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Posted on 6/21/21 at 10:23 pm to Privateer 2007
quote:
No problem here.
Nurses aren't Drs.
This. I have no fricks left to give about nurses after what they pulled during COVID.
Posted on 6/21/21 at 10:24 pm to CajunDoc
Great. Nurse practitioners have no business with an independent practice. 4 years of college and 2 years of online work is not even close to being enough to practice without a physician’s oversight.
Posted on 6/21/21 at 10:25 pm to Cosmo
quote:
Med school and PA school are somewhat similar curriculum
similar in breadth but not depth.
quote:
But doctors dont learn to be doctors in med school. They learn in residency. Most interns are fricking idiots
98% true, generously one may get 2% of learning to be a doctor if their preceptors are phenomenal.
quote:
The transformation of a person between intern year and finishing residency is nuts
110%. good luck everyone going to the hospital for a couple of months
Posted on 6/21/21 at 10:26 pm to CajunDoc
I am ok with it.
I avoid going to Urgent Care & After Hour clinic if I can for the simple fact that I want to see a doctor, not a NP or PA.
I avoid going to Urgent Care & After Hour clinic if I can for the simple fact that I want to see a doctor, not a NP or PA.
Posted on 6/21/21 at 10:30 pm to Cosmo
quote:
A lot of ERs are now moving back to docs only as billing changes.
Some might be, but overall the pendulum is not swinging that way. Between hospital networks and venture capital groups (who have ruined many anesthesia groups and have started Emergency Med down the same path), EM physician outlook is bleak. The mid level creep is very real and still prominent in most facilities, combined with squeezing more visits out of the EM docs themselves (reduced physician staffing even if mid levels aren’t being added). Not to mention EM has increased residency spots by something like 180% in the last 7-10 years. EM will be over saturated with physicians within the next 10 years and you’ll have a lot of physicians looking for work that they can still do with their EM training without actually staffing an emergency department.
Posted on 6/21/21 at 10:31 pm to CajunDoc
At this point frick the whole medical profession. These are just two politicized organizations fighting over how much money they can squeeze out of the system.
I'll entrust my health and well being to luck and the satisfaction that no one gets a dime out of me.
I'll entrust my health and well being to luck and the satisfaction that no one gets a dime out of me.
Posted on 6/21/21 at 10:33 pm to CajunDoc
They need to step up they're tiktok game
This post was edited on 6/21/21 at 10:34 pm
Posted on 6/21/21 at 10:34 pm to Privateer 2007
The NPs these days are not nearly as rigorously trained as 20 years ago.
Posted on 6/21/21 at 10:34 pm to CajunDoc
I could be a doctor, it'd take me a few years and I would probably kill a few dozen people in the process of learning but I could do it.
Or I could just let people go to school for 10 years to learn how to not kill people perform that function.
Or I could just let people go to school for 10 years to learn how to not kill people perform that function.
Posted on 6/21/21 at 10:36 pm to CajunDoc
quote:
Generally interested in people’s overall opinion on this matter. How many of you or your loved ones routinely see mid levels (nurse practitioners or physician assistants) instead of MDs or DOs? Are you happy with or ok entrusting your health and well being to someone with less training even though you pay the same amount for the “care?”
100% a win for patient safety. Until NPs fall under the same regulatory boards and bodies to allow for the appropriate responsibility and liability from such a role. they push for independence claiming they will help close a 'shortage' especially in rural areas. but don't end up moving there to fill the shortage. even then its unsafe for rural folks to not see a doctor.
sadly the nursing lobby is formidable while the physicians lobby groups are sad. eventually they will win out and gain independent practice. PAs are getting better at it too and are making gains as well. thats not to say they cant be valuable contributions with appropriate supervision. although some doctors abuse 'supervision' roles and essentially allow them to practice independently.
Posted on 6/21/21 at 10:42 pm to YipSkiddlyDooo
quote:Or, they could simply go to medical school.
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
Posted on 6/21/21 at 10:44 pm to AMS
Just stop covering office visits with insurance and let patients go wherever they choose and pay cash. There will be a decent $100 per month family membership for unlimited primary care services when that happens.
Posted on 6/21/21 at 10:44 pm to CajunDoc
NURSES ARE HEROS
LOOK AT US. WE ARE HEROS
WE NURSES ARE HEROS
WE RISKED OUR LIVES DURING COVID AND ARE HEROS
"HEROS LIVE HERE"
LOOK AT US. WE ARE HEROS
WE NURSES ARE HEROS
WE RISKED OUR LIVES DURING COVID AND ARE HEROS
"HEROS LIVE HERE"
Posted on 6/21/21 at 10:46 pm to Privateer 2007
quote:
No problem here.
