From Physician Assitant to...

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GeneralVeers said:
The might as well just certify homeopathic medicine, faith healers, and witch doctors too.
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Insensitive term, try magically inclined doctor or M.I.D.

but for seriousness there should be 2 names for everyone
1. M.D. as in: Hi, I'm Pat, I am a medical doctor and I will be taking care of you today.
2. any other letters or letter combo as in: Hi, I'm Pat, I am not a medical doctor and I will be taking care of you today.

ok ok I understand 2. wont happen, but if we say 1. enough reasonable patients will get wise.
 


Several doctors and a PA were sued. This is a very long appeal so you would really need to read it to get the full summary but basically, Mr. Behr (39) received a left tibial plateau fracture while playing baseball. He drove himself to the hospital and recommended surgery. After surgery, several complaints were made to PAs but went unanswered. The Dr. finally diagnosed his compartment syndrome but a lot of damage was already done.
The lawsuit was initially dismissed but the appeal disagreed.


Within the appeal it says:
"In addition to their testimony, the Behrs offered as evidence medical record entries that he frequently complained of pain, he was anxious (and was treated for anxiety) because he thought there was something wrong, and he questioned whether his nurses and Northwest Orthopedic’s physician assistants knew what they were doing. He asked multiple times to be seen by a doctor."
"Northwest Orthopedic records reveal that PT Benage called its office at 12:55 p.m. that day. She left a message that its employee, Deneen Tate, took down as follows: Ruth from Deaconess PT called to report that Colten [sic] is unable to perform any active movement of his left foot. He has lots of edema and decreased sensation in that foot."
"Mr. Behr was next seen by a Northwest Orthopedic employee the following day, Saturday, December 11, when PA Leann Bach handled rounds at Deaconess. She was not aware of the phone message left by PT Benage the day before. She arrived at Mr. Behr’s room at 10:45 a.m. She could not recall at the time of trial whether she reviewed the notes of PT Benage’s evaluation."
"After speaking with and obtaining approval from Dr. Anderson, the Northwest Orthopedic surgeon on call on Saturday, December 11, she used a large-bore needle in two attempts to aspirate Mr. Behr’s parapatellar space. The attempts were unsuccessful. They were quite painful, according to Mr. Behr. PA Bach then fitted Mr. Behr with a polar ice machine. Kristy Waller, the charge nurse on the Deaconess orthopedic floor became involved in Mr. Behr’s care on Saturday, after nurse Lail felt Mr. Behr treated her “rude[ly] and condescending[ly] . . . all morning.” CP at 2834. Limited practice nurse (LPN) Lail’s notes indicate that she assisted PA Bach with the attempted aspiration and that the lack of blood return “made [patient] very upset and demanded to see a doctor instead of PA again.”"
"On Sunday, December 12, Dr. Anderson visited Mr. Behr during his rounds. He arrived at 11:00 a.m., and observed signs of compartment syndrome that he noted were not present the day before. The Behrs insist that Mr. Behr’s condition was unchanged from the prior afternoon. Dr. Anderson measured Mr. Behr’s compartment pressure at 11:30 a.m. He recorded the measurements as “clinical & objective evidence of compartment syndrome” and ordered Mr. Behr “to OR ASAP.” CP at 280. Mr. Behr was taken to the operating room at 12:06 p.m. and the fasciotomy surgery began at 12:24 p.m."

"Given that Washington statutes treat physician assistants as agents of the physician, we hold that they must be held to the standard of the physician, consistent with agency law."
 
My colleague had a patient in full heart block yesterday who was hypotensive. He started transcutaneous pacing and called cardiology for stat evaluation for pacemaker. DNP Jenny showed up and examined the patient. She talked to her attending and told him that "his heart is slow" but didn't mention the diagnosis of complete heart block. Hours went buy with this guy on transcutaneous pacing. Finally we call cardiology in again, and the attending shows up this time, takes one look at the EKG and takes him to the cath lab for a temporary pacer. He was furious with the NP.
 
