Mid level isn't an appropriate term for Nurse Practitioners, nothing about being a Nurse Practitioner should be considered mid level. It isn't like nurses are low level and doctors are high level, they are simply doing different roles.

Those who complain about NP's going to the doctor to consult are just stupid, would you rather the NP just wing it or make some shite up instead of consulting a doctor? You better bet doctors consult each other, online resources... even google... when they need some information. I was working with a doctor and they pulled up some info about a drug I had a question about and I asked what resource they used, trying to be good student and all, they used google... I thought she had a good drug book app or something. Lexicomp is what I was given access too but I like some of the other books better.

Anyway, I have no problem seeing a NP, the vast majority of the time I go see a doctor I already know the diagnosis and know what they are going to prescribe I just need a permission slip to get the proper drugs to take care of the problem. I have even seen NP's as my case manager (I have organs that do not work) and the Doctor just reviewed what was going on. Hell, I have never met or spoken to my endocrinologist, I don't even know where he is. He orders tests, he reviews tests, I see a NP to review what he said.

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Posted by AMS

Member since Apr 2016

6500 posts

Posted on 6/22/21 at 12:30 am to armsdealer

quote:

Those who complain about NP's going to the doctor to consult are just stupid, would you rather the NP just wing it or make some shite up instead of consulting a doctor? You better bet doctors consult each other, online resources... even google... when they need some information. I was working with a doctor and they pulled up some info about a drug I had a question about and I asked what resource they used, trying to be good student and all, they used google... I thought she had a good drug book app or something. Lexicomp is what I was given access too but I like some of the other books better.

from physician perspective its informed criticism if an NP is consulting a doc for basic management info that even a med student would know. But i agree its often stupid from a patient perspective, they wont know the difference in that vs a consult for something a physician would get a consult for.

nothing wrong with googling something from time to time, not everything requires dusting off textbooks or wheeling through uptodate. the doc probably had an appropriate plan and the piece of info you were asking was not going to change the plan in a way that would require a deeper dig. she probably knew it would be easily found in google.

quote:

Anyway, I have no problem seeing a NP, the vast majority of the time I go see a doctor I already know the diagnosis and know what they are going to prescribe I just need a permission slip to get the proper drugs to take care of the problem. I have even seen NP's as my case manager (I have organs that do not work) and the Doctor just reviewed what was going on. Hell, I have never met or spoken to my endocrinologist, I don't even know where he is. He orders tests, he reviews tests, I see a NP to review what he said.

generally agree with that sentiment. that seems appropriate use of an NP for endocrinology, but that's not close to the same as independent practice.

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Posted by YipSkiddlyDooo

Member since Apr 2013

3649 posts

Posted on 6/22/21 at 12:32 am to armsdealer

quote:
It isn't like nurses are low level and doctors are high level, they are simply doing different roles.

Well on the spectrum of “critical thinking requirements and decision making responsibilities in patient care” they certainly are low level and high level

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Posted by cwil177