Physician Substitute 1

This is how sad it has become.    I was sent this post from and this company is looking for a Physician Substitute 1.  Oh….my…..god!   It’s as if what we have become as physicians is so meaningless that anyone with some medical training will do.   “Practitioners” can now introduce themselves as a “Physician Substitute”.  Oh, wait a minute, that’s right, that won’t happen.  In twenty years I have never heard a midlevel correct a patient who called them “doctor”.  We are now moving into the aspartame phase of healthcare.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  10 comments for “Physician Substitute 1

  1. mamadoc
    February 13, 2013 at 10:14 pm

    “Aspartame” is right, with all the possible bad side effects and a bad taste in the mouth

  2. Kurt
    February 13, 2013 at 2:52 pm

    FP is dead as a specialty. The AAFP will be dead or a shell of itself in 15 to 20 years. As primary care docs are kicked out of the hospitals and relegated to the office only, the payers will presume care is sufficient by the “physician substitutes”. No need to do med school or residency anymore to do “physician substitute” work. No need for the specialty I say. Plus the electronification of medicine has led to far more “uncompensatable” paperwork for the pricare doc to do and as we all know, “Shit rolls downhill.” I tell students to stay away and opt for a more satisfying specialty practice of being able to say, “See your primary care for that….”
    Plus…………..remember, its’ all the primary care doc’s fault that people eat shit, smoke and drink too much. Until there are financial incentives for patients to “behave” properly, nothing, I repeat NOTHING is going to change in this country. Hell the AAFP is totally stupid about this and just espouse “feel good about yourself” bullshit. Oh, BTW send the ABFM more money for this useless MOC crap.

  3. Ann Deluty
    February 13, 2013 at 10:40 am

    Wait a minute, with all that text what they want is someone who can plug a junkie or drunk into a machine to separate his/her blood for usable bits. There are a lot of out of work Lab Chimps who could do it.

  4. Dave Mittman
    February 13, 2013 at 10:24 am

    Doug: you are not being fair. There is not a PA or NP worth his or her salt who would call themselves a “physician substitute”. It’s not what we are about. If you have worked with us closely you know we love being who we are-99% of us never wanted to be physicians. Do we feel that we can do much yes! Do we feel we have a real, honest place in medicine……yes. Do we feel we are god…….yes. But after many years, I never met a PA who wanted to be called “Dr.” or accepted it. We must travel in very different circles.
    Let’s not cast a net over a bunch of people who really want to do well. And I know you obviously don’t feel this way, are colleagues. We are not going away and it’s not going to get any better by attacking us.
    BTW, no PA was involved in formulating that name.

    • Doug Farrago
      February 13, 2013 at 12:34 pm

      I work with many PAs and NPs. The overwhelming majority are good people and good clinicians. I have also had very bad ones who wanted no input and had no idea what they were doing. But here I am talking about the constant attack on US to water down what WE do as doctors. And we should not have to take it. I won’t.

  5. KarenB
    February 13, 2013 at 9:40 am

    In twenty-plus years of practicing as a Physician Assistant I personally correct my patients EVERY time they call me “Doctor” because I AM NOT a doctor, chose not to be a doctor; love and am proud of what I do! I still have patients who say “I don’t care, you’re MY DOCTOR!” That I chose not to correct.

  6. Janet Roxborough
    February 9, 2013 at 1:01 pm

    Pleease … Who is providing skilled, compassionate care for elders in nursing homes, community health centers, Medicaid patients, prisoners, people in institutions? Who sees disabled patients in their homes? Maybe a few physicians, but mostly NP’s and PA’s in collaboration with MD’s. These systems would otherwise collapse. I thought you were more enlightened.

    • Doug Farrago
      February 9, 2013 at 2:04 pm

      You have no point. I have treated patients in nursing homes. I have worked in a Federally Qualified Health Center. I treat Medicaid patients. NPs and PAs have sacrificed NO MORE than doctors. In fact, because they spent less years in education and training they sacrificed LESS. Just stop already with your “wo is me” campaign. It won’t work on this site. I am very enlightened to the fact that NPs and PAs were created for COLLABORATION but now they pretend that they have equal education/training and now want to COMPETE with us. That is the hard truth. Go away if you don’t like to hear it.

      • Sir Lance-a-Lot
        February 13, 2013 at 10:23 am

        Right on, Dave.

        We’re getting squeezed right out by legions of PAs and NPs who undercut our prices and falsely claim to be doing our job as well as we do.

  7. Pat
    February 9, 2013 at 10:06 am

    Are they advertising for hospital CEO substitutes? How about JCHAO inspector-assistants?

Comments are closed.