Simple question to family practice docs regarding nurse practitioners

[hemoglobincell]

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Why would you ever hire an NP when there are PAs available?

PAs are better trained (more based on the medical model), more efficient, easier to work with, and most of all.. NOT TRYING TO REPLACE YOU.

 

[mx_599]

Why would you ever hire an NP when there are PAs available?

PAs are better trained (more based on the medical model), more efficient, easier to work with, and most of all.. NOT TRYING TO REPLACE YOU.

you mean Physician Associates?

 

[mx_599]

 

[hemoglobincell]

you mean Physician Associates?

Still, that's just a small sect that wants a name change. The PAs are still by far the lesser of two evils in that they are not pursuing a doctorate level degree to call themselves doctors and they are not pursuing independent practice. I will never hire an NP if I go into private practice, and would only consider hiring a PA if they don't push for independent practice rights.

 

[drflower66]

Still, that's just a small sect that wants a name change. The PAs are still by far the lesser of two evils in that they are not pursuing a doctorate level degree to call themselves doctors and they are not pursuing independent practice. I will never hire an NP if I go into private practice, and would only consider hiring a PA if they don't push for independent practice rights.

So you don't really have a "question" you ujust wanted to express your uneducated opinion that PA's are "Better than NP's" and are not "trying to take the family practice physician's jobs away."

If that is not so, then please state a question, in the form of a question. The kind with a question mark at the end of the sentence.

 

[pianoman511]

So you don't really have a "question" you ujust wanted to express your uneducated opinion that PA's are "Better than NP's" and are not "trying to take the family practice physician's jobs away."

If that is not so, then please state a question, in the form of a question. The kind with a question mark at the end of the sentence.

Actually, he didn't make any statement regarding the ability of a PA to practice vs. NP. He simply stated that PAs are comfortable with their role as a mid-level provider under the supervision of a physician and as such he will support the PA profession as a whole instead of NPs who continue to lobby for equal rights/reimbursement as physicians.

:troll:

 

[mx_599]

 

[pianoman511]

Having spirited conversations on SDN, a clear alternative to Step I studying .

Oh and regarding training for PAs vs. NPs - from a completely objective standpoint the clinical hours for PA training vs. NP training...PA>>>>>NP.

 

[toothless rufus]

This mid-levels slobbering for independenceand expansion of scope of practice really irks me. The training just isn't there. If they want to work in the role of physicians for what ever reason: they should just do the one-and-only logical thing to accomplish this: go to medical school. Independence and equal reimbursement should not even be an idea on anyone's mind. Just be concerned about fulfilling the role that was created, which is a respectable one. Or again, if that does not satisfy the ego: go to medical school.

Regarding the name change. "associate" implies equality with "physician", which is not nor will ever be the case educationally, while "assistant" defines the reality. Or if that sounds too revealingly subservient, then how about the bland moniker of "Physician Employee?"

And this DNP thing really doesn't make any sense. Medicine follow the medical model, not the nursing model. Wearing long white coats and wanted to be called "doctor". Just go to medical school.

The force that is lent to these efforts by insurers and reimbursers should also not have been allowed to gain momentum, and should be forcibly negated.

I will never understand why on earth physicians ever allowed anyone or anything to encroach upon what is inherently granted solely by virtue of a medical degree. But I'm looking forward to the day when we firmly put this issue to rest with the finality of a coffin lid closing.

 

[OxfordDO]

I'd only hire a PA but I imagine it comes down to cost and what type of practice it is. If it's laser hair removal and you have to train the person regardless then maybe the NP would do?

 

[DrJosephKim]

If you compare the length of school/training in an NP vs. a PA, you'll see a significant difference.

 

[mx_599]

 

[michaelrack]

Regarding the name change. "associate" implies equality with "physician", which is not nor will ever be the case educationally, while "assistant" defines the reality. Or if that sounds too revealingly subservient, then how about the bland moniker of "Physician Employee?"

.

A PA may be an employee of someone/something other than a physician, such as an ER or hospital.

The title "physician emploee" would be confusing, many people would confuse it with a physician who was an employee.

 

[Polka Dot]

How about assistant physician?
People don't assume that assistant professors are on the same level as tenured professors. What's the difference?

 

[lowbudget]

Ain't no shame at being called a physician's assistant or a nurse or whatever. If you want people's respect, do your job. No job title will ever change that fact of life.

 

[markglt]

they all suck

 

[LeemerDO]

Why is there such a desire to be completely on the hook for any and all decisions made by yourself or a subordinate?

Unless they're willing to expose themselves just as much to liability, then they should accept the role that they trained for, not the one they wish to covet.

 

[hemoglobincell]

So you don't really have a "question" you ujust wanted to express your uneducated opinion that PA's are "Better than NP's" and are not "trying to take the family practice physician's jobs away."

If that is not so, then please state a question, in the form of a question. The kind with a question mark at the end of the sentence.

Not sure what you mean. I did have a question. It did end in a question mark. Check the first post.

 

[digitlnoize]

Why would you ever hire an NP when there are PAs available?

PAs are better trained (more based on the medical model), more efficient, easier to work with, and most of all.. NOT TRYING TO REPLACE YOU.

I think it's a bit of a loaded question. Personally, in my limited experience, I would tend to agree with you. I feel that many of the PA's I've worked with have been superior to the NP's I've seen in practice. Not always, but usually.

To answer your question...I would hire an NP if they were better than the PA's up for the gig.

I do agree with the assessment that NPs are trying harder to "replace" FM docs than PA's, but I'm not sure that PA's are totally innocent.