I sincerely hope you're right that you guys are safe forever. I truly do. I don't wish what's happening to EM on any other field.
However a 10 second google search may throw cold water on your confidence...
1) A 2019
Interventional Neuroradiology paper by folks at Columbia and Mt Sinai -- "Meeting the evolving demands of neurointervention: Implementation and utilization of nurse practitioners." In it, the authors comment:
"Increased nurse practitioner mentorship, fluoroscopy law standardization, physician support surrounding nurse practitioner autonomy, and role consistency is imperative for optimal nurse practitioner utilization. Nurse practitioners are uniquely equipped to bridge evolving gaps through the provision of safe, efficacious care, and
generating revenue at lower costs."
Growth in the neurointerventional field, as a result of the emergence of thrombectomy as the gold standard treatment for large vessel occlusions, has created complex challenges. In an effort to meet evolving demands and fill workflow gaps, nurse ...
www.ncbi.nlm.nih.gov
2) From the
Journal of American College of Radiology in 2015, a paper by some authors from Emory cites studies showing no significant outcomes differences with chest port placement and liver biopsies done by midlevels vs docs:
3) A 2019 paper in
The British Journal of Cardiology "Safety, effectiveness and quality of nurse diagnostic coronary angiography" found the nurses outcomes to be "equivalent" to doctors
Introduction Coronary artery disease (CAD) remains among the leading causes of premature death in the UK, as well as the leading cause of death worldwide. In the UK, one in seven men and one in 11 women will die from CAD, which, on average, is one death every eight minutes.1 Despite advances in...
bjcardio.co.uk
I'm not trying to in any way devalue what you guys do nor suggest that these articles are "the truth." And nobody is saying that you guys have already been inundated by midlevels or that it's imminent. But if these quickly found (and by no means exhaustively searched) smattering of articles doesn't convince you that external forces are beginning to put a target on your guys back...I'm not sure what will. The CEO doesn't care about your call schedule or what you think is a "crap" job...he cares about being in the black. All it takes are enough of these "so there" crap articles like the above being passed on to your hospital CEO by his favorite NP or admin cronies and...what do you think could happen? Because that's what you guys should be now trying to defend against.