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Old 02-19-2017, 08:30 AM
 
Location: Home is Where You Park It
23,856 posts, read 13,735,298 times
Reputation: 15482

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Quote:
Originally Posted by AnesthesiaMD View Post
The 1970's called. They want their cliche back.

I basically live in the hospital and just come home to sleep so I am around doctors all the time. Most doctors I know, and I know a lot of them, are working 60, 70, 80+ hours a week. Nurses are not doing these things so that doctor can play golf. They are doing these things so that doctors can take care of other patients. If a doctor was to sit on the ward all of the time, doing a nurses job, there would literally be no doctors available for millions of patients that need them. That is why we have nurses in the first place.

Also, you are creating a false equivalence among nurses. A critical care nurse is much more experienced and qualified than a nurse who has worked in a doctors office since the day she/he graduated nursing school.
Sorry, you're right. The hospital nurse will be taking action on her/his own, while the doctor is busy with another patient.

And a PA - or an NP - is NOT the same as an office nurse. And you of all people should be well aware of that.
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Old 02-19-2017, 08:30 AM
 
30,058 posts, read 18,652,475 times
Reputation: 20862
Quote:
Originally Posted by KonaldDuth View Post
Maybe I'm the only one who knows about this since I have a close relative who works as a surgeon. Apparently one of the less talked about components of Obamacare was that it gave more power to Physician Assistants. Now they can perform surgeries, prescribe meds, etc. The problem is that many everyday Americans don't know the difference in knowledge/training that a PA has versus an MD. I know someone who recently went to a PA for a simple stitching of his right hand and she screwed up his tendons and he no longer has control of his right hand. I heard about someone else who went to a PA to diagnose his abdominal pain and she said it was nothing and later his appendix ruptured. Lastly, I know someone who recently because an infectious wound specialist and he said that he gets a lot of business from patients whose PA did a lousy job of closing their wound.

I promise I'm not a paid troll from the AMA trying to discredit PAs.
I don't know about your contention.

I have two NPs working for me and they run EVERYTHING by me. PAs and NPs (if supervised properly) are very useful in a medical economy in which we have declining reimbursement and higher demand for services.

Letting PAs and NPs practice without supervision, in my opinion, is unwise. My two NPs practice right next to me and I review films and discuss treatment plans with them all the time.

When I, as a patient, see my physicians, many of the visits are with NPs or PAs. I don't mind at all- in fact, they spend more time with me than my physicians.

This is from the perspective of a physician who employs NPs and has seen PAs and NPs as a patient.
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Old 02-19-2017, 08:31 AM
 
Location: The analog world
17,077 posts, read 13,356,098 times
Reputation: 22904
Quote:
Originally Posted by KonaldDuth View Post
Maybe I'm the only one who knows about this since I have a close relative who works as a surgeon. Apparently one of the less talked about components of Obamacare was that it gave more power to Physician Assistants. Now they can perform surgeries, prescribe meds, etc. The problem is that many everyday Americans don't know the difference in knowledge/training that a PA has versus an MD. I know someone who recently went to a PA for a simple stitching of his right hand and she screwed up his tendons and he no longer has control of his right hand. I heard about someone else who went to a PA to diagnose his abdominal pain and she said it was nothing and later his appendix ruptured. Lastly, I know someone who recently because an infectious wound specialist and he said that he gets a lot of business from patients whose PA did a lousy job of closing their wound.

I promise I'm not a paid troll from the AMA trying to discredit PAs.
I've spent some time reading about the effect the passage of the ACA has had on Physician Assistants this morning, and nowhere have I found any evidence that PAs have been given more leeway in the types of care they provide. PAs have always had the option to assist in surgical procedures and prescribe meds under the direction of an MD or DO. That has not changed.

Eleven Misconceptions About Physician Assistants

Quote:
In terms of patients outcomes, the research shows us consistently that PA's, NP's and MD's are all about equal.
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Old 02-19-2017, 08:37 AM
 
Location: The analog world
17,077 posts, read 13,356,098 times
Reputation: 22904
Quote:
Originally Posted by jacqueg View Post
Sorry, you're right. The hospital nurse will be taking action on her/his own, while the doctor is busy with another patient.

