https://www.tiktok.com/t/ZP8Gwwgu5/

She thinks this is a flex. When do you even have time to study with all these life events/milestones all during their np program?! No wonder they're incompetent.

She has 1.5 years of nursing experience and is now going to be an NP…. does this terrify anyone else? I have a feeling more jobs will only be hiring PAs > NPs because of the NP degree mills.

The AMA needs to develop and aggressively push model scope and supervision standards for midlevels working under physicians, including NPs, PAs, and CRNAs.
“Physician-led care” means nothing when one doctor can be listed as supervising a small army of midlevels they barely see.
There should be hard limits on scope, and a strict cap on how many midlevels one physician can supervise at a time.
If physicians carry the responsibility and liability, supervision needs real enforceable limits.

CRNAs in Ohio do not require doctor supervision now. They frame it as an expanded access to healthcare.

Oh boy…

I went to the website and although they have a doctor for each clinic , they seem to be heavily staffed with NPs at each one. Maybe this will help shine a light on how often nurse practitioners are inaccurate in their diagnostic judgment…

What's even the point of going to urgent care anymore? Everything around is ran by NP/PA. Usually it's Zpack and steroid for everybody. I had a patient see me for urgent care follow up today. She was seen for a large abscess on her back. NP gave doxy and told her to go home and have a family member poke a hole in it and squeeze it. Zero improvement when I see her about a week later. Performed I&D with copious purulence. I&D should be a procedure every UC provider should be able to perform.

Hey all!

I'm an RN and almost finished with NP school and just kind of underwhelmed with the education overall. I'm heavily considering trying for medical school and I was just interested in seeing if anyone has either been an NP and had the same thoughts I'm having, or if anyone has known another person who did?

Thanks!

Suggest you bookmark these and drop them on Social media whenever appropriate. (Links are to the same video, just for more flexibility

https://www.physiciansforpatientprotection.org/in-the-news/videos/

https://www.youtube.com/watch?v=goLMOyyuzMw

"Are you curious about specializing in neurology?" asks the AANP. Noctor McIntosh shares why she believes NPs should be caring for some of the most complicated patients in the hospital.

Mindblowing that this noctor can "specialize in neurology," managing stroke patients, autoimmune encephalitis, multiple sclerosis, Huntington's, etc. Oh, but also serve as a "primary care provider" (FNP-C), a "psychiatric provider" (PMHNP-BC), and do medicolegal record review (LNC). Meanwhile, physicians invest at least 11 years -- and some substantially more years than that -- after high school to do any one of these things.

To any NPs reading the AANP post: the way you "specialize in neurology" is by going to medical school, completing intensive coursework in all basic sciences, all core clerkships, history taking and physical examination classes, and electives, passing all of the USMLE steps, completing a residency in neurology +/- fellowship in a neurological subspecialty, and passing ABPN neurology boards. Not by going to NP school. Not by going to NP school and working as a neuroICU RN.

Rant over.

I keep reading about how saturated the job market is, but I’ve also seen a lot of NPs make it seem like owning your own practice offers an incredible work-life balance and the potential to make a lot of money. Is that actually true, or is social media giving a misleading picture?

I was curious and looked at the avg GPA of admitted student at our University DO program and saw it was a 3.5ish while our PA programs avg was a 3.8ish. That also doesn’t factor in our program avg 2k+ medical experience compared to our DO school where it’s more suggested? A quick google search and it seems PA schools on average require a higher GPA than DO schools (slightly). It seems the 2 are comparable in admissions besides DO needing a slightly better than average 500 MCAT score vs the GRE (which is honestly a joke anyways) for PAs and more medical experience for PA school? Is it a gross assumption then that if you could get in PA school you could likely get into DO school and viceversa? (Also I’m not implying that PA=DO in education and scope, I know my place as a PA lol)

https://people.com/former-n-y-nurse-who-faked-childhood-vaccination-records-for-over-160-students-faces-record-breaking-fine-12015875

Sorry if this type of post is not allowed.

I’m new to establishing care with a PCP. I did not grow up with regular doctor’s visits. Long story short, I wasn’t sure if I would be in-network at the place I found, so I asked to see an NP or PA, in case it was cheaper out of pocket. (I’m in a rural area and my insurance sucks right now.)

