All is NOT lost

[BLADEMDA]

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Recently a General Surgeon came up to me to discuss the new Insurance term "provider" and the impact of non-Physicians in Medicine.

I did NOT start the discussion or bring up midlevels in any manner. The General Surgeon came up to me and asked for my personal opinion about midlevels/CRNA encroachment in my field.

My answer was the usual Blade response (see about a thousand posts in the midlevel forum). I politely replied that we have been fighting against the Marines of Nursing for decades. However, due to politicians, judges and surgeons we have been LOSING most battles.

That is when he looked me dead in the eye and said "PAs, APNS, CRNAS, etc. are NOT Physicians and should be LIMITED in their roles." The take-over of medicine by PROVIDERS must be halted as it diminishes EVERY PHYSICIAN. If they want to be real Doctors they should go to Medical School."

He then went on to say more of his Surgical Colleagues are beginning to see the light as it regards ALL APNs including CRNAs. This Surgeon gave me hope that the American College of Surgeons is not going to abandon us to the bloodsuckers. More and more surgeons are beginning to see Anesthesia and Family Practice as the FRONT LINES of a bigger war.
Thus, the more the Nurses push for a DNP/DNAP/Doctor Nurse the better we do in gaining support from our Physician Colleagues.
All is not lost and I LOVE the Doctor of Nursing Practice Degree.😉

 

[BLADEMDA]

"Actually, I just got banned. That may be a world record. That's Ok, most of the posts I read that had anything to do with the profession I hope to enter into were really malicious and pissed me off. I don't understand why folks have to hide behind titles. CRNA, MD, etc doesn't mean anything unless the person who holds the title has half a brain. I have met stupid people in both professions. That being said, the majority of folks I have met in these fields are incredible and I have a great amount of respect for them. Generalization of a profession for the purpose of degrading and invalidating those in that profession is utter crap. They banned me because I requested that they give constructive criticism of the CRNA profession and offer suggestions for how the training could meet their standards and be considered worthy of independant practice. I was told that I must go to medical school if I can ever expect to work at their level in the field of anesthesiology. Why can't anybody just tell me what is so special about medical school that cannot be reproduced in nurse anesthesia school?"


The above noted "attitude" has become rampant among all Advanced Nurses and not just CRNAs. These Nurses are demanding more and more autonomy in all areas of Medicine.

Fortunately, the desire to get through legislation what they have not earned through education is FINALLY starting to resonate among our surgical collegues. God Bless the Doctor of Nursing Practice as it has awaken the giant.

Blade

 

[WholeLottaGame7]

"Actually, I just got banned. That may be a world record. That's Ok, most of the posts I read that had anything to do with the profession I hope to enter into were really malicious and pissed me off. I don't understand why folks have to hide behind titles. CRNA, MD, etc doesn't mean anything unless the person who holds the title has half a brain. I have met stupid people in both professions. That being said, the majority of folks I have met in these fields are incredible and I have a great amount of respect for them. Generalization of a profession for the purpose of degrading and invalidating those in that profession is utter crap. They banned me because I requested that they give constructive criticism of the CRNA profession and offer suggestions for how the training could meet their standards and be considered worthy of independant practice. I was told that I must go to medical school if I can ever expect to work at their level in the field of anesthesiology. Why can't anybody just tell me what is so special about medical school that cannot be reproduced in nurse anesthesia school?"


The above noted "attitude" has become rampant among all Advanced Nurses and not just CRNAs. These Nurses are demanding more and more autonomy in all areas of Medicine.

Fortunately, the desire to get through legislation what they have not earned through education is FINALLY starting to resonate among our surgical collegues. God Bless the Doctor of Nursing Practice as it has awaken the giant.

Blade

I'm an MS4. I feel like after 4 years of medical school I could probably put most healthy patients to sleep and wake them back up again. Why can't anybody tell me what's so special about residency?

/End sarcasm

 

[periopdoc]

I am right there with you.

I have been reflecting on this whole DNP push, and I have come to think that this might be the best news to come down the pike for us anesthesiologists in a quite some time.

It is so exciting to scan through the other forums and see general physicians beginning to recognize the same type of threat that anesthesiologists have been facing.

Is it possible that this broad power reach on the part of the national midlevel nursing organizations will actually backfire by recruiting a much larger physician body to fight the whole midlevel advancement battle at the state and even national levels? (Am I just slow to only be recognizing this now?)

Just imagine not only the anesthesiology societies, but also the IM, FM, and peds societies hammering away at legislatures to ensure that patient care remains where it belongs, under the direction of a physician.

While we likely won't be mounting a true joint effort with our counterpart societies, the sum of our separate efforts may well turn the tide for all of us.

