Cause And Effect? AMA Chair Of Board Of Trustees Writes Into WSJ Regarding DNPs

http://online.wsj.com/article/SB120787444179306655.html.html

Maybe the phone calls did make a difference?

It's a start.

Coastie said:

http://online.wsj.com/article/SB120787444179306655.html.html

Maybe the phone calls did make a difference?

It's a start.

Click to expand...

Nicely written and summarizes in two paragraphs the difference between a physician residency and a DNP "residency".

David Carpenter, PA-C

Coastie said:

http://online.wsj.com/article/SB120787444179306655.html.html

Maybe the phone calls did make a difference?

It's a start.

Click to expand...

"Nurse practitioners aren't the same as doctors, nor do we purport that DNPs will be. Patients who see nurse practitioners will tell you the difference and express their satisfaction with nurse practitioners, who have a different approach to managing patients while using the same evidence-based standards of care used by physicians."
Translation: NP's are better...? maybe i'm just paranoid.

I think these comments from the article are interesting:

I didn't become a nurse because I was too stupid to get into medical school. I became a nurse because I was more interested in getting patients well than I was in studying what makes them sick.

This is ridiculous. She is implying that doctors learn about why patients get sick and stop there, that we are not interested in treatment. This does highlight a major difference in MD/DO vs RN education though. Physicians understand the pathophysiology, while nurses really do not. Even though a nurse may be able to start an IV or insert a Foley more quickly, it doesnt make him qualified to treat a patient.

I fully respect the skills doctors possess, as well as their education and training. However, as a nurse practitioner, I, too, have skills, experience and expertise that doctors don't possess. Within my scope of practice, studies have proven that my care is equal to or superior to physician care.

I have never seen a nurse with a skill or expertise that doctors do not possess (other than annoying medical students really, really well).

What's with nurse practioners and their titles?

Sherri W. Osborne, RN, BSN GNP/APNP
Marylu Manning, CRNP, MPA
Joanne Pohl, Ph.D. APRN, BC, FAAN

Give me a break.

Pinkertinkle said:

What's with nurse practioners and their titles?

Sherri W. Osborne, RN, BSN GNP/APNP
Marylu Manning, CRNP, MPA
Joanne Pohl, Ph.D. APRN, BC, FAAN

Give me a break.

Click to expand...

oh c'mon now...you know us doctors are no different... with our MD, MPH or MD, PhD with FAAFP, FACS, FACP, etc.

one thing that's confusing about that article is which opinion is from which person. first i thought that dr. langston's letter was under his name- "If nurse practitioners want to pursue a doctorate"

Coastie, thanks so much for all of the work you did. 🙂

Nothing beats the marketing power of "MD"
Nurses can add as many acronyms after their name as their want, but unless it starts with an M and ends with a D, it's meaningless fluff.

I also want to thank you Coastie for all your hard work. Thanks for keeping me posted on this important issue as I decide whether I will continue my AMA membership through residency.

Now we just need to take the agenda past article responses in the WSJ.

P.S. While we're at it, we really ought to be pointing out that if we take a "team approach" to medicine, someone really needs to be managing the team.

There's a woman that just joined our group (EM) to work chest pain. I know her as "L". It only came out in a LONG conversation that she is "L, MD, PhD, PharmD" - IM/Geriatrics trained. It's funny that, the more people have (usually), the more low-key they are about it.

Spoke with a local DNP student who is a long-term NP. I asked her about her thoughts on the future of the profession: she is unaware of my ideas, and we have an amicable working relationship.

She said:
1) All NP's, both masters and DNP, should be independent
2) Master NP's will take over primary care, without physician oversight
3) DNP's will be a "higher level", and admit to hospitals, as well as specialize in every specialty
4) The system we have is flawed because of the "greed which has run the system" over the years. IE, Physicians.
5) She was familiar with Mundinger, but not too much.
6) She was anti-universal healthcare (I'll give her that), but she also said that DNP's will play a huge leadership role in any such system, which she said is "inevitable".

With the AMA leading, I hope we see a coordination amongst the ASA, AAFP, ACP, etc etc, attacking this issue head on in the public arena as well as the legislative, which is, let's face it, just as important as the public.

When the public is told the real truth, they shun the Nurse Doctor idea.

The WSJ article is a great start. Let's hope AMA has a presence on SDN relatively soon, and let's hope they are revamping their online strategy to reach us in a more cost-efficient and impactful manner.

I've also sent the articles to the secretary of the governor of my state's ACP, and she said I'll hear back from him sometime next week. Remember, these leaders are physicians and organizational guys, and they may not have heard or seen the rhetoric Mudinger is pushing.

Our goal now should be to educate our leaders the best we can, and have watchful expectation for a clear, defined plan of action on the matter. If it doesn't come within a reasonable amount of time, we have to stay on them.

In politics, those who win are those who bring the most people to the room when the vote comes. As for me, I'm gonna stay in (and support) the AMA, because without at least attempting to enter the room, I'll never have a vote. We have tons of organizations within medicine, but remember guys, the AMA is still the big player.