Everyone wants to be a doctor but no one wants to go to med school
@NishantGogna
Жыл бұрын
Everyone wants to be a doctor but no one wants to do a 40Q random timed block of UWorld.
@asdfjklasdfjkl408
Жыл бұрын
@@NishantGogna As someone in my dedicated period this hurts HAHA
@gamingwithknight4931
Жыл бұрын
Yeah buddy
@kphu1075
Жыл бұрын
@@NishantGogna dang bro, why’d u have to hurt my feelings like that lol (med student in dedicated rn)
@tk567
Жыл бұрын
Facts!!!
@mohamedaboelenin4209
Жыл бұрын
As a PA Student currently on rotations, I couldn't agree more with this. Our professional organizations (whom btw, the advocacy board isn't even run by actual PAs, but by Poli Sci/MBA majors who see financial benefit in expanding scope), are unfortunately seeking to delude newer PAs into thinking their understanding of Pharmacology, Pathophysiology, and Clinical Medicine is just as robust as a Physician's, which is clearly not true. Even now, I very have significant gaps in knowledge compared to resident physicians let alone the attendings. We play a valued role on the healthcare team and I truly cannot wait to do my part to treat patients effectively. But this is something both Midlevels and Physicians need to discuss for the sake of patient safety. I as a PA Student am always clear of my role as a "Physician Assistant Student" and intend to always introduce myself as the Physician Assistant to patients moving forward because as someone who's been a patient myself, I would not be comfortable with someone who is misconstruing their title and level of expertise, so why should I delude anyone else?
@mikegrili391
Жыл бұрын
Well said.
@anujmalik5787
11 ай бұрын
Glad you have the humility and security to speak the truth. I would hire you as my PA!
@jaligawesa
7 ай бұрын
Regulation and Board needs to speak out
@anchitbharat-sk2ve
9 ай бұрын
Excellent video. This is my 13th year in medical training, only so I can provide the best care to my patients after understanding the basic pathophysiology. Don’t tell me that it can be done in 5-6 years because it just cannot be.
@justava2349
Жыл бұрын
I agree as someone who wants to become a PA. I don’t want the MD/DO responsibility. I however this this needs to be a video more directed at the organizations. AAPA and such. They are pushing for it more than what I see from individuals. Unless they are lying and hiding behind their computer screens.
@duckiie15
Жыл бұрын
As someone who currently works very closely with surgeons and doctors, and is planning to attend PA school soon, I completely agree. Every day I’m in awe and inspired by how much knowledge and expertise our doctors have. It’s very extensive training and there’s no way someone could possibly bypass or “shortcut” that. As a PA I want to help alleviate some of the stress MDs have by taking on more regimented patients while still providing high quality of care, to open up their time for more highly complex cases which we see so much of unfortunately. Ideally, it should be a symbiotic relationship.
@KarenLeggett-p9o
Жыл бұрын
You have a very mature understanding of the value of PAs and NPs. Good luck and congratulations!
@tdtadesse547
Жыл бұрын
this is exactly how NPs and PAs should work....as an RN I just can't wrap my head around how any PA/NP wants to be more responsible with less training....
@XYZ-sq7ki
6 ай бұрын
You haven’t been to PA school yet. So of course you’re in awe. PA school is like med school condensed into two years instead of 4.
@vincentalakija5515
4 ай бұрын
@XYZ-sq7ki PA school is not like physcian school, stop lying. Midlevels will never be on the same level as MD'S/ DO's
@michellerowe-smith5803
4 ай бұрын
@@vincentalakija5515he is not saying they have the same amount of training they used the same medical module and it’s a lot harder because you have to learn so much in such a shorter space of time. No one gives PAs the credit they deserve. They have the highest attrition rate than any other medical trained professional. I know a few people who failed out of PA school and made it through medical school. PA school is also by far the most competitive and hardest to get into.
@DocWithAGuitar
Жыл бұрын
EM physician here. Thanks Kevin for speaking out on such a controversial issue. I am grateful for all my APP colleagues, but in my limited 7 years of experience, I believe patient care is still best delivered as a team with physician oversight.
@reed_roberts
Жыл бұрын
PA here and I completely agree.
@wildshpeehunter8265
Жыл бұрын
I may be just an ERT and I completely agree with you on that :).
@MF-oh2qo
Жыл бұрын
Is the real difference in the education or the clinical practice (i.e. residency) and it's delivery? I understand that the didactic component of medical school is much more rigorous than that of NP/PA school, but an NP/PA could theoretically study the didatic components of medical school (since it seems like medical curriculums are streamlined through the likes of Khan academy and such). I know a PA who did this and would take mock USMLE exams through U World to help determine his level of clinical knowledge. If an NP/PA were to do this and "pass" their mock step exams what would then be the difference between them and an MD/DO (outside of credentialing)? At this point it seems like it would be their clinical training. But how does residency differ from being a practicing NP/PA as it relates do developing a more comprehensive understanding and not just developing strong pattern recognition? In the hospitals where I've worked (all academic hospitals) it seems like NPs/PAs do the exact same as resident physicians; so how do 4 years of residency make for more qualified providers than say 6 years of NP/PA experience?