GeneralVeers said:
My colleague had a patient in full heart block yesterday who was hypotensive. He started transcutaneous pacing and called cardiology for stat evaluation for pacemaker. DNP Jenny showed up and examined the patient. She talked to her attending and told him that "his heart is slow" but didn't mention the diagnosis of complete heart block. Hours went buy with this guy on transcutaneous pacing. Finally we call cardiology in again, and the attending shows up this time, takes one look at the EKG and takes him to the cath lab for a temporary pacer. He was furious with the NP.
Click to expand...
Nuh uh, you see, according to MAYO CLINIC, your cardiology nurse practitioner is equivalent to a cardiology or EP fellow, so long as she had 2 years of experience of course. How dare you criticize your noctor colleague.

h6z5a0dkpva71.jpg
 
wamcp said:
Nuh uh, you see, according to MAYO CLINIC, your cardiology nurse practitioner is equivalent to a cardiology or EP fellow, so long as she had 2 years of experience of course. How dare you criticize your noctor colleague.

View attachment 340411
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This is literally vomit-inducing. Yes, 500 hours of shadowing other noctors is equivalent to 15,000 of residency + fellowship.
 
Cleveland clinic and Mayo clinic are midlevel sympathizers and midlevel factories.
 
blue.jay said:
Cleveland clinic and Mayo clinic All academic centers are midlevel sympathizers and midlevel factories.
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Fixed your post for you. All academic centers are. Its not just the clinics. Pick any random University of ZYX State and you'll find NP and PA programs connected to them.

The real question, are there any academic centers, academic journals, medical professional societies that aren't sympathizers?

Who out there is openly and unabashed proclaiming anti midlevel status besides this organization?
 
wamcp said:
Nuh uh, you see, according to MAYO CLINIC, your cardiology nurse practitioner is equivalent to a cardiology or EP fellow, so long as she had 2 years of experience of course. How dare you criticize your noctor colleague.

View attachment 340411
Click to expand...

This was almost certainly photoshopped by a midlevel and circulated. If you look at the original pub for this, it doesn’t even mention midlevels.
 
Splenda88 said:
can't find the original
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There doesn’t seem to be one. The only sources for it are Twitter making fun of it and a Pinterest page. I’m 99% sure it was photoshopped by some midlevels. The article it cites doesn’t mention midlevels at all, and the RIME framework was developed by a faculty member at my school, and it has nothing to do with midlevels.
 
Matthew9Thirtyfive said:
There doesn’t seem to be one. The only sources for it are Twitter making fun of it and a Pinterest page. I’m 99% sure it was photoshopped by some midlevels. The article it cites doesn’t mention midlevels at all, and the RIME framework was developed by a faculty member at my school, and it has nothing to do with midlevels.
Click to expand...
I’m not so sure it is photoshopped. Several other slides are available on Pinterest with further detail on the various parts of RIME with the same types of trainees listed as “equivalent”.

The attributed source is the Mayo Clinic Family Medicine Residency in Eau Claire.
 
maxxor said:
I’m not so sure it is photoshopped. Several other slides are available on Pinterest with further detail on the various parts of RIME with the same types of trainees listed as “equivalent”.

The attributed source is the Mayo Clinic Family Medicine Residency in Eau Claire.
Click to expand...

Right, but the only source other than reposts is Pinterest. And the actual cited paper doesn’t mention midlevels at all. It would be weird for the paper to discuss med students and residents in detail without mentioning midlevels and then to just randomly include them in slides and equate them to physicians. If it is real, it’s disgraceful, but I’m skeptical. It’s not like midlevels couldn’t photoshop more than one image.
 
Heard from one doc that a EM PA was upset because he was only getting paid 250k for 14 shifts. That's more than IM, FM, Peds. This is in Phoenix metro area. Is this what PAs are getting in EM these days ?
 
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blue.jay said:
Over from one roc that a EM PA was upset because he was only getting paid 250k for 14 shifts. That's more than IM, FM, Peds. This is in Phoenix metro area, is this what PAs are getting in EM these days ?
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Umm, no. That's roughly double the actual going rate around here. I can't speak for AZ but I can't imagine that it's that much higher
 
blue.jay said:
Heard from one doc that a EM PA was upset because he was only getting paid 250k for 14 shifts. That's more than IM, FM, Peds. This is in Phoenix metro area. Is this what PAs are getting in EM these days ?
Click to expand...
Only if those 14 shifts are 24s...going rate for a good EMPA is 75-95/hr.
 
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