NPs: Families sound alarm on medical transparency after deaths of their children
Families sound alarm on medical transparency after deaths of their children
Please share this link far and wide. It’s time for the public to understand what is happening out there. Well-trained NPs and PAs are essential as part of a TEAM. They should NOT be independent. This is not about a turf war. This is about patient safety. No matter what the hospital administrators say, NPs and PAs are not substitutes for physicians. They have MUCH LESS training and education. NP and DNP diploma mills are running rampant. We need to spread the word.
Seems to me, the way organized medicine should approach the scope of practice issue is through “transparency”. Notaries often do tasks which may approach the practice of law. Most State Bar Associations have strict rules where the notary is required to post signage disclaiming
“I am not an attorney licensed to practice law in this state any may not give legal advice or accept fees for legal advice”.
Because I suspect the scope of practice battle may be lost. Maybe the “transparency” battle would be more fruitful.
Yes Nurses turned down the PA roll in early 1960’s. So my wife an RN from Johns Hopkins last 3 year nursing class tells me She graduated in 1973. I went to PA school ,graduated 1976.
I am a PA-C. If I want to be called Doctor,I will go to Med School MD or DO.
When I tell my current PA’s the same they scream I am a dinosaur,don’t understand..Degree creep. Knew it was coming in 1976. Now many PA’s graduate with 4 years of school,undergrad then 2 years in PA School. No clinical experience other than the 1500/2000 hours they get in PAschool. They need 3to5 years of supervised
practice before you can turn them lose on folks by theirselves. Not all but lots. Some have several years of RN,Lab,paramedic, military training. Not clinical care day by day,need supervision but not as close as a bunch without prior experience.
Keep going cause there will be lots more malpractice in coming years.
Few physicians want to supervise a PA or NP. Many resent it,this I know from 44 years exprience.
I am not there to replace a physicians care,I am there to augment,handle routine things,so he or she can
handle the more complicated cases,.. Has not worked that way.. Many health systems hire PA’s or NP’s to replace physicians cause they cost less or cause its hard toget a physician to that rural or remote site.
So PA/NP’s get used and abused. Tossed away. Now that is happening to Doctors..
Poliics, talk to those politicians,warn them,get your state societies to back you. Get us back under supervision…The choice is yours and now Midlevels get reimbursed at same level as MD/DOs… from medicare/caid..
Please stop lumping NP’s and PA’s together. Some, but by no means all Nursing Leadership has been pushing for “independence” for decades. They insist that they are merely “expanding nursing practice” They never say they are “practicing medicine” but tip toe around this by saying that they are practicing “primary care” – which is never defined. They need to be called out on this and I congratulate you for doing so. By the way, the great majority of practicing NPs I know, have no desire to practice “independently”.
PAs on the other hand have always been trained in the medical model and as part of a medical team – NOT independently. I’ve been involved in PA education for 52 years and we advocate “interdependence” – NOT independence.
The recent book that has been promoted on this website also lumps NPs and PAs together. Not helpful and in fact very misleading.
Wise people don’t lump chiropractors with physicians (although we all know some people who do) – let’s not make an equivalent mistake here. PAs, NPs, MDs, and DOs for the most part are working well together.
Let’s foster collaboration – not competition. I look forward to more discussion on this topic.
Happy Holidays,
Alfred M. Sadler Jr. MD FACP
PA’s are now getting doctorates as well. They are saying they have to in order to compete with NPs. BS. In actuality, there is an effort to gain FPA. Show me some links where you have publicly fought against this.
“They never say they are “practicing medicine” but tip toe around this by saying that they are practicing “primary care” – which is never defined. They need to be called out on this and I congratulate you for doing so” <— THIS
The AANP president is a slippery eel, all she was doing in that interview was being evasive, and trying to run a word mincing game of smoke and mirrors. They know damn well they are practicing medicine, and they know they can't say it because the public would loose their $h!t if they realized what was happening.