Robert Duprey MD

Robert P. Duprey Jr studied medicine as a 2nd career medical student who went to medical school in his 40’s after honorable discharge and ‘retirement’ from 25 years in the US Military (USCG & US Army). He was a registered nurse (RN) with specialty training as a psychiatric RN in the US Army for 15 years. During this time he also became a Master’s level psychotherapist in 2002. While on US Army active duty he also became a Psychiatric Nurse Practitioner while working full time in 2011. He served as a Psych NP on active duty, to include a combat tour in Iraq, until his ‘retirement’ in 2014 and moved to Philippines with his 3 children. At this time he started medical school overseas at Oceania University of Medicine based out of Samoa accredited by Philippine Accrediting Association of Schools, Colleges and Universities (PAASCU). He continued to work as a Psych NP throughout medical school to support his children and to not have to take out loans for medical school tuition. Originally from Rhode Island, he completed medical school clerkship rotations throughout the USA with a graduation in May 2019 earning the esteemed credential of MD. He has successfully completed USMLE Steps 1, 2CS, and 2CK. He will take Step 3 this September as he applies for Psychiatry Residency. Having been and RN, NP and now MD, he is a believer of Physician led multidisciplinary healthcare teams

Who Farted: Stigma Stinks (Diagnostic Clarity Needed to Distinguish Physician Burnout & Depression)

“Erroneously labeling a physician’s distress as burnout may prevent or delay appropriate treatment of MDD, a serious and sometimes life-threatening mental disorder,(1)”             This particular article then goes on to describe overlapping symptoms and clinical features between burnout and major depressive disorder, lack of diagnostic clarity on burnout, and stigma associated with having depression.Burnout is a syndrome defined…

“I’m Leaving On a Jet Plane………..”. Bring Narcan

Is there a Doctor onboard?  Those dreaded words. Here’s what you get to look forward to? “Delta Air Lines has announced it will begin carrying a drug used to reverse opioid overdoses on every plane after a passenger reportedly died on a flight earlier this month.” Now an extension of the opiate epidemic, overdoses on board…

Safe Staffing Levels…… What?? Are You Mad?

 I support this one. This is one nursing issue I can get behind. “A memo in support of the bill states that safe staffing reduces adverse patient outcomes, citing research funded by the federal Agency for Healthcare Research and Quality. The data, the memo states, have shown hospitals with lower nurse staffing levels have higher…

Let’s get Ready to Rumble………… Main Event: AMA, AAEM and AAEM/RSA vs AANP

On July 8th, 2019, the American Academy of Emergency Medicine Resident and Student Association (AAEM/RSA), along with the the American Academy of Emergency Medicine (AAEM), sent an open letter (1) to the AMA: “Where is the Public Campaign Advocating for Physicians?”  The overarching concerns were: (a) the recent advertising by nurse practitioners advocating for their independent…

A Take on Evidence Based Medicine: A Biased Report

“A systematic review that combines biased pieces of evidence may unfortunately give another seal of authority to that biased evidence.”(1) (https://retractionwatch.com/2016/03/16/evidence-based-medicine-has-been-hijacked-a-confession-from-john-ioannidis/)             And there it is…… From a bona-fide expert on meta-analysis and systemic reviews. Thus from this perspective, negates the findings in Impact of the Advanced Practice Provider in Adult Critical Care: A Systematic Review and…

Getting Lost: My Former Profession is Being Led Astray (Practicing to the Full Extent…… Clinical Supervision a Barrier …… Nonsense!)

An Institute of Medicine (IOM) (1) report two years in the making guides the Campaign in its efforts to build healthier communities through nursing (2).             But the report has been bastardized to fit a narrative and rhetoric. A conclusion in the IOM report has merit, but it’s been spun to fit this narrative and rhetoric of the…

Time: A New Study Found That the Time of Day Can Play a Significant Role in Whether a Patient Receives Screening for Breast or Colorectal Cancer

The study found that patients seen early in the morning were more likely to be referred for cancer screenings than patients who saw their primary care physician later in the afternoon.1 The study also found that patients who saw their physician later in the day were less likely to complete screening after receiving a referra.1…

A Brief Critical Read: Primary Care Provider Type – Are There Differences in Patients’ Intermediate Diabetes Outcomes?

“With growing evidence that the quality of care delivered by the professions is similar, this wide range in implementation of roles likely reflects organizational goals and cultures rather than the capacities of each profession. The results of this study suggest that physicians, PAs, and NPs can perform a variety of roles that can reflect the…

Homeopathic MYTH: US Homeopaths Claim ‘Therapies’ Prevent Measles and ‘Cure’ Autism

“An understanding of the basic function of the immune system is useful in order to understand both how vaccines work and the basis of recommendations for their use.”1(CDC)             So what do measles, mumps, and pneumococcal pneumonia have in common in 2019?  Well, after having spent 6 months on my last medical school rotations in a border…