@bellefeu4933
10 ай бұрын
I have seen, as an ICU RN deciding between MD/CRNA for career progression, horrible mismanagement of patient care from providers who are not suited to that specific patient. That means APPs and MD/DOs. Heart failure pts managed by cards, stepdown pts managed by APPs, it's all bad and detrimental. That being said, Drs are MD/DOs. More complex pt care must be managed by the best candidate: Drs.
@pabritova
Жыл бұрын
It’s too early, I’ll come back 🍿
@justinhoward2132
Жыл бұрын
😂absolutely!!
@miiitchhh225
6 ай бұрын
Did you ever come back
@Gcapo100
Жыл бұрын
This really needs to be a bigger topic. NPs and PAs are great, but their limitations are extensive (which is fine, they aren’t docs), but some in their community are almost brainwashed into thinking bizarre things like they are equivalent, mid level is a derogatory word, or that a doctorate will get them closer to MD/DOs. This type of thinking is propagates by PA schools (especially at Lynchburg). It’s honestly scary to see the lines being blurred, and hospital admin taking advantage of that. This isn’t only scary for the public, but also mid levels themselves. More and more they have incredible high expectations and are put in dangerous situations by their employers, very often as brand new trainees.
@VKingMD
Жыл бұрын
It's not brainwashing. A midlevel is basically a permanent resident. If you work as a resident for 10+ years, you're going to know how to practice just like the attending physician. The problem is there is no certification or limitation that distinguishes the 10+ years from the 0 years midlevel. A surgeon for example must log 150 continuing medical education credits and pass an exam every 2 years to maintain their certification, where as a nurse practitioner who's spent 15 years working in psychiatry can swap to surgery tomorrow without any further training.
@lanehaws8349
Жыл бұрын
10+ years acting as a lower level resident, often with no call responsibilities, and little to no surgical experience ( in surgical subspecialties). So no, after 10 years of making lower level decisions they are not at the level of knowledge of an attending. Not to mention all the knowledge outside of that particular specialty that an attending has from their medical school training.
@Allhailbillcoleman
Жыл бұрын
@@VKingMD in the academic setting mid levels who function as “interns” might have the same responsibilities, but they receive none of the challenge. The attending doesn’t challenge mid levels or make them think through plans, think about differentials or evidence based decision making. The seniors and attendings tell the mid level what they would like done and the mid levels complete said tasks. There is no growth. They don’t become seniors and teach interns. They don’t do nights and make calls without backup. They don’t rotate through different specialties to learn the breadth. It’s not the same.
@VKingMD
Жыл бұрын
@@Allhailbillcoleman I agree that their experience is very different, and that different experience is the problem. Many PAs, particularly in the academic setting where there are actual trainees, don't have much room for growth. However, PAs in the community setting have the opportunity to adopt more of an apprentice than an assistant role. Given enough experience, if they can demonstrate equivalent competency upon scrutiny and examination, I would be in favor of offering a highly challenging accelerated avenue to become a physician. Afterall the 4 year medical school with mandatory residency is far from an ancient practice.
@waliahwyatt2659
Жыл бұрын
Yup! This is totally true! So many people apply an illogical way of thinking when it comes to PAs...and I agree with you there is no way right now to test the competency of a PA with 0 experience vs a PA with 10 years of experience
@LaurenSutherlandFNP
2 ай бұрын
I am a FNP who does have a DNP. I will never, EVER, call myself a doctor in a clinical setting, I am not a physician. I do not want to be a physician - if I did, I would have gone to med school. I may use doctor in academic settings, just as someone who has any other academic doctorate, but never EVER would I use it in a clinical setting. It blurs the lines, causes confusion, and is simply inappropriate. DNP's were originally meant to teach health care management as well as teaching skills, but many places are beginning to move towards going straight to a DNP instead of MSN for NPs as a way to blur the line between a physician and midlevels, its entirely wrong in my opinion. I completed my DNP so I could teach part time, not to call myself a doctor to patients. Some people want to be a physician - great! But it is not for everyone, and not everyone wants to do that job, that's where midlevel or RN's come in. We all have our roles to play, and we all are meant to be working together in collaboration. It's really a shame that a lot of younger NPs and PAs are being told that they're "practically a physician."
@desertedham37
Жыл бұрын
I'm a PA and I really make it clear to my patients that I am the PA and who my attending physician is.
