LA legislature denies Independent nurse practice

No problem here.
Nurses aren't Drs.

One time I saw an NP, she had to leave the room to talk to the doctor three times.

I left that practice and never returned.

On one end of the spectrum, If I have an issue that I’d like a dr to review then I’m going to see a dr. On the other end, if I need my hand stitched as far as I’m concerned I’d let one of you jagaloons do it.

Somewhere in between that I’m okay with seeing a NP. I see one for my well visits. Easy visit.

If they wanted to function without physician oversight then they should’ve went to school to become a physician and not an NP.

I could be wrong but I think NP’s have to have a doctors signature on certain procedures and prescriptions. I don’t think the care for my 2 kids was ever in question but it seemed like extra hurdles needed to be crossed vs a actual doctor.

I've turned all my med school friends against mid-levels after a long thread here a few months ago. Recently, a PA told one of my friends that PAs get the same education as MDs in half the time. That helped turn the tide amongst my group too.

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Recently, a PA told one of my friends that PAs get the same education as MDs in half the time.

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Med school and PA school are somewhat similar curriculum

But doctors dont learn to be doctors in med school. They learn in residency. Most interns are fricking idiots

The transformation of a person between intern year and finishing residency is nuts

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It’s starting to become a real problem where emergency departments are almost entirely staffed by midlevels.

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And they end up ordering more wasteful tests and costing more money in the end.

A lot of ERs are now moving back to docs only as billing changes.

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online education

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Good lord.This online education crap is beyond ridiculous.

Absolute Clown Show. You are correct.

As a doctor, I would have no problem with NPs having some independent practice certification that requires years of practice and random chart audits by physicians/state medical boards. The Yipskiddlydooo plan would require every new NP grad to have supervision. After 5 years of practice they are required to take a written exam that would be similar to a board certification exam for physicians and they have to submit 20 random charts of the certifying boards choosing. The certifying board would have to be comprised primarily of Physicians since we’ve seen what happens to NP scope when the nurses are in charge…everyone gets to be a doctor nurse and treat patients independently even when we all know they shouldn’t be

An NP who has been practicing in a dermatology office with real doctors for 15-20 years has more experience than a new Derm grad. The problem with NPs is that their clinical experience prior to entering practice is nothing more than following orders. They aren’t actually going through the decision making process, risk stratification, etc. in their heads like a practicing physician. They start to learn that in school but their online DNP degree is not close to residency training in terms of getting them ready to be autonomous healthcare providers. In too many states they are allowed to practice independently, just like a new residency grad, even though the latter has ten thousand more hours of clinical training/patient care