Aug 26, 2025
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 & 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’s 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’re a
practice leader, a physician exploring APP integration, or an APP
considering otolaryngology, this episode provides a practical,
experience-driven roadmap for success.