@jonathanmckeever5252
Жыл бұрын
My dad’s an MD anesthesiologist and my favorite quote by him is that “physicians understand the ‘why’ of disease processes and CRNAs react to vital signs.” This is obviously an over simplification but it points to the difference in understanding and managing complex disease states. He’ll also be the first to tell you that CRNAs play a very critical role in the healthcare system. They, however, are not physicians and don’t possess a physicians level of understanding.
@arminpoorfard306
Жыл бұрын
I totally agree with you. I have worked in different hospitals as an imaging technologist(radiology and CT) and honestly I realized how valuable their help is to physicians(partially due to physician shortage) specially in ER and ICU but lobbying to have an independent path and practice is totally wrong. They always should be supervised by physicians. Medicine is an extremely complicated science and that is why medical schools have many years of didactic and clinical courses before letting doctors start practicing.
@DW-bc2gl
Жыл бұрын
Well said
@VKingMD
Жыл бұрын
Partially due to physician shortage is an understatement. They only exist because of the physician shortage. Most countries function without them, but most countriest don't have thousands of MDs who can't find a residency position
@michellerowe-smith5803
4 ай бұрын
Believe it or not most PA are in agreement.
@nick21501
9 ай бұрын
Everytime I go to urgent care to see a doctor, there’s always just a Physician Assistant!!! Most of the time there is no doctor around! Not sure why we pay so much to not even get to see a doctor lol
@michellerowe-smith5803
4 ай бұрын
You should know by now urgent care was not designed with a physician in mind. It was meant as a place to go when you could not get an appointment with your PCP and you have a UTI or sore throat and need medicine. The problem is people come in there thinking that it’s an emergency room because they are sick and want to pay less. Unfortunately, they get sent to the emergency room and end up paying more.
@adeptsaxophonist
Жыл бұрын
Thank you for talking about this! I appreciate you taking the time to discuss this as a soon to be MD! It feels like many people have neglected this topic in leadership who otherwise should be advocating for us but I am proud you continuously bring this up. I think us young physicians feel very strongly it's important to be physicians that are leaders of the healthcare team and we all work together within our role to better the health of the patient.
@themanwelch
Жыл бұрын
One thing I learned going into clinical years of medical school and residency is that practicing medicine is nuanced because often there are more disease processes going on with multiple factors affecting outcome . You need the medical background to understand what is going on and the clinical experience to understand the nuances and problem solve based on the entire clinical picture.
@Sun_and_Sea_
Жыл бұрын
“Dr.” Eric Berg has almost 10 MILLION subscribers on KZitem. Just found his channel the other day and thought it was strange that his credentials were inconspicuous. So I dug. And guess the f what? Bro is a freaking CHIROPRACTOR.
@lovelylibra7349
Ай бұрын
Wait what ?! I thought Dr berg was an Md all along 🤔
@jarrettleto
Жыл бұрын
That comparison where they say MD has no prerequisites I believe is taken from Duke University (or some other top tier school) but it's so badly out of context because it's only one cherry picked school and if you look at the prerequisites on the PA side, to score an MCAT that would get you into Duke would require you to be a master at all of them. So Duke basically says "we don't have any official prerequisites as long as you get a 520 on the MCAT and have a bachelor degree and compelling story and tons of clinical and volunteer hours and publications." So yeah totally no prerequisites
@Panda-er4nd
Жыл бұрын
100% agree with you. There is no shortcut to becoming a doctor.
@krisshan2085
6 ай бұрын
We are facing the same problem of scope creep here in the UK. Mind if I share this around?
@kevinjubbalmd
6 ай бұрын
Please and thank you !
@BarelySaneGenius
Жыл бұрын
Ooohh I can speak on this from my personal experience. I am a first year medical student. The volume of material is unimaginable so for my most recent exam, when I was running out of time to study, I overly relied on pattern recognition. Because I did not understand all the nuisance I missed a passing grade by 2 points 😬 I leaned (and I already knew) that pattern recognition is not enough. You can recognize the pattern but you have to understand the pattern. In understanding the details you can make and extrapolate the pattern. Pattern recognition can be memorization which gives a false sense of security. You have to know the WHY so when the pattern doesn’t present and what you are used to, you aren’t confused. The disorder didn’t read the textbook. How you think it’s going to present is not enough to catch it. Every human and every pathogen/disease process is different. There can be some overlap but that’s not always enough to catch it. Those minor details could be the difference between life and death. Literally.
@elverdad6805
Жыл бұрын
Meanwhile, many nursing students describe their courses online as being "fluff" and "busy work", and as an ex-nurse I completely agree.
