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

as a board certified physician, this thread upsets me greatly

Upset with the bill or thread?

LA SB 187 NEEDS TO BE DEFEATED.

For all my friends and family in LA. Please pay attention to this political sidestepping of quality healthcare in your home state. The bill which proposes that Nurse Practicioners should be independently and autonomously practicing medicine is bad for you and your loved ones.
Currently, nurse practitioners, who recieve additional training and experience beyond the RN degree, are a valuable part of health care delivery in many states. Considered midlevel providers, they help fill in gaps in healthcare provider shortage areas, help lower the cost of care for large and growing practices when physician to patient ratios are strained, and typically excel at providing routine preventative services especially to women and children. In LA and most other states, they practice under the supervision of a licenced physician. Like most professionals, they do well when doing what they know how to do and faulter when outside of their training and experience.
NP's are not physicians though. They do not recieve the same intensive classroom education, arduous testing, hands on direct oversight clinical training, or years of closely monitored internship and residency apprenticeship. Nor is any of that training done in an environment as competitive or legally responsible as medical school or residency. They are simply not trained in an equivalent manner to physicians, not even close.
Certainly, there is a role and place for NP'S. That is NOT the independent practice of medicine. Simply put, knowing what you know is important but knowing what you don't know is more important when you are dealing with others health and life.

-rural practicing full scope family physician in Texas for 10years

Board Certified ABFM, AOBFP and OMM, and Added Qualification in Hospice and Palliative Medicine.

Just curious... Do you have any collaborative agreements in place with NPs?

(no message)

Why the hell are docs posting on tigerdroppings to defeat this bill?

Do you really think this is an effective forum to get your dire worries to the public across?

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So why are you so against this?

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Because they don't want anyone taking their market share? It isn't "fair" that someone who doesn't have their extensive training can take their patients.

That's pretty much what this boils down to. Anyone who doesn't have a bias can see that.

Clearly you did not read the thread. No NPs in my field. The legislature already passed irresponsible legislation regarding optometrists. This is about fighting the good fight to keep patients safe and away from harm

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I will respectfully disagree. I said it before and I'll say it again. Grad school for nurses is ridiculously easy to get into. For every one good NP, you have five that needed three chances to pass their boards. You can become a DNP almost entirely online at schools like Southeastern, except for the hours dedicated to your project defense and practicum.

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Sure, they'll probably have shite NPs out there, but there are also shite physicians out there.