Pretend Specialists

In our area, if you send a patient for a specialty evaluation, this is often what you get….In case you don’t understand the reference, check out these YouTube ads:

(Check them out, anyway!  They’re hilarious!)

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Steven Mussey MD

Steven Mussey, M.D. is a physician in Internal Medicine, practicing in the Fredericksburg area for more than twenty years. He grew up in Springfield, Virginia and earned a degree in Physics from The University of Virginia, Phi Beta Kappa. He earned his medical degree at The George Washington University and was inducted into the medical honor society AOA. He is Board Certified in Internal Medicine. He served in the Air Force for four years before entering into private practice. He particularly enjoys geriatric medical care and working with complex patients. For almost a quarter century, he has been practicing with one other Internist. Both doctors enjoy practice in a small, but busy office, and plan on working into their 70s, as long as they can still find their way to the office. Dr. Mussey is also an avid cartoonist and has a weekly cartoon in the local newspaper. He also enjoys cartoon animation and has had several public service cartoons playing regularly on the television cable systems. 

  4 comments for “Pretend Specialists

  1. Aaron M Levine
    December 21, 2019 at 2:53 pm

    After thought. I knew of a model a couple of years back proposed in one of the local medical schools. I do not know if it was attempted or not. PAs would prep and perform angiography with a cardiologist supervising several at a time from a distant location.

  2. Aaron M Levine
    December 21, 2019 at 2:51 pm

    I retired last spring. Some of my patients called asking me to unretire. They are being seen by NPs or PAs at a rate of more visits than I had. Further some PCPs who used to refer to me but stopped have called asking me to unretire. It seems they get PAs or NPs seeing their patients and they are not satisfied.

    I do chart reviews on personal injury cases now. I find many where the MD/DO cosigns the NP and PA notes. I am not clear of the diagnosis as exams will show sciatica but not include specifics. I just had one for a diagnosis of a cervical radiculopathy did not any extremity complaints or abnormal neurological findings. They were cleared for spinal procedures.

  3. Jennifer Hollywood
    December 17, 2019 at 7:30 am

    This is the status quo where I am. The hospital owns 90% of the specialist practices. When I send patients they are almost always seen by a PA/NP. I am rural so there is only one option for most specialties.

  4. John Vassallo
    December 16, 2019 at 9:53 am

    I just was just complaining about this later nite! The cardiologist group that I use has just started farming out evals to NP’s!
    I’m going to insist that mynpatiwnts only see a cardiologist.nIf not I’ll be shopping elsewhere.

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