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re: LA legislature denies Independent nurse practice
Posted on 6/23/21 at 3:40 pm to TigerstuckinMS
Posted on 6/23/21 at 3:40 pm to TigerstuckinMS
quote:I’m sitting in a hospital room for the 3rd day currently only because an actual physician took over for the PA after 8 hours in the ER. The PA had no clue what was going on with me but the Dr. immediately caught on it was more pancreatic problems.
For 90% of what you need, they might be fine, but that 10% that might kill you is what the doctor trained for.
So now I sit and wait for the organ to stabilize more while we ponder how much of it will be removed. Diagnosed diabetic now that it’s quit working at least partially. Lots of pain and potions and pills and complete lifestyle change for this old man.
So yeah, no problems with keeping NP/PA under supervision.
0
Posted on 6/23/21 at 4:29 pm to armsdealer
quote:
It isn't like nurses are low level and doctors are high level, they are simply doing different roles.
Posted on 6/23/21 at 4:33 pm to YipSkiddlyDooo
quote:The AMA and physician's "associations" (totally not unions) lobbied Congress in 1997 to cap the number of residencies to "ease the glut of doctors".
The AMA also has zero control over how many new schools open up and how many residency spots get approved/funded.
U.S. to Pay New York Hospitals Not to Train Doctors, Easing Glut
Enrollment at medical schools has increased 27% since then, but since they are capped, residencies have not increased proportionally.
Posted on 6/23/21 at 4:36 pm to CajunDoc
quote:
True, but many nurses who get their “doctor of nursing practice” degree (DNP) introduce themselves as doctors
This is true.
Posted on 6/23/21 at 4:40 pm to SM6
quote:
The rest of the country has NP and PAs delivering primary care at a range of facilities.
quote:
Louisiana took the brave stance not to allow that,
quote:
interesting decision in a state that struggles with 1) a lot of terribly unhealthy people 2) many people unable/unwilling to pay for their own health care.
So you think that terribly unhealthy people, the sickest of the sick, should be cared for by people with less training?
If people can't pay for their healthcare, maybe idk more residency slots could help with this since residents deliver excellent, high-level, supervised care to patients without insurance. After all it's residency slots, not med school, that is the bottle neck, despite the crazy conspiracy theories here about the big bad AMA artificially limiting the doctor pool.
This post was edited on 6/23/21 at 4:43 pm
Posted on 6/23/21 at 5:50 pm to LSUFanHouston
quote:
Trained, or classically educated?
I would think an NP with 20 years exp has "seen" more things in the field... but the physician 1 year out of medical school has probably learned more things from books/lectures/labs.
both. they may have "seen" more things but that's not equal to training or education. I don't think physician supervised midlevel field experience is even equivalent to half the same hours of residency training. Physicians see more patients with more complex problems while training and educating younger crops of physicians. If I have a complex medical problem sign me up for the physician 1 year into residency over the 20 year NP 10/10 times. If I have a simple problem they are probably equivalent choices.
quote:
Or is there really no distinction?
putting aside foundational education which obviously physicians get mountains more of, lets discuss clinical training hours.
NP training = 500-1500 hours based on the program/state reqs. lets max it out and say 1,500 hours.
PA training = 2,000 hours.
by the end of medical school an MD/DO has 6,000 hours. before residency even starts that is 3-4x more training than the most trained independent midlevels.
We require physicians an additional 10,000ish hours for 3-4 year residency training before being independent. Independent midlevel laws make less sense than letting 4th year medical students quit school and start practicing medicine.
Posted on 6/23/21 at 6:25 pm to crazy4lsu
quote:
a PA told one of my friends that PAs get the same education as MDs in half the time.
That PA must have a time machine.
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