Primary Care VS Noctors

[johnmendes]

I don't know if there is a related topic in the forum, if there is, I apologize.

I've always thought about going into primary care. Especially family medicine, which I find interesting. The whole relationship that is built fascinates me and is one of the reasons I came into medicine. My dad who is an ortho surgeon advises me to go into a specialty "as specialized as it can be", like ortho, uro, neuro, since he firmly believes most primary care doctors will have to compete with noctors.

Do you think this is accurate? I've read some posts about Noctors, and it sounds like things can only get worse...

Thanks in advance

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[smq123]

Moving to TIH.

 

[cpants]

If you want to do primary care go for it. You have to do what you like. Noctors aren't going to replace doctors anytime soon. Yes you may face competition, but there is no shortage of business for PCP's...in fact there is a huge shortage which is why nursing is getting into this to begin with. You'll be able to make a good living.

 

[Sneezing]

Here is how it breaks down.

Noctors are favored by the government and insurance companies because they are cheaper and 'yes men.'

The public will always prefer a physician over a nurse. Always. The issue is do they have the funds or insurance to get the physician.

Open a cash only or very limited insurance type practice. Here is the start: http://www.aapp.org/

A two tier system will emerge not just based on type of insurance (gov vs private) but not also along the lines of (physician/private vs government/noctor). Which side of the tiering do you want to be on? This is going to happen to all specialties, but not all specialties will be able to purse the private/cash/better insurance market. Those who aren't surgical specialists will be best suited for this. I whole heartedly disagree with the 'specialize' advice you previously heard.