@MoonsickStridor
Жыл бұрын
Another thing I feel is often neglected in scope creep and midlevel independence is their respective leadership orgs want them to have all the independence, pay, and prestige, and none of the liability that comes with that independence. Soon as shit hits the fan, they need a physician to absorb the legal ramifications. Also, not sure if the AANP has changed their thoughts on this, but when asked whether or not they practice medicine, a previous AANP president has punted the answer by saying NPs "practice healthcare." Rather convenient to assume they should be called "doctors" in clinical settings, say what they do is equivalent to what MDs and DOs do, and they can avoid governance/oversight by state medical boards by hiding behind the fact that they have "nurse" in their true title.
@BarelySaneGenius
Жыл бұрын
Clinical medicine is a very specific term. Having a PhD and being a clinician are totally different sciences. There is a lot that goes into patient interaction from before you walk into the room to after you leave there are procedures and nuisance. How you handle the patient (laying them down, sitting them up, touching them) is it’s own skill form. Timing of your history and physical exam matters and there is a balance between efficiency and compassion. I’m my medical school there is an entire class of the clinical aspects of medicine because that’s what makes a good doctor. Literally anyone can learn the sciences but there is also an art to medicine. You can be the smartest person in the world and not necessarily a good physician.
@IslemTav
6 ай бұрын
The reason I am going for PA is exactly for the limitations in the scope of practice and designation. I don’t mind at all being under the supervision of physicians, I actually want that! I want to be part of a medical team, but I don’t want to have the last word, especially when a case really warrants it. Pretending to be at the level of a physician is disrespectful and narcissistic in nature, IMO.
@amyzheng9387
Жыл бұрын
Completely agree with your video. Glad to see this is being recognized as a major issue in medicine today.
@chowder607
Жыл бұрын
Well said! I completely agree with how the amount and intensity of training is unmatched between MD/DO from mid-levels. I don't think people understand or appreciate the level of rigor that is constantly present in med school, and undervaluing the education by comparing it to DMsc or DNP is disrespectful. No hate to anyone, but I think everyone needs to know their respective roles and understand that each role is important in it's own unique way.
@CAMommyoftwoboys
Жыл бұрын
I am a NP, I am very aware I am not on the same level as a MD/DO. I always introduce myself as a NP so there is no confusion. I also am going back to school for my doctorate. In California, we are not allowed to call ourselves doctors in the clinic setting to avoid confusion with patients and staff. There needs to be more collaboration and education. I love the flexibility in my work schedule and it's the reason I chose a different path but still able to provide patient care within my scope of practice.
@Adductor_Magnus
Жыл бұрын
Once you get your doctorate, will you be allowed to call yourself doctor to patients?
@stevenvargas6863
Жыл бұрын
@@Adductor_Magnusshe said no in the last sentences
@jeffreyherrera2799
Жыл бұрын
Then why bother getting the doctorate if you can’t call yourself doctor… more titles huh
@Adductor_Magnus
Жыл бұрын
@@stevenvargas6863 She said she's an NP now but that she was going back to school to get her doctorate. I was asking if she'd expect patients to call her doctor once she gets her doctorate.
@hadieislam1
Жыл бұрын
You're doing it right! An NP/PA that understands their scope and limitations is an asset to our healthcare system. Those that constantly push to expand the scope beyond its intended limits are a danger!
@tao072002
Жыл бұрын
Thank you for this video, Kevin! I really enjoy seeing your takes on these controversial and hot topics, glad to see that you're taking the responsibility in making them.
@briancannon4607
10 ай бұрын
As a new PA-C, I have no problem with the mid-level designation. I know my training has not been as in-depth as that of a physician. I have no desire to step beyond my scope of practice. My desire is to work with a doc who is approachable and willing to share their knowledge for the joint goal of providing high-level care to patients.
@javiboscaino
Жыл бұрын
This is exactly the kind of public health advocacy that we need. Our patients deserve to be served by the best trained among us, i.e. MD/DOs, not midlevels. Midlevels pursuing independent practice and autonomy puts their self interests above that of the public. It’s disingenuous at best and places greed over patient care. We as a profession need to continue increasing the visibility of this issue to the public and our politicians so we can best protect and serve the health of our communities.
@Skepticalstudent45
Жыл бұрын
Well said. DO student with a NP student fiancé here. This topic of conversation is not lost on us; most important dimension in my eyes is to strive for honest respect and synergy between our differences in training and education. It is not a competition, we should all be on the same, humble team.
@Tripps2564
Жыл бұрын
My thing is that as a first year Family Medicine attending, I would NOT have been able to handle patient care well right out of medical school. It was upsetting how much I had to learn as a resident and how much I still have to learn just to be a decent doctor. It was weird how weak the correlation between testing and actual practice there was. The issue is that people have gargantuan and often unrealistic expectations of doctors; it's hard to be smart, wise, good with your hands, observant, compassionate and relatable all simultaneously. Some folks balk at anything but this mythical perfect doctor, when in reality with the doctor shortage many providers actually have less experience and aren't DOs or MDs. There should be an expectation of growth and reasonable assistance for doctors, while respecting the scope of midlevel providers. I feel that Midlevels are an excellent resource but their scope should be more defined. ALSO, having more certificates and clearer indications of what a provider knows and can do would help (ex: what procedures they can do, what they tend to treat specifically etc.)
