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re: LA legislature denies Independent nurse practice

Posted on 6/23/21 at 12:49 pm to
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37306 posts
Posted on 6/23/21 at 12:49 pm to
quote:

an intern year physician 1 year out of medical school is much more trained than a midlevel will ever be,


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.

Or is there really no distinction?
Posted by SW2SCLA
We all float down here
Member since Feb 2009
22826 posts
Posted on 6/23/21 at 1:04 pm to
Source: Beckers Hospital Review


quote:

Full practice authority

Alaska
Arizona
Colorado
Connecticut
Hawaii
Idaho
Iowa
Maine
Maryland
Massachusetts
Minnesota
Montana
Nebraska
Nevada
New Hampshire
New Mexico
North Dakota
Oregon
Rhode Island
South Dakota
Vermont
Washington
Wyoming

Reduced practice authority

Alabama
Arkansas
Delaware
Illinois
Indiana
Kansas
Kentucky
Louisiana
Mississippi
New Jersey
New York
Ohio
Pennsylvania
Utah
West Virginia
Wisconsin

Restricted practice authority

California
Florida
Georgia
Michigan
Missouri
North Carolina
Oklahoma
South Carolina
Tennessee
Texas
Virginia
Posted by AMS
Member since Apr 2016
6501 posts
Posted on 6/23/21 at 5:50 pm to
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.
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