Once the bodies start dropping hopefully some lawyers start sounding the alarm because as physicians we get nothing but grief if we claim that maybe NPs and PAs can't do what we doNearly 1,000 physicians practicing in Florida not qualified as fully licensed doctors of medicine
A local attorney says it’s something she’s never heard of in nearly two decades dealing with medical malpractice.www.wftv.com
Where is the outrage about NP/PA practicing medicine with less qualifications?
If you have a PA/NP, you know that you're not getting a physician (or at least you should).Nearly 1,000 physicians practicing in Florida not qualified as fully licensed doctors of medicine
A local attorney says it’s something she’s never heard of in nearly two decades dealing with medical malpractice.
Where is the outrage about NP/PA practicing medicine with less qualifications?
'Fully trained' physicians in 34 states is defined as 1-year post grad training as a MD... aka GP (probably all 50 states for DO). IM/FM/Peds are specialists.
The thing is, they have to be licensed in a United States jurisdiction. No US jurisdiction requires less than a year of training (except the USVI iirc, I think it's 6 months there). Florida even allows for full licenses after one year of training for US MDs/DOs, and few states allow practice for IMGs after only one year. My bet is most of these people could get a license anyway, I'm kind of curious as to why they didn't. Most likely because the temp license allows medicaid billing, which might not be doable as a GP, but hard to say.
Yes and Florida allows that for US MD/DO grads only. The article suggests that these doctors are not US trained and so wouldn't be eligible for the standard GP pathway (since otherwise this wouldn't be article worthy and a completely separate path).
Very few to my understanding will allow it for FMGs
Minnesota and Puerto Rico require 1 year for IMGs. The USVI it's 6 months of training after their SPEx exam. So unless there's like, 1,000 doctors that only completed intern year and got licensed in Minnesota or Puerto Rico, I can't see how this many special exceptions became necessary
Do the differentiate between IMG and FMG?
Nope
Yeah that does raise questions about this whole thing. Almost like that's why the article got written.
Eh, I just can't imagine there's that many FMGs or IMGs running around with one year but less than two years (the amount required of IMGs in Florida) of US training that specifically sought out licenses in Puerto Rico and Minnesota to use a little known loophole to work in underserved areas in Florida. I'm betting there is much more to the story that is missing and likely misunderstood by the lawyer themselves
Perhaps, but it does beg the question of why stick with this license and not get a new one after 10 years
Oh absolutely. I'm quite curious what the deal is
The deal is that these people can not get a regular license... because the 1 yr internship they completed in PR is a non ACGME accredited internship (aka internado)... PR has a lot of these non ACGME accredited internship because most FM doc left the island for greener pasture in the mainland. I believe, for one reason or another, they did not want to go the NP/PA route when the government made that decision. NP/PA is not a thing there except for CRNA.
That makes sense. Didn't know PR would license people without ACGME training.
They are not ACGME accredited but the internship is standardized. I did my one-month EM rotation there when I was a 4th year med student, I worked with these people and think they are good. I remember working with one who would put central lines without using ultrasound. Lol
They do... PR is not Sierra Leone. It's not about that only. The internado curriculum is standardized (3 months IM, 2 months FM, 2 months peds, 1 month ED, 1 month surgery... etc...) and they were supervised by attending.
I did 3-4 with that individual and he never missed one (one needle poke). I think it's because the ED was an extremely busy ED and other residents might need to use the 1 US machine.
True but to have that confidence, he must have done 20+ before.
Nearly 1,000 physicians practicing in Florida not qualified as fully licensed doctors of medicine
A local attorney says it’s something she’s never heard of in nearly two decades dealing with medical malpractice.
Where is the outrage about NP/PA practicing medicine with less qualifications?
Not as undertrained as NP/PA... This so called journalist did not even do his/her homework.
These are docs that have license in other jurisdiction (aka Puerto Rico). If they are good enough to work for the feds. They are good enough to practice medicine everywhere.
And if you'll notice, outside the first 3 posts no one else in the thread really said much about midlevels. You're the one that brought it back up.
The ACN (Area of Critical Need) license has been there for years in FL (dated before hurricane Maria)...
