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“The debates over scope of practice are fierce . . . and in part, it’s prompted by shortages,” says Michael Sparer, chair of the Department of Health Policy and Management at Columbia University.

Dr. Paul Appelbaum, director of the Division of Law, Ethics and Psychiatry at Columbia University, suggested a minimum competency standard would not be unreasonable.

Editor's Note: Helen Ouyang, author of this article, is an associate professor of emergency medicine at the Columbia University Vagelos College of Physicians and Surgeons.

“This gift has been fundamentally focused on driving science and driving our impact, to further our mission,” Dr. Katrina Armstrong said.