And a PA - or an NP - is NOT the same as an office nurse. And you of all people should be well aware of that.
Readers should also know that Physician Assistants and Nurse Practitioners differ in their education and training, too, although they may function similarly in a clinical setting. Note that of the two, only Nurse Practitioners may practice independently, although not all states extend this privilege. Currently, it appears that NP's can practice independently in 21 states plus the District of Columbia.
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Old 02-19-2017, 08:43 AM
 
35,095 posts, read 51,212,218 times
Reputation: 62667
Quote:
Originally Posted by KonaldDuth View Post
Maybe I'm the only one who knows about this since I have a close relative who works as a surgeon. Apparently one of the less talked about components of Obamacare was that it gave more power to Physician Assistants. Now they can perform surgeries, prescribe meds, etc. The problem is that many everyday Americans don't know the difference in knowledge/training that a PA has versus an MD. I know someone who recently went to a PA for a simple stitching of his right hand and she screwed up his tendons and he no longer has control of his right hand. I heard about someone else who went to a PA to diagnose his abdominal pain and she said it was nothing and later his appendix ruptured. Lastly, I know someone who recently because an infectious wound specialist and he said that he gets a lot of business from patients whose PA did a lousy job of closing their wound.

I promise I'm not a paid troll from the AMA trying to discredit PAs.
The reality of life is that an MD can be just as imcompetent as anyone else and has been for many years, hence all of the medical malpractice lawsuits that are filed.
You attempt to discredit anyone is feeble at best.
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Old 02-19-2017, 08:49 AM
 
13,684 posts, read 9,003,085 times
Reputation: 10405
Quote:
Originally Posted by hawkeye2009 View Post
I don't know about your contention.

I have two NPs working for me and they run EVERYTHING by me. PAs and NPs (if supervised properly) are very useful in a medical economy in which we have declining reimbursement and higher demand for services.

Letting PAs and NPs practice without supervision, in my opinion, is unwise. My two NPs practice right next to me and I review films and discuss treatment plans with them all the time.

When I, as a patient, see my physicians, many of the visits are with NPs or PAs. I don't mind at all- in fact, they spend more time with me than my physicians.

This is from the perspective of a physician who employs NPs and has seen PAs and NPs as a patient.
Interesting indeed!

I also found this article informative:

11 Misconceptions About Physician Assistants - Inside PA Training

I see a medical doctor that specializes in diabetes, but for run of the mill stuff I go to a local clinic (doctor in a box) where I am usually seen by a PA. I have no issues with them.
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Old 02-19-2017, 08:50 AM
 
Location: NJ/NY
18,458 posts, read 15,236,363 times
Reputation: 14326
Quote:
Originally Posted by jacqueg View Post
Sorry, you're right. The hospital nurse will be taking action on her/his own, while the doctor is busy with another patient.

And a PA - or an NP - is NOT the same as an office nurse. And you of all people should be well aware of that.
I never said they were. In fact, I haven't said anything negative about them. They are a valuable part of the team. An NP has much different qualifications than a nurse that simply works in a doctors office. I hope that clarifies what I was trying to say.
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Old 02-19-2017, 08:53 AM
 
Location: The analog world
17,077 posts, read 13,356,098 times
Reputation: 22904
Quote:
Originally Posted by legalsea View Post
Interesting indeed!

I also found this article informative:

11 Misconceptions About Physician Assistants - Inside PA Training

I see a medical doctor that specializes in diabetes, but for run of the mill stuff I go to a local clinic (doctor in a box) where I am usually seen by a PA. I have no issues with them.
^ Looks like we both found and linked to the same great article about Physician Assistants. Hopefully the OP and other interested readers will click through.
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Old 02-19-2017, 08:57 AM
 
Location: Home is Where You Park It
23,856 posts, read 13,735,298 times
Reputation: 15482
Quote:
Originally Posted by AnesthesiaMD View Post
I never said they were. In fact, I haven't said anything negative about them. They are a valuable part of the team.
Yes, but you did seem to equate seeing a PA or NP to seeing a nurse who has never done anything but work in the office.

Not to cast aspersions on office nurses either. Many a potential problem has been red-flagged by an ordinary office nurse with no advanced training.
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Old 02-19-2017, 09:13 AM
 
Location: Oklahoma
17,775 posts, read 13,665,953 times
Reputation: 17809
Quote:
Originally Posted by hawkeye2009 View Post
I don't know about your contention.

I have two NPs working for me and they run EVERYTHING by me. PAs and NPs (if supervised properly) are very useful in a medical economy in which we have declining reimbursement and higher demand for services.

Letting PAs and NPs practice without supervision, in my opinion, is unwise. My two NPs practice right next to me and I review films and discuss treatment plans with them all the time.

When I, as a patient, see my physicians, many of the visits are with NPs or PAs. I don't mind at all- in fact, they spend more time with me than my physicians.

This is from the perspective of a physician who employs NPs and has seen PAs and NPs as a patient.
So you are basically saying that this right wing screed is a bunch of baloney????
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