words from a midlevel

[iluvpropofol]

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I train fp residents in emergency medicine as part of my job. it wouldn't really be appropriate(or legal) for them to be supervising me. I've seen over 100,000 emergency pts in my career with the full spectrum of complaints. no fp resident even comes close to that. frankly I would be insulted(and quit any job) that had an fp resident supervising me

 

[Stank811]

I am confused

1) what does this have to do with anesthesia

2) Why would an FP be supervising you in the ED...are you located in a rural area...why wouldn't an ED physician supervise you?

 

[AegriSomnia]

This shouldn't say words from a midlevel. It should say words from an NP.

 

[Denatured]

This shouldn't say words from a midlevel. It should say words from an NP.

Actually it's from emedpa. Look around the midlevel forums. You look silly when you don't do research.

 

[AegriSomnia]

Actually it's from emedpa. Look around the midlevel forums. You look silly when you don't do research.

I retract that statement.

 

[elftown]

:troll:

 

[IDBasco]

I train fp residents in emergency medicine as part of my job. it wouldn't really be appropriate(or legal) for them to be supervising me. I've seen over 100,000 emergency pts in my career with the full spectrum of complaints. no fp resident even comes close to that. frankly I would be insulted(and quit any job) that had an fp resident supervising me

And his next words are that he would have no problem working for a boarded doc. So what? He said he trains them. You think that means pathophys? I doubt it. Probably procedures etc. that aren't seen often in FP.

Seems to me that someone is trying to get the docs stirred up. New username just for this thread? Really?

Edit- Elftown beat me to it. I agree- troll.

 

[IDBasco]

.

 

[Coastie]

I train fp residents in emergency medicine as part of my job. it wouldn't really be appropriate(or legal) for them to be supervising me. I've seen over 100,000 emergency pts in my career with the full spectrum of complaints. no fp resident even comes close to that. frankly I would be insulted(and quit any job) that had an fp resident supervising me

FP residents (nor any other residents) should be "trained" or "supervised" by a midlevel. Doing so is a violation of ACGME rules....and yes, the PA should be supervised by a physician.

 

[SleepIsGood]

again.

If this is indeed a PA who created this thread. The problem that I referred to earlier is something we need to be concerned about.

We are creating one problem for another.

PAs or AAs or CRNAs...once they've been 'around the block' like this guy has, they automatically think they are equal to physicians.

They all start out being 'friendly'. Saying they are here to 'close the gap' in patient care in underserved areas and rural areas (red flag when I hear this...cuz that's what they all say), blah blah. Then it's only time that gives them the feeling they can be physician equivalents..

 

[maceo]

again.

If this is indeed a PA who created this thread. The problem that I referred to earlier is something we need to be concerned about.

We are creating one problem for another.

PAs or AAs or CRNAs...once they've been 'around the block' like this guy has, they automatically think they are equal to physicians.

They all start out being 'friendly'. Saying they are here to 'close the gap' in patient care in underserved areas and rural areas (red flag when I hear this...cuz that's what they all say), blah blah. Then it's only time that gives them the feeling they can be physician equivalents..

I dont think you are right. and THE JOB of anesthetists is JUST THAT. to be anesthetists. NOT the PHYSICIAN ANESTHESIOLOGIST. CRNAS want to be the anesthesiologists. We have those already. thats the problem. THey dont want to do their job anymore. They want to do our job too. so we NEED and desperately NEED an entity who is willing to do the job of anesthetists and the PA/AA is a perfect perfect solution. CRNAS have gone to the legislatures and have got laws put in that says they can be anesthesiologists too. SO thats why we are clamoring to increase the numbers of ANESTHESIOLOGY ASSISTANTS and expand the repertroire of PAs to inclue anesthesia. So NURSES can put patients in jeopardy and practice as anesthesiologists without going to medical school. Scum bags

 

[SleepIsGood]

I dont think you are right. and THE JOB of anesthetists is JUST THAT. to be anesthetists. NOT the PHYSICIAN ANESTHESIOLOGIST. CRNAS want to be the anesthesiologists. We have those already. thats the problem. THey dont want to do their job anymore. They want to do our job too. so we NEED and desperately NEED an entity who is willing to do the job of anesthetists and the PA/AA is a perfect perfect solution. CRNAS have gone to the legislatures and have got laws put in that says they can be anesthesiologists too. SO thats why we are clamoring to increase the numbers of ANESTHESIOLOGY ASSISTANTS and expand the repertroire of PAs to inclue anesthesia. So NURSES can put patients in jeopardy and practice as anesthesiologists without going to medical school. Scum bags

maceo-

I agree with you. CRNAs aka Nurses are getting out of line when they claim they are physician equivalents. It's ridiculous.

I am just saying we need to be cautious when implementing ANY sort of midlevel including AA/PA. As the original poster alluded to, they too will feel as though they can be autonomous. Yes, currently they seem to be a good alternative to CRNAs (no question). However, it is up to us anesthesiologists to safe guard our profession and also not be lazy, and make sure we do not let AA/PAs get to where CRNAs are at. It's only human to want more. Currently they (AA/PA) claim they only want so much and do not want independence. I think before fully supporting them however, there needs to be an unequivocal understanding by anesthesiologists amongst each other to NEVER let AAs do cases solo (ie not be home and let them do epidurals or 'small' cases solo).

 

[IlDestriero]

Please move to Family Practice forum where it belongs.
Please move anesthesia discussions to an appropriate thread.
Thanks.

 

[deleted87716]

It sure doesn't belong in the FM forum. Maybe the EM or Clinicians forum.

 

[PharmBound2011]

This person is a troll, no doubt. This post doesn't belong here either. Probably started by a CRNA. Although for the sake of completeness, the entire "convo" should be included before making out-of-context judgments such as made previously. Here is the complete post. It was said just to refute the point made earlier by altap.

ALTAP - "it is for the best interest of the public that a physician whether a resident or an attending should always be present whenever a PA or NP or a grp of PA or NP, notwithstanding their experience, is working. No ifs or buts."

EMEDPA - "I train fp residents in emergency medicine as part of my job. it wouldn't really be appropriate(or legal) for them to be supervising me. I've seen over 100,000 emergency pts in my career with the full spectrum of complaints. no fp resident even comes close to that. frankly I would be insulted(and quit any job) that had an fp resident supervising me.
a licensed/boarded doc? no problem. actually one of my attendings for a while was a guy I trained.
the small facility that I work at uses fp(not em) docs.
unless a pa is running every single pt by the doc there is no difference between doc present on site and next day review. couldn't someone be sent home inappropriately with a doc in the next room just as easily as if they were not there at all? and if you have the doc see every pt you don't need the pa at all.
sure, a lot of the reason they use pa's 24/7 vs docs is cost savings( 30/hr extra for fp doc vs pa) but over the 15 yrs we have used this model we have had more significant QA/M+M issues with pts seen by the fp docs than those seen by the em pa's."

 

[pgg]

Please move to Family Practice forum where it belongs.
Please move anesthesia discussions to an appropriate thread.
Thanks.

It sure doesn't belong in the FM forum. Maybe the EM or Clinicians forum.

It doesn't belong anywhere on SDN. It'd be rude to dump it in another specialty's forum ...

 

[Arch Guillotti]

It doesn't belong anywhere on SDN. It'd be rude to dump it in another specialty's forum ...

yeah I don't think they want this tripe any more than we do.

The OP is a troll and has been banned and I am closing this thread since it really has nowhere to go.