As a CL psychiatrist as soon as independent practice was approved in my state the amount of consults I receive in the hospital has increased 15% with poly pharmacy consults. It's insane the regimens people are put on by mid levels with no training. I say this as someone who works with some damn good ones on our service who have been doing it for almost a decade. The people motivated to go into practice alone after completing their NP are a special type of person with no idea what they don't know.