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Started By
Message
you can have it. 
1
Posted on 6/10/16 at 9:56 pm to Golfer
Who gets the white coat
Posted on 6/10/16 at 9:57 pm to LATigerdoc
The NP
Posted on 6/10/16 at 9:58 pm to LATigerdoc
For the pizza come to Oakdale
I bet you can get the coat at the Capitol
I bet you can get the coat at the Capitol
Posted on 6/10/16 at 9:58 pm to Golfer
Lol...
Posted on 6/10/16 at 10:00 pm to p0845330
Golfer gave me the pizza. I'll pick up a white coat to use as a bib.
Posted on 6/11/16 at 7:58 am to p0845330
I'll wipe my butt with LAtigerdoc's white coat while yelling, "I'm not in primary care!"
Posted on 6/11/16 at 8:02 am to LATigerdoc
Well, lets be honest, at a GP's office, the NO dies all of the work anyway. Sorry, but you don't need a doctor when you have poison ivy, the flu, a sore throat, etc
Posted on 6/11/16 at 10:11 am to ArstanWhitebeard
quote:
There is a tremendous amount of chemistry and biochemistry that MDs get that are necessary building blocks to truly understanding pharmacology
so what about the even more tremedous amount of chem and biochem that PharmDs get, comparatively speaking vs. MDs?
quote:amen...
Call yourself a freakin physician.
quote:
A lot of people have earned doctorates/PhDs in their field and have earned the respect of being called Doctor.
i hear you, but frick that... it's pretentious as frick... i don't need to be called doctor to know i have one... only asshats with really small dicks need to have that validation on a perpetual basis
Posted on 6/11/16 at 10:23 am to chRxis
quote:
i hear you, but frick that... it's pretentious as frick... i don't need to be called doctor to know i have one... only asshats with really small dicks need to have that validation on a perpetual basis
quote:
chRxis
Oh the irony!
Posted on 6/11/16 at 11:19 am to MrSpock
quote:
Oh the irony!
another one who doesn't know what the frick irony means.... why are there so many of you??
if my name had something about PharmD, or made use of the fact that i do in fact have a doctorate, in any way, then when combined with what i said, THAT would be irony....
my username makes use of the fact that i'm a pharmacist, yes, but not all pharmacist have doctorates (used to only require a BS)... while i am very proud of my degree on a personal level, i don't have to include "doc" or PharmD in my name to do so...
i'm sorry we couldn't all be as clever as to use old TV characters for our usernames...
Posted on 6/11/16 at 12:19 pm to chRxis
quote:Amen
i hear you, but frick that... it's pretentious as frick... i don't need to be called doctor to know i have one... only asshats with really small dicks need to have that validation on a perpetual basis
Posted on 6/11/16 at 11:52 pm to TheZaba
Umm this TD Tigerdoc membership is here for the sole purpose of advocacy. Thought the name was fitting. If u don't like it i can change it to Pizza pit computer whiz.
And just go to med school if u wanna be a doctor it not so crazy of a thought
And as for the physician thing, what's an optometric physician somebody please enlighten me
And just go to med school if u wanna be a doctor it not so crazy of a thought
And as for the physician thing, what's an optometric physician somebody please enlighten me
Posted on 6/12/16 at 12:05 am to LATigerdoc
I like to refer to myself as Dr. SmackoverHawg MD, but I may start spelling out DOCTOR in all caps. I like the DOCTOR Doctor idea as well.
DOCTOR Doctor SmackoverHawg MD
DOCTOR Doctor SmackoverHawg MD
Posted on 6/13/16 at 3:28 am to LATigerdoc
Wow. There certainly is a lot of misinformation in this thread.
Just a few points of clarification:
1. There is currently no law or statute that requires supervision of advanced practice nurses by physicians or any other profession. Advanced practice nurses are regulated by the Louisiana State Board of Nursing.
2. There is currently a requirement for advanced practice nurses to enter into a "collaborative practice agreement" with a physician or dentist to practice in Louisiana. This is a collaborative not supervisory relationship. It also is commonly a mere formality and a lot of APRNs do not have much contact with their collaborating provider.
3. 23 states and the District of Columbia have already done away with the requirement for collaborative practice agreements. Shocker...patients in those states have enjoyed increased access to quality care with no negative trend in quality of care indices.
4. APRNs receive advanced education and clinical training to prepare them to independently practice. They have either a Masters or Doctorate degree, must pass a national certification exam, and meet other requirements to be licensed. Those that have Doctorates are doctors, but, I assure you, none are trying to be physicians. They are nurses and practice nursing, not medicine. SB187 does not change APRN scope of practice at all.
5. APRNs must carry malpractice insurance and can be sued just as can physicians. Any provider, regardless of the letters behind his or her name, whose negligence results in patient harm should be held responsible.
Physicians are wonderful and help a lot of people, but there are far too few of them to adequately meet the healthcare needs of our growing patient population. APRNs are in the business of helping people be as healthy as they can be and do a very good job of it. Had it passed, SB187 would have been good for the people of Louisiana. I encourage LATigerdoc and anyone reading this thread to try to take an unbiased view of the issues and educate themselves a little more about APRNs and how they can improve patient access to care, particularly vulnerable and under-served populations.
