1 rich Libsyn https://www.libsyn.com 90 600 In this episode of Voices of Otolaryngology, host Dr. Rahul Shah sits down with Nora W. Perkins, MD, a private practice otolaryngologist with Albany ENT &amp;amp; Allergy Services, in New York, and liaison for advanced practice providers (APPs) in her group. Dr. Perkins shares how her practice grew from a single APP in the early 2000s to more than 20 today, creating a thriving model for expanding patient access, reducing physician burden, and maintaining high-quality care. Dr. Perkins walks listeners through her group’s 24-week onboarding and training program, including eight to ten weeks of shadowing, structured educational resources, and gradual ramp-up to independent practice. She explains how her team balances APP autonomy with strong physician collaboration and fosters a culture where both physicians and APPs thrive without competing for patients. The discussion also highlights strategies for building a collegial culture, retaining providers, and ensuring quality through oversight, education, and procedural training. Whether you’re a practice leader, a physician exploring APP integration, or an APP considering otolaryngology, this episode provides a practical, experience-driven roadmap for success. Voices of Otolaryngology http://entnet.libsyn.com/podcast <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/37921460/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/content/192194640