"Provider"

Burrell College of Osteopathic Medicine
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NWwildcat2013 said:
"Burn due to WATER SKIS on fire" is easily the most ridiculous scenario I have ever imagined. Water skis should also not be classified as "watercraft".
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It sounds ridiculous, but it exists for a reason. Used to be a very common stunt at certain events.
ski-fire-jumpers1__1497992a.jpg
 
Siggy said:
It wasn't that hard... it's called not being a douche. Unfortunately, hyperdouchemia is a common affliction in pre-meds.
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I know a few people with hyperdoucheorrhachia. Like when people go to barnard but on facebook they say that they attend columbia. Yeah, no.
 
akwho said:
Just saw a facebook post from a childhood friend. "So proud of all us graduating doctors" (*Goes to chiropracter school).

Awesome.
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Dunno why they can't just say us graduating chiropractors. Damn wannabes
 
Ismet said:
They are providers, they are not physicians. This is just referring to the EMR, which originally just had "attending physician" and "consulting physician." If an NP, who is providing care for a patient and presumably disclosing (as they are supposed to) that they are an NP, writes a note in the system, it would be more confusing and more misleading to put their name in the Attending Physician spot, even though they are the provider for the case. Maybe there should be a spot for physician AND a separate spot for mid-level provider. Perhaps give that feedback.

I agree with you about introducing yourself in the proper way, but I see this as a completely separate issue than what a couple words in the EMR are.



There's a medical school that has the term "student physician" on the white coat, but the word "student" easily gets obscured by the lapel.

I mean, I've had many patients think I was studying to be a nurse after introducing myself as a medical student, but I think that confusion is better than thinking a 3rd year medical student is your physician 😛
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http://www.aafp.org/about/policies/all/provider-term-position.html
 
jthedestroyr said:
Why don't we start using "law providers" for lawyers, paralegals, court assistants, cops and everyone else in the legal system. I mean they're all part of the legal system and after all we are a team based society aren't we?
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That would never happen in the legal profession.

"Provider" is a term that many of you are using unknowingly to dig your own grave, professionally-speaking.
When they give the NPs full autonomy in every state, with their new "doctoral" degrees, then truly no one is going to know the difference between doctor NP and doctor MD. Your pay will be adjusted accordingly.

The term "provider" levels distinctions and implies a uniformity of expertise and knowledge among health care professionals. The term diminishes those distinctions worthy of differentiation such as education, scope and range of ability. Generic terminology implies an interchangeability of skills that is inappropriate and erroneous, as well as conferring legitimacy on the provision of health services by non-physician providers that are best performed by, or under the supervision of, physicians.

The term "provider" is one of bureaucratic origin and has no significance or relevance beyond that created by regulators and insurers. The effect of the term is to create confusion among individuals seeking care, especially those seeking care within a managed care environment. The implication is that "providers" are interchangeable and patients can expect to receive the same level of care from any "provider." Use of the term is especially inappropriate if it is employed as a tactic to confuse and thereby encourage use of health care professionals of less cost to the insurer.
 
Quite honestly it's a fantastic brain washing technique, which as we can see in this thread has done it's job quite amazingly. Everyone is a special snowflake and everyone's knowledge and plot in life is the same: never forget that.
 
Ismet said:
That's nothing new.

The legal definition of healthcare provider includes physicians as well as dentists, podiatrists, NPs, PAs, etc. You can agree or disagree with that all you want, take steps to change it by all means, but that's what it is right now. Are you doing anything to help make changes in this regard?
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Actually changing the legal definition isnt the issue. The issue is changing the terminology at the local level amd not using the term yourself to refer to physicians.

The legal term for illegal immigrant is "illegal alien", but a lot of people think that is offensive and have taken to renaming them "undocumented citizens."
The terms convey very very different meanings.

Words have power. And when you contribute to blanketing physicians and midlevels under the term "provider" then you make yourself indistinct to the general public.

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cbrons said:
Actually changing the legal definition isnt the issue. The issue is changing the terminology at the local level amd not using the term yourself to refer to physicians.

The legal term for illegal immigrant is "illegal alien", but a lot of people think that is offensive and have taken to renaming them "undocumented citizens."
The terms convey very very different meanings.

Words have power. And when you contribute to blanketing physicians and midlevels under the term "provider" then you make yourself indistinct to the general public.