Just a few points of clarification:
1. There is currently no law or statute that requires supervision of advanced practice nurses by physicians or any other profession. Advanced practice nurses are regulated by the Louisiana State Board of Nursing.
2. There is currently a requirement for advanced practice nurses to enter into a "collaborative practice agreement" with a physician or dentist to practice in Louisiana. This is a collaborative not supervisory relationship. It also is commonly a mere formality and a lot of APRNs do not have much contact with their collaborating provider.
3. 23 states and the District of Columbia have already done away with the requirement for collaborative practice agreements. Shocker...patients in those states have enjoyed increased access to quality care with no negative trend in quality of care indices.
4. APRNs receive advanced education and clinical training to prepare them to independently practice. They have either a Masters or Doctorate degree, must pass a national certification exam, and meet other requirements to be licensed. Those that have Doctorates are doctors, but, I assure you, none are trying to be physicians. They are nurses and practice nursing, not medicine. SB187 does not change APRN scope of practice at all.
5. APRNs must carry malpractice insurance and can be sued just as can physicians. Any provider, regardless of the letters behind his or her name, whose negligence results in patient harm should be held responsible.
Physicians are wonderful and help a lot of people, but there are far too few of them to adequately meet the healthcare needs of our growing patient population. APRNs are in the business of helping people be as healthy as they can be and do a very good job of it. Had it passed, SB187 would have been good for the people of Louisiana. I encourage LATigerdoc and anyone reading this thread to try to take an unbiased view of the issues and educate themselves a little more about APRNs and how they can improve patient access to care, particularly vulnerable and under-served populations.
Posted on 6/13/16 at 3:51 am to LATigerdoc
Also, in reference to your OP, you can add the Institute of Medicine and the Federal Trade Commission to your list of proponents of legislation like SB 187.
"To ensure that all Americans have access to needed health care services and that nurses’ unique contributions to the health care team are maximized, federal and state actions are required to update and standardize scope-of-practice regulations to take advantage of the full capacity and education of APRNs. States and insurance companies must follow through with specific regulatory, policy, and financial changes that give patients the freedom to choose from a range of providers, including APRNs, to best meet their health needs. Removing regulatory, policy, and financial barriers to promote patient choice and patient-centered care should be foundational in the building of a reformed health care system."
-Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. Washington (DC): National Academies Press (US); 2011.
"Given the potential benefits of eliminating unwarranted impediments to APRN
practice, we recommend that the Louisiana legislature seek to ensure that statutory limits
on APRNs are no stricter than patient protection requires. FTC staff do not offer advice
on appropriate standards for patient care and safety, but we encourage the legislature to
carefully consider available safety evidence on APRN practice in Louisiana and
elsewhere. Absent a finding there are countervailing safety concerns regarding APRN
practice, HB951 appears to be a procompetitive improvement in the law that would
benefit Louisiana health care consumers."
-FTC letter to the LA Legislature regarding a similar past bill, HB951
LINK
"To ensure that all Americans have access to needed health care services and that nurses’ unique contributions to the health care team are maximized, federal and state actions are required to update and standardize scope-of-practice regulations to take advantage of the full capacity and education of APRNs. States and insurance companies must follow through with specific regulatory, policy, and financial changes that give patients the freedom to choose from a range of providers, including APRNs, to best meet their health needs. Removing regulatory, policy, and financial barriers to promote patient choice and patient-centered care should be foundational in the building of a reformed health care system."
-Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. Washington (DC): National Academies Press (US); 2011.
"Given the potential benefits of eliminating unwarranted impediments to APRN
practice, we recommend that the Louisiana legislature seek to ensure that statutory limits
on APRNs are no stricter than patient protection requires. FTC staff do not offer advice
on appropriate standards for patient care and safety, but we encourage the legislature to
carefully consider available safety evidence on APRN practice in Louisiana and
elsewhere. Absent a finding there are countervailing safety concerns regarding APRN
practice, HB951 appears to be a procompetitive improvement in the law that would
benefit Louisiana health care consumers."
-FTC letter to the LA Legislature regarding a similar past bill, HB951
LINK
This post was edited on 6/13/16 at 3:58 am
Posted on 6/15/16 at 3:05 am to pt448
I am not biased. I am a scientist. I educated myself for a decade. I watch and am involved in patient care daily and have seen many types of healthcare workers at work. I think my education is sufficient to comment on this thank you
A nurse is not a doctor. That's deceptive
A nurse is not a doctor. That's deceptive
Posted on 6/15/16 at 3:06 am to pt448
I have never heard of the institute of medicine. I have heard of the Louisiana state medical society
Posted on 6/15/16 at 3:09 am to pt448
The federal government's support for healthcare overhaul is not something I would brag about in Louisiana
Posted on 6/15/16 at 3:12 am to pt448
You are correct they are not trying to be physicians they are trying to make physicians non existent in primary care
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