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Not intended to be a midlevel thread. I'm genuinely curious why people in medicine, especially in FM, think that we should have some sort of narrow scope of practice.
Anything with high acuity? Nope. Managing less common diagnoses? Nope. (have to refer it out, so they're see by the endocrinology PA!) Ob? Nope, we aren't qualified. Scopes? Nah... but totally okay if we let "GI NPs" do it. C-sections? No. But midlevels in UK can train to do "basic surgeries." Hospitalist? No, we aren't prepared with our 3 year residencies. But the "NP hospitalist can do it." We can't cover an ER either, yet midlevels can do it literally solo. Little more complex psych management? Leave that to the Psych NP.
I just can't wrap my head around this logic - that we as doctors shouldn't be doing anything outside a narrow scope of practice. But some random person can go way further with virtually zero supervision. It's such an insane double standard. We have to meet god-tier standards to do something, but why?
Anything with high acuity? Nope. Managing less common diagnoses? Nope. (have to refer it out, so they're see by the endocrinology PA!) Ob? Nope, we aren't qualified. Scopes? Nah... but totally okay if we let "GI NPs" do it. C-sections? No. But midlevels in UK can train to do "basic surgeries." Hospitalist? No, we aren't prepared with our 3 year residencies. But the "NP hospitalist can do it." We can't cover an ER either, yet midlevels can do it literally solo. Little more complex psych management? Leave that to the Psych NP.
I just can't wrap my head around this logic - that we as doctors shouldn't be doing anything outside a narrow scope of practice. But some random person can go way further with virtually zero supervision. It's such an insane double standard. We have to meet god-tier standards to do something, but why?