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Started by Chlorophyll Oracle
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That’s lame. Glad mine never did that. If anything, we had more talk about the critical differences in training.
 
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Or incentivize more physicians to go into primary care and give patients a properly trained PCP. But the healthcare systems, govt would much rather expand the scope of an NP/PA and pay them half of what they would pay a pcp.
NP/PAs love it, they get to practice independently in 2 yrs for PA school, some online courses and shadowing for NP school, and get solid six figure salaries with minimal debt. Govt/insurance companies/healthcare companies love it-cheap to pay.
I love general medicine too-both inpatient and outpatient, but with the way the system is setup, can't see myself not doing an IM procedural fellowship.
 
Chlorophyll Oracle said:
I'm gonna take a moment to vent because I'm so pissed. I want to go into internal medicine and do general outpatient medicine. My school heavily pushes this path of medicine, or so it seems. In a lecture they told us that the solution to the physician shortage was expanding the scope of practice of NP/PAs and training more of them. When I brought up that these midlevels are no more likely to go into primary care than a physician they essentially shut me down. How broken is our system that my MD school doesn't support us and makes you feel like your going against the status quo for implying there's a competency difference between an MD and NP/PA education level.
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I always argued with the lecturers in med school who pushed that crap.
 
Man, what is wrong with your school? Because that is the heaviest slab of horsecrap. It's total propaganda.

I wonder what their agenda is here. What do they stand to gain from pushing this narrative? Is it some kumbaya "collaboration" crapola?
 
It’s sad because they’re pushing this narrative to grow the GP practice without having to pay the expense of having an MD do it. There’s definitely a difference between a PA/NP and an MD, but they’re betting on the fact that most people that walk into a GP don’t have serious enough problems that require a MD, so the lower paid less qualified PA/NP can handle GP patients 7/10 times. The problem is the remaining 3 who have serious issues a PA/NP can’t diagnose properly, and often times are afraid to call up their GP in fear of it being nothing serious and looking stupid.
 
Chlorophyll Oracle said:
We were told that this was a way to get health care costs down and to provide health care to underserved areas. I asked why midlevels would be any more likely to serve underserved areas and I got no answer. They also didn't mention expanded residency spots as a potential solution either. Its important to note that this course is taught exclusively by PhDs. I wonder how their MD faculty would feel about this stance. No hate towards NP/PAs at all btw. They serve an important purpose in the health system, but they're supposed to complement physicians not replace them like the PhDs implied.
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I see. Again, pure proganda and misinformation. You get costs down by firing all hospital administrators. Let's start there. Just say it with me: "You're fired" See? It's easy.
 
medicalchimp said:
It’s sad because they’re pushing this narrative to grow the GP practice without having to pay the expense of having an MD do it. There’s definitely a difference between a PA/NP and an MD, but they’re betting on the fact that most people that walk into a GP don’t have serious enough problems that require a MD, so the lower paid less qualified PA/NP can handle GP patients 7/10 times. The problem is the remaining 3 who have serious issues a PA/NP can’t diagnose properly, and often times are afraid to call up their GP in fear of it being nothing serious and looking stupid.
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Pretty much this.
Won't be surprising to see primary care PA/NPs get paid more and more and primary care MDs get paid less
Probably an escape from this spiral is trying to change legislation to make solo private practice easy to do. Even better if insurance doesn't get into the mess. I realize direct primary care exists but not sure how it's been working. Do people like this system? Is it profitable? Are more and more PCPs turning to this model?
There is a sizable market of people that can and will afford to see a PCP that has an MD only.
Eventually see this segregating into two markets. The middle class/rich seeing an MD and the not so rich seeing a PA likely employed by a govt or walmart type healthcare system.
 
Chlorophyll Oracle said:
I'm gonna take a moment to vent because I'm so pissed. I want to go into internal medicine and do general outpatient medicine. My school heavily pushes this path of medicine, or so it seems. In a lecture they told us that the solution to the physician shortage was expanding the scope of practice of NP/PAs and training more of them. When I brought up that these midlevels are no more likely to go into primary care than a physician they essentially shut me down. How broken is our system that my MD school doesn't support us and makes you feel like your going against the status quo for implying there's a competency difference between an MD and NP/PA education level.
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Who exactly told you this???
 
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Can someone explain from the school's point of view of why more students entering primary care is or is not a good thing? What does the school benefit from if the majority of students enter primary care specialties? I notice that trend even in top schools.
 
DameJulie said:
Can someone explain from the school's point of view of why more students entering primary care is or is not a good thing? What does the school benefit from if the majority of students enter primary care specialties? I notice that trend even in top schools.
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It's not that the school benefits, but that the school has a mission. It exists to serve to local populace.

In addition, due to the exorbitant costs of medical education, med students gravitate tot he more lucrative specialties. This has been going on for some twenty years.

The end result is not a doctor shortage, but a doctor maldistribution, especially in Primary Care.
 
DameJulie said:
Can someone explain from the school's point of view of why more students entering primary care is or is not a good thing? What does the school benefit from if the majority of students enter primary care specialties? I notice that trend even in top schools.
Click to expand...
Schools get money from the State for each person that matches into primary care. That's why.
 
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