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re: LA legislature denies Independent nurse practice
Posted on 6/22/21 at 1:13 am to CajunDoc
Posted on 6/22/21 at 1:13 am to CajunDoc
quote:
LA legislature denies Independent nurse practice
A NP/PA is not a doctor bc they either are not smart enough or are an underachiever, neither of which I want diagnosing or caring for me or any of my family.
Posted on 6/22/21 at 3:26 am to CajunDoc
Ex wife is a NP and no they aren’t doctors. They have no where near the training or clinical requirements of doctors. They have the book knowledge but not the practical knowledge.
Posted on 6/22/21 at 4:20 am to CajunDoc
Trained physicians don't like their professions being bastardized by nurses with a superiority complex, bad attitude and a chip on their shoulder. Who'd have thunk it?
Posted on 6/22/21 at 5:42 am to CajunDoc
People say “I’m going to the doctor’s office” instead of “I’m going to the nurse practitioner’s office” for a reason…. Bc they want to see a doctor.
Posted on 6/22/21 at 6:45 am to CajunDoc
What is the current rule on “physician oversight”, if I remember correctly it used to be the md had to be available by phone and review a handful of charts, that is bullshite to begin with and worthless
Either give it some teeth or remove it but just having the word oversight in the practice act does no good
Either give it some teeth or remove it but just having the word oversight in the practice act does no good
This post was edited on 6/22/21 at 6:48 am
Posted on 6/22/21 at 6:58 am to CajunDoc
How will this affect their Tik Tok videos??
Posted on 6/22/21 at 7:55 am to chaad
There has to be a middle ground here. There's an obvious demand here as shown by the shortage of doctors especially in rural areas and skyrocketing medical care costs. When's the last time the AMA has opened a new medical school? I haven't heard of one in years and years despite a rise in population and an entire generation of baby boomers getting old.
Seems like straightforward enough issues could certainly be treated by NPs and PAs. Sutures, colds/flus, sinus infections, stomach bugs, ear infections...Basically let them take care of all the low hanging fruit which provides more access to care for more people. And frees up physician time for more involved, non percentage based medicine type things.
If there are any real red flags such that a high level decision needs to be made the mid levels could consult with an MD and have all of the salient facts ready to go.
Seems like straightforward enough issues could certainly be treated by NPs and PAs. Sutures, colds/flus, sinus infections, stomach bugs, ear infections...Basically let them take care of all the low hanging fruit which provides more access to care for more people. And frees up physician time for more involved, non percentage based medicine type things.
If there are any real red flags such that a high level decision needs to be made the mid levels could consult with an MD and have all of the salient facts ready to go.
Posted on 6/22/21 at 8:36 am to SaintsTiger
quote:Nothing says independent NPs would move there. Needing a collaborative agreement with a doctor does not impair their ability to move rurally.
the shortage of doctors especially in rural areas
quote:They already do this.
Seems like straightforward enough issues could certainly be treated by NPs and PAs. Sutures, colds/flus, sinus infections, stomach bugs, ear infections...Basically let them take care of all the low hanging fruit which provides more access to care for more people
Posted on 6/22/21 at 9:00 am to CajunDoc
Everyone wants to complain about healthcare costs, but then they support stupid shite like this.
An NP can handle 80% of what comes up at a doctor's visit. For anything else, they can send you to a specialist.
An NP can handle 80% of what comes up at a doctor's visit. For anything else, they can send you to a specialist.
Posted on 6/22/21 at 12:20 pm to jfootball14
Yep. And I’d keep monitoring this and reach out to your legislator to let him or her know how important this is because as someone alluded to, the nurses are going to keep pushing for this. They will bring it back next year and the physicians need to be ready. It’s a dangerous idea.
Posted on 6/22/21 at 12:20 pm to SaintsTiger
The issue is that these lobbyist organizations pitch it as though the providers will help with the shortages, but the data shows the mid-levels are not going to these rural areas in need.
Also, physicians or other actual medical providers are not the cause of the skyrocketing medical costs. It is the exponential increase in the business administration positions since HIPAA.
Also, physicians or other actual medical providers are not the cause of the skyrocketing medical costs. It is the exponential increase in the business administration positions since HIPAA.
Posted on 6/22/21 at 12:26 pm to seawolf06
quote:
Everyone wants to complain about healthcare costs, but then they support stupid shite like this.
