- Joined
- Jul 31, 2013
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You get the gist of it from the 8 words they give you for free.Can't read the article without a subscription.
I'm glad to see this is blowing up. Our vets deserve better.
Not just surgery. If I had a time machine I'd do fertility-reproductive endocrinology.
maybe. nothing's perfect, but controlling your own practice and not having to deal with insurance or cms sounds nice...and you'd complain about that, too.
Do a Google search on the title of the article ("At VHA, Doctors, Nurses Clash on Oversight"), than click the link from there. Chances are you will be able to read it.Can't read the article without a subscription.
F_ck them! I wouldn't "collaborate". They can "collaborate" with each other, if they are so expert.Last month, the VHA issued new guidelines for its 2,200 physician assistants, lifting some restrictions and letting individual PAs and their "collaborating physicians"—previously called "supervising physicians"—determine how much autonomy the PA should have. The American Academy of Physician Assistants hailed the new directive as a "model of flexibility."
The proposed nursing handbook is generating more opposition. As currently drafted, it would recognize the VHA's 6,135 advance-practice registered nurses—including nurse practitioners, nurse anesthetists, nurse midwives and clinical-nurse specialists—as independent practitioners authorized to care for patients without direction or supervision by a doctor. For nurse anesthetists, for instance, that includes administering anesthesia in surgeries, managing acute-pain services and being the lone anesthesia provider in some clinics.
VHA nursing officials say the proposed change follows a 2010 Institute of Medicine recommendation that nurses should practice to the full extent of their education and training. They note advanced-practice RNs, who have master's or doctoral degrees and pass national certification exams, have been operating independently in many VHA facilities and the armed forces for years. The proposed nursing handbook would standardize procedures throughout the system.
Now we know where the wind is blowing from. This guy should have recused himself from this discussion.VA Secretary Eric Shinseki—who credits a nurse with saving his foot when physicians wanted to amputate it in Vietnam—defended the proposed change in a letter to lawmakers last fall, saying it "will increase access to care and ensure continuation of the highest quality care for our nation's veterans."
maybe. nothing's perfect, but controlling your own practice and not having to deal with insurance or cms sounds nice
you're so smart and knowledgeable, you should definitely do anesthesia
Do a Google search on the title of the article ("At VHA, Doctors, Nurses Clash on Oversight"), than click the link from there. Chances are you will be able to read it.
F_ck them! I wouldn't "collaborate". They can "collaborate" with each other, if they are so expert.
Now we know where the wind is blowing from. This guy should have recused himself from this discussion.
These are the comments. The link might not be working: http://online.wsj.com/public/page/reader-comments.html?baseDocId=SB10001424052702304856504579340603947983912&headline=At the Veterans Health Administration, doctors and nurses clash on oversight.
LOVE the comment about there should be a University of Phoenix medical school "since the demand is there" It's like HEY these people want to be doctors and engineers, the demand is there so we must make all these people experts in these fields thru U of P!
Good grief
There already is. It's in the carribean somewhere.
Ross is owned by DeVry.
Search the article title on Google and click the link. You can read WSJ articles for free if the URL referral is from Google.Can't read the article without a subscription.
And now with this VA deaths fiasco and Shinseki, I hope your ASA is smart enough to strike while it's still hot.I'm glad to see this is blowing up. Our vets deserve better.
Does it matter? The guy is 71 years old with full govt pension?Shinseki gets shi_canned.
Ding Ding Ding! We have a winner!
Maybe if the CRNAs killed them they may have had some traction.
I think the opposite will happen. The NPs organization(s), with the AANA tagging along, will use this disaster to show how they need more pseudo independent NPs, and CRNAs, to manage the volume there and free up the MDs to be able to manage the sickest patients. (Which they will say they can manage as well, but all those overpaid MDs have to do something.)
I predict this exact thing will happen. Guaranteed.
Yeah well I work with a guy who went to American University of the Caribbean (also owned by Devry) and he is the best damn anesthesiologist in our group. He did his four year residency at a university program plus a fellowship in critical care. He passed all of his exams and boards easily on the first try probably outscoring most of you guys. If I needed surgery I'd take him over most of my other partners - or any CRNA I've ever worked with. So be careful at whom you're casting stones.
Hey, I was talking about the school in general, not about those who graduate from said school.
FWIW, I'm sure there are a couple incompetent snobs who get their MD from Harvard each year... but that's way off topic.
Unfortunately the people who read WSJ are educated and conservative and already value the care of real doctors. Too bad this doesn't trickle down to more liberal newspapers.