WTF is a cathopathic physician?

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Yeah one of my partners told me about this one. I agree this has been a longstanding trajectory.


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We must have respect for our FNP colleges... lol this is what happens when you have a "shortage." we should be saying we have a surplus of providers so FNPs don't cling to the shortage argument. All it takes is a couple of lobbyists and bam they will become more powerful than us because they can still lobby since they are also under the nursing profession.

You think this won't happen think again. CRNA are now doctorate programs and are thinking they are superior to their MDA (Medical doctor anesthesia) colleges.
 
If this goes anywhere, they'll slowly assimilate and adopt the same sort of schooling and training as real physicians. It'll become a distinction without a difference like the DO.
 
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Mr. Hat said:
I actually hope they are successful and I think we should all get behind this. If you want to get rid of the DNP movement, make them independent. The minute that physicians are no longer responsible for oversight and the big staffing companies and hospitals are fully on the hook for what their NP’s do, the hiring will stop real quick.
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Wishful thinking, in my opinion. I certainly disagree with the bolded part. In fact, we should fight this tooth and nail.
As for the red part, more like the hiring will continue due to NP's being cheaper.

southerndoc said:
DNP's will never gain autonomy so long as they have online DNP programs.
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Any evidence for this claim? (I'm not doubting, just asking...)

I'm sure they could easily make "hybrid" programs, where you visit for like 2 weeks a year and the rest online... Then, they could claim that it's not online.

carbonizedeyesockets said:
If this goes anywhere, they'll slowly assimilate and adopt the same sort of schooling and training as real physicians. It'll become a distinction without a difference like the DO.
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I disagree completely. The whole reason for all of this is to circumvent the long schooling and training of real physicians.
 
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Angry Birds said:
Wishful thinking, in my opinion. I certainly disagree with the bolded part. In fact, we should fight this tooth and nail.
As for the red part, more like the hiring will continue due to NP's being cheaper.



Any evidence for this claim? (I'm not doubting, just asking...)

I'm sure they could easily make "hybrid" programs, where you visit for like 2 weeks a year and the rest online... Then, they could claim that it's not online.



I disagree completely. The whole reason for all of this is to circumvent the long schooling and training of real physicians.
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the hybrid program....it's coming to a town near you. I've been fielding a ton of phone calls from these DNP students. it seems to be all on line and they have to find their own preceptors. clinical rotation is not necessary!!! it's clinical hours that's needed, even shadowing/observation counts. I don't know if all schools do this

so I asked exactly what does that mean?
reply "well doc, I just need someone to follow so I can sign off on this sheet stating I was here for 225 hours"
me "so are you credentialed at my hospital? do you have student/mal insurance? shelf exams? core curriculum?"
reply "I got a badge to follow dr x on this rotation so I must be ok to be here, I just wanted something different like in the er so I thought I could finish the hours with you"
me "ummm.. ok....you can walk off a rotation like that? is your attending ok with it?"
reply "you mean the doctor? I called my teacher at the school and shes' ok with me switching. but it has to be thur-sun b/c I am busy the rest of the week"
me "I can't accommodate your schedule. sorry"
 
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MSmentor018 said:
the hybrid program....it's coming to a town near you. I've been fielding a ton of phone calls from these DNP students. it seems to be all on line and they have to find their own preceptors. clinical rotation is not necessary!!! it's clinical hours that's needed, even shadowing/observation counts. I don't know if all schools do this

so I asked exactly what does that mean?
reply "well doc, I just need someone to follow so I can sign off on this sheet stating I was here for 225 hours"
me "so are you credentialed at my hospital? do you have student/mal insurance? shelf exams? core curriculum?"
reply "I got a badge to follow dr x on this rotation so I must be ok to be here, I just wanted something different like in the er so I thought I could finish the hours with you"
me "ummm.. ok....you can walk off a rotation like that? is your attending ok with it?"
reply "you mean the doctor? I called my teacher at the school and shes' ok with me switching. but it has to be thur-sun b/c I am busy the rest of the week"
me "I can't accommodate your schedule. sorry"
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Exactly.

