Physicians should be the leaders of the healthcare team. Thank you for working tirelessly to educate the public.
@LieutenantPhong
4 жыл бұрын
As an NP who is now in medical school, the truth is NP training is superficial. Unless you have gone to medical school or are attending a medical school like I am doing, you will never understand the difference.
@OmarAbdulMalikDHEdMPASPACPAPro
3 жыл бұрын
Yeah, it's the SAME thing with PA school. Our education is like a very brief "Cliff notes" version of medical school. Every physician with whom I've spoken who was formally a PA, told me that the education of MD/DO vs PA is as different as "night and day". I wish she hasn't kept referring to PAs as "they want". This is inaccurate. I've been a PA for more than 20 years and played leadership roles in the AAPA and our local PA organization. MOST PAs are NOT in favor of "full autonomy". It's an ill-conceived notion, advocated only by a VERY FEW but very vocal PAs. Some of them are the same ones who want to push for a name change and "Doctorate" of PA and "doctor's-level" pay. It's ridiculous. 😅 I'm for PA-MD/DO bridge programs. If a person wants to be a doctor, they can go to medical school.
@FallacyAsPraxis
Жыл бұрын
No. You are in medical school for reasons that you YOU will never understand. A nurse and a physician are obviously different.
@carried2082
4 жыл бұрын
Thank you for this important information. With the lack of transparency in health care today, it is so important that patients are well-informed so they can advocate for safe, physician-lead care. Thank you and PPP for putting patients first!
@rightcareprimarycare7624
4 жыл бұрын
Thank you for this informative webinar. We have seen first hand harm caused by NP care. Patients deserve to know and choose whom they want their medical care from. A PhD in health policy does not give NPs right to mislead people in to believing they are doctors. Thank you for your work.
@ChrisTheLSUTiger
4 жыл бұрын
Healthcare has sold out to the highest bidder in America. It’s a shame that the AANP cares more about profit than about patient safety.
@andreadouglas8581
2 жыл бұрын
I am a new Family Nurse Practitioner - BC and at the beginning of this lecture, I knew this young lady had a PE. It is important to know the scope of practice in each state and to refer when patient care is above the care that the nurse practitioners can provide. Like physicians, FNP make mistakes, in this case, it was unfortunate that this FNP was working in a setting she was not trained for and misdiagnosed the patient which lead to her death. I do not want to be a physician, that is why I choose to become a Family Nurse Practitioner. I know what I know and I educate myself and refer to experience FNP's and physicians who can guide me in the right direction. Thanks for your presentation.
@gregorydavis6737
2 жыл бұрын
I too am a New grad FNP and I know and support education. I did not go to a diploma mill. I attended an on-site NP program at an accredited university that is also the Medical School and a teaching hospital. I had to work for 2000 hours as a nurse prior to applying for acceptance to the NP program. PAs and Med Students don’t get their clinical hours on the front end. They get them in school or during residency. So the information that is given in this video is slanted.
@miriamanderson6146
2 жыл бұрын
Andrea Douglas, I also see pulmonary embolism right away. I wanted to practice as a medical doctor, but being an NP is perfect because of the lesser responsibilities, that the complicated ones should be for the MDs, not wanting the stress, headaches, etc.
@miriamanderson6146
2 жыл бұрын
@@gregorydavis6737 the NPs trained before were adequate because of required experience of 5 years as an RN. But nowadays, there’s no requirement. That’s why I am starting to be concerned about the new NPs who have not attained their experiences prior to the schooling. And being fast tracked. I am blessed to be exposed to a teaching medical facility, exposed to resident medical doctors every single time I work. Sometimes I am privileged to listen to their discussions of cases they see and admit and I bank the knowledge for myself to apply in my practice. Because of this, I say I have continuing medical education although informally. Initially, they barely knew anything. However, they learn very quickly and they are extensively trained and constantly educated during their residency. I read their notes, plans and more. I say that average NPs and even those with advanced schooling (DNP), shouldn’t really be equated with fully licensed and trained as an MD. However, rural practice doctors without acute care setting on a regular basis, are not superior to NPs in acute care setting. However again, NPs can’t replace MDs in overall healthcare practice.
