matsudae Hi Erin, we do not use APPs in our clinic at this time, however, when we did they had Pediatric background. Typically NPs and their duties were to assist the MDs with notes, orders, pre-op workflows, follow In the NICU as well as follow up clinic. They also could back the nurse coordinators up with intakes and work. We now have a Fetal Fellow each year and they have taken on these roles (other than the nursing work) and also assist in surgery.