Advanced Practice Provider Closed Claims: What Can We Learn? (The Doctor's Advocate CME)


As the numbers of Advanced Practice Providers (APPs) continue to rise and the numbers of practicing physicians declines, the potential risk of liability exposure for physicians working with APPs grows. The Doctors Company's closed claims studies of cases involving advanced practice providers and nurse practitioners shed light on the allegations and the most common contributing factors in cases involving APPs. By increasing understanding of the liability associated with Advance Practice Providers, physicians and APPs can implement strategies that decrease risk, improve patient safety, and advance patient care. The course identifies the policies and procedures that can reduce direct and vicarious liability related to employing and supervising Advanced Practice Providers (APP), provides a structured decision-making process to determine if tasks are within the scope of practice before initiating or delegating such tasks, and includes resources to ensure that supervision and scope of practice for APPs are within state requirements.

Course ID #: TDE 190445.0 Issue Date: 09/04/2019 Expiration Date: 09/04/2022


After completing this activity, learners will be able to:

  • Improve policies and procedures to reduce direct and vicarious liability related to employing and supervising Advanced Practice Providers (APP)
  • Train APPs and other staff to use a structured decision-making process to determine if tasks are within their scope of practice before initiating or delegating such tasks
  • Educate colleagues and staff on the responsibilities associated with supervising APPs and for an APP being supervised
  • Modify position descriptions to ensure they clearly and appropriately delineate physician supervision, and that the responsibilities for APP are within state(s) requirements for scope of practice and aligned with the treatment guidelines of our practice


No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests. No commercial support was provided for this activity.


The information and guidelines contained in this activity are generalized and may not apply to all practice situations. We recommend that legal advice be obtained from a qualified attorney for specific application to your practice. The information is intended for educational purposes and should be used as a reference guide only.

Course Developers

Susan Boisvert, BSN, MHSA, CPPS, CPHRM, FASHRM, Patient Safety Risk Manager II, Department of Patient Safety and Risk Management, The Doctors Company
Julie Hopkins, MA, MBA, Director, Continuing Professional Education, The Doctors Company

Continuing Education Credit

The Doctors Company is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical educational activities for physicians.

The Doctors Company designates this activity for a maximum of 1.0 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Complies with State Requirements

Please SEE the Federation of State Medical Boards overview of Continuing Medical Education requirements by State. 

Technical Requirements

The activity is best experienced using the most current browser: Firefox, Chrome, Safari, or Microsoft Edge. Internet Explorer is not supported by this platform. All activities featuring audio must have a speaker. To view graphic images and references that appear in separate "pop-up" windows, JavaScript and session cookies must be enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

Contact Us

If you have questions, contact or call 800.421.2368, extension 1243.


Visit our Resource document for this program.