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re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs
Posted on 4/7/21 at 1:32 pm to cwil177
Posted on 4/7/21 at 1:32 pm to cwil177
quote:
The skill set is not the same
There’s no accurate way for someone in the field to convey this without sounding defensive, sadly. It’s quite true.
There are great models where mid levels are invaluable, even in the management of chronic disease beyond simple refills- the first that comes to mind is titration of insulin/pump management in some diabetics after being taught to do it over and over by a particular endocrinologist that I send these folks to.
What I find particularly funny is that they have a HUGE role to fill in a tightly-focused, fairly repetitive task (above, for example) and are generally not prepared to take on the brunt of what people consider “general practice” without a lot of support.
I’m actually all for independent practice of mid levels under the condition they’re held to our standard-
Any MD can read a chest x-ray. The liability is that they must do it to the standard of a board-certified radiologist. So many don’t. Many do. I think everyone wins if there is a single standard and more options. I think it can be pretty dangerous to allow independent practice under boards not equipped to act on information of substandard care.
Posted on 4/7/21 at 2:11 pm to Hopeful Doc
quote:
There’s no accurate way for someone in the field to convey this without sounding defensive, sadly. It’s quite true.
I agree. This thread highlights that we as doctors are losing the PR war to the midlevels, with the biggest loser being patients and the biggest winners being corporate medicine.
quote:
What I find particularly funny is that they have a HUGE role to fill in a tightly-focused, fairly repetitive task (above, for example) and are generally not prepared to take on the brunt of what people consider “general practice” without a lot of support.
People think primary care is just refilling diabetes and HTN meds. It’s way harder than that, and some NPs can’t even do the basics correctly.
For the people in this thread who say midlevels do the same thing doctors do, I’m sure you will be fine letting Barbara manage you and your family’s health.
![](https://i.imgur.com/NXSfSaj.jpg)
quote:
I’m actually all for independent practice of mid levels under the condition they’re held to our standard-
If they have to pass our boards, carry the same malpractice insurance, and I can testify against them in a court of law then I’m all for it.
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