{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"From 1 to 22 APPs: Growing Together to Serve Our Patients","description":"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\u2019s 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\u2019re a practice leader, a physician exploring APP integration, or an APP considering otolaryngology, this episode provides a practical, experience-driven roadmap for success. ","author_name":"Voices of Otolaryngology","author_url":"http:\/\/entnet.libsyn.com\/podcast","html":"<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>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/content\/192194640"}