@XYZ-sq7ki
6 ай бұрын
Completely disagree with you. PAs are generalists. Physicians are specialists. If physicians go through so much training, but the end of training their scope of practice is usually narrowed down to specific board certifications and hyper specialities - even if they had more broad exposure in training
@DamienRiven
7 ай бұрын
While in the Air Force our doctors we see most of the time are NPs. I seen two of them within a week and the both diagnosed me with just a cough. I didn’t feel right and shortly after went somewhere else. I met with a doctor told them what the other NPs told me and he listened to my breathing for less than ten seconds. Without saying anything, he called in a med student to listen to my lungs. The med student within a short span told the doctor it was pneumonia in my left lung and he agreed. Ever since I always held even a med students opinion above that of an NP. I could have gotten worse if not died if I didn’t go see a real doctor.
@JackHanma-vu2dy
6 ай бұрын
Pneumonia from auscultation is wild, let me guess they put you on antibiotics 😏?
@michellerowe-smith5803
4 ай бұрын
The problem here is imaging confirmation that shows consolidation. There is no way to diagnose pneumonia by auscultation. It could have been bronchitis. This is why I can’t always agree with MDs either because a lot of them will do anything for money.
@joshuathompson1357
4 ай бұрын
Yea, you can't diagnose pneumonia from simply listening. But regardless, things like wheezes and crackles should not be missed. Unfortunately it does happen though. But that is not a reflection of mid-level providers vs MDs. It's a reflection of the NP who missed it. Auscultation is a basic skill that even lower providers are quite proficient at. As a current paramedic, it's not to hard to catch.
@drummer62294
Жыл бұрын
ICU PA here. Also big fan of your content. I think one big thing you missed in this video/your take on this is the fact that a lot of the DMSc stuff has come to fruition simply to try to match the current “DNP” model. PAs have masters degrees. NPs used to as well however their governing body decided to inflate that to a “doctorate”. This was largely to have their education model produce more money. PA education has yet to do this and is now being forced to come up with a solution to match this misguided degree inflation. Most of the PAs who are getting DMSc are doing so because it’s required to teach at PA programs or required in order to move into leadership roles. It does not come with significant pay increase for the most part. I agree that mid levels who don’t recognize that they don’t know everything and have received limited training in comparison to MDs is super dangerous. I wish PA programs did a better job of screening people with these personalities out. Also any PA/NP worth a grain of salt would never go by the term “doctor”. The reality is there is a small minority of midlevels/CRNAs who are actively fucking it up for the rest of us.
@OP-gt3rh
Жыл бұрын
Yes the DNP is a joke just making more money for the graduate schools. I’m a NP with a masters degree.., the school will need to pay me to go back for a DNP and write papers for them to grade.
@firedrago2013
8 ай бұрын
I'm glad its just a small miniority
@michellerowe-smith5803
4 ай бұрын
Facts.
@shaezqasim4198
Жыл бұрын
Ahhh, this is so satisfying ☺️ the reason why I say this is because Interns or medical students in clinical settings in various countries have to understand they should not rely on NPs or OT-assistants, I’ve often noticed them giving completely wrong information with full confidence to new Interns, whenever you have a question, always ask a physician or a surgeon and don’t shy away from that, that will indeed make you a great doctor true to its core, rather than getting wrong info or being perceived as a junior doctor who just doesn’t know.
@K1181-r4o
4 күн бұрын
It should be illegal to call yourself a "doctor" to a patient in a health care setting if you don't have an MD/DO degree. Part of the problem is these other "doctorates" are woefully ignorant about what they don't know. If you want to be a doctor you need to go to medical school.
@kevinjubbalmd
3 күн бұрын
Exactly. You don’t know what you don’t know
@DW-bc2gl
Жыл бұрын
I agree with you 100 %! Thank you for covering this topic. It’s the huge elephant in the room in the medical field. I believe the name physician should help alleviate some just some of the confusion. I’m concerned about medicine going forward. Isn’t there a specific scope of practice for mid levels? Has it not been defined? This is confusing 😮 and frankly I’m afraid for patients today.
@yzhan225
Жыл бұрын
This issue is more of hospital administration or other private practice abusing the role of PA/NPs to boost reimbursement/business while keeping operating costs lower. Midlevels were never planned to be at this point. Used correctly they shouldn’t be practicing outside of their boundaries and only keeping a clear and concise line of communication and discussing assessment & plan with their SP. An extension of an physician rather than an independent practicing entity.
