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Going to plug one of my favorite books, but this needs to be something that every premed should read. Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare explains how corporate greed has led to the replacement of qualified medical professionals by lesser trained practitioners. It goes into detail about FPA, where NP’s and PA’s are pushing to practice unsupervised in their own clinics or urgent cares along with many other issues that are pushed through by AANP and AAPA lobbying.
We should all be educating everyone we know about this. Share with them the book that came out yesterday: Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare by Niran Al-Agba and Rebekah Bernard
https://www.amazon.com/dp/1627343164/ref=cm_sw_r_cp_apa_fabc_8eaTFbRV67HY9
Also join PPP! https://www.physiciansforpatientprotection.org/why-join/join-now/
Notes for the show:
> Gerald "Jay" Baltz, a psychiatric mental health nurse practitioner, was investigated by the California Board of Nursing after allegations that he had entered into a sexual relationship with a patient who subsequently took her own life. The Board received this information in April of 2018, began its investigation, and filed a claim against Baltz on June 15, 2020. Today, six months later, Baltz continues to practice psychiatry as a nurse practitioner in California and in Washington state, where he has autonomous practice and does not require physician supervision. We are joined by psychiatrist Dr. Natasha Cervantes to discuss details of this tragic case. > > If you are someone you know is having thoughts of self-harm, help is available. Contact your physician immediately, or call the Suicide Prevention Lifeline for help at 800-273-8255. > > Learn more about this issue - get the book Patients at Risk, available at Amazon and Barnes and Noble. https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/
Buy this book. Read it. Give it to all your friends, they should read it as well.
Tell everyone that the difference between NP/PA and an MD are roughly 10.000 Hours of training, probably more. Also tell them that they're allowed independent practice after just 500 shadowing hours, where they just follow someone around. thats 3 months a 40-weeks.
Also, tell all your friends and family always specifically ask for a physician, not for a doctor. its actually very sad it has come to this. everyone knows, in an healthcare setting, a doctor is a laymen-term for physician and laymen simply don't know. this gets abused by NP/PA. its actually abusive if you think about it. you trick someone into consent, by misleading them on purpose and they are fully aware of it. thats actually rape.
Hiya! You can check out this book, “Patients at Risk”, it is written by two prominent leaders of the PPP.
They are far from a lobby group. Just physicians caring about their patients and doing everything they can to change a system that is hurting them....
The book referenced in this video is AMAZING. I could not put it down. Read it in one night. Here is the link to the book. Please leave positive book reviews on Amazon, B&N, Walmart, Google https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ref=sr_1_1?crid=30Z92KSW6TWBS&dchild=1&keywords=patients+at+risk+the+rise+of+the+nurse+practitioner&qid=1607888754&sprefix=patients+at+%2Caps%2C372&sr=8-1
not sure if this is really inspired me to become a physician but i recommend patient at risk: the rise of nurse practitioner and physician assistant in healthcare
https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164
Check this video out:Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare and the book is coming out this month...
Love this. We could add a “5.) Work on your bedside manners” many patients pick NPs for this exact reason.
To go with “3.)” pre order/purchase https://www.amazon.com/dp/1627343164/ref=cm_sw_r_cp_awdb_imm_t1_n8aQFbEM267NZ
Have you looked into nursing-themed adult coloring books? If you think it's something she'd be into there are a ton on Amazon that are highly rated:
I am not fluent on the history of either role, but I can lightly touch on their purpose today. I'm also guessing you don't have patient contact, so I'll phrase this with that in mind.
Let's use the emergency department (ED) as an example. In theory, PAs or NPs should be seeing low acuity patients such as 4s or 5s. '5' is something like a prescription refill or rash. An example of a '1' could be cardiac arrest.
That being said, what has happened is the American Association of Nur$e Practitioner$ (AANP, you'll see them frequently mentioned in this sub) and other groups have money on their minds. They actively lobby congress to expand scope of NPs. Using the ED example, this would allow them to function in the ED without direct physician supervision (or really any, depending on the state). They would be able to prescribe controlled substances, perform procedures, and other complete other complex tasks without any formal training in their NP program.
The problem with this is there are no strict standards or guidelines for accreditation of nurse practitioner programs. There are programs that are 99% online who send their students off on their own to find a preceptor (someone who the student can shadow such as an NP). There are rumors that even NP preceptors no longer accept students because of their incompetency and the poor quality of their programs.