@lucirob9474
Жыл бұрын
I’m just a regular old nurse and as soon as I saw birth control, I immediately thought PE. I’ve worked with some amazing NP’s and some really crappy doctors and the only way the health system survives is if we work together, unless magical unicorns create more medical residency spots.
@kemokaya
4 жыл бұрын
Very informative video! Dr. Bernard, thanks for the great job you’re doing highlighting the difference between the qualifications and skills of different healthcare providers!! It’s very important for the public to know and make informed choices!!
@kmcg6536
4 жыл бұрын
It’s unfortunate that there weren’t barriers and red tape to keep Ms. Thompson from performing in an unsupervised emergency medicine role when her training was family medicine. It puts her and her patients at risk. Mercy Health, the admins, and the insurance companies need to do better. Stop cutting corners and putting lives at risk. That is a don’t miss diagnosis and a basic Step 1 question that would be a softball. Very unfortunate.
@gregorydavis6737
2 жыл бұрын
Unfortunately this also happens with medical Residents all the time. There is a saying “don’t go to the hospital in July”. This is when new grad MD start working. As a RN I supported the legislation in Arkansas that only gives NPs full practice authority after 3 years of experience. This is the same amount of time that Resident Doctors must spend before achieving full practice.
@kmcg6536
2 жыл бұрын
@@gregorydavis6737 A lot of residency programs require 4 or even 7 years for a specialty not including fellowship. Additionally ALL residencies require board exams, have a standardized requirement for procedures/cases/etc, and are regulated by the ACGME. Shadowing a physician for 3 years is not at all the same. This is a false equivalency. Unfortunately we will see healthcare costs rise as unnecessary tests are ordered as well as increased patient mortality. We will see an even larger healthcare disparity as the wealthy and insured are taken care of by physicians while the medicare/medicaid/uninsured will only be able to see a midlevel. NPs were never meant to replace physicians. They were meant to assist and act as an extension. Totally inappropriate.
@miriamanderson6146
2 жыл бұрын
@@gregorydavis6737 so true as well!!!
@SapnaSingh-jd7bn
4 жыл бұрын
Thank you for this video, can’t wait for the book
@marycardoza6414
4 жыл бұрын
Can’t wait to read the book!
@mhall5890
4 жыл бұрын
Comprehensive and succinct explanation of the problem of practice creep.
@adriannunez9473
2 жыл бұрын
I appreciate the general concern for patient safety. However, there is a significant amount of confirmation bias in this presentation. First, the initial anecdote, while compelling, can quite easily be replaced with an anecdote where the decisions of a physician led to a completely preventable death. Secondly, this fails at adequately discuss the advance practice nursing model which describe the areas of focus and scope of practices for advance practice nurses, such as adult-gero primary care, adult-gero acute care, pediatric primary care, etc. This helps provide context to the level and intensity of training required to become an NP for each population focus area. Fundamentally, the healthcare landscape is changing and the ideas presented here fail to rethink how healthcare can be delivered to meet the triple aim - rather, there is vague assertion that historically defined roles (nurses, doctors) should remain in their lane. Also, to reduce the advancement of PAs and NPs to politics and money alone is disingenuous to the role real patients played in advancing PAs and NPs. As an NP in training at a very good school with rigorous clinical training, I resent the enormous amount of effort spent to align poor patient safety with PA/NP providers. Pt safety is at the core of our training. Rather than create a divide among the healthcare provider community, efforts should be directed at finding ways to improve the PA and NP roles and how we can best work together. We are NOT any more dangerous than physicians because of our differences in training. No study has demonstrated that. Reframe your thinking and please stop spreading fear.
