We have not experienced that in this area. The PA's that came to us from other local practices brought a few patients with them, but mostly the patients in this area are with a practice because of the physician, of whom the midlevel is but an extention. The loyalty is more typically to the practice itself.
Our experience with a new graduate was also not good. We needed someone productive from day one. A new grad from NP/PA school is nothing like an MD who is just completing a residency, but more like a third year medical student. That piece of paper does not mean much.
