Why is this Not a Devaluation of Us?

This is from a Facebook post. Our question is how is this not professional appropriation? We, as doctors, see these things and allow them to perpetuate. This NP is devaluing us and our education and our training. Why are we the bad guys for pointing it out.

Your thoughts?

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  12 comments for “Why is this Not a Devaluation of Us?

  1. Arthur Gindin
    February 6, 2020 at 5:23 pm


  2. Rick
    February 4, 2020 at 11:34 am

    I have no words…

  3. Ed Adamczak
    February 4, 2020 at 11:18 am

    Dangerous, arrogant and a complete fabrication!!

  4. Kay Victor-Adamczak
    February 4, 2020 at 11:15 am

    As a healthcare consumer, I have exercised my right NOT TO BE SEEN by mid-levels of any type and have discharged by my PCP for doing so.
    I have had horrible experiences with them and see no reason to volitionally put myself in that situation again.
    No mid-level has the comprehensive medical education or rigorous, supervised clinical training of a physician. When NP’s and PA’s take and pass the USMLE’s then you can talk to me about parity!!
    You’ve created this situation because you weren’t proactive.

  5. Bridget Reidy
    February 4, 2020 at 11:04 am

    The claims of clinical superiority ring hollow in this day and age. Even Gwenyth Paltrow can claim that. People who fall for that are just as deserving of the care given as internet self-diagnosers and my patients when they think the one minute’s advice on yet another problem as we head out the door is all I know or will ever be needed even as I tell them otherwise.
    I hate the stereotyping about how we just don’t care. There’s nothing more unscientific than perpetuating stereotypes. Caring isn’t taught, for one. And did you care enough to get an excellent education, sacrificing your youth and health?

  6. Edmund Hayes
    February 4, 2020 at 9:39 am

    Arrogance beyond believe. She should be brought up on charges by her state licensing board.
    A monster was created when nurses proclaimed themselves practitioners. They are assistants to physicians and should not be allowed to practice independently.
    I don’t believe they even have the training hours as a PA and PA’s in most states are not allowed to practice independently.
    God help us all.

  7. Steve O'
    February 4, 2020 at 8:42 am

    It is beyond what is on the surface, a proud vanity bordering on narcissism. Narcissists have to degrade the competition. The proud statements echo the “I am #1” mantra of Cluster B disorder.
    And nurse practitioners (and independent physician assistants) are equivalent in the modern assembly-line primary care, if primary care involves hearing complaints and asking four-each for the Review Of Systems, asking if one’s grandmother is still dead from ovarian cancer, and examining normal parts of the body; and then getting to the real work, creating the chart. Patients come and go, but the Chart Lives Forever.
    In any area, where advanced training loses its value, a profession shows its decline into the Dark Ages. Doctor and nurse, police and teachers, even lawyers, are being told that a half-decent, mechanical approach to their job is sufficient; and that insight and experience will only get you into trouble.
    Caring is impossible when patients are merely widgets on an assembly line. The system does not have room to “provide care.” It attracts those who vainly say, “I am especially caring and non-judgmental – not like those inhumane f_cks who constitute the rest of the world.” Narcissus rises. And in a society besotted with narcissism and vanity, that is enough. People are not good enough to express their own excellence, such societies say – give them a taste of the whip and let them know we’re watching their lazy a__es!”
    Sadly, we are becoming machine men with machine minds, to quote Charles Chaplin in The Great Dictator. We pull the covers up over our humanity, and masquerade as loyal ‘bots to the system. That is the great selling point that is quarreled over – “I am the equivalent ‘bot to more expensive ‘bots! How proud you must be.

  8. Pat
    February 4, 2020 at 8:13 am

    Touchy feely bullshit.

    Another superb example that supports doing away with all state licensing. Any patient buying into this idiocy deserves this level of incompetency.

  9. Sheryl Neely
    February 4, 2020 at 8:02 am

    Nurse Practitioner here and I totally agree. Every time I see patients, I am always mindful of my limitations. I have the luxury of smiling and listening because I know there is a highly trained and experienced physician across the hall that will help me when I ask. My training allows me know when to ask. No arrogance here.

  10. Dave
    February 4, 2020 at 7:48 am

    Absolutely sickening. Not to mention the height of arrogance assuming that 10,000 hrs of training.

    It may as well end with: “On the other hand, while I’m smiling and listening, I won’t have the slightest clue when something serious walks right under my nose masquerading as a benign illness.”

    Maybe like last week when a NP planned on sending home “pneumonia” that would much better be characterized as “pulmonary infarction from a PE.” At least that NP had an experienced PHYSICIAN attending to discuss and supervise the case with…imagine if that was your relative seeing an NP “primary care doctor” in an independent practice state.

    • Dave
      February 4, 2020 at 7:51 am

      So the first line of that post should read:

      Absolutely sickening. Not to mention the height of arrogance assuming that your 1000 hrs of training is equivalent to ?>10,000 hrs of training.

  11. Seneca
    February 4, 2020 at 7:21 am

    Another widely accepted fallacy of medicine in our era: Caring trumps training. In reality, competence is the ultimate compassion.

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