@OmarAbdulMalikDHEdMPASPACPAPro
3 жыл бұрын
It's a mistake for this doctor to lump NPs and PAs together. The very definition of PA is that we work UNDER a licensed Physician. I've been a PA for more than 20 yrs. I've only spoken to ONE during those 2 decades, who believed that PAs are the peers of MD/DOs. Unfortunately, there seems to be a drive towards autonomy for PAs. I'm not an advocate for this. Nor, am I for near-MD pay or the "Doctorate of PA"!😅 PA education, while based on the medical model, is a SMALL fraction of the MD/DO experience! I believe that this drive derives from forces outside our control (i.e. those involved in the business side of medicine). I think Dr.Rebekah could put her effort towards educating young people about becoming an MD, increasing under-represented groups (Blacks, Latinos, women), challenging the cost of medical education, decreasing punitive damages to MD/DO or, the number of frivolous law suits discouraging the MD/DO work force. 😕
@dominiquebryan-gillespie7761
Жыл бұрын
Now those sound like solutions. That was what I thought this book lacked greatly. Drs should use these events to elevate themselves and be shining examples. Not try to tear down others. There is a shortage of doctors especially specialists. Plus adjusting the system Drs have to work in and also putting education in Medical schools on how to communicate with patients. I am blessed to meet few Drs who can do this. I get that this book is trying to raise awareness the the Dr is still relevant and I agree, we cannot do without them but it is also biased and gives accounts of limited exposure and perspective. It only found the worst stories.
@OmarAbdulMalikDHEdMPASPACPAPro
Жыл бұрын
@@dominiquebryan-gillespie7761 Yep, "found the worst stories".☹️👋🏽👨🏽⚕️
@clh1681
4 жыл бұрын
Physician led care 🙌🏼🙌🏼🙌🏼 thank you for working to protect patients!
@sanbetski
4 жыл бұрын
this needs to gain more traction!
@tnguyen531985
4 жыл бұрын
Thank you for this informative video and advocacy of physician med care. It is scary that NPs have legislated their way into practicing medicine without a medical license. All patients need to be informed.
@Imasaint22
Жыл бұрын
NPs are a mid level provider that has a DEA license and can order meds just like PAs. Both have adequate knowledge within the practice. A pmhnp can’t practice in an icu, a fnp can’t practice in the surgical setting, ext ect. These barriers limit the np to there specific patient base and the np’s scope of practice. In VA the NP works under the MD/DO just as a PA would, although most MDs in our level one trauma ED never meet the pt and the NP/PA is the main provider when they are signed up. Also with the flood of pts in the pandemic the surplus of np/pa provide great care within the scopes of practice especially in over run ED/urgent care settings and PCP settings.
@ssajid5381
4 жыл бұрын
So glad you posted this. The public should be appropriately informed so they understand the difference.
@michaelelliott6483
4 жыл бұрын
Thank you for a great video. Can’t wait for the book
@cronx1337
2 жыл бұрын
I’m just a lowly paramedic but as soon as you said birth control pills and shortness of breath I thought of clots and PE.. wtf is this nurse doing in ER
@TheNyster
Жыл бұрын
This video cites multiple outdated studies (Mudinger, 2000), (Hemani, 1999). The nurse practitioner model has advance severely in the past 23 years!!! NPs are educated completely differently than 23 years ago, backed by evidence based practice. The biased video also failed to mention the fact that the majority of NPs work as RNs for many years, which should counter towards their clinical hours that you maliciously compared to a barber, makeup artist, and dog groomer. The video reeks of bias against advanced practice providers. The case presented in the beginning of the video can be masked by thousands of others cases where physicians have unintentionally caused harm by misdiagnosing a patients (sentinel events).
@blumoonknightz
4 жыл бұрын
I have good friends who have also changed their careers from nursing, PA, respiratory therapist, pharmacist, and EMT to physician. They all say the same thing: what you learn and how you learn is completely different. For all the reasons listed above, respectfully, a physician cannot be replaced by another provider (and visa versus). Each have their role in the health care system that is is complimentary. We are many parts, but together, we form one body. The foot, while similar in function to the hand, cannot replace the role of the hand. Again, I implore everyone to serve in the capacity in which we are trained. Let’s focus on working together to provide the best care to our patients.
