Goertz says physicians are also concerned that the public could be "easily confused" if caregivers aren't transparent about their roles and scope of practice. "If you ask a patient when they went in for care and they saw someone with a white coat, the vast majority of the time they're going to think it was a physician that provided the care," he says.
"You have to be clear about who is providing care and what the training is that has substantiated that ability to provide that care. Our organization has nothing against creativity and entrepreneurism in the delivery model but we believe you have to be careful when changing abilities and skills and knowledge without understanding that there is a huge difference between the training models."
Goertz says the intent of the report is not to restart the long-running scope-of-practice debate with nurses' associations but he also acknowledged that the report would do exactly that.
"What tends to happen is it becomes you are warring with the nurses again,'" he says. "That is not the point of the report. The point is we have a better model that uses everybody appropriately and the proof is in the model."