@richardking1561
Жыл бұрын
@kevinjubbalmd I to say this although I am a practicing APRN with a DNP, I don't even use the term "doctor" with patients and colleagues - they just simply call me by my first name or as Mr. ..... I don't ever want to be called "doctor" because my training in no way is equivalent to the training that you and your MD/DO colleagues go through i.e. 4 years undergrad, 4 years MD/DO, and 4-7 years of residency and fellowship, when an NP has roughly 500- 700 hours of clinical training - a miniscule of what you folks go through. Even experience doesn't substitute. One doesn't know what he/she doesn't know. An excellent RN develops his/her critical thinking from repetitive pattern recognition for different disease states and acting upon it, which takes years to develop, but do not have an in-depth understanding of what is going on pathophysiology wise. I agree and support what you do!! Keep it up Dr. Jubbal!!!! I also want to say that I am a practicing nurse practitioner who has been diagnosed with IBD for some time.
@evano8312
Жыл бұрын
Everyone wants to be an (x) but no one wants to lift these heavy ass books
@ibrahim.hameed
Жыл бұрын
Thank you for continually speaking out about this, you’re one of the only real big media personalities who says it as it is
@asdfjklasdfjkl408
Жыл бұрын
As challenging as the first two years of medical school have been for me mentally, emotionally, financially, and physically, I am so thankful for the immense amount of KNOWLEDGE I have gained. I have learned so much in these past two years and there is still at minimum 5 more years of training to go before I will be an attending physician. I love your comment on "pattern recognition" and I think if more people recognized that, they would agree that physician does not equal midlevel provider.
@WillieFordham
5 ай бұрын
When I tell you, I went to go see a psych nurse practitioner and she said she would be offended if you called her a nurse because she has her DMP and I just stared and stared and stared. Did I mention I stared? 😂😂😂
@musicenthusiast19
Жыл бұрын
As always, we continue to love you, because of who you are, Dr. Jubbal! Can this be because pf underpopulation? I.e. there are a lot of demands on the healthcare system so there is more need for healthcare workers (and the system is crunched for time as well, so need to graduate midlevel practitioners since training takes shorter) essentially? Just curious, thanks! (Underpopulation= more older people, less younger people)
@emilyerin1094
Жыл бұрын
Second year PA student here… I chose PA school to avoid the toxic environment of physician training, knowing I wouldn’t get the depth of pathophys and the ability to treat more challenging cases that my physician colleagues would have. To me, that sacrifice was worth it, however, I have never thought of my future career path outside of direct physician supervision. My state has independent practice for NPs but not PAs. I am scared that the lines will become more blurred soon. I am on clinical rotations with medical students and know that while I have a decent foundation, my clinical knowledge as definite limits. As I begin to look for jobs soon, I am praying that I will have consistent, direct supervision. I have never met a mid level/APP who calls themselves doctor in a clinical setting or thinks of themselves as anywhere near equal to a physician (though I do live in a conservative state). The mindset of my PA colleagues is not what scares me, the improper use of mid levels by medical administration, along w/ the online NP degrees mills is what scares me. I appreciate that my curriculum has been rigorous, but it is not medical school or residency, and I’ve yet to meet someone who would claim them to be the same? It upsets me that there are many aprn programs out there watering down what it means to be a mid level, as well as organizations blurring the lines between me and the colleagues that I literally chose to take on the name “assistant” for.
@emilyerin1094
Жыл бұрын
What has been more discouraging though- has been hearing physicians downgrade mid levels in front of me. I am not sure it is the providers themselves that are to blame, but more so the people behind the scenes trying to make money off of us.
@joshuathompson1357
4 ай бұрын
Ok, i cant speak to NPs, as i have no idea. But im currently a PA student. Maybe the state of Utah is different tgan others, but your perspective here definitely has not been my experience in what PAs think. We do not want the name "associate" to get more autonomy. We want it because its ridiculous that MDs should be held accountable for the work PAs do when the MD isnt even present. We should be accountable to our own decisions. Here in the state of Utah we are can practice on our own, but only after 10,000 hours of experience, which equates to a residency. Please correct me if im wrong on that part. We are also under the umbrella of the American Medical Association and are generally well respected by MDs, at leadt here in Utah. We offload the more routine medical complications so the MDs can put their skill to the more complicated patient cases. We are designed for better patient care and better lives for MDs. And by law, we are required to tell patients our title. Its criminal to not do so. But i do love your point that we are not equal in terms of total experience, training, and knowledge. I very much agree. As a PA, I would definitely be sending my patients to MDs who need more advanced care. But roughly 90% of patient care is routine medical problems that are not advanced. Thats why we are needed so badly. Primary care. And meta analysis shows that the best patient outcome happens when MDs and PAs work together. Second place is MDs alone, and last place is obviously PAs alone.