Although I think online is a great supplemental source of knowledge, the key is the word supplemental. There is simply no replacement for on-site, in-house education. There is no substitution for medical school and residency. None.
 
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For all the effort these *****s are putting into legitimizing the DNP and now this they could have just gone to med school. If you want to be a physician then be a physician, not a nurse. I guess in this day and age its enough to just say "I'm a nurse who identifies as a physician" lol.
 
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Mr. Hat said:
I actually hope they are successful and I think we should all get behind this. If you want to get rid of the DNP movement, make them independent. The minute that physicians are no longer responsible for oversight and the big staffing companies and hospitals are fully on the hook for what their NP’s do, the hiring will stop real quick.
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I disagree. A few things are obvious and inarguably true:

1. Large contract management groups care primarily about one thing over all else: profit.
2. Large contract management groups are willing to accept a minimum standard or substandard of quality as long as it continues to satisfy #1.
3. Low quality care can be provided in a high cost and low(er) malpractice risk manner. We see this all the time with inexperienced or lesser trained providers: unnecessary CT scans, too many lab tests, unnecessary transfers to higher level of care, etc. etc. these things rarely cause a large malpractice problem but are also bad care, and typically satisfies point #1.

Although independent practice may be inevitable, it will not be a benefit to practicing physicians or patients. Contract management groups, integrated health plans/insurers/health systems will likely benefit, however.

As physicians, I believe it is our responsibility to advocate for the best interest of the patient, which in this case, is supervised practice by APPs.
 
goodoldalky said:
Low quality care can be provided in a high cost and low(er) malpractice risk manner. We see this all the time with inexperienced or lesser trained providers: unnecessary CT scans, too many lab tests, unnecessary transfers to higher level of care, etc. etc. these things rarely cause a large malpractice problem but are also bad care, and typically satisfies point #1.
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As a doc in an academic ED I see this frequently. The outside ED orders every lab your ED has, CT the body part that hurts (or a couple other body parts). Once you find something abnormal, give vanco + Zosyn and ship 'em to the academic center. When the patient arrives for sub-specialist consultation on their incidental finding they ask "is anybody going to do anything about the foot pain I went to the ER for?"

Unfortunately, I can't say that MD's never do this, but your point about low quality care not actually exposing CMG's to malpractice risk is very apt.
 
MSmentor018 said:
the hybrid program....it's coming to a town near you. I've been fielding a ton of phone calls from these DNP students. it seems to be all on line and they have to find their own preceptors. clinical rotation is not necessary!!! it's clinical hours that's needed, even shadowing/observation counts. I don't know if all schools do this

so I asked exactly what does that mean?
reply "well doc, I just need someone to follow so I can sign off on this sheet stating I was here for 225 hours"
me "so are you credentialed at my hospital? do you have student/mal insurance? shelf exams? core curriculum?"
reply "I got a badge to follow dr x on this rotation so I must be ok to be here, I just wanted something different like in the er so I thought I could finish the hours with you"
me "ummm.. ok....you can walk off a rotation like that? is your attending ok with it?"
reply "you mean the doctor? I called my teacher at the school and shes' ok with me switching. but it has to be thur-sun b/c I am busy the rest of the week"
me "I can't accommodate your schedule. sorry"
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This is very common after talking to various nurses pursing NP degrees. They cold call various doctors to get their "clinical hours" regardless of if they even do/learn anything at all. As such there's a bunch of nurses that I've worked with sitting in limbo after completing their "didactics" waiting to get clinical hours before they can complete their degree requirements.
 
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We should all start calling them crapopathic physicians...
 
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WilcoWorld said:
As a doc in an academic ED I see this frequently. The outside ED orders every lab your ED has, CT the body part that hurts (or a couple other body parts). Once you find something abnormal, give vanco + Zosyn and ship 'em to the academic center.
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What do YOU do when you find something abnormal? You order vanco + zosyn and admit to hospitalist to consult with specialist. With rural "outside ED"s we frequently don't have those specialists, so we gotta ship to you in your ivory tower.

