Something to rally around

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My patients have started asking me if I will be the one doing the injection, and I thought that was a strange question. I wonder if there’s stories floating around about these practices.
 
My patients have started asking me if I will be the one doing the injection, and I thought that was a strange question. I wonder if there’s stories floating around about these practices.

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My patients have started asking me if I will be the one doing the injection, and I thought that was a strange question. I wonder if there’s stories floating around about these practices.
block shops and needle jockeys will hire NP/PA and non pain boarded docs to see the patient initially and order injections to be done by the pain physician. patients never see the pain doc until the procedure. in one case that i know, that was for a stim trial.
 
At a course I went to recently one of the instructors, a young and very social media visible KOL, kept saying “ your PA/NP is your diagnostic arm and you are the surgical arm of your practice”. It’s that kind of thinking that has progressed to CRNA/PA/NP becoming both arms. These same docs will train midlevels to do procedures if they are paid the right price. It’s all about $$$$ and status on social media.


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Medicine began a decline a long time ago. The pace of the change seems to be increasing.
 
At a course I went to recently one of the instructors, a young and very social media visible KOL, kept saying “ your PA/NP is your diagnostic arm and you are the surgical arm of your practice”. It’s that kind of thinking that has progressed to CRNA/PA/NP becoming both arms. These same docs will train midlevels to do procedures if they are paid the right price. It’s all about $$$$ and status on social media.


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Stim reps do dinners with mid-levels now.
 
Stim reps do dinners with mid-levels now.

How about we and our societies refuse to work with those companies. Company markets to CRNA/PA/NP, you refuse to use their device and society refuses to allow them to exhibit. Let our KOLs curb the frat party behavior in the name of “advancing the science” and spend some time on protecting their livelihood. The science won’t mean squat if the field is overrun with mid levels. We need to wake the hell up. We can’t practice using a surgical model if we allow others to prove that you can teach a monkey to do our job.


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