NP Payment Parity Bill Signed into Law - Oregon Nurses Association
You're looking at this the wrong way.
because most patients dont know any better. They see a person in a white coat and just assume its a doctor. Or they just want to get in quickly and get stuff looked at. They dont know the person who is acting like a doctor probably did a good portion of their training online and had no residency.
That has not been my experience
my family is fairly health literate, when booking appointments with an office we do not inquire about who will be seeing us, or when we book with a specific doctor we do not inquire about if a physican extender will be seeing us. Booking appointments with specialists and trying to find an early opening has always resulted in being shunted to an NP.
Not sure you qualify as health literate if you're unaware of who you will be seeing. You also don't need to lecture me on how NPs aren't as good as we are.
If my family is not health literate then god bless everyone. I am not lecturing you, merely stating my experience.
Curious what her twitter handle is
Sooooo..... every PA and NP in primary care will suddenly receive a starting salary of 180k up from their 90k?? Wtf? Or will PCPs and NPs meet in the middle in Oregon at like 130k?? This is so scary. Good thing I'm doing well in school, goodbye goal of primary care.
What does this mean, do NP's and MD's have the same salary in Oregon?
If you think this won’t transcend to specialty fields you’re beyond naive. Baby boomer docs screwed everyone over
call me when a nurse is doing spine surgery. but i agree on the second point.
During my general surgery rotation NPs were doing the bulk of the surgeries so the attendings could bill 2-3 rooms
Sdhollio
doing what in surgery , opening and closing ?
Apparently a med student on his rotation in surgery got not teaching but the np did the surgery . Can’t blame the nursing lobby all on their own . Some physicians looking to make a quick buck sold us out and have medicine for the younger generation even worse .
I don’t get your point . There’s nps in all specialities . The literature shows nps aren’t cost effective ordering more tests than doctors and not being cost effective .
What I am saying is that you do not need to go to school for 7+ years to learn how to treat and monitor type II diabetes, prescribe albuterol or metoprolol. PCP is too expensive and could be managed by NPs in many scenarios. These aren't scenarios that require the hospitalization and specialist attention. This is part of the reason why healthcare is so expensive in America, and there is also over-utilization of many services in America as well.
www.ncbi.nlm.nih.gov
Im sorry have you been treating diabetes and HTN? How do you know that it is simple or that an NP could effectively do it ?
As a pre med you have literally no clue what you need to go to med school or not for. In many instances being a primary care doc is much harder than being a specialist
I have patients not health literate at all but they know who they're seeing when they make appointments...
Do you know how PCP treatment works? The doctor writes a prescription and the patient then goes to the pharmacy, fills it, and manages it on their own until they see the doc again six months later. Do you think the PCP doc administers the medication in office, observes the patient for 24 hours while taking notes, and gives them a custom treatment plan? In reality the doc sees the patient for 5 minutes, bills them for an hour, does a dictation that takes 5 minutes, and then sends them on their way. Even in the hospital, the PCP docs will just review the chart or give telephone orders without ever seeing the patient. These are the realities of healthcare.
My healthcare premiums or copays are not reduced when my family sees and NP, my wait time is. My point was that in order to see someone quiker or seeing specialists in the same year you end up seeing an NP in their office.
Been working in hospitals for the last 5 years. Come back when you have more experience than "president of my pre-med club." lol
So then you should know how much time the PCP spends with their patients.
You should focus more on reading.
And that's quite true, one of the reasons people hire midlevels, no argument there
Your post didn't answer the question of how much time the physician spends with the patient.
You’re in too deep of water kid. Sure they can do the bread and butter, Hell any one of us on here could. The key is they (mostly) don’t have the ability to know when it’s an abnormal presentation of a benign thing, or a normal presentation of a malignant thing (and vice versa). That’s when people die when you don’t get to something in time. And before you throw your big “5 years in the hospital” stuff out there I worked in one longer than that
Considering a np isn’t a physician they couldn’t fill any Primary Care Physician (PCP) spot
12 minutes or more
True but med school is more expensive then NP school so that still doesn't make that much sense.
This exactly. I routinely tell my hypertensive patients that barring hemorrhagic stroke level BP, hypertension is a disease of years/decades.