What do you think?

- pod

(Now if we could only get a midlevel organization to push for surgical certification... )

- pod

 

[coprolalia]

POD:

You quoted yourself? AWESOME! I love it! That's a classic copro move. GREAT STUFF, man!



-copro

 

[coprolalia]

POD:

You quoted yourself? AWESOME! I love it! That's a classic copro move. GREAT STUFF, man!



-copro

Man, you are so right, dude!

-copro

 

[hoyden]

Guys, you are hilarious. Both.

have a good weekend, all.

Oh, BTW, do not want to open a separate thread, but is there a possibility to have a separate part of the forum which will held all pre-residency/match concerns? Otherwise it will be hard to fish the needed thread from this flood ...until March...

 

[Taurus]

Recently a General Surgeon came up to me to discuss the new Insurance term "provider" and the impact of non-Physicians in Medicine.

I did NOT start the discussion or bring up midlevels in any manner. The General Surgeon came up to me and asked for my personal opinion about midlevels/CRNA encroachment in my field.

My answer was the usual Blade response (see about a thousand posts in the midlevel forum). I politely replied that we have been fighting against the Marines of Nursing for decades. However, due to politicians, judges and surgeons we have been LOSING most battles.

That is when he looked me dead in the eye and said "PAs, APNS, CRNAS, etc. are NOT Physicians and should be LIMITED in their roles." The take-over of medicine by PROVIDERS must be halted as it diminishes EVERY PHYSICIAN. If they want to be real Doctors they should go to Medical School."

He then went on to say more of his Surgical Colleagues are beginning to see the light as it regards ALL APNs including CRNAs. This Surgeon gave me hope that the American College of Surgeons is not going to abandon us to the bloodsuckers. More and more surgeons are beginning to see Anesthesia and Family Practice as the FRONT LINES of a bigger war.
Thus, the more the Nurses push for a DNP/DNAP/Doctor Nurse the better we do in gaining support from our Physician Colleagues.
All is not lost and I LOVE the Doctor of Nursing Practice Degree.😉

👍👍👍 This isn't about CRNA's vs. anesthesiologist. It's about all of medicine.

 

[Geekchick921]

This Surgeon gave me hope that the American College of Surgeons is not going to abandon us to the bloodsuckers.

Dude, if you're on the case, I wouldn't be worried about bloodsuckers.

 

[sevo85288]

We have had 2 surgeons( in the last 6 mos) come to our hospital from across town because they were tired of dealing with CRNAs. Long wake ups, chipped teeth, difficulty with lines (IVs) and general laziness. They said supervision is not helpful. Too much variability in ability and overall care. They want M.D.s taking care of patients and they want to focus on surgery. Period. We are happy to accommodate them.

 

[deleted126335]

.

 

[BLADEMDA]

No all is not lost... BUT don't forget that of the opt out states at least 2 of the state boards of medicine actually came out in favor of opting out.

You are Right. California is not the last to fall. They will be back.

 

[ProRealDoc]

Recently a General Surgeon came up to me to discuss the new Insurance term "provider" and the impact of non-Physicians in Medicine.

I did NOT start the discussion or bring up midlevels in any manner. The General Surgeon came up to me and asked for my personal opinion about midlevels/CRNA encroachment in my field.

My answer was the usual Blade response (see about a thousand posts in the midlevel forum). I politely replied that we have been fighting against the Marines of Nursing for decades. However, due to politicians, judges and surgeons we have been LOSING most battles.

That is when he looked me dead in the eye and said "PAs, APNS, CRNAS, etc. are NOT Physicians and should be LIMITED in their roles." The take-over of medicine by PROVIDERS must be halted as it diminishes EVERY PHYSICIAN. If they want to be real Doctors they should go to Medical School."

He then went on to say more of his Surgical Colleagues are beginning to see the light as it regards ALL APNs including CRNAs. This Surgeon gave me hope that the American College of Surgeons is not going to abandon us to the bloodsuckers. More and more surgeons are beginning to see Anesthesia and Family Practice as the FRONT LINES of a bigger war.
Thus, the more the Nurses push for a DNP/DNAP/Doctor Nurse the better we do in gaining support from our Physician Colleagues.
All is not lost and I LOVE the Doctor of Nursing Practice Degree.😉

We need to help in spreading the word to our surgical colleagues. At my institution, we have RNFAs literally dictating to surgical fellows how to do the opening, cannulation and closing of the chest. Fellows typically say nothing and readily acquiesce to the RNFAs directions. They act as if they were the surgery attending until the real surgeon walks in.

These advanced nursing jokers want to practice medicine without the hard work.