@baylorwiggins9781
Жыл бұрын
Cannot wait to come read the comments later tonight
@Darknak
Жыл бұрын
Here's the real truth. NPs have gained a stranglehold over "mid-level "job markets in certain regions for a multitude of factors which include better market ability with their profession, being backed by the nurses union and therefore a stronger lobbying powers, suboptimal diploma mills spitting out thousands of NPs, an NP can start working immediately under their nursing license while Hospital credentialing/Privilages are processed. What is a sleeve PAs!? Suboptimal lobbying. The impression that we are less educated as our degree is a masters level and nurses are doctorate level. Despite our more rigorous training in the context of medical model didactic and clinical curriculum which emphasizes physician collaboration. Our physician colleagues have been proponents of the PA model and it is becoming more strained the more and more nurse practitioners are requesting continued regulation changes to increase their scope which then places PAs in the predicament to obtain their slice of the pie or be excluded every time nurse practitioners put forth a bill or expand current regulations.
@whazzas5023
Жыл бұрын
No prerequisites for medical school. That is laughable. What does a doctor of health science even do? What are the potential career options? Great potential video for MSI. For all potential students caveat emptor. Research diligently before taking out very real loans that you will have to pay back.
@BarelySaneGenius
Жыл бұрын
I have a masters of health sciences and I can tell you that I have NEVER used it. I am in medical school to get the real degree of MD. DHS I can only imagine as a longer masters degree but they will not be a physician
@brennengodeen3796
Жыл бұрын
When in practice, I will refer to myself as a “physician”. By law, it’s the only profession that can use this title. Everyone is a “doctor” these days. In fact while in undergrad, I found it inappropriate to call my course instructors “doctor” but instead used professor. I do see similar professional thought patterns between CRNA’s and anesthesiologists. We are all on the same team and we all have strengths and weaknesses. For example, as a DO student, I’d be the first to admit that I think nurses have a greater capacity to provide intimate/personal patient centered care. Physicians do not spend a fraction of the time in the room with the patients in comparison to nurses. They also learn about nursing theory during undergrad. They have their unique skill set and we have ours. Also, if the professional lines become even closer, I won’t be signing off or checking any of NP/PA’s work. If there are an equivalent, they will be treated as such.
@BarelySaneGenius
Жыл бұрын
And if they’re equivalent they need to pay the same amount of malpractice insurance. One can’t cherry pick the responsibility and have the same title. Only physicians are physicians
@dirtychai5245
Жыл бұрын
Would you also not consult on a case of an MD/DO colleague. In all 50 states APP’s are in fact able to be sued independently of their attending physician. So you’re right I also think APPs should pay the same malpractice…. If their wages get closer to that of physicians
@joshb2686
Жыл бұрын
Great video, thank you for speaking up against this craziness
@kevinjubbalmd
Жыл бұрын
Big shout out to Ronnie Coleman who has a few words to say on this topic around 2 min mark: kzitem.info/news/bejne/zqtrva6FhWpegm0
@abrenprestridge4214
2 ай бұрын
Yeah I went in for a physical exam and they had this person in that was a “Doctor” but was just a nurse practitioner getting a PHD
@abrenprestridge4214
2 ай бұрын
It’s not to say that NPs aren’t hard workers and smart- it’s just a different kinda thing
@Lobi10879
Жыл бұрын
If PAs want to call themselves doctors and some will in fact do so because it’s the same with some teachers, they want to be called Dr because they got a PhD, then we will need a complete overhaul and advertisement campaign to spread awareness that the word Dr only means you studied and got a PhD or equivalent. The title Dr has been confusing ever since physicians started using it as their career name. Anyone in research, teaching setting, or a work environment that requires a PhD have been calling themselves Drs for awhile now. Problem: Public sees title Dr as a Physician Solution: Come up with a simple introduction including Dr for both but differentiating their role.
@mustang8206
Жыл бұрын
Public sees doctor as someone who holds a doctorate degree. Only in a hospital do people equate doctor as physician. Even at the dentist, no one thinks their dentist is a physician just because they go by doctor
@norale9985
Жыл бұрын
Physician assistant here - I can’t tell you how many times I have corrected patients who call me Dr… Explain the differences over and over again, I always introduce myself with my first name and tell them I am a PA. My opinion is that PAs started to get into the doctoral education only because of doctoral creep… NP‘s , physical therapists, pharmacists, etc. it was an attempt to level the playing field, especially in leader ship roles. All the above have doctoral degrees as their terminal degree. I taught for several years, and our masters prepared PAs had more clinical and didactic hours than the NP‘s physical therapists and pharmacists who were awarded doctoral degrees. Some of the thought was that our students were doing more work and putting in more time, but earning a lesser degree, so perhaps they should also be getting a doctoral degree. I am not aware of any physician assistant who use the title doctor in their clinical practice, rather it is reserved for academia or research titles, etc.. there are some doctoral programs that are clinically-based - but the majority of them are business, research, or leader ship based.- and it is the business, research or leadership roles that prefer doctoral degrees.
