Minute clinics?

[mig26x]

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Why is it that NP's can work as "healthcare providers" w/o supervisions in this clinics in some states but I as an IM resident need all USMLE step approved, one year of residency done and an attending to precept my cases if I want to moonlight in my own institution?

Isnt me the one that went to med school?
Is something f@ck up here?

 

[mdx2x]

Why is it that NP's can work as "healthcare providers" w/o supervisions in this clinics in some states but I as an IM resident need all USMLE step approved, one year of residency done and an attending to precept my cases if I want to moonlight in my own institution?

Isnt me the one that went to med school?
Is something f@ck up here?

If not mistaken they are supervised by an attending but that attending supervises X(?) number of NP's. Then passed on the information about the visit to the PCP and attending via EMR/printout

Have you heard medical assistants taking over nurses jobs? The hilarity ensues! LOL!
http://arkansasmatters.com/content/fulltext/news?cid=200521

 

[Samoa]

Dude, haven't you been listening to NPR? Nurses are like doctors, only better!

 

[michaelrack]

It's because those who make the rules want to fit each profession into a slot. It would be confusing to the public if there were a lot of MD's out there in the community with only 1-2 years of residency training competing with board certified docs competing with board elgible docs. The most the general public is capable of understanding is that a doc does residency training after med school then is board elgible for at most a few years before he becomes board certified.

If you fall outside the standard paradigm- drop out of med school in the fourth year or don't complete residency, etc; you're screwed.

 

[mig26x]

If not mistaken they are supervised by an attending but that attending supervises X(?) number of NP's. Then passed on the information about the visit to the PCP and attending via EMR/printout

Have you heard medical assistants taking over nurses jobs? The hilarity ensues! LOL!
http://arkansasmatters.com/content/fulltext/news?cid=200521

It depende on the state, in some states the attending has to be in house. In other states the attending only supervises the "progress notes" from afar, in other words,not physically there.

 

[mig26x]

Dude, haven't you been listening to NPR? Nurses are like doctors, only better!

Yep, take a look at my signature. I think I went into the wrong school when I decided to become a physician. I thougth all this time it was medical school but turns out Nursing school prepares you better than med school to become a doctor, according to the lady call Mundinger.

 

[mig26x]

It's because those who make the rules want to fit each profession into a slot. It would be confusing to the public if there were a lot of MD's out there in the community with only 1-2 years of residency training competing with board certified docs competing with board elgible docs. The most the general public is capable of understanding is that a doc does residency training after med school then is board elgible for at most a few years before he becomes board certified.

If you fall outside the standard paradigm- drop out of med school in the fourth year or don't complete residency, etc; you're screwed.

So is not confusing for the public to see nurses running clinics but its confusing for the public to see residents running clinics????

And my experience is that the public doesnt even have a clue of how many years it takes for a doctor education formation, how many steps he/she has to take and then that they need to take the big one to become board certified.

 

[michaelrack]

So is not confusing for the public to see nurses running clinics but its confusing for the public to see residents running clinics????

.

The general public's understanding of a nurse practitioner is a woman who was a nurse then underwent additional training and is now just as good as a doctor- and can do anything a doctor can, only friendlier and spends more time with them.

Wrong but not confusing

 

[mig26x]

The general public's understanding of a nurse practitioner is a woman who was a nurse then underwent additional training and is now just as good as a doctor- and can do anything a doctor can, only friendlier and spends more time with them.

Wrong but not confusing

very freaking wrong!!!

 

[ZincFingers]

I think I went into the wrong school when I decided to become a physician.

I know what you mean. Instead of being an MS4, I could right now be practicing as a nurse practitioner. No residency, no ridiculously overpriced boards, no match, no nothin'. And school would have been a hell of a lot easier, too. I mean, how much cramming do you really have to do for a "nursing theory" class? Not much, I guess, considering how most NP students are also working fulltime.

And that whole getting into med school thing? Damn dude! Imagine not having to worry about acing O-Chem or worrying about the MCAT! Sorry guys, I can't go party tonight, I'm a premed... oh wait that's right, I'm just applying to NP school! Pass the bong!

Sigh...

 

[Cologist]

The general public's understanding of a nurse practitioner is a woman who was a nurse then underwent additional training and is now just as good as a doctor- and can do anything a doctor can, only friendlier and spends more time with them.

Wrong but not confusing

A nurse can be a man too...

 

[michaelrack]

A nurse can be a man too...

I guess you're right:

http://en.wiktionary.org/wiki/murse

 

[Samoa]

A nurse can be a man too...

Really? I thought all the women were nurses and all the men were doctors.
But wait...I'M a doctor...and I'm female ... can't ... process ...

 

[Taurus]

In what may be an ominous sign for retail clinics, CVS Caremark has closed about 90 of some 550 MinuteClinic locations until the next flu season or other "seasonal" needs demand their services, Dow Jones Newswires reports.

...

The move may speak to overcapacity in a young industry that has grown rapidly but has only attracted modest demand from patients, who go to the clinics for simple ailments. As we noted last year, the clinics appear to be showing a pattern sort of like the dot-com bubble, in which some will go away while others survive.​

 

[mig26x]

In what may be an ominous sign for retail clinics, CVS Caremark has closed about 90 of some 550 MinuteClinic locations until the next flu season or other “seasonal” needs demand their services, Dow Jones Newswires reports.

...

The move may speak to overcapacity in a young industry that has grown rapidly but has only attracted modest demand from patients, who go to the clinics for simple ailments. As we noted last year, the clinics appear to be showing a pattern sort of like the dot-com bubble, in which some will go away while others survive.​

I hope this is the trend, that they start closing them down. Talk about continuity of care when people go to this clinics. Your real doctor wouldn't know what the hell happened there or what they did for you.

 

[Good Solutions]

Why is it that NP's can work as "healthcare providers" w/o supervisions in this clinics in some states but I as an IM resident need all USMLE step approved, one year of residency done and an attending to precept my cases if I want to moonlight in my own institution?

Isnt me the one that went to med school?
Is something f@ck up here?

Focus on the goal. Just because our politicians are failing us with lobbied scope expansions and insurance companies are pushing this agenda too, doesn't mean we should abandon the rigors of the process to competency, experience, and knowledge.

Life favors those who stay true to their cause in the face of injustice. If you want to fight back then stop playing on the same field that labels us as equals. Opt out of taking insurance. Start a retainer practice that delights in patient care and emphasizes it. Whether we like it or not, a two tiered system will emerge: DNPs get insurance/state funds vs. private physicians getting cash.