@scarred10
3 жыл бұрын
PAs never replace drs, they all know that.This book is about NPs,not PAs.Im a PA student I know it's not the same depth as Drs education but it covers everything in medicine in less depth and less underlying basic science since you've already covered that in your undergrad.On clinical placements I'm easily equal to the final yr meds according to the supervising physician's but I've a long history of pre med education.
@dirtychai5245
2 жыл бұрын
The first case has nothing to do with the fact she was an NP. Many medical doctors would have made the same mistakes… I’m sorry but PAs and NPs are not defined by their degree. And NOT all are created the same. Graduated autonomy is a must. The same way it is for medical students
@blumoonknightz
4 жыл бұрын
There is a role and place for each health care professional-each valuable in their own right. If the government is concerned about the shortage of physicians, then they would meaningfully address the situation. There are thousands of doctors who graduate from medical school, but aren’t doing residency because there aren’t enough residency spots. Medical schools have grown in class size to address the issue; however, the federal government AND hospitals have not done their part in expanding residency positions. If the government wants to address this shortage, then they would create more residency spots OR have those unmatched doctors serve in the role as physician “extenders”-especially since they already have the education and experience to serve in this capacity. Missouri is the only state that does this: the doctors who graduate from medical school, but are unmatched may serve as Assistant Physicians. There is also a shortage of nurses. In a country where there is a shortage of both doctors and nurses, it does not make sense to “borrow from Peter to pay Paul.” For these reasons, someone who has trained to be a nurse ought to serve as a nurse, advance their field, and reduce the nursing shortage. Likewise, someone who has trained to be a physician ought to serve as a physician, advance their field, and reduce the physician shortage. This nation already has a pool of physicians willing and able to work in their trained capacity. It is from this pool in which the physician shortage can be mitigated. Likewise, this nation already has a pool of trained nurses who can serve in that capacity and mitigate the nursing shortage. With this strategy, the nation can save money, reduce the nursing and physician shortage (by utilizing the doctors already present, but not being utilized), and focus on improving patient outcomes instead of wasting energy on “turf wars.” If anyone wants to become a physician, go to medical school. If you want to become a nurse, go to nursing school. There are no shortcuts when it comes to patient safety. Patient safety and quality care requires a functional team, and we all know that “Teamwork makes the Dream work.” (Disclaimer - The views expressed in this post are my own and do not represent the views of any healthcare entity. As well, the content should not be ascribed to any particular individual or healthcare entity.)
@stellawasswa2362
3 жыл бұрын
Stop shaming NPs. There are also many cases were doctors have contributed to patient deaths.
@xihoney03
4 жыл бұрын
Thank you for spreading awareness.
@adriannak4098
4 жыл бұрын
Bravo, Dr Bernard
@fineway7053
Жыл бұрын
Thank god there are enough physicians who want to match into primary care roles like Emergency Medicine.
@alexisnguyen-gonzalez7095
4 жыл бұрын
What I've observed is that corporate medicine and CMGs will prefer to hire non-physician providers instead of residency-trained, board certified physicians because they are "cheaper". Profits over good patient care. Throw the poor and uneducated patients into a two tiered system where they will be seen by an inadequately educated and trained "provider" instead of a physician who has trained for years in residency and fellowship. It's unfair and this needs to change.
@kitperrienlursen2161
4 жыл бұрын
Thank you for informing the public with the truth.
@afaithfulman
4 жыл бұрын
Excellent video!
@miriamanderson6146
2 жыл бұрын
I have friends with DNP degrees and still it is NOT adding significantly to the individual’s qualifications close to an MD. Not at all!
@veganish2772
2 жыл бұрын
The situation shouldn’t have happened but I also think this is cherry picking. The number of deaths caused by physicians grossly outweigh those from NPS and PAs(you can google medical malpractice lawsuits). This seems like you guys are threatened because a small group of NPs and PAs want autonomy which I don’t think is good or will ever happen. And it also it’s not really helpful to your fellow physicians who are already stretched thin. If they had to see every patient for things that were routine or simple I think it would lead to even more medical malpractice lawsuits.