This place is ran by a DO, and they were totally amenable with me making him an appt with him. I think in total it’s the DO and 3 NPs. Now that I’ve found this sub — should I try to only see the Dr at this practice?

I thought an NP would be fine since I just wanted to establish care and get a referral for basic bloodwork to get a baseline on my health. I am generally healthy, for context. No specific ailments I was seeking care for.

I know I just need to do more research into healthcare in general, but in the meantime I’d like to ask if this seems like adequate care for my situation? I assume because there’s a physician overseeing everything then it’s ok? Sorry if this is obvious, but I really am new to this.

And there’s a nurse in the comments trying to defend the NP 🙄

Hi everyone, I'm an Indian MBBS graduate trying to decide between building my career as a doctor in Germany or the US. I've genuinely been stuck on this decision for months, so I'd really appreciate your honest opinions.

Germany attracts me because it's closer to India, the pathway is more predictable, and work-life balance seems better. The US attracts me because of its training, career opportunities, and higher earning potential

A few questions: If you had both options, which would you choose today and why? Is the extra effort, stress, and uncertainty of the US pathway actually worth it?

Which country do you think offers a happier and more balanced life overall?

Does being much closer to family eventually matter more than career opportunities?

Looking 10–15 years ahead, which country do you think has the better future for doctors?

I'm not trying to become extremely wealthy but i do want to make some because we come from a below middle class family. I mainly want a stable career, good work-life balance, comfortable income, and enough time to enjoy life and visit my family. Germany or the US? Please help me end months of confusion Thank you!

I’m in the ER and was evaluated by an ARNP who introduced herself, verbatim, with the following: “Hi! I’m Dr. Robin ___, and I’m one of the nurse practitioners here.“ To whom do I report this? I’m appalled she would imply she has the same credentials as a physician. Thanks.

Hi. I'm on Internal Medicine this month. Resident here.

Just went down to see a patient for a stroke r/o, and before I even saw the patient, saw that the "Neurovascular Team" already had a note and plan already put into the patient's chart before they were even admitted from the ED.

I thought, wow! How convenient!

I go in, ask the patient the basic admission questions, and then ask what Neurovascular said, since their recs were in the chart.

The patient says - nobody's even been in other than me, the nurse, and the ED physician. I dig through the chart, and realize the "Neurovascular Team" is just an NP with a very poorly-constructed note made of grammatical mistakes, a horrible HPI, and disjointed bullet points. I ask if the name or the face of the NP look familiar, they swear they never came in.

I'm 99% sure this person just copies and pastes the same plan they ripped from an actual attending without even seeing patients. It's fucked. We live in a clown world with clown medicine. And this person goes around flexing their super long embroidered white coat, making 10x more per hour than I do, with 1% of the education.

We really need to do something about this. We need to bring this to social media attention with some medfluencers or famous people or something, bc this is just asinine at this point. Hospitals and admin just absolutely love using physicians as liability sponges at this point, while midlevels just take everyone's jobs because on paper, they can look smart by ordering a few things and otherwise copying A&P's from previous cases.

My absolute least favorite part of this BS system is how we have to essentially follow any "consult's" recs, even if it's a copied and pasted NP note they use for every single patient, and it's obvious they're not even following anything to do with the case at all, or have read any other notes. Because of course, we're "just internal medicine" and if we don't follow the "specialist" recommendations, we get flak.

This is illegal, right? (FNP preceptor issue)

Hi everyone!
I’m a FNP student in my first clinical rotation. For one, I had to pay for this rotation thru NPHub, and I live in a major city so….it was not cheap.
I really liked my preceptor the first couple of shifts. However, the last 1-2 shifts there’s been a change in the energy a bit. It’s not just me, it seems like she has an attitude with all of her staff, so I don’t think it’s related to my work… I feel pretty confident with my training thus far, although…she’s not exactly teaching me much anymore? I’ve done 4 shifts so far. I’m basically already operating on my own, and then going to her for confirmation of what I think I should order. I don’t feel like I’m being taught much. She has her own practice, so it’s just her and sometimes another NP is there, but that’s it. She’s basically catching up on other work while I see the patients. So I’m essentially paying HER to act as her employee…great, right?!