Nurses aren't Drs.
So what? As long as they don't advertise themselves as doctors, why shouldn't they be allowed to offer services that are within the scope of their training? It would increase the supply of medical care and potentially lower costs.
Why? Doctors donate more money to small government conservatives than NPs do.
This post was edited on 6/21/21 at 10:47 pm
Posted on 6/21/21 at 10:50 pm to CajunDoc
Good, I have had issues with several nurse practitioners and PA’s. The last issue I had scared the shite out of me. About a year ago, I was in Houston at MD Anderson for my normal 3 month scan and visit with my oncologist. Anyway, I was in the exam room waiting for my doctor to come in and instead a PA that I had never met came in and promptly told me that one of the tumors in my liver(that had been stable) was growing and that they had few options for me. Said that I may qualify for some clinical trials but that was about it. I know the day will come that this will be true but it ain’t yet and I knew that when she told me. I started asking her about next line chemo drugs like Lonsurf and Stivarga were still available to me and that there were other procedures like Y-90 embolization that could still keep my cancer stable. When I started asking the questions she quickly exited the room saying she needed to talk to the Doc. She came back in a few minutes later and said the Doc would be in in a few minutes to discuss my questions. So, a few minutes go by and the doc came in and promptly told me that he had discussed my case with interventional radiology and that thenDoc there felt he could ablate the tumor safely and completely. No mention of changing chemo or no further options. Apparently he had not discussed this route with the PA and she took it upon herself to “give me the bad news)
I was pissed about that turn of events but was grateful the doc was looking for solutions and not content to say oh well we are out of options. With that said, there is a PA I see from time to time that is exceptional. Very good bedside manner and very empathetic to her patients. On my next visit after the above frick up, I told this PA about the incident with the other PA and she was aghast. She told me that even if ablation had not been an option there were several avenues for treating my cancer and that I wasn’t ready for clinical trials yet.
To end this saga, let me say because the Oncologist found another way to treat my growing tumor I was able to stay on the same chemo I had been on for over a year with no further progression. Had that PA been in charge I most likely would be dead by now.
TL:DR
PA fricked up, doctor fixed her frickup and I’m still alive
I was pissed about that turn of events but was grateful the doc was looking for solutions and not content to say oh well we are out of options. With that said, there is a PA I see from time to time that is exceptional. Very good bedside manner and very empathetic to her patients. On my next visit after the above frick up, I told this PA about the incident with the other PA and she was aghast. She told me that even if ablation had not been an option there were several avenues for treating my cancer and that I wasn’t ready for clinical trials yet.
To end this saga, let me say because the Oncologist found another way to treat my growing tumor I was able to stay on the same chemo I had been on for over a year with no further progression. Had that PA been in charge I most likely would be dead by now.
TL:DR
PA fricked up, doctor fixed her frickup and I’m still alive
Posted on 6/21/21 at 10:53 pm to LSU2001
quote:
PA fricked up, doctor fixed her frickup and I’m still alive
I really don’t have any interest in being seen by a PA or NP unless it’s for the most minor of things like the flu, etc.
Posted on 6/21/21 at 10:57 pm to BeepNode
quote:
So what? As long as they don't advertise themselves as doctors, why shouldn't they be allowed to offer services that are within the scope of their training? It would increase the supply of medical care and potentially lower costs. Why? Doctors donate more money to small government conservatives than NPs do.
Damn, I wish I could have your faith in Nurses to treat things within their scope of education. I know several nurses personally, he’ll I hired one to teach CNA classes to high school kids and trust me most of them aren’t too bright. Nursing school is a joke compared to Med School and the PA and NP training isn’t much better. I do not and will not allow a PA or NP to make any medical decisions concerning my health. For routine visits, give me an allergy shot type of visits and maybe wellness visits I think they are fine. I do not want to see one in practice without an MD overseeing their work.
This post was edited on 6/21/21 at 10:58 pm
Posted on 6/21/21 at 10:58 pm to pensacola
quote:
Just stop covering office visits with insurance and let patients go wherever they choose and pay cash. There will be a decent $100 per month family membership for unlimited primary care services when that happens.
not against that slightly, but not all doctors are PP primary care. big healthcare mgmt companies are moving things away from that direction in a big way.
also it won't stop you from getting tons of mismanaged patients who were or still get seen by the independent NP/PAs and expect to stay on the same meds they were given then. Headaches to come from the fallout of midlevel independence.
Posted on 6/21/21 at 10:59 pm to BeepNode
quote:Their training sucks and they don't know what they don't know. Their scope expands as they pay off politicians to expand it.
services that are within the scope of their training?
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