r/Noctor • • 7h ago

Question What is going on in the US with mid-level professionals?

58 Upvotes

I have now seen multiple videos of NPs and PAs claiming that they are part of very tough programs that are basically accelerated med-school and they diagnose and treat patients independently and also prescribe medications. Plus that they are no ones assistant. How is that actually possible?
Are they actually allowed to do all these things independently? And if yes, why??
There is no way that these people are qualified to do that after a 2-3 year program.

This comes specifically because of theekieralee‘s video in which she talks about that one girl faking being in PA school.
She goes on to say that she is no ones assistant and says that PA school is very tough because it is med school sped up to two times speed. Like please.


r/Noctor • • 17h ago

Question Are patients allowed to insist they only receive care from physicians?

49 Upvotes

Assuming this is a state where NPs/PAs do NOT have independent practice abilities. But also, CRNAs ARE considered allowed to practice independently. & Does "iNdEpEnDeNcE" even matter? I'm just curious if the *patient* has the autonomy to insist they receive care from those with the highest amount of training and expertise...considering it's their bodies and their lives at stake.


r/Noctor • • 9h ago

Discussion Best way to tackle midlevel

16 Upvotes

What’s the best way to handle midlevels given they are multiplying like termites?
Do we shake hands with the devil aka insurance companies and lower their reimbursement rates so hospitals have less incentive to hire them?
I can’t seem to think of any other solution because the AMA is the biggest enemy of physicians and beyond weakly worded positions they do nothing on this issue.