I'm always very grateful to talk with an EP when I'm transferring from my rural community ED because they, unlike many specialists/hospitalists, usually understand the limitations I am operating under.

Rekt said:
This is very common after talking to various nurses pursing NP degrees. They cold call various doctors to get their "clinical hours" regardless of if they even do/learn anything at all. As such there's a bunch of nurses that I've worked with sitting in limbo after completing their "didactics" waiting to get clinical hours before they can complete their degree requirements.
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Compare that to PA education. 12+ months of intense butt-in-seat learning, followed by 12+ months of structured rotations with required end-of-rotation exams, and including rotations in EM, Surgery, Cards, FP, peds, womens health, psych, and others, and then a standardized certification exam.
 
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Mr. Hat said:
I actually hope they are successful and I think we should all get behind this. If you want to get rid of the DNP movement, make them independent. The minute that physicians are no longer responsible for oversight and the big staffing companies and hospitals are fully on the hook for what their NP’s do, the hiring will stop real quick.
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But would the ambulance chasers be as interested in going after them? If their salaries are lower, and medmal doesn't cover them for as much as they would a (real) physician, it would seem they have less incentive to go after them
 
engineeredout said:
But would the ambulance chasers be as interested in going after them? If their salaries are lower, and medmal doesn't cover them for as much as they would a (real) physician, it would seem they have less incentive to go after them
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Their medmal is lower because they are under the purview of a physician today. Should they become independent, there is no reason to believe that they would be charged less. I would argue that they would be charged more since the risk to insure them would be higher, given their propensity to miss things that physicians would not. Ambulance chasers would be more prone to go after them based on that alone, unless you had a nest egg tucked away and practiced in a state where those assets could be seized.
 
On a serious note, what does cathopathic mean?
 
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WilcoWorld said:
As a doc in an academic ED I see this frequently. The outside ED orders every lab your ED has, CT the body part that hurts (or a couple other body parts). Once you find something abnormal, give vanco + Zosyn and ship 'em to the academic center. When the patient arrives for sub-specialist consultation on their incidental finding they ask "is anybody going to do anything about the foot pain I went to the ER for?"

Unfortunately, I can't say that MD's never do this, but your point about low quality care not actually exposing CMG's to malpractice risk is very apt.
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This happens from time to time but I don't fault the midlevels. Often the CMG staffs the ER to where the midlevels are seeing acuity beyond their training. I think they would rather be too conservative and over test than under test. It literally is impossible for the MD to see all these patients at the beginning of their workup. Often when I finally learn the patient "needs transfer" there are test results that makes it near impossible to send them home (even if it's an overcall by radiology).
 
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Angry Birds said:
On a serious note, what does cathopathic mean?
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From their website, the "-pathic" is disease/treatment, and the "catho-" is "universal", like the Catholic Church. So, they treat the entire patient, versus us sucky doctors, who only treat disease, with our money grubbing ways.
 
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Well when med school continues to get harder to get into and more expensive, this is the result. Only about 20,000 people are getting in and that is not enough to replace those leaving. Definitely not enough to manage the patient body. We got about 2.5 doctors per 1000 patients. Some of those patients get seen once a year, some every 6 or 3 months, then a lot of em are every week or 2 and then the various acute visit. And those are just the visit, we got paper work and various other day to day trials. Not only that some Doctors aren't even seeing patients. Some are specialist, who only deal with certain issues. Some are into the politics of running a hospital or only doing research. So that 2.5 per 1000 people workload is definitely not even distributed.

Basically, the DEMAND IS THERE. With medicine, the demand will always be there, but there is not enough product(i.e. the doctors). And this is America, someone is going to capitalize on it. So some group of people come along and say "lets sell them the generics" aka, the PAs and the NPs. And as long as they can get the job done, the average normal working, American who is on a budget, doesn't give a single fu*k, about the title of the person taking care of them. When you need to get your car fixed and money is tight, do you take it to the certified dealership, or do you know a guy who can get the job done for you correctly, cheaper and faster? Most of us know a guy, cause we all know the dealership is super expensive. And as long as they fix the issue and the car works most of us are happy and go on about our business. Same is thing going on here.

