"Nurse Practitioners deliver care as well as Physicians" Article

[W19]

There's just too much knowledge for the old one year model to work well nowadays, regardless of what midlevels would have people think.

In that case, we can use a 3+3+2 model for FM docs...

---

Members don't see this ad.

 

[Mad Jack]

In that case, we can use a 3+3+2 model for FM docs...

Locking people into an 8 year path before starting medical school doesn't seem like a good way of going about things, IMO.

 

[PL198]

In that case, we can use a 3+3+2 model for FM docs...

or just realize the physicians are by nature going to be overqualified for FM instead of not only trying to pigeonhole 18 yr olds into medicine, trying to pigeonhole them into one speciality.

 

[W19]

Locking people into an 8 year path before starting medical school doesn't seem like a good way of going about things, IMO.

@PL198
I am not suggesting admission to med school should be right out of HS... IMO, having a BA/BS etc... is not necessary; thus, that requirement should be eliminated... Med school can be done in 3 years if they get rid off all the bogus professionalism/PBL/interdisciplinary BS etc...

 

[badasshairday]

In my world, its cardiologists and nephrologists doing interventional procedures in realms they have no business being in. I don't particularly care that they are doing it, but when their complication rates are higher and they burn bridges for us down the road, I do have a problem with it.

Whoa. Don't mean to derail thread but what are nephrologists doing that could burn bridges for vascular surgery? I mean I understand a brazen interventional cardiologists doing a full metal jacket in lower extremity ruining future bypass... but what exactly is a nephrologist doing?

 

[mimelim]

Whoa. Don't mean to derail thread but what are nephrologists doing that could burn bridges for vascular surgery? I mean I understand a brazen interventional cardiologists doing a full metal jacket in lower extremity ruining future bypass... but what exactly is a nephrologist doing?

Placing stents in places they should not be placing them. Poorly accessing vessels and stenosing them with closure devices. I mean those are examples from today... I could probably write a book...

 

[badasshairday]

Placing stents in places they should not be placing them. Poorly accessing vessels and stenosing them with closure devices. I mean those are examples from today... I could probably write a book...

They are doing angiography?? Like renal angio and stenting? And/or lower extremities? Sounds crazy.

 

[cbrons]

or just realize the physicians are by nature going to be overqualified for FM instead of not only trying to pigeonhole 18 yr olds into medicine, trying to pigeonhole them into one speciality.

What makes you think FM is something so low level and easy?

 

[Psai]

What makes you think FM is something so low level and easy?

Being someone who isn't an fm doc and has no experience in it is my guess

 

[mimelim]

They are doing angiography?? Like renal angio and stenting? And/or lower extremities? Sounds crazy.

Angiography, plasty, stenting of dialysis accesses. As I said before, I have no problem with them doing it. If they can get patients taken care of faster and as well as we can, another provider is a good thing for patients. The problem is when they are inadequately trained and their outcomes drop.

 

[chipwhitley]

What makes you think FM is something so low level and easy?

Well, some people seem to think so:

“Compared to other physicians, primary care doctors are at the bottom of the social order in the medical hierarchy. They are also among the lowest paid despite the many time-consuming tasks such as filling out insurance forms, drug refills, nursing home and hospital documents that must be read and acted on. These are in addition to the many coordinating responsibilities that they perform for their patients.

“For most of these tasks, many primary care doctors are actually ‘over-qualified.’” YJHM continues. “Clearly, while they have taken on the role of health care ‘coordinators’ they have become more dependent on specialists to take care of the sickest patients. Their ‘scientific’ medical role has decreased while their ‘coordinating" role has increased. For many primary care physicians their medical training is of less importance in their new roles.