Across the U.S., health systems are turning to Advanced Practice Providers (APPs) to solve the escalating crisis in specialty care access. It’s a necessary and logical solution. Yet, as a recent investigative series from Bloomberg documented, this rapid expansion has exposed persistent gaps in training and oversight, leaving many to wonder if we are setting this critical workforce up for success.

This is not a training issue, but a design problem. The real risk to patient care isn’t the APP model itself, but the outdated clinical architecture it’s forced to operate in. Health systems have asked APPs to expand capacity without fundamentally redesigning the supervision models to make their work safe, effective, and sustainable. Simply inserting a new provider into a workflow built for a

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