I see NPs and PAs get called doctors all the time. The patients don't care about the title, as long as they're treated. The NPs and PAs get all the respect, joy and satisfaction of the job, with only a fraction of the training.

FROM the view point of someone who went to school for years to be a doctor, this is an abomination and outrage. From the capitalist viewpoint with the goal of bringing in revenue, the DNP and PAs are a dream come true. You pay them LESS, they're easier to train, they're quicker to train, and 8/10 times you can bill the patient's insurance the same way you bill them as if a doctor saw them as long as ONE doctor adds a little sentence at the end of a chart saying "I AGREE WITH EVERYTHING THIS NP/PA says in regards to this patients care". So instead of having a clinic of MD's and DO's you can, have a clinic of cheaper labor PA's and DNP and ONE doctor to sign all their charts. A business will save money on labor, and bring in more revenue all at the same time. Too easy.
 
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Apollyon said:
From their website, the "-pathic" is disease/treatment, and the "catho-" is "universal", like the Catholic Church. So, they treat the entire patient, versus us sucky doctors, who only treat disease, with our money grubbing ways.
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Isn't that DO's whole selling point? Treat the pt holistically and not just focus on the disease? We already have doctors who do that. They go to school for a long time just like the MDs. Why do we need shortened DNP schools to do this?
 
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asdf333 said:
Isn't that DO's whole selling point? Treat the pt holistically and not just focus on the disease? We already have doctors who do that. They go to school for a long time just like the MDs. Why do we need shortened DNP schools to do this?
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That's exactly an argument being made - the DNPs are taking the same map that the DOs did. However, HOWEVER, DOs do real school.
 
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On one side, I agree adding this DNP thing is ridiculous. I have personally dealt with one who was on roid rage with the amount of power she has and the way she talks to people. And I just don't like the idea of it. You did not go through the proper amount of school to be called a DOCTOR IN THE CAREER FIELD. Another career field, yes, but not in medicine.

On the other side, I try (TRY) to be open and reasonable. Like maybe we are just being too conservative with the way we do things and trying to keep everything the same. It was probably the same struggle when DO's were a new thing. And nowadays they are accepted nation wide as equals to MDs to someone educated in health care.

Once again, I TRY, but so far I can't support this. Why are we adding a DOCTOR to their title, when they just flat out have not went through the same amount of schooling and accreditation that doctors go through. The average salary of a NP and DNP isn't even a $10,000 difference. They're on the same level. Yet, we are somehow now debating if this Doctor of NP is an equivalent to a MDs and DOs now?
 
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Proof is in the pudding. There are ****ty MD/DOs and there will certainly be ****ty DNP/NPs. Some pts won’t care, some will, eventually pts who do will gravitate toward the non-****ty “providers”. Eventually some of the DNP/NPs will not feel comfortable with their lack of oversight and revert back to supervised role. There will be some/few DNP/NPs who practice on par to MD/DOs and will provide a good service to pts.

Powerless and apathy are my view points.
 
Of course there are bad and good ones, but I just don't think they can be called equals to doctors with out the proper amount of schooling. They can be called physicians, but definitely not doctors. Cause no matter how you put it, they didn't attend medical school.

What is with this bold sense of entitlement people have nowadays?
 
asdf333 said:
Of course there are bad and good ones, but I just don't think they can be called equals to doctors with out the proper amount of schooling. They can be called physicians, but definitely not doctors. Cause no matter how you put it, they didn't attend medical school.

What is with this bold sense of entitlement people have nowadays?
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It's the other way around. They've earned doctorate degrees (albeit non-clinical, mostly BS in terms of difference between DNP and NP) and are technically allowed to be called doctor the way dentists, podiatrist, etc.

Physician is a term reserved, IMO.
 
