- Joined
- May 3, 2004
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Great statement, but I hope they have to good sense to never say this out loud again. That's just asking for trouble (always frame it as a patient safety issue, which admittedly is what the OP's link does).AAEM's position statement is a pro-active step to protect employment opportunities for board certified emergency physicians and upcoming residents & students.
Great statement, but I hope they have to good sense to never say this out loud again. That's just asking for trouble (always frame it as a patient safety issue, which admittedly is what the OP's link does).
Because a statement like that makes the whole thing seem self-serving.Why? Being constantly scared of offending anyone is the reason this crap proliferates so much.
This isn’t anything personal towards APPs but I love the fact that AAEM grew a set of steel balls to take a position that maximizes protection for physicians. Way to go guys. Damn, almost made me want to quit my ACEP membership and go all AAEM. (Currently have both.)
I can’t imagine what the nursing organizations are going to say when they get wind of this one. Get ready for the gnashing of teeth and screeching.
This isn’t anything personal towards APPs but I love the fact that AAEM grew a set of steel balls to take a position that maximizes protection for physicians. Way to go guys. Damn, almost made me want to quit my ACEP membership and go all AAEM. (Currently have both.)
I can’t imagine what the nursing organizations are going to say when they get wind of this one. Get ready for the gnashing of teeth and screeching.
Ah, but it's not a public relations piece. It's the professional society with a stated mission to stick up for us sticking up for us. For us.Because a statement like that makes the whole thing seem self-serving.
No one outside of EM (maybe medicine as a whole if we're being generous) cares if EPs have jobs. Everyone else cares that if they end up in the ED they get good care. That's the part you go after. Talk about how the best care comes from an EP-led team. Talk about how EPs get 3+ years of training that is entirely designed to make them the best at working in the ED. Contrast that with APPs who might get 1-2 months of ED time in their training. Compared total hours of training.
You don't say that this entire campaign is to make sure that current and future EPs have jobs.
Didn't renew ACEP after residency.Join AAEM, quit ACEP.
Singed,
Wilco World MD, FAAEM
Yes. (Deserved more than a "like.")We all should quit ACEP. Any organization supported by the Dbag should be shunned by all EPs.
Ah, but it's not a public relations piece. It's the professional society with a stated mission to stick up for us sticking up for us. For us.
Clearly, but it's now been published for all to see...Ah, but it's not a public relations piece. It's the professional society with a stated mission to stick up for us sticking up for us. For us.
Clearly, but it's now been published for all to see...
How do you show people that they're safer in your hands if none of your professional organizations (*ahem* ACEP) will stand up for this issue. Pretty sure ACEP funded a NP "residency". That's like shot in the gut for what you are proposing.VA Hopeful Dr is correct. As much as I am about stickin' it to the man and standing up, we essentially need to market ourselves better and patient safety should be the number one selling point. We can't say that we're going to be advocating for physicians only just for the sake of it because corporate medicine will leave us in the dust if they can turn a better profit and start moving to mid levels. Unfortunately, we are just a means to an end and just peons at this point (especially EM docs, less so specialists) and will be replaced as soon as corporations will have it. Patient outcomes and safety should be what we're aiming for because we're more experienced and experience gives us the leg up. At this point if we don't have a better marketing strategy then we will get replaced for a cheaper option as soon as they can do it and it's already eroding away.
This is an extremely cynical post but I think it's reality. In the end the enemy is corporate medicine because their goal is money. So how can we translate our skills into making them more money? By showing patients that they're safer in our hands. Until we change what's funding us then we're stuck with this ****ty battle and threat of being replaced.
How do you show people that they're safer in your hands if none of your professional organizations (*ahem* ACEP) will stand up for this issue. Pretty sure ACEP funded a NP "residency". That's like shot in the gut for what you are proposing.
There are groups out there....they are smaller though. Pretty sure I can't cross-post and mention them.I completely agree with you. I think ACEP can go F themselves with that and I definitely agree with AAEM's statement but I don't think it went far enough and needs to advocate for us in a marketing aspect. I understand the term marketing is a crude term, but it's exactly what we need to do in this kind environment. For now the public knows that physicians are the standard of care and the top of the ladder, but corporate medicine and NP and PA advocacy/lobbying groups will slowly try to erode that publishing garbage studies of non-inferiority. Like someone above mentioned, we need to put money where our mouths are and fund the correct groups/PACs. The erosion is inevitable, but the loss of jobs, I believe, is not.
Yes, this seems like a "sky is falling" kind of post, but better to have it now and be aware of possible issues than it sneak up under our noses.
That's what I was trying (poorly apparently) to get at.VA Hopeful Dr is correct. As much as I am about stickin' it to the man and standing up, we essentially need to market ourselves better and patient safety should be the number one selling point. We can't say that we're going to be advocating for physicians only just for the sake of it because corporate medicine will leave us in the dust if they can turn a better profit and start moving to mid levels. Unfortunately, we are just a means to an end and just peons at this point (especially EM docs, less so specialists) and will be replaced as soon as corporations will have it. Patient outcomes and safety should be what we're aiming for because we're more experienced and experience gives us the leg up. At this point if we don't have a better marketing strategy then we will get replaced for a cheaper option as soon as they can do it and it's already eroding away.
This is an extremely cynical post but I think it's reality. In the end the enemy is corporate medicine because their goal is money. So how can we translate our skills into making them more money? By showing patients that they're safer in our hands. Until we change what's funding us then we're stuck with this ****ty battle and threat of being replaced.
They aren't actively encouraging it, which is better than most societies.It's great that AAEM put out this statement, but what happens now? Is AAEM lobbying against midlevel independent practice?
Nurse PractitionersThey aren't actively encouraging it, which is better than most societies.
AAFP has also been vocal on the issue and actively lobbying for the profession. I know that the AAFP is pretty good, along with the ASA (depending on who you ask). Some of our state medical societies are complicit, however.Nurse Practitioners
"The nurse practitioner should not function as an independent health practitioner. The AAFP position is that the nurse practitioner should only function in an integrated practice arrangement under the direction and responsible supervision of a practicing, licensed physician. In no instance may duties be delegated to a nurse practitioner for which the supervising physician does not have the appropriate training, experience and demonstrated competence."
That's part of the issue - this is entirely a state-level problem.AAFP has also been vocal on the issue and actively lobbying for the profession. I know that the AAFP is pretty good, along with the ASA (depending on who you ask). Some of our state medical societies are complicit, however.
Wait for the next generation of PAs to start working. They are teaching the PA students at my school that PA school is medical school in 2.5 years.It's not the PAs calling themselves doctor, in almost all cases.
Wait for the next generation of PAs to start working. They are teaching the PA students at my school that PA school is medical school in 2.5 years.
I never sat in on a PA class, but the attitude is so prevalent that they must get it from someone. Are they getting it from professors, peers, or online?They said this nonsense at the PA school where I was a resident, as well.
Graduating in a few months
can't wait to finish and join
after I pass my boards I guess
Yup first year is free. I plan on joining.You actually can join AAEM as a student or a resident. You don’t need to be an attending.
They published them then created an Emergency Medicine certification for NPs, and have membership for allied health professional. Actions speak louder than words.Friends, ACEP published similar statements TWENTY YEARS AGO. Glad AAEM could catch up.