History is good to know. You can learn more from a physician who thinks "Nightangale" had something to offer.
Victoria Sweet, a physician in San Francisco, is the author of “God’s Hotel: A Doctor, a Hospital and a Pilgrimage to the Heart of Medicine.”
Even Semmelweis learned something important from the lowly midwifes. "Known as the “father of infection control”, Dr Ignaz (or Ignac) Semmelweis (fig 1) was a Hungarian born physician who received his MD degree in Vienna in 1844. In 1847 he was given a 2 year appointment as an assistant in obstetrics with responsibility for the First Division of the maternity service of the vast Allgemeine Krankenhaus teaching hospital in Vienna.4 There he observed that women delivered by physicians and medical students had a much higher rate (13–18%) of post-delivery mortality (called puerperal fever or childbed fever) than women delivered by midwife trainees or midwives (2%)."
So, you think I'm a militant mid-level? Seriously? I'm damn good at my job and I take treating soldiers and their families very seriously. I know my stuff and I know that. I'm not an ego maniac but I do have great ego-strength and no one pulls bulls**t over on me. I've been tramping around hospitals for 43 years, probably before you were born. One psychiatrist I worked with used to manage a 100 psychiatrist practice in CA and he said I was in the top 10% of all of them. I have it in writing if you have difficulty with that. I started off as an orderly, before males were even called nurses aides. I worked in a small town where the local general surgeon wanted me to go to medical school. I made rounds with him, helped him with procedures, went into surgery with him, helped with his medical examiner job, looked down all kinds of scopes, did all kinds of RT and PT techniques that any CNA would go to jail for now. I was reading EKGs then. Do they still have the, what was it called, the bright orange Dubins EKG book or something like that? I can make chest tubes out of foley caths, and suction from glass bottles. I finished a 1 year medic training, challenged the CA state boards then went to work in a Level I ER (University of Mississippi Medical Center). After 3 months I was the evening charge nurse and 1 year later the manager of the place. Then, I challenged nursing school and got my BSN. Good story right? A highly motivated lad beating the odds against ADHD.
I don't claim equivalency. I claim that I'm doing the exact same job as the psychiatrists I work with except for the one that runs a suboxone clinic and the ones treating kids. They will tell you the same. Now, based on their training and experience they may approach a clinical situation differently. All my different training and experiences also comes into play. I know what everyone does because, until this Monday, I was the only prescriber for an urgent care clinic. I saw new patients that couldn't wait till they got in for an intake, people having side effects, hospital returns, emergencies, etc, etc.. We also do peer review on each other so I know how everyone practices. I belong to only one professional organization and that is for CME reasons. I don't give a hoot about any political action. You guys have already lost there anyway so might as well give up. Now, if I was as you say, my employer wouldn't have already made plans to hire me as soon as my contract is over. I would not have done 4 grand rounds presentations last year to 50 plus people and 1 this year. You got that now?