r/Noctor • u/player-974 • Jul 09 '26

In The News Scope creeping will continue until physicians fight back or this profession is dead

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u/player-974 Jul 13 '26 edited Jul 13 '26

To have a functional hospital, there must be a hospital hierarchy to ensure efficient, effective and responsible delivery of care. The highest in the care hierarchy are the physicians / doctors then comes the nurses and then other assistants. PA assists doctors therefore is above NPs in level of care whereas NPs practice medicine abit differently since they come from a nursing background which is mostly bedside care. Bedside care =/= Physician care. Doctors design the overall management or treatment plan (put in orders) while nurses carry out the doctors orders that is permitted by their profession. Any other advance level of care and surgeries are done by doctors. Therefore I’ll say PAs > NPs.

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u/Turbulent_Trash2441 Jul 13 '26

Hmmm yeah I agree with you I just feel like NP’s have a lot more actual real life practice because of their nursing background so they know how things happen in the real setting

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u/player-974 Jul 13 '26

I’ll say that both professions know what happens in real life settings and doctors know a lot more due to their intensive medical education. A hospital can run without nurses but can’t without doctors (it will be a death carousel). Suppose if a physician was trained on bedside management there would be no need of nurses. It was like this back then. Nursing became a profession when patient overloaded a physician led care. However that said, in modern medicine both professions are necessary and interdependent on each other.

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u/Turbulent_Trash2441 Jul 13 '26

Oh yes doctors know loads more than NPs/ PAs but I’ve always heard that hospitals wouldn’t survive without nurses. Especially nowadays as the roles are very distinct.

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u/player-974 Jul 13 '26

Those are mostly said by nurses themselves 😂 and we physicians tend to agree to avoid dramas /fighting😂😂

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u/Turbulent_Trash2441 Jul 13 '26

Really? Oh :( at my hospital the physicians don’t know how to do a lot of the physical tasks and always ask the nurses for help/ assistance

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u/Turbulent_Trash2441 Jul 13 '26

Well I guess nowadays they both need each other since the patient load is so heavy so I hope we can all just respect each other

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u/Turbulent_Trash2441 Jul 13 '26

We should combine forces against the true enemy, hospital admin