BorntobeDO?

7+ Year Member
Nov 13, 2013
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So far so good, prob more pay than fulltime ED now sadly. Just hoping that the new law in my state doesnt pass that reimburses NPs at same rate as docs. If that happens, theres nothing holding hospitals back from replacing more inpatient docs with midlevels. Why not bill the same and pay the “provider” less and pocket the rest after all? Ugh sorry just really regreting life choices atm. Even being triple boarded I could be replaced quite easily by the powers that be.
The good thing about being inpatient is that it’s easier to prove a difference between you and a mid level. In ICU, you need to know your stuff in order for a patient to recover, those knowledge gaps really matter when a patient is sick. Versus ER where the decision is sick vs not sick, and just admit to medicine if not sure, that’s a lot easier for mid level to do and hard to prove that a physician saves money in a scenario like that.
 

Ho0v-man

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Nov 28, 2014
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The good thing about being inpatient is that it’s easier to prove a difference between you and a mid level. In ICU, you need to know your stuff in order for a patient to recover, those knowledge gaps really matter when a patient is sick. Versus ER where the decision is sick vs not sick, and just admit to medicine if not sure, that’s a lot easier for mid level to do and hard to prove that a physician saves money in a scenario like that.
It’s amazing that we train at least 5 years longer at a much higher intensity only to struggle to prove that we have more value.

What an awesome profession.
 
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