Robert Duprey MD

Robert is a 2nd career physician (MD); a combat Veteran with the US Army; a former psychiatric nurse practitioner; an independent researcher; a medical writer; and now having passed USMLE Steps 1, 2CK, 2CS, and 3, is a residency applicant.

Update in Primary Care: Depression in Primary Care May Actually be a Vitamin D Deficiency

BACKGROUND Major depressive disorder (MDD) is a significant worldwide health problem, and often seen in primary care with comorbid medical problems such as hypertension, chronic pain, cardiovascular disease, diabetes, asthma, and others. There is a high instance of patients seen in primary care to where depression is either contributing to the physical health ailments, sequela…

Kratom: The Down and Dirty

First came Spice1, then Bathsalts,2then Krokodil,3and now Kratom.4  All considered designer drugs by the National Institute of Drug Abuse (NIDA) and all with significant risk factors that today’s physicians need to be aware. Emergency room physicians and psychiatrists especially, but all physicians need to be aware as with the earlier designer drugs Spice and Bathsalts, Kratom…

Forget the Beef. Knock off Meat Substitute is Worse Than No Beef (An Exposé on the AANP Position Statement: Quality of Nurse Practitioner Practice)

It’s bad enough not having any beef on one’s burger, but trying to pass off a knock off substitute as the real thing is sinful. Trying to pass of poor quality, outdated studies, or studies lacking power as quality evidence is analogous to trying to pass off beef substitute as the real thing.  Take for example…

Straw Man: The Dishonesty Needs to Stop

A straw man argument is defined as “an intentionally misrepresented proposition that is set up because it is easier to defeat than an opponent’s real argument.”As such, the dishonesty under the guise of promoting a profession needs to stop. My former profession has resorted to the straw man fallacy in arguing for full practice authority (FPA).…

Where’s the Beef (Part 1): A critique one study at a time on nurse practitioner full practice authority model vs. physician supervision/collaboration model

So I’ve seen several trends in the non-scientific literature (news articles, blogs, social media etc) on the topic of nurse practitioner (NP)/physician assistant (PA) full practice authority (FPA) versus physician collaboration and/or supervision. I support the use of NPs/PAs on Physician led multidisciplinary teams. I have written on this before that utilized correctly these mid-level…

A Commentary on: “As Nurse Practitioners Try To Shake Free Of Doctors, Kansas Physicians Resist”

This article has been floating around various news feeds for a couple days now and I thought it could use a more formal response. In my opinion, the Kansas State Legislature, The Kansas Medical Society, and Kansas Physicians (MDs), have it right by requiring collaborative practice agreements between Nurse Practitioners (NPs) and MDs. However, I…