Ep. 88 - The Doctor Shortage Meets the Scope Debate with ARNP Rachael Busch-Feuer
Tue Feb 03 2026
Step into the exam room where staffing shortages, soaring demand and scope-of-practice battles collide. In the latest Working Healthcare episode, host Meredith Hirsh sits down in-studio with ARNP Rachael Busch-Feuer. With a physician dad and a registered nurse mom, Rachael reveals what pulled her toward the nurse practitioner path. Then comes the surprisingly charged question: Is it advanced practice provider, mid-level, or something else entirely? Rachael breaks down how NPs and PAs are trained and how their clinical perspective can differ from physicians. She also explains why team-based care is more than a tagline, it’s a safeguard. The conversation digs into rural access pressures, scope-of-practice laws and the role of experience and oversight in patient safety. It’s a clear-eyed, thoughtful look at what collaboration can make possible in a strained healthcare system.
Contact Meredith:
Website: meredithhirsh.com
Instagram: @workinghealthcare
Facebook: WorkingHealthcare
LinkedIn: @meredithfhirsh
YouTube: @WorkingHealthcare
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Step into the exam room where staffing shortages, soaring demand and scope-of-practice battles collide. In the latest Working Healthcare episode, host Meredith Hirsh sits down in-studio with ARNP Rachael Busch-Feuer. With a physician dad and a registered nurse mom, Rachael reveals what pulled her toward the nurse practitioner path. Then comes the surprisingly charged question: Is it advanced practice provider, mid-level, or something else entirely? Rachael breaks down how NPs and PAs are trained and how their clinical perspective can differ from physicians. She also explains why team-based care is more than a tagline, it’s a safeguard. The conversation digs into rural access pressures, scope-of-practice laws and the role of experience and oversight in patient safety. It’s a clear-eyed, thoughtful look at what collaboration can make possible in a strained healthcare system. Contact Meredith: Website: meredithhirsh.com Instagram: @workinghealthcare Facebook: WorkingHealthcare LinkedIn: @meredithfhirsh YouTube: @WorkingHealthcare