LA legislature denies Independent nurse practice

No problem here.
Nurses aren't Drs.

Good. Nurses are not doctors. Nurse practitioners are not doctors. Physicians assistants are not doctors.

For 90% of what you need, they might be fine, but that 10% that might kill you is what the doctor trained for.

And that's why I insist on a doctor.

NPs can be good in subspecialized setting.

They are awful in primary care IMO

APRN/NPs are receiving training through online education. It is a clownshow.

I've turned all my med school friends against mid-levels after a long thread here a few months ago. Recently, a PA told one of my friends that PAs get the same education as MDs in half the time. That helped turn the tide amongst my group too.

I’m glad to see so many people are informed on the difference between midlevels and physicians. It’s starting to become a real problem where emergency departments are almost entirely staffed by midlevels.

As a doctor, I would have no problem with NPs having some independent practice certification that requires years of practice and random chart audits by physicians/state medical boards. The Yipskiddlydooo plan would require every new NP grad to have supervision. After 5 years of practice they are required to take a written exam that would be similar to a board certification exam for physicians and they have to submit 20 random charts of the certifying boards choosing. The certifying board would have to be comprised primarily of Physicians since we’ve seen what happens to NP scope when the nurses are in charge…everyone gets to be a doctor nurse and treat patients independently even when we all know they shouldn’t be

An NP who has been practicing in a dermatology office with real doctors for 15-20 years has more experience than a new Derm grad. The problem with NPs is that their clinical experience prior to entering practice is nothing more than following orders. They aren’t actually going through the decision making process, risk stratification, etc. in their heads like a practicing physician. They start to learn that in school but their online DNP degree is not close to residency training in terms of getting them ready to be autonomous healthcare providers. In too many states they are allowed to practice independently, just like a new residency grad, even though the latter has ten thousand more hours of clinical training/patient care

Great. Nurse practitioners have no business with an independent practice. 4 years of college and 2 years of online work is not even close to being enough to practice without a physician’s oversight.

At this point frick the whole medical profession. These are just two politicized organizations fighting over how much money they can squeeze out of the system.

I'll entrust my health and well being to luck and the satisfaction that no one gets a dime out of me.

I could be a doctor, it'd take me a few years and I would probably kill a few dozen people in the process of learning but I could do it.

Or I could just let people go to school for 10 years to learn how to not kill people perform that function.