Primary Spine Practitioner (PSP) model
The Primary Spine Practitioner (PSP) model was recently published in the Spine Journal and is consistent with the American College of Physicians’ new guideline on low back pain.
In the PSP model, healthcare systems would initially triage patients with low back pain and neck pain to the Primary Spine Practitioner. At the initial patient visit, the Primary Spine Practitioner would perform a history an examination, and arrive at a diagnosis.
Based on that diagnosis, the Primary Spine Practitioner would then either manage the patient autonomously or coordinate the patient’s care with members of a co-located or virtual multidisciplinary team. Depending on the patient’s condition, team members might include primary care physicians, specialty care physicians such as orthopedists or neurologists, mental health professionals, or spine surgeons.