I have a feeling reading comprehension isn't your strong suit. I was pointing out that the hopes many have that the legal system will stop the NP threat are unlikely because of the way the law works, how that amounts to shortsightedness it selfishness is beyond me
I grant you.., it might be too late.. but we still have to try to reestablish clear clinical pathways and delineate firm scope of practice to guide the future generation of physicians with leadership!
Then stay in your fourth dimension Mad Jack.. and fade away along your speedy trip of conclusions..!
Perhaps it was unsolicited advice rather than judgement. It was just very curious. In any case, NPs are here to stay. Just have to work hard to differentiate the quality of our services provided and we'll be fine
Agreed 👍🏻
Yeah we've already lost that battle. @Mad Jack nailed the solution.
Another creative name for them by the industry is “Physicians Extenders” !!
Pandora's box has already been opened. There is no taking it back. The only way to reduce the utilization of NPs/PAs would be massive physician expansion through either lowering barriers to entry by foreign physicians or increasing domestic residencies. This would pose entirely different competitive and economic pressures, as NPs and PAs would remain.
The old law of supply and demand will drive reimbursements down as I saw the pendulum swings back and forth when we expanded GME and got threatened by industry managed plans and Gov when they complained back in 1990s of surplus in physicians and specialists specifically.., look where we are now.. they are screaming for more while they pumping the system with “EXTENDERS”..
Very Bad Idea !!
Funny you say that, I had a new patient couple just last week. Their insurance told them to go see Dr. X who has a 6 week wait for new patients. They called my office on a Monday and I saw them Thursday.
I don’t think the problem has been ease of access yet.., rather it’s the substitution of PCPs with extenders..!
Very little of that either. I think in my 80-some-odd PCP mult-specialty group we have maybe 20 midlevels at the most. Most offices that have them keep the MD/NP ratio at 4:1.
Plenty of PCP spots around here too
Probably. The hospital even inpatient doesn't use a huge amount of NPs. Our GI group does, but 99% initial visit for screening colonoscopies.
I have a pet theory that much of the support for AANP and similar orgs is coming from the AHA and the hospital lobby. The AHA can't directly lobby to have NPs replace physicians so they're using proxies.
The standard of care that they are judged is what another midlevel with similar experience would have done...
Missouri is doing that right now but they need to pass all the boards...
Eh, we're not that different. Lots of states have a rule that you are held to the standard of your field in medicine not all of medicine in general.
Did they think you had pneumonia or something??
Nope, just wanted to use the old shotgun approach I guess. Didn't order an xray.
Only on SDN is this post disliked. I’m totally against midlevels practicing independently and I think NP training is a joke, but it’s not unreasonable to use them in this fashion where they deal with a defined patient population under the supervision of an attending. I mean, what’s the alternative? The attendings do it all? Send the scut to the NPs and PAs
This is why you should avoid working for a hospital at all costs. Pick a non-hospital based specialty.
Yes, residency makes assembly line medicine very clear.
Ha... I read that as MMA and I was like:Here we go.. AMA !
Docs vs NPs, PAs: How AMA Made Scope Creep Fight Uglier
Dr Alok Patel discusses the idea of scope creep, professional societies' statements, and the reactions of physicians, NPs, and PAs.www.medscape.com
Let us ALL unite to demand dropping the dehumanizing process of the Doctor- Patient relationship and the “Art of Medicine” by transforming it to trade transaction by “Providers” in healthcare!
meridian.allenpress.com
True and true.