@hollyrogers8793
Жыл бұрын
If most PA programs are 2 years and a few months, I’m confused how they have more didactic and clinical hours than the other professions? DPT is usually 3.3 years for most programs with a whole year of cadaver dissection and over a year of full time clinical work. Pharmacists go to school for 4 years for their doctorates and have many clinical rotations prior to graduation. I’d be careful assuming these other programs are “easier” or “less intense” than PA. I think they are all pretty damn hard and we still had to go through process of publishing research and give dissertations to earn our doctorates. I think it’s a bit insulting to other professions.
@imab125
Жыл бұрын
@Cortney Zeiler We usually just refer to them as PA. Physician assistant is a mouthful. Using their actual names also work. But I totally get that it can sound awkward. It’s a matter of getting used to it
@thejube07
Жыл бұрын
@@hollyrogers8793 I don't think OP meant to insult, but could have worded it better. Most PA schools do not have semester breaks, unlike pharm/DPT/NP schools. Also, many NP schools have clinical rotations that are not full time, as often times NP school is designed for nurses who are still working full or at least part time. That does not mean the coursework for any school is easier than any other. Most of the information will compare PA and NP school, but that's what OP is referring to in terms of, on paper, they typically complete fewer hours and credits and are rewarded a doctorate instead of a masters.
@chickenlad1829
Жыл бұрын
Pharmacists are doctors of Pharmacy and specialize in a field that is different than DO/MD’s do we aren’t mid level providers and they focus on completely different tasks such as dispensing and compounding medications. I wouldn’t compare them. A pharmacist couldn’t replace a physician and a physician couldn’t replace a pharmacist.
@MHSMagicLuver
Жыл бұрын
@@thejube07yes. My masters PA program was either 120 or 140 credits for the 27 month program. I forget exactly but from what I read those credit hours are also more than most doctorate degrees.
@zanesaghaian
Жыл бұрын
PA here. I completely agree with the points in this video. Training is vastly different.
@pascival6468
5 ай бұрын
Thank you. I'm an RN and I was confused about where to go next. I think med school will be better
@smashonlamez
Жыл бұрын
As a DPT we are taught in school to never call ourselves doctors. Its crazy to me when i see PA, NPs, and chiros refer to themselves as Drs. and even more concerning when they are asked directlty if theyre a medical doctor and give a wishwashy answer that doesnt clarfiy anything to a patient
@felice98
Жыл бұрын
Truly intelligent people know their limitations..
@tuezmoi
11 ай бұрын
A DNP introducing themself as doctor is absolutely ridiculous. It's equally as bullshitty as someone getting a doctorate in business administration and introducing themself as doctor. So embarrassing.
@KarenLeggett-p9o
Жыл бұрын
Hey! I thought you did a GREAT job on your DO vs MD video. I thought it was 100% accurate. I'm a DO. I'm proud of being a DO. You wouldn't want me to do any osteopathic manipulation on you - since I can't even remember which way to turn the top of a ketchup bottle to open it... but I'm a great geriatrician! It's not the most glamorous doctor field - but it's rewarding and fun for me! As for this video - again - love it. I love working with NPs because it takes a lot of work off me. But ONLY with NPs who want to continuously learn. The biggest problem I have found is exactly what you said. NPs only know what they know. And there is quite a lot that they don't know. In addition, they do not even know how much they don't know. I'm still constantly learning, and I've been a geriatrician for 20plus years. Look what is going on with new medications and diagnostics for Alzheimer's Disease right now! That leads me to the ONE thing you didn't mention in the video that is super important! NPs do NOT have to do any CME! Not a single hour! Well, at least in Florida that is. I believe DOs and MDs have the same CME requirements. About 40 CME hour requirements in the state of Florida every 2 years and an additional 120 hours of CME every 3 years for my board certifications for the AOA! ha ha! This is the way it SHOULD be! One of the NP's I work with told me the truth - to become an independent practitioner - all she had to do was pay the state 250 dollars. And she has NO CME requirements - ever! Scary and bothersome.
@MHSMagicLuver
Жыл бұрын
I’m a PA. I didn’t know NPs didn’t have to do CME. I know they don’t need to take another board exam to recertify. That’s a difference between them and us as well. We have to retake our board exam (PANRE) every 10 years. Every 2 years, we have to have 100 hours of CME to renew our licenses. The same hours can be used for our state and national licenses though so we don’t need to do 200 hours to keep them both up.
@pandawandafloop
Жыл бұрын
I always thought that the PA profