Nurse practitioners are educated to deliver comprehensive, autonomous, relationship-based care. Yet the structures in which we practice inevitably shape how that care is delivered.
In this session, Alexandra Milne, Chief Medical Officer of Canada’s largest private NP-led family practice, explores how practice models influence scope, sustainability, and professional identity. Drawing from real-world operational experience, she will examine how independent NP-led practices can preserve clinical autonomy, enhance patient outcomes, and create career longevity while protecting the integrity of NP practice.
This session challenges participants to think beyond reimbursement structures and invites NPs to consider how we can build systems that align with our training, values, and vision for the future of primary care.
Objectives:
- Compare high-volume public funding structures with private NP-led care models in relation to scope and care delivery.
- Describe the defining characteristics of a private NP-led practice model.
- Analyze how practice structures influence professional autonomy, identity, and long-term career sustainability.
SPEAKER
Alexandra Milne is an academically appointed Nurse Practitioner and the Chief Medical Officer of Care& Family Health. She serves as an adjunct lecturer at the University of Toronto, is a member of Sigma Theta Tau International Honor Society of Nursing, and sits on the committee for The Collaborative CME and Research Network.
Her peer-reviewed publications on clinical education and mental health have appeared in Academic Medicine, Academic Psychiatry, and other leading medical education journals. A Patients’ Choice Award nominee, Alexandra’s clinical focus includes women’s health, mental health, and procedural family medicine.
Through Care&’s AI-integrated EMR, built by NPs for NPs, she leads innovation in delivering consistent, high-quality primary care while advancing the role of nurse practitioners across Canada’s healthcare system.