An integrated team of otolaryngologists and advanced practice providers (APPs) is an ideal way to meet the demands of high quality, patient-centered care promoted by the evolving healthcare delivery system. The panelists will provide various approaches to business plans, including benchmarking data and metrics to assist with measuring demand, productivity, quality, and satisfaction. The panelists will consider, and contrast training and skill sets of PAs and NPs. APPs supply and demand poses recruitment challenges and tips for being competitive in the marketplace. The panelists will discuss structured training and on-boarding to provide the required knowledge base and skills needed for long-term success and maximum efficiency. Lastly, strategies for retaining otolaryngology APPs, recognizing the investment of time and resources required to achieve optimal team practice, will be discussed. An audience poll will be conducted for questions and topics of interest to enable impromptu targeted discussion with ample time for additional questions and open dialogue at the end.Learning Objectives: 1. Develop a business case supporting the addition of an APP to an otolaryngology care team and measure impact on the practice. 2. Implement competitive strategies to successfully recruit and retain APPs. 3. Train and on-board an APP to achieve maximum efficiency and long-term success in an otolaryngology practice.Faculty: Kristina Gidley, PA-C(Nothing to Disclose), Scott Stringer, MD(Royalty: Up to Date; Expert Witness: For Otolaryngologist; Leadership Role: Association of Academic Departments of Otolaryngology), William Blythe, MD(Nothing to Disclose), Tristen Harris, MPAS, PA-C(Nothing to Disclose), Amanda Dean, MD(Nothing to Disclose).