@melanieskeen4351
4 жыл бұрын
Great insight. Thank you Dr Bernard.
@jenniferh9527
4 жыл бұрын
Thank you for you informative video!
@elverdad6805
3 жыл бұрын
Thank you for writing this book!
@yoyoschmo1
Жыл бұрын
I believe you but please address Journal of the American Medical Association meta-analysis (2018): David L. X. Mah, PhD; Yuting Song, PhD; Christine E. Kistler, MD, MAS; et al. Annals of Family Medicine study (2016): Jesse C. Crosson, PhD; Benjamin F. Stroebel, MD; Robert D. Scott, MD; et al. Journal of General Internal Medicine study (2014): Salimah H. Meghani, PhD, MBE, CRNP; Daniel Polsky, PhD; Joshua M. Liao, MD, MSc; et al. Journal of the American Medical Association study (2000): Julie Sochalski, PhD, RN; Patricia A. Aiken, PhD Journal of the American Medical Association study (1998): Mary D. Naylor, PhD, RN; Ellen L. Kurtzman, PhD, RN Medical Care study (2006): Linda A. Redeker, PhD, RN, FAHA; Harriet R. Feldman, PhD, RN, FAAN; Richard A. Schlimgen, PhD, RN; et al. American Journal of Managed Care study (2016): Debra J. Barksdale, PhD, FNP-BC, CNE, ANEF; Andrew F. Coburn, PhD; Jennifer E. Kates, PhD; et al. Journal of the American Medical Association study (2013): George E. Fryer Jr., PhD; Xinxin Han, MS; Bridget M. Teevan, MA; et al. Journal of General Internal Medicine study (2004): Jennifer R. Webb, MD; Patricia M. Boulware-Gooden, PhD, RN; Kevin T. Berman, MD Annals of Internal Medicine study (2004): Laura-Mae Baldwin, MD, MPH; Amy C. Hart, MA; Brian T. Lloyd, MD, MPH; et al. Journal of Nursing Scholarship study (2012): Donna J. Middaugh, PhD, RN, CNE; Brenda L. Lyon, DNP, APRN, CNS; Carol A. Watson, PhD, RN, CPNP
@evolving3657
3 жыл бұрын
Excellent work. I really learned a lot in this presentation.
@fp4477
2 жыл бұрын
I don’t understand why this author is denouncing PAs yet only provides anecdotal evidence of malpractice from NPs and zero statistics relating to care provided by PAs that weren’t lumped in with NPs. I agree with the overreaching message, but I think that the authors need to do a better job conveying the differences between NPs and PAs because they are most definitely not the same in many respects. For one thing, PA education is standardized and centered around the medical model. In fact, at some institutions, PAs and medical students attend the same exact lectures and share clinical rotation experiences. Although, again, PAs will never compare to the level of training received by a board certified, residency trained physician, they are still well trained in their own right. Compare this to NP education which is primarily focused on nursing theory with very basic pathophysiology and clinical diagnosis information. Not to mention, The PA profession was started BY PHYSICIANS and the educational curriculum and institutional accreditation for PA programs has been overseen by the AMA for over 50 years and endorsed as well by all of the other major medical associations such as the AAFP, AAP, ASIM, etc. It is misleading to leave this out and only talk exclusively about the political efforts from the nursing lobby to cut corners for NPs to practice. Finally, the legal exemptions for NPs as mentioned in the video do not apply to PAs. PAs are licensed and regulated by the medical board, meaning they are overseen by the same people and have the same standards for ethical, responsible patient care as physicians. PAs must have malpractice coverage and because they practice under the license of a physician, the supervising physician also bears responsibility for any malpractice. The way that the nursing board handles NP malpractice cases is infuriating and deplorable. When a patient dies because they were recklessly and grossly mismanaged, the nursing board shows it’s egregious indifference to the suffering families by absolutely refusing to hold their own accountable and releasing statements that double down on the “quality education” of NPs. In some of these cases the NPs were misrepresenting their titles to fool patients into believing they were physicians! Yet, the nursing board still does nothing and admits no wrong-doing! So yes, I get the concerns being discussed by these physicians and agree with the dangers being posed to patients. I just disagree that PAs should be burned at the stake because of the actions of the nursing lobby, when PAs have been expanding access to care and working well within a physician-led team for the last 60 years.
