD-APRN Contracts, Physician Collaborative Relationship, Physician Supervisory Relationship, Brain Injury, Hospice and Palliative Medicine, Neuromuscular Development, Pain Medicine, Pediatric Rehabilitation, Spinal Cord, Sports


Practice-based Learning & Improvement

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Academic Medicine, Inpatient, Outpatient, Rural, Urban, VA/Military

National Quality Strategies and/or Quadruple Aim Care Processes

Evaluation of Clinical Performance, Adherence

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The information provided on this page is subject to change. Please refer to the CME Provider’s website to confirm the most current information.