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Practice models in non-academic ICUs?

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Do most non-academic ICUs have NPs and PAs that act as residents and as an attending you just cosign their notes for documentation and are there on rounds? Or is it more common for you as the ICU MD to just be in charge of the entire ICU without midlevel support (e.g. you are doing all documentation, procedures, calling consults, etc). What is the prevalence of each of these practice models in the community and does having mid-level "residents" typically result in lower salary for the MD?

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