@pagandeva2000
Жыл бұрын
I think that an attending physician (more than one, actually)should be supervising physician assistants and nurse practitioners in the hospital. From what I understand, the physician assistant training is more all inclusive and has more clinical hours than the nurse practitioners, so, I’m wondering if a family practice NP should be in that setting without physician supervision.
@AZ-js4um
4 жыл бұрын
I think this video applies almost entirely to NPs. Almost all young PAs graduating now accept the supervision of a physician. It is PAs that have practiced for years and are challenged with "im doing exactly what the physician does/can do in this specialty, why can't I practice autonomously like NPs?"
@edm1117
4 жыл бұрын
PAs have “accepted” physician su-revision since our inception in 1965. It is beaten in to use through school and after. Those of us who have been practicing for a long time (I’m at the 40-year mark) value the physicians whom we work with and all who came before. My practice today is not what it was even 10-years ago. Except for a few renegade PAs...and there are few... PAs embrace the concept of team practice. Always have, always will. So it ain’t just the younguns...
@jamestinsley5195
4 жыл бұрын
Because medicine is not monkey see monkey do. You need to know why you are doing the treatment in case something goes wrong. Something always goes wrong eventually.
@namratapatel7984
4 жыл бұрын
Agree that in general PAs are more team players, have significantly better training and some uniformity in how they are trained. NPs have jumped on the bandwagon that they are are educated, skilled and knowledgeable as doctors and they tout better bedside manner and “heart”. Anyone who is foolish to think that online training and 1/10 of the knowledge leads to better outcomes isn’t reasoning well. I hope PAs will not follow suit
@LEQN
3 жыл бұрын
@@namratapatel7984 well put.
@gregorydavis6737
2 жыл бұрын
Any safe healthcare provider knows their limitations. What is not brought up in this video is the fact that MDs make mistakes too. As an RN I’ve caught many medical errors committed by seasoned and established surgeons.
@LaCosaNostra21
3 жыл бұрын
Oh common how many doctors have also made the same mistakes I know manyyyy try again with this hate gainst NPs
@Benboy887
3 жыл бұрын
Every person is fallible. However, isn't it more likely for someone to make a mistake if they have less training?
@eddieco
2 жыл бұрын
WOW. This video sounds like it came from a bitter Doctor who is angry that others are capable of practicing medicine. I've seen many an NP or PA over the years, and always gotten great care, often times, better than I get from a Dr. In fact, I've had Dr's make major mistakes, and never had an NP or a PA make one, but in fairness, I'm sure they happen. How about instead of bashing NP's and PA's, you try improving the system? Shame on you for trying to insinuate that PAs and NP's are somehow "more" responsible for mistakes than Doctors are. You could just as easily done a video on the 250,000 deaths caused by medical mistakes, MANY of which are done by those with an MD behind their name. Shame on you.
@jabbs2000
4 жыл бұрын
Thank you for this informative video! The public needs to know the serious threat that this issue poses to their safety. It crushes my heart every time that I hear about an unsupervised NP causing patient harm or death. What makes this even worse is that the Board of Nursing does not hold these NPs accountable for their inadequate training and their fatal mistakes. These NPs graduate from an 18-month online course with no clinical training and the Board of Nursing then gives them permission to practice medicine freely without a medical license. When they inevitably cause patient harm, the Board of Nursing just looks the other way and the NP is free to continue harming more patients. This is such a broken system, with corporations focused entirely on profit with no regard for patient safety. We need to have honorable, dedicated physicians back in charge of healthcare. They swear an oath to do no harm and to make the patient the top priority 100% of the time. The Board of Medicine holds them accountable to that oath. If they break it, they lose their license. It is a shame that no one else in healthcare or government is held to the same standard. I truly fear for the health and safety of our country if this dangerous trend continues.