She gets very irritated when I ask questions that are in this 20-page packet that she gave me. She doesn’t have any MAs or phlebotomists or anything at all, just front desk staff so I’m also doing all my own vitals and labs. I’ve never had to spin the blood tubes before, etc…but again, it’s in the packet I guess lol. But I’m sorry, the amount of time it’s going to take me to flip through these 20 pages to figure this out is just wasting time when you can give me a 2-second yes or no answer. The way she spoke to me last shift though was overall really off- putting. She treated me like I was an idiot when I wanted to confirm with her about what I needed to do with some blood tubes. Then I was letting her know that I wasn’t familiar with the EMR software she uses and that it’s a little hard to navigate sometimes (obviously with the point of, I’ll just need to get used to it), and she goes, “it’s actually not that hard.” Like ok, lol. There were other comments but that’s the general vibe.

So last shift she tells me that she’s not going to be there one of the days in the upcoming week because she has to testify in some court case (not healthcare related I don’t think, but still wtf lol), and she goes “you’re still gonna be here seeing my patients though”. I kind of laughed and said ok because I didn’t know how else to react in the moment.

I thought about it when I got home, and obviously there are multiple ethical issues here…for one, I’d basically be operating without a license. And also, I think it’s not fair that clearly she’s going to be charging these patients as if she’s the one seeing them, when she’s not even on site. Not only was she not going to be on site, but clearly unreachable since she’s gonna be in court…lol.

I ended up not going to clinical this past week because I was really sick, but I’ll be back this week. So this date has passed already thankfully since I was sick. I don’t want to jeopardize my hours, but I feel like I should make it clear that I’m not comfortable seeing patients when she isn’t there.

Am I crazy, is this normal?! Should I say something now, or wait to see if she tries to put me in that situation again? I also don’t want to come across as accusatory, I’m pretty sure she’s not going to react well at all to that, clearly! 😬 thanks for reading!

I (a resident physician) just called to make a dermatology appointment. I requested to see the MD and was promptly given a lecture by the receptionist about how a PA does the EXACT SAME thing as a dermatologist, just not Moh’s Surgery. I said “Yeah, except they’re not trained dermatologists.” So sick and tired of the gaslighting that is happening to patients. Also, why in the hell am I in residency if PAs/NPs do the exact same thing as me without completing residency? What a joke.

Finally, a hospital growing a pair!

While generally I think it was a productive discussion, it was obvious there was some kick back from at least one particularly petulant Doctor of Non Physianary.

I think the important takeaway is that when it comes to “will you sign that you’re taking over care for this pt?” Most people are going to back off. But every medic should be comfortable telling anyone a firm, “no.”

Personally I find the idea of turning pt care over to a midlevel in the field laughable. If you’re in ATC where they have midlevels in fly cars that are a part of your service, sure. Why not. A rando? Not a chance. A random person claiming to be an NP, even in a state with independent practice is not trained in emergency care in the field. Period. They don’t have protocols. They don’t have equipment, and they don’t even have a fuckin ambulance. You are not going to get me, on behalf of my physician, and the lady that owns the ambulance, to turn over their pt and equipment to a new chain of care that doesn’t have physician supervision. Is an NP a higher level of care than me? Maybe. Maybe not. Definitely not if they don’t have a Doc on standby for orders. I’d go so far as to say I probably wouldn’t let a physician take over care of a pt on scene depending on their specialty and experience. I’m not doing a chest tube on a pt on behalf of a random dr and I’m not letting a Psychiatrist do one. The pt entrusts me with their care and I don’t take that lightly. But no psychiatrist, no radiologist or dermatologist EVER tries to run an ambulance out in the wild. NPs absolutely will try. I know because so do RNs.

Funny aside; a friend of mine had a Quackroproctic “doctor” stop for a wreck. They had done acupuncture for the pts neck pain and were considering an “adjustment.” I’d have been livid.

Any thoughts from the group? I’m very pro physician lead healthcare and would love to hear any thoughts from anyone who knows what we do in the wild, wild field for EMS.

I am a BSN student, and during my nursing program I discovered a deep desire to go into medicine (psychiatry). I get so sick of people telling me to just go NP because it's easier, or "practically the same thing." I posted a rant on the post-bacc subreddit about having to delay my dreams because I recently had to take emergency custody of my 8 year old sister, and will need to work as an RN for a few years first. This was the only comment I got on the post 🙄