Help SIS: Stop the Creep!

[lobelsteve]

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https://www.spineintervention.org/news/607724/ACT-NOW-Prevent-Non-Physician-Scope-of-Practice-Expansion.htm

 

[cowboydoc]

https://www.spineintervention.org/news/607724/ACT-NOW-Prevent-Non-Physician-Scope-of-Practice-Expansion.htm

Done, thanks!

 

[PAINISGOOD]

Done!

 

[DOctorJay]

Done

 

[myrandom2003]

Done

 

[PinchandBurn]

done

 

[bedrock]

Done

 

[PainDoc2025]

done

 

[callmeanesthesia]

Done.
Still a little tempted to give WC exactly what they want to pay for, and let them see how that goes for them…

 

[drmamba]

Done, thanks for sharing

 

[deleted185747]

Done

 

[hyperalgesia]

Done.
Still a little tempted to give WC exactly what they want to pay for, and let them see how that goes for them…

That's my usual response but I'm watching the world crumble around me lol

 

[drusso]

https://www.spineintervention.org/news/607724/ACT-NOW-Prevent-Non-Physician-Scope-of-Practice-Expansion.htm

Double-done...

 

[Force440]

Done. I sent the link to all of my mid-levels to sign too 😵

 

[FatJoe]

Done

 

[NHDO]

Done!

 

[AGDOC09]

Done!

 

[oreosandsake]

done

 

[rexed]

https://www.spineintervention.org/news/607724/ACT-NOW-Prevent-Non-Physician-Scope-of-Practice-Expansion.htm

Done. Thanks for the heads up!

 

[BobBarker]

Help sis stop the creep?
Is this about your uncle?

 

[Analgesia108]

Done

Will these assaults ever stop?

 

[cowboydoc]

Done

Will these assaults ever stop?

I'm guessing pediatricians don't face most of these "assaults."

 

[Agast]

Help sis stop the creep?
Is this about your uncle?

Zing!

Creep is everywhere. There are pediatric ERs in Houston staffed by NP/PAs because HCA decided peds ER docs were unnecessary.

 

[bedrock]

Zing!

Creep is everywhere. There are pediatric ERs in Houston staffed by NP/PAs because HCA decided peds ER docs were unnecessary.

Omg. The last thing a parent would want when they take their child for specialized medical care in the ER, is to see a PA.

 

[Agast]

Omg. The last thing a parent would want when they take their child for specialized medical care in the ER, is to see a PA.

If things are really bad, the plan is to staff it with the ADULT ER doc on service. Because they totally remember all the peds specific emergencies. Meanwhile we are slammed with RSV/bronchiolitis and the kiddie ICU is getting full.

 

[Baron Samedi]

If things are really bad, the plan is to staff it with the ADULT ER doc on service. Because they totally remember all the peds specific emergencies. Meanwhile we are slammed with RSV/bronchiolitis and the kiddie ICU is getting full.

Yikes. The idea of an adult ER doc or a PA doing lumbar punctures on a septic screaming three week old is the stuff of nightmares.

 

[GatorCHOMPions]

If things are really bad, the plan is to staff it with the ADULT ER doc on service. Because they totally remember all the peds specific emergencies. Meanwhile we are slammed with RSV/bronchiolitis and the kiddie ICU is getting full.

Yikes. The idea of an adult ER doc or a PA doing lumbar punctures on a septic screaming three week old is the stuff of nightmares.

Your nightmare is the reality in most community ERs across the country. I would hesitate to lump ER docs with PAs/NPs here, or ever. Peds ER care is part of an EM residency, and while it’s probably a weak part of many EM programs, it is still an expectation one can manage peds emergencies of all flavors upon graduation. I want to say something like 20% of one’s shifts are required to be in peds during residency. Beyond a neonatologist, who would you want to do an LP and manage a septic three weeker? All kids can’t be seen at the mothership peds hospitals. This is part of what makes EM so difficult and burnout prone. We are expected to manage high risk situations expertly often without expert training in that specific situation. Just felt the need to comment to both set the record straight and vent.

Most pain fellows don’t graduate with full competency in many of the most interventional procedures, yet take a course or two and then off they go. These are elective so the bar and expectations should be higher.

 

[Baron Samedi]

Your nightmare is the reality in most community ERs across the country. I would hesitate to lump ER docs with PAs/NPs here, or ever. Peds ER care is part of an EM residency, and while it’s probably a weak part of many EM programs, it is still an expectation one can manage peds emergencies of all flavors upon graduation. I want to say something like 20% of one’s shifts are required to be in peds during residency. Beyond a neonatologist, who would you want to do an LP and manage a septic three weeker? All kids can’t be seen at the mothership peds hospitals. This is part of what makes EM so difficult and burnout prone. We are expected to manage high risk situations expertly often without expert training in that specific situation. Just felt the need to comment to both set the record straight and vent.

Most pain fellows don’t graduate with full competency in many of the most interventional procedures, yet take a course or two and then off they go. These are elective so the bar and expectations should be higher.

My comment wasn't a dig towards EM docs or their training. If I am experiencing a medical emergency, that's who I want to see. Its more a commentary towards the sad state of our health care system where we rely on people who can do something rather than someone who should do something.

I did my fair share of peds rotations as an intern and resident. Ask me to evaluate and treat an 8 year old and thats a thanks, but no thanks from me. I wouldn't want someone with my training background and experience to see my kid. The general population just doesn't know how scary it is -- often the doc you are trusting is woefully unprepared and out of their element but that might be the best shot you have.