Sent from my SM-N910P using SDN mobile
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I really don't use the term "provider." And I don't know anyone, NP or PA or physician, who does when it comes to talking to patients. Everyone I've worked with introduces themselves as what they are. It's not like the term "provider" wipes out the credentials - there's still physicians and physician assistants and nurse practitioners - but yes, it can be confusing to patients. Then again, patients are usually confused about who most people are. When I was a med student, I was called a nurse a ton. Now that I'm an intern, introducing myself as Dr. _____, I've still been called a nurse, a "doctor's assistant," etc. So it's not that hard to confuse patients about who they're seeing.

That was just my explanation for why your institution's EHR made that change, legally they're all considered providers, and a large part of the documentation in EHR is for legal purposes. You can take steps to try to fix it, which I also suggested.
 
Ismet said:
I really don't use the term "provider." And I don't know anyone, NP or PA or physician, who does when it comes to talking to patients. Everyone I've worked with introduces themselves as what they are. It's not like the term "provider" wipes out the credentials - there's still physicians and physician assistants and nurse practitioners - but yes, it can be confusing to patients. Then again, patients are usually confused about who most people are. When I was a med student, I was called a nurse a ton. Now that I'm an intern, introducing myself as Dr. _____, I've still been called a nurse, a "doctor's assistant," etc. So it's not that hard to confuse patients about who they're seeing.

That was just my explanation for why your institution's EHR made that change, legally they're all considered providers, and a large part of the documentation in EHR is for legal purposes. You can take steps to try to fix it, which I also suggested.
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It's not the patients we are worried about when it comes to understanding we are distinct from midlevels and not all the same type of "provider". It is legislators and the people who continuously push (whether explicitly or implicitly) to neuter the role of a physician in favor of further forcing us to become just another good worker bee who will do what they're told.

You're hardly even an intern, so maybe that's why it's not at all on your radar.
 
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username456789 said:
It's not the patients we are worried about when it comes to understanding we are distinct from midlevels and not all the same type of "provider". It is legislators and the people who continuously push (whether explicitly or implicitly) to neuter the role of a physician in favor of further forcing us to become just another good worker bee who will do what they're told.

You're hardly even an intern, so maybe that's why it's not at all on your radar.
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I was responding to the position paper that was linked in response to my opinion of why the EHR was changed. The position paper was largely focused on the confusing aspect for patients.

I'm curious how many people who are so up in arms about this are actually trying to change things, like working with legislators or the big wigs at their institution. Perhaps there can be a discussion about things that can be done or resources for this.
 
My favorite is the "Patient-centered care" BS. A couple mid levels found out I was a medical student and the first thing they piped up with was (no joke) "Remember to always put the patient first, thats what its all about"

Basically implying that doctors of past did not put the patient first , which although it might be true for some/many instances, disguises the fact that "patient centered care" is just a front for levelling the "health professionals"

"Everyone wanna be a body builder but nobody wanna lift no heavy ass weights" -Ghandi
 
That and "I'm advocating for my patient." Says the nurse fresh off her lunch break on her one of three twelve hour shift of the week continues to berate the resident, who has not eaten or slept and is on hour 16 of 28.

WELL THANK GOD YOU'RE HERE, LEST THE TERRIBLE MEAN POMPOUS OVER PAID DOCTOR CAUSE HARM TO YOUR PATIENT.
 
Ismet said:
That's nothing new.

The legal definition of healthcare provider includes physicians as well as dentists, podiatrists, NPs, PAs, etc. You can agree or disagree with that all you want, take steps to change it by all means, but that's what it is right now. Are you doing anything to help make changes in this regard?
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Change it? You want to keep it with no distinction!
 
charmiedermie said:
Change it? You want to keep it with no distinction!
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I'd like for you to point out to me where I said that.

Yet again, the context of the OP of this thread had to do with the EHR. I stated that the "provider" term does not wipe out the credentials of the person. "Provider" is simply a legal umbrella term with distinct entities underneath. Disagree with it? Great. Not using the term and encouraging other physicians to not use the term is a small step, but that's not really going to change much in the legal terms of things unless people actually do something about it instead of continuing to complain about the same things over and over.

"Maybe there should be a spot for physician AND a separate spot for mid-level provider. Perhaps give that feedback." "We use EPIC, and it's very easy to tell if the provider is a doctor, NP, PA, midwife, etc because your credentials are automatically populated when you input your name."
 
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