There's a lot more that I don't have the time to touch on here, so see below!
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If you are interested in learning more, I highly recommend the book Patients at Risk. I have not read it, but I listen to the Spotify podcast by the same name and authors.
A book was recently published about this issue.
Thank you for telling your story.
Thoughts:
1 - Read patients at risk (the book)
https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164
2 - Understand that a non-physicians may not be held to physician standards of care in a court of law.
https://sullivanlegal.us/nurse-practitioner-and-physician-assistant-standard-of-care/
3 - Get a copy of the Medical directive disallowing non-physician care for dx/tx. (Back of patients at risk book) in your medical charts.
4 - When scheduling, let the receptionist know that you and your husband are not ok with 2nd tier care (with more legal risk) and that you want to see the physician (MD/DO)
5 - review practices that do not allow you to schedule with a doc and let them know you are doing so.
Good luck! 🍀
I am not a researcher, I focus on the differences in education between NPs, PAs and physicians. I belong to a group of physicians who oppose independent practice of non-physician practitioners. There are docs in the group who do research and understand the studies in depth. The studies that are out there have been reviewed ad nauseum. Of the ones that come close to NPs being unsupervised, they are done in Sweden. An extensive review of relevant studies are compiled in the book, "Patients at Risk, the Rise of the Nurse Practitioner and Physician Assistant in Healthcare(https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164), which was written by two of our members. We have shared this book with legislators who never review the studies, they just believe what they are told which is that there is no difference in outcomes between NPs and physicians, which is not true.
There is no way to have independent practice with NPs only seeing non-complex patients. Some patients who appear simple turn out to be complex. Patients present how they present. In addition, there is no oversight. In FPA states, not one regulatory, nursing or legislative body has re-assessed the quality of care being provided to the public by NPs practicing unsupervised. Not one state has followed up. It is simply an assumption that the care is sufficient. No one really knows.
Sounds like an awful experience.
I would never allow any of my family to see a NP in any field - including primary care - for anything diagnosis or treatment related.
They are rarely well supervised (often inappropriately used by corporate medicine) and they never have the extensive formal standardized background and training needed to practice independently.
In addition, if a NP screws up they may not be held to the same legal standards of care as physicians. Patients may not expect compensation. Demand a real doctor. You get no discounts for seeing a lesser trained clinician.
See the book: $9 on kindle (many real life horror examples of NP care)
https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164
And website: https://www.physiciansforpatientprotection.org/
for more information and to report your story.
Highly recommend this book for further information: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164
Becoming a dues-paying member puts your money into the hands of an organization advocating for your future. PPP is smaller, leaner, and more focused than the AMA. The leaders of the organization wrote a book, the first of its kind, documenting scope creep in an objective manner.
https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ref=nodl_
Joining gives you the opportunity to connect with like-minded physicians who want to create a better future for us. You will be better informed about current scope creep legislation, the business of medicine, and how to legally protect your future.
Its a high value investment for any medical student, resident, or attending. We need to band together and stop this nonsense before its too late 💪💪💪
Love your username 😂
$10 on kindle.
Or Barnes/Noble $28
Or Amazon print version $25
The new book Patient’s At Risk (https://www.amazon.com/dp/1627343164/ref=cm_sw_r_cp_awdb_imm_t1_peVVFb5FREEND). Does a fantastic analysis of the articles included in the Cochrane review of this issue. And all the studies are flawed in their use to further the narrative of “just as good if not better” sinc every single one followed intensely supervised mid levels.
Also a really poignant comment was how it would never pass an institutional review board to do a true RCT of independent NP/PA to physician care beucase well... it’s deemed a risk to patients.
If the internet has taught me anything it's that you're never alone (for better or worse). I just started wearing a hearing aid and made it a bright color and talk about how happy I am to get it so we can wear down a little stigma. I do the same when talking about my ADHD and depression.
Here's a book I read while I was in nursing school. The Exceptional Nurse: Tales from the trenches of truly resilient nurses working with disabilities
Amazon says I can loan out the e-book if you'd like to borrow it.
I love that it's super easy to read, and very thorough in my opinion. Pretty much goes through an entire H&P with you and then some - it even has specialty based questions.
Now if only it could help me understand what is being said so rapidly it would be amazing.