An NP can handle 80% of what comes up at a doctor's visit. For anything else, they can send you to a specialist.
its not as stupid as believing healthcare costs will be fixed by midlevel independence lol. healthcare isnt expensive because of physician salary. midlevels being independent will do nothing except allow hospital administrators to bloat their own salary at the expense of patient safety. gotta tackle problems with administration, insurance, patient satisfaction, and billing transparency for that.
its more like 80% of things that come up at a doctors visit wont kill or maim a patient so even if a midlevel mismanages the care there is no significant harm. they aren't trained well enough to recognize enough of the 20% they can't handle. they are fine in specific supervised roles but independent practice especially primary care is a hard no.
Posted on 6/22/21 at 12:31 pm to Privateer 2007
quote:
Good lord.This online education crap is beyond ridiculous.
For an accounting degree.... works great.
For the person deciding what medicine goes in my body.... not so much.
Posted on 6/22/21 at 12:32 pm to CajunDoc
They are a doctor just not an MD
That said I wouldn’t introduce myself as that
That said I wouldn’t introduce myself as that
Posted on 6/22/21 at 12:35 pm to crazy4lsu
Well I can tell you this, I’m a practicing Occupational Therapists and had to take the same anatomy course as the med school students (that included the cadaver lab) at LSU health in Shreveport
We allied health had 10-12 weeks, the mrs school students had all year snd rightfully so!
We allied health had 10-12 weeks, the mrs school students had all year snd rightfully so!
Posted on 6/22/21 at 12:37 pm to steve123
quote:
Yep. And I’d keep monitoring this and reach out to your legislator to let him or her know how important this is because as someone alluded to, the nurses are going to keep pushing for this. They will bring it back next year and the physicians need to be ready. It’s a dangerous idea.
yup. this type of bill has nurse and big hospital groups lobbying interests while the physician lobby group is weak, and the public is largely ignorant/complacent of the problem. physician lobbying is hamstrung by the optics that the nurse groups are trying to solve problems and fill gaps despite the fact they aren't trained or qualified for the scope they are pushing for. And it makes physicians appear as defensive elitists to point out the dangers of that
unfortunately I think midlevels will eventually win out and gain independence for those reasons. unless we see legislation that beats them to the punch to fix the actual issues related which are related to administration, incentives, and residency availability.
Posted on 6/22/21 at 12:46 pm to lsucoonass
quote:
Well I can tell you this, I’m a practicing Occupational Therapists and had to take the same anatomy course as the med school students (that included the cadaver lab) at LSU health in Shreveport
We allied health had 10-12 weeks, the mrs school students had all year snd rightfully so!
that does not sound like you took the same course then. you may have shared the same lab, but I doubt you were taking the same test.
Ive seen PA students practice problems and study material for their 'same course' work and their PANCE licensing exam, and it was surface level comparatively. And rightfully so, because our scope is different. Independent midlevels are just not trained for the same scope they are trying to attain thru lobbying.
Posted on 6/22/21 at 12:46 pm to lsucoonass
quote:
They are a doctor just not an MD
Maybe in an academic setting, but in the context of this post they are not doctors like someone who graduated from medical school is a doctor. Not even close.
Posted on 6/22/21 at 1:01 pm to VictoryHill
quote:
Maybe in an academic setting, but in the context of this post they are not doctors like someone who graduated from medical school is a doctor. Not even close.
I agree with you but thats a losing battle now. chiropractors, NPs/PAs, shamans, etc are all getting doctorates in something nowadays and are technically correct to be called a doctor although in a clinical setting is unethical due to connotation imo.
the problem is solved if we switch to Physician. Its clear, precise, and is a legally protected title. avoid use of healthcare provider when referring to physicians, its a conflation term pushed by big hospital groups and midlevel lobbying to appear on the same level as physicians.
Posted on 6/22/21 at 1:03 pm to CajunDoc
quote:
Generally interested in people’s overall opinion on this matter. How many of you or your loved ones routinely see mid levels (nurse practitioners or physician assistants) instead of MDs or DOs? Are you happy with or ok entrusting your health and well being to someone with less training even though you pay the same amount for the “care?”
Not everything requires a physician to treat. General family practice and pediatrics are a great example. If an NP can diagnose an ear infection or bronchitis and write a prescription. It is a great way to reduce the cost of delivering health care.
quote:
CajunDoc
I get the sense you spent $200K in med school to become a family practice doctor.
Now if I have cancer or a heart ailment, then absolutely it needs to be an MD or DO.
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