re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187

Right but the patient would essentially have to diagnose themselves by going to these clinics. Instead of someone thinking they only have a cough, they could have pneumonia or something else. The problem is the NP might not know they are not within the scope of work.

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One of the biggest problems with medicine is the knowledge and communication gap. Patients just don't understand our thought process and what goes into our training, clearly as seen in this thread.

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Couldn't agree more. The further I go in my medical career, the more evident it becomes that our science education up through high school/college in this country is fricking pathetic. No one has any respect for the complexity of the human body or disease processes. Improving our science education could do a lot, but that's a whole separate discussion in itself.

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The idea of a nurse practitioner practicing solo with their level of training after they finish schooling is downright scary. It's akin to a medical student hanging their own shingle without residency, except medical students have more training coming out of school than NPs.

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Yes. Physicians and nurses occupy different roles in healthcare. They simply have different jobs, and the training for each is structured accordingly. Nurse practitioners can provide a valuable service in patient care, but these nursing associations/organizations are misguided in their efforts to expand their scope of practice. You can't just slap on 2-3 years of NP school after nursing school and end up with equivalent knowledge and experience as a physician.

The differences in basic science, medical science, and clinical training between a board certified internal medicine physician or family medicine physician (4 years college + 4 years medical school + 3 years residency) and a board certified nurse practitioner (bach degree of nursing + 2-3 years NP school, with no required work experience between the two) are astounding. There is no denying this.

Most of the time what initially appears to quack like a duck ends up actually being a duck, but sometimes it ends up not being a duck at all. That's part of what residency is for. And NPs don't do anything that comes close to a residency. Hell, the clinical training hours a nurse practitioner student gets during NP school don't even come close to what a med student gets.

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How much business are you afraid they will take from you?

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If I remember correctly, he's an ophthalmologist, so he's essentially entirely shielded from an APRN taking any of his business. Most of those concerned in this thread aren't actually in primary care. At least a handful are, though.

A vast majority are sincerely concerned that a group who is not trained to do something is fighting to do that thing by using our state legislators to set up a separate board to control their own quality measures, rather than petition the board which already exists to govern those practices. Further, there is some "heart string tugging" going on. They can already see patients so long as they have someone who is qualified to treat patients without oversight looking over their shoulder ensuring the quality of their work is maintained. Removing that oversight will not increase the number of "mid levels" practicing. It also won't make them more than "mid levels"- which is what they have trained to do.

Many people think that the physicians just want more money and a monopoly. Unfortunately, the complexity of what goes into training is lost on those who aren't intimately involved in the field, thus you now have people in favor of allowing mid levels to provide unsupervised care.

They will take no work away from me! It's a principle thing. Read the thread dude

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Louisiana patients deserve to have the primary care of a Medical Doctor.

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I agree. Too bad that waaaaay too many MDs have PAs and NPs do a vast majority of their patient interaction.

What's the status of this legislation?

This may be a more concise summary of the Oliver case....

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First, do no harm.

LINK

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What if your "primary provider" never went to medical school?

Here we go again...

Louisiana nurse practitioners are pushing to remove oversight by MDs in the primary care of patients. Eliminating the collaborative practice agreement is NOT safe for Louisiana patients. Nursing school is simply NOT equivalent education to medical school. Nurse practitioner school is NOT equivalent to medical residency training. Louisiana patients deserve to have the primary care of a Medical Doctor. The education/training pathways are simply not equivalent, and there is no way to accurately argue otherwise.

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Funny... All the states that currently allow NP this autonomy are doing well.

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Call your House Rep and urge them to vote NO on the bill, as it is not safe.

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The bill doesn't force me to see a NP over a MD.