Chiropractors don't have the same scope of practice goals as physicians......at least usually.....
Chropractors do not (at least Ive never seen it) claim complete equivalence to physicians and actively campaign against physicians.
You must not have any old classmates from high school that went to Chiropractor school. They can cure it all. Diabetes, HTN, infant sickness. Everything.
I know these people. I am not worried about Chiropractors personally. They don't try to practice the same flavor of medicine as Physicians. They practice pseudoscience and there will always be a market for that, no matter how effective physicians are. NPs tout being better than physicians and practice in the same setting with similar scopes of practice as physicians.
are you intentially being obtuse?
Solution: private practice w/o MLPs. Solves both problems. Possible? Idk.
Instead of getting mad and/or complaining, what are you going to do about?
I have already "cut the funding" for every and any organized medicine society. The "ONLY" thing these folks understand is when their wallets are thin. That is the only thing that gets their attention. Forget letters.
It is somewhat interesting that y'all and I guess OB are the only ones where NPs aren't really a thing (since you both have your own individual advanced nurses specific to the field).
We have NP's, PA's and midwives.
I surmise the cost of taking care of shots and sniffles will go down, but when something comes presents, bad outcomes will ensue.
Can't we just train RNs to do these things on the job without the need for a NP degree? It's not like the online schools are really teaching them much anatomy or pharmacology.
Excellent question! But outside my scope of medical education. This is the 2nd time in a row you've come up with a challenging interview question too!
Glad to know my thought processes aren't just the normal NP bashing......that is not my intent.
Huh. Must be a regional thing as its all midwives where I am.
The orginal thread was posted here and then moved.
The TIH forum is more appropriate.
They don't try to practice the same flavor of medicine as physicians. Like I've said before, there will always be a market for pseudoscience. Your argument is like the equivalent of "but hillary....... did this so ignore this dumpster fire over here"
I’m all for “bashing” NP independent practice.
I agree. There needs to be an acceptance of the NP role in healthcare. I think that role is heavily supervised under an attending physician. We should welcome the profession in helping care for the patients, however, that is not the direction of the profession. There are a lot of egos in your political lobbying groups pushing for independent practice while the quality of grads with no RN experience, online degrees, and 500 hours of shadowing, is only getting worse. That is the frustration. What's the point of medical school if you can make 120k out of NP school with no RN experience and it only takes 2 years and no stress? There's equivalence of outcomes with these practitioners to MD/DOs? If that's actually true, we need to get rid of medical school and residency as it's a huge waste of time and money.
You have not addressed the independent practice laws in 25 states where they do not have to have physician oversight, therefore your argument is actually invalid. You don't need to have a personal relationship with physicians to be hired.
That doesn't stop NPs from opening their own practices. I do not have doom and gloom. I believe I will have a job, and help patients. That's why I am still doing this. I just don't think it will be easy to find a job where I don't have to "supervise" which means signing off on 4 NP/PA charts without seeing the patients and taking on an insane amount of liability. Did I say I wouldn't have a job? Or that the sky is falling? no. I am saying that the current paradigm of the NP lobby to push independent practice is not good. What do you think of independent NP practice?
This is very region dependent. I don't know anyone who signs off on that many unless they own the practice in which case its entirely their choice.
This is NOT about NicMouse64 having a prosperous career. This is about "patient safety" and the lay people who are administrators could give a rats arse about patient safety. They say they do insofar as the dollar bills keep pouring in. When the dollar bills stop pouring in, NONE of them will be around to see the aftermath of this experiment.
This is not about patient safety. Its about money. Specifically, medical students thinking they might lose a dollar here or there if someone see's an NP. Just be honest about it at least. Actually, NP's increase physician salaries far more than they harm them. It will be ok, guys.
I think it's only possible to heavily supervise 1 MAYBE 2 PA/NPs and see your own patients without sacrificing quality of care. I don't know. Obviously I am just a medical student, but that is how I perceive it. I don't want to supervise 4NP/PAs because I don't think it will be quality care for patients. I am not complaining, and am not sure why you are now attacking me. Independent practice is the topic, as 25 states now have laws on the books saying physician oversight is not required.
1 per 2-5 physicians seems quite reasonable, and I think that is where their role is best fit. Do follow-ups on patients who aren't complex and may just need a DM/HTN medicine refill and have no complications from these meds.
Yeah that is how it should be. I agree it is a problem in our profession too. Those physicians running mid-level mills. I'm not blaming the NPs, I am ignorant to what the job market looks like, but I know that I don't want to be in a position of having to "supervise" 4 Nps. I want to have my own patients and have a NP/PA help me with non-complex patient followup.