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Doctors in their field of NURSING, but not in medicine. I had a math teacher in HS who got his doctorate and demanded to be called Dr. *******, which is fine. In just about every other field out there a doctorate does give you that title doctoer, but I feel medicine is different, as the term means more. Calling people who have doctorate degrees, DOCTOR, in healthcare, when they have not attended medical school, sends the wrong message in a hospital and clinical setting. Someone could have their Doctorate in Health Care Administration and work in a hospital. Do we call them doctors too, while in the hospital?
 
At the same time, I do get your point. Preserving the word "physician",but I believe they intend to take that too. Their group goes by the name of " American College of Cathopathic Physicians ", and gain the title "Doctor" in their day to day work instead of Nurse Practitioner.
 
GandalfTheWhite said:
Their medmal is lower because they are under the purview of a physician today. Should they become independent, there is no reason to believe that they would be charged less. I would argue that they would be charged more since the risk to insure them would be higher, given their propensity to miss things that physicians would not. Ambulance chasers would be more prone to go after them based on that alone, unless you had a nest egg tucked away and practiced in a state where those assets could be seized.
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Not referring to what they are charged, but the limits of coverage they provide
 
Boatswain2PA said:
What do YOU do when you find something abnormal? You order vanco + zosyn and admit to hospitalist to consult with specialist. With rural "outside ED"s we frequently don't have those specialists, so we gotta ship to you in your ivory tower.

I'm always very grateful to talk with an EP when I'm transferring from my rural community ED because they, unlike many specialists/hospitalists, usually understand the limitations I am operating under.
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I don't think that you practice (nor would you defend) the kind of medicine I was trying to describe. If you find a weird mass on the CXR of a 49 year old who presented with chest pain, send 'em right over. If you don't want to order a CT before transfer, no big deal. We'll see the patient on arrival.

I'm asking that patients who present with knee pain and somehow get LFT's ordered not be transferred "to see a Hepatologist" for their 1.5 x normal transaminases.

What do I do with that patient?

I ask how much Tylenol (and Tylenol containing products) they're taking, how much alcohol they're drinking. Have they had a recent illness?
I examine their belly.

If that's all normal, I give them a Primary Care follow up contact and discharge them. Don't you?

But in the end, you're probably right. What appears obvious to me at The Referral Center could easily look quite different to you at The Rural Clinic.
 
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DoubleBogey said:
Proof is in the pudding. There are ****ty MD/DOs and there will certainly be ****ty DNP/NPs. Some pts won’t care, some will, eventually pts who do will gravitate toward the non-****ty “providers”. Eventually some of the DNP/NPs will not feel comfortable with their lack of oversight and revert back to supervised role. There will be some/few DNP/NPs who practice on par to MD/DOs and will provide a good service to pts.

Powerless and apathy are my view points.
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This is the exact wrong attitude. It doesn't matter whether or not some are good and others are sh**ty. The bottom line is that from a systematic perspective, people without the proper training shouldn't do a job they haven't properly trained for... This, even if some of them are able to do the job. Do legal secretaries call themselves cathopathic lawyers?
 
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Boatswain2PA said:
What do YOU do when you find something abnormal? You order vanco + zosyn and admit to hospitalist to consult with specialist. With rural "outside ED"s we frequently don't have those specialists, so we gotta ship to you in your ivory tower.

I'm always very grateful to talk with an EP when I'm transferring from my rural community ED because they, unlike many specialists/hospitalists, usually understand the limitations I am operating under.
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I work in a rural ER and I certainly would not just give Vanco and Zosyn if I find something/anything abnormal. I only give Vanco and Zosyn when I think the patient needs Vanco and Zosyn for, you know, an infection.
 
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Boatswain2PA said:
Compare that to PA education. 12+ months of intense butt-in-seat learning, followed by 12+ months of structured rotations with required end-of-rotation exams, and including rotations in EM, Surgery, Cards, FP, peds, womens health, psych, and others, and then a standardized certification exam.
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No required residency?
 
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Angry Birds said:
This is the exact wrong attitude. It doesn't matter whether or not some are good and others are sh**ty. The bottom line is that from a systematic perspective, people without the proper training shouldn't do a job they haven't properly trained for... This, even if some of them are able to do the job. Do legal secretaries call themselves cathopathic lawyers?
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While I agree with your sentiments, the ever increasing scope of practice is unfortunately here to stay, as bad as it may be. This will not roll back and will likely get worse.

IMO - APC training continues while working on the job, and thus further scope of practice should be contingent on milestones met + years in the workfield . However, this timeline would not be the “get to play doctor quick” scheme currently employed by DNPs and likely will never happen
 
Angry Birds said:
I work in a rural ER and I certainly would not just give Vanco and Zosyn if I find something/anything abnormal. I only give Vanco and Zosyn when I think the patient needs Vanco and Zosyn for, you know, an infection.
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Was using the example Wilco gave as it appeared that he was suggesting rural ED providers overdiagnose, overtreat, and overadmit....and used "give Vanco and Zosyn if they find anything abnormal" as an example.

Of course, if you find a life-threatening infection (in an area with significant MRSA predominance), it's probably a good idea to start with those broad spectrum big guns in the ED until the hospitalist or specialist can narrow down the cause with further testing or the tincture of time. Probably even BETTER idea to start with those broad spectrum big guns if you have a 3-4 hour transport time before your 70 yo septic GB patient gets to tertiary care.

My point was EPs in major centers admit knowing there are specialists in house. Wilco admits to hospitalist knowing that surg/cards/neuro/ID/nephro/peds/derm/optho/etc ad nauseum is in house and will be consulted. ENT probably won't do anything for that mildly stridorous 6 yo with a <2 cm PTA despite his mouth breathing and tongue hanging out, but they will be consulted, and they will follow as the abx and steroids take effect.

Angry Birds said:
No required residency?
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No, but you knew that.
 
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WilcoWorld said:
I don't think that you practice (nor would you defend) the kind of medicine I was trying to describe.
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I think I misunderstood your posting then, my apologies. Thank you for clarifying, and I agree with you.

Little off topic, but I always give EMS the benefit of the doubt. I'm sitting 70* and flourescent wearing pajamas (scrubs) at work and not worrying about getting run over, shot at, or eaten by the pet mastiff while trying to extricate the patient from the bathroom of a mobile home of a hoarder and wearing bunker gear while doing so. I hope that tertiary centers gives me the benefit of doubt as well, although for different reasons. I put in an emergent chest tube the other night, hadn't done one in probably a year so my suture job securing the tube wasn't very pretty cause I was more than a little bit busy and wanted to get the FAST done. Oh well, it resolved the tension, the chest tube was in place, and the lung re-expanded before loading onto the aircraft. I hope the trauma team cuts me some slack for the "might-knot" I used.
 
Boatswain2PA said:
Was using the example Wilco gave as it appeared that he was suggesting rural ED providers overdiagnose, overtreat, and overadmit....and used "give Vanco and Zosyn if they find anything abnormal" as an example.

Of course, if you find a life-threatening infection (in an area with significant MRSA predominance), it's probably a good idea to start with those broad spectrum big guns in the ED until the hospitalist or specialist can narrow down the cause with further testing or the tincture of time. Probably even BETTER idea to start with those broad spectrum big guns if you have a 3-4 hour transport time before your 70 yo septic GB patient gets to tertiary care.

My point was EPs in major centers admit knowing there are specialists in house. Wilco admits to hospitalist knowing that surg/cards/neuro/ID/nephro/peds/derm/optho/etc ad nauseum is in house and will be consulted. ENT probably won't do anything for that mildly stridorous 6 yo with a <2 cm PTA despite his mouth breathing and tongue hanging out, but they will be consulted, and they will follow as the abx and steroids take effect.



No, but you knew that.
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Fair enough.
 
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Holy crap that site is hilarious.

It's basically one dude running the whole thing "Michael Arnold" who seems like he came up with this whole idea himself. The blog cracks me up. He has an "article" in one that looks like it's supposed to be a newspaper article but it's just him quoting himself in the whole thing.

The dude also became an NP literally 3 years ago. The best part is that he doesn't even work "independently". He's works in a cardiac EP department WITH AN MD. Put on your big boy pants and go out on your own if you think you can swing it big dawg. It's also weird that he's basically just been doing EP for years yet somehow advocates that NPs are better at treating the "whole person". I wonder how many patients' psychosocial histories he gathers in that field.
Cardiology: Electrophysiology | Providers Search | Carondelet Medical Group
 
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calvnandhobbs68 said:
Holy crap that site is hilarious.

It's basically one dude running the whole thing "Michael Arnold" who seems like he came up with this whole idea himself. The blog cracks me up. He has an "article" in one that looks like it's supposed to be a newspaper article but it's just him quoting himself in the whole thing.

The dude also became an NP literally 3 years ago. The best part is that he doesn't even work "independently". He's works in a cardiac EP department WITH AN MD. Put on your big boy pants and go out on your own if you think you can swing it big dawg. It's also weird that he's basically just been doing EP for years yet somehow advocates that NPs are better at treating the "whole person". I wonder how many patients' psychosocial histories he gathers in that field.
Cardiology: Electrophysiology | Providers Search | Carondelet Medical Group
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Here is this turd muffin's linkedin profile. First thing he says, "Experienced Doctor with a demonstrated history of working in the hospital..."

This guy has such a profound inferiority complex due to not going to medical school that he created an entire organization for himself lol.

OK, I looked up his "doctorate." He completed it at the University of Arizona. Here is the description of the program:

"The 100% online DNP program..."

Even then, this "doctorate" is half of a medical degree, and less than a third of medical school + residency:

"The DNP program offers a 2.5 year full-time program..."

And, the program provides a "healthy academic, family and work life balance." Translation: it's not really even full-time in the sense that medical school and residency are full time.

His undergraduate degree was also all online at the University of Phoenix...

So, to sum it up, because this Turd Muffin RN, DNP, LMNOP, did the vast majority of his schooling express and online (his undergrad at the University of Pheonix and his "doctorate" all online), he is equivalent to a physician?
 
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Boatswain2PA said:
I think I misunderstood your posting then, my apologies. Thank you for clarifying, and I agree with you.

Little off topic, but I always give EMS the benefit of the doubt. I'm sitting 70* and flourescent wearing pajamas (scrubs) at work and not worrying about getting run over, shot at, or eaten by the pet mastiff while trying to extricate the patient from the bathroom of a mobile home of a hoarder and wearing bunker gear while doing so. I hope that tertiary centers gives me the benefit of doubt as well, although for different reasons. I put in an emergent chest tube the other night, hadn't done one in probably a year so my suture job securing the tube wasn't very pretty cause I was more than a little bit busy and wanted to get the FAST done. Oh well, it resolved the tension, the chest tube was in place, and the lung re-expanded before loading onto the aircraft. I hope the trauma team cuts me some slack for the "might-knot" I used.
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Oh absolutely. I cut a lot of slack. I'm not talking about nitpicking the choice of giving ceftriaxone rather than cefotetan. And EMS crews have to do something so truly egregious that I strain to even imagine an example of where I'd give them a hard time - maybe intubating a patient that has a valid DNR safety-pinned to their shirt.
 
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calvnandhobbs68 said:
Holy crap that site is hilarious.

It's basically one dude running the whole thing "Michael Arnold" who seems like he came up with this whole idea himself. The blog cracks me up. He has an "article" in one that looks like it's supposed to be a newspaper article but it's just him quoting himself in the whole thing.

The dude also became an NP literally 3 years ago. The best part is that he doesn't even work "independently". He's works in a cardiac EP department WITH AN MD. Put on your big boy pants and go out on your own if you think you can swing it big dawg. It's also weird that he's basically just been doing EP for years yet somehow advocates that NPs are better at treating the "whole person". I wonder how many patients' psychosocial histories he gathers in that field.
Cardiology: Electrophysiology | Providers Search | Carondelet Medical Group
Click to expand...

Someone should drop a dime to his doc. Cathostrophic Physician may take a back seat to finding a new job.
 
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