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Location: Democratic Peoples Republic of Redneckistan
11,078 posts, read 15,080,865 times
Reputation: 3937
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Quote:
Originally Posted by rimmerama
Probably not a big deal, my sister is a nurse practitioner, they get the additional education that places them in a position above regular nurses.
Same with my sister too....I never talk to her when she is not either studying to stay current or working....not sure I'd trust her with a scalpel,but most other things I would.
As a side note...the chances of seeing anything other than a PA around here unless you are in imminent danger of dying is pretty slim anyway and at least a week out on appointments.
BTW LMG..Obamacare has crap all to do with it as this has been the case for years on end.
You'll be getting the same drugs as the good doc would give you and those drugs will be which ever drugs the pharma sales rep. just left with the doctor's office.
Sigh...much ado about nothing NP's and PA's have been around for decades, there is nothing new about them.
I would much prefer to see an NP for routine things because they are more patient based, have a better "bedside manner" and have had the extra training required.
My brother who's part of Kaiser in CA recently had a hip replacement surgery on the hip replacement...first one wore out. He loves the PA he sees for pre-surgical and post surgical apointments.
Probably not a big deal, my sister is a nurse practitioner, they get the additional education that places them in a position above regular nurses.
Hey- and that is okay, as long as she identifies herself as a nurse. The problem is that nurses with PhDs are calling themselves "doctor" and patients believe they are an M.D. A nurse with a PhD does not require the same training as an MD. Additionally, nurses are trained in the concept of "care plans", which implement orders, and not in differential diagnoses, as MDs are trained.
I have no problem with nurse pracitioners or PAs, as long as they say that is what they are. Most patients, particularly for routine check ups, don't seem to mind. However, I can tell you that when there is any "problem" in our practice, the patient demands to see "the doctor".
Where I live there has been a shortage of doctors for I don't know how long.
And as a previous poster has pointed out, it has crap to do with "Obamacare" [sic].
Doctors don't want to live out in the sticks where they can't make a ton of money. You get to see a nurse practitioner or nothing - literally. Many practices stopped accepting new patients several years ago so you're lucky if you can even get a nurse practitioner to see you.
Did anyone not see this decrease in the quality of medical care on the horizon with Obamacare? Some HMO's have been doing this for years. Pathetic really.
Oh, come on! You think this is something new? Ever heard of a certified nurse midwife? THey've been around since, oh, 1925. You may do a search. See also below. And what is "pathetic" about it?
Quote:
Originally Posted by theunbrainwashed
Nurse Practitioners already prescribe meds and have been doing so for a while. Physician Assistants can also prescribe medications and have been doing so for a while
Quote:
Originally Posted by hawkeye2009
Hey- and that is okay, as long as she identifies herself as a nurse. The problem is that nurses with PhDs are calling themselves "doctor" and patients believe they are an M.D. A nurse with a PhD does not require the same training as an MD. Additionally, nurses are trained in the concept of "care plans", which implement orders, and not in differential diagnoses, as MDs are trained.
I have no problem with nurse pracitioners or PAs, as long as they say that is what they are. Most patients, particularly for routine check ups, don't seem to mind. However, I can tell you that when there is any "problem" in our practice, the patient demands to see "the doctor".
The DNP focuses on evaluating evidence and using evidence in clinical decision-making, leadership skills, implementing viable clinical innovations, and through applying research and theoretical understanding to plan and make change in practice.
Did anyone not see this decrease in the quality of medical care on the horizon with Obamacare? Some HMO's have been doing this for years. Pathetic really.
They've had nurses with Doctorate degrees long before Obama. As for any confusion all the M.D. has to do is put M.D. on his name tag. Or he could introduce himself in Monty Python fashion with "I'm Doctor Smith who happens to be a medical doctor
Did anyone not see this decrease in the quality of medical care on the horizon with Obamacare? Some HMO's have been doing this for years. Pathetic really.
Document this trend of decreasing quality of medical care along with the cause please. Because you think it, does not make it so.
Medical Doctors do not have the exclusive rights to the title. The unique qualifier for them is "physician," not "doctor." There are many other degrees which qualify one to use that title, a number of which predate the medical doctor. This is an ego trip for physicians.
If I am paying to see a real DOCTOR then I want to see a DOCTOR, not some glorified nurse who read a few more chapters than their counterparts.
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