@miriamanderson6146
2 жыл бұрын
Jabbs 2000, I have to say mistakes happen to both professions. Not sugar coating, fatal mistakes don’t discriminate. However, my biggest concern is not about having the NP profession. My biggest concern is about NPs without experience and being fast tracked online. And not all NPs have great preceptors. My concern also is that diagnosing is a complex process, things have to be correlated. Years ago, I prayed for wisdom, knowledge and understanding and I still continue to pray every single day before work and I have over 20 years of experience as a practitioner. The resident docs may fumble initially, but because of the academic and post academic training, even with the lack of experience, their mistakes are less and as they continue to practice, the learning is exponentially better and faster for them. I am surrounded by many doctors and I constantly learn and I love the setting and I love them. Personally, I believe that NPs have a role to supplement the doctors, never to replace them, never as in never unless a specific doc is incompetent and a few also exist.
@punkvirusboi
2 жыл бұрын
I hate the fact that she thinks PAs and NPs are the same thing, PAs don't promote full practice authority. She always talk about NP's in most of her videos and yet still lumps PA and NP together. I also hate the fact that America is a cooperate medicine, and for profit only. Whoever have stronger political power wins. PAs are losing jobs over NPs because we require supervision and NPs don't . she needs to address that. We PAs strongly respect our doctors and we always favor physician led team care model.
@debbiesutcliffe5691
4 жыл бұрын
Wow! Just lobby the government and be given the right to practice medicine.... and when you talk to the politicians, misrepresent the data.
@OJCLDJ
Жыл бұрын
The level of bias in your video is shameless and laughable. While there are valid issues within the NP field that need addressing, your argument, especially the comparison of training hours to barber school, is malicious. Physicians also make mistakes, you know. I personally witnessed misdiagnoses and mistreatments by doctors that had serious consequences for patients. I witnessed a family practice doctor misdiagnose an ear infection that resulted in a ruptured eardrum (an NP appropriately treated that patient). As a military medic I worked with a physician that nearly dropped a patients BP to deadly levels and had to be stopped by an Independent Duty Metical Technician (IDMT). Another one misdiagnosed a UTI which led to complications. Overseas a physician mistreated a patients pilonidal cyst and led to an infection that required cleaning by a surgeon. These are just a couple of MANY occasions where I have witnessed physicians make mistakes. There are excellent NPs and PAs practicing within their scope. The question of independent practice should be answered with data, not by writing a book solely criticizing PAs and NPs. Why not focus on collaborating with nursing and PA associations to improve the quality of providers? This doesn't have to be an "us versus them" situation, but it seems you're determined to make it one. Fix yourself, whether it's an ego problem or genuine concern for patients.
@ET-ki5df
Жыл бұрын
I agree with alot of what you said but let's face it, there's not enough doctors.
@happilyhired622
Жыл бұрын
This is a bait and click. NP and PA are very helpful in mid level roles; all these examples are individuals working in departments they were not degreed to be in - FNP should not be working in acute care, unless additional credentialing is pursued. I would hope this individual is more thorough and provides better critical thinking with her own patients. So much bias.
@miriamanderson6146
2 жыл бұрын
The way they are spitting out NPs are scary. There are excellent nurse practitioners, but they’ve learned from years of experience before getting their degree and after getting their degree and license. I met 2 brand new ones being hired. Just graduated. One was a bit cocky throwing story of being an RN for 6 years. My gosh! Not downplaying, but… there should be a regulation nowadays because some don’t even have an experience. Doctors go through years of schooling, extensive volumes of medical books, plus internship, residency, etc. NPs are fast tracked and the courses are not even all medical…
@naomidelrio995
3 жыл бұрын
Instead, we should all work together for the good of the patient, where the heck was the supervising physician? let's review the history of MDs in this country? The nurse practitioner started with rural care because MDs don't want to go into the sticks in rural America and still do, and they don't want to provide care for the homeless, NPs do. A Nurse Practitioner has to do 6 years in education, (BSN + MSN) although in 2025 is changing to 8 years to include a doctorate. In Puerto Rico, we are having problems with access to healthcare because MDs don't want to share health care, I really don't know why can't we work together in providing patient-centered care. Why is we or them, not us? Our mission should be one and the same: provide patient-centered care.
@catalinanino5597
4 жыл бұрын
Fantastic
@slevit1
4 жыл бұрын
Should have never happened. There is no situation where a nurse practitioner should be practicing independently! They don’t have anything approaching enough training. And they sure as hell should not be staffing an ER alone! Wake the hell up, America. People will die because of NP lobbies. The first thing I thought when I heard young woman with SOB on birth control pills was PE. There was no indication for head CT, but NPs do love their tests! Sadly, this was likely a preventable death, and almost certainly would not have happened if there was a board certified ED doc on shift!
@jodirook71
3 жыл бұрын
absoulte bs everyone is hiring md and anrp and pa cant get a job at all
@waltzjumper
3 жыл бұрын
Why does anyone see a PA or a NP? Patients have the right to see a physician. Patients have the ability to put these para-professionals out of business. Let's train more phycisians!
@adamlewis4736
Жыл бұрын
what a stupid thing to say. No, patients don’t have the “right” to see a physician. Healthcare is a privilege, not a right, and an NP or PA - in the proper setting, with proper supervision - is completely qualified to perform what their overseeing physician sees fit. You sound so uneducated and privileged. Trashy person.
@stefaniebuissereth1961
2 жыл бұрын
🤣🤣🤣.....these MD's out here tryin' to pimp NP's for collaboration fees
@ocdude714
4 жыл бұрын
Haha Rebekah, you troll.
@ocdude714
4 жыл бұрын
@@namratapatel7984 you troll
@namratapatel7984
4 жыл бұрын
Your inability to challenge the factual evidence dr Bernard presents and instead resort to name calling is a prime example of how an uneducated person reacts when threatened. Perhaps you could spend a little less time on you tube and little more time in school and we could have a real discussion about this. Until then, heckle and troll away. It actually does not affect me one bit. Have a blessed day
@ocdude714
4 жыл бұрын
@A I troll
@gregorydavis6737
2 жыл бұрын
This is slanted and biased. The author has confirmation bias as well as cherry picking cases to fit into her agenda. She is sneaky by also including some research in support of NPs but then she down plays it or attempts to explain it away. As far as her first malpractice example Healthcare organizations are now hiring NPs that have a speciality in acute care in the hospital setting. I have a speciality in Family and I don’t get considered for acute care jobs. That said I have 4000 plus hours as a trauma and surgical nurse. I know it is out of my scope of practice to work in an acute care setting. I would never do this because I am not a moron or arrogant enough to think that I am qualified for that position. I spent 5 years doing pharmacology research and my principal investigator told me once “Anyone can write a book. It takes a lot more work and scrutiny to be published in a journal.” If this info is so great why doesn’t she publish it in a journal? It’s because at best it’s considered “expert opinion” which is the lowest form of scientific evidence. Interestingly enough she critiques meta reviews which are considered the highest form of evidence in the scientific/medical community.
@jeansteele6698
Жыл бұрын
No NP(s) they learn on the job lack adequate training and experience to practice without Physician supervision. As an RN trained on the UK &US with a degree in Psychology. Well schooled in almost every Nursing speciality both theory & practical experience. Clinical supervision in the UK is stringent Patients do not have confidence in NP(s) as a primary care provider The Nursing Association keeps pushing all these titles and then developes a curriculum that they hope would be acceptable. The Nursing magazine titled "ADVANCE" was far from its mission. Certificated galore but cannot perform the nursing tasks as stated in the various ones acquired post so called training Just to get an increase either in salary or s promotion My opinion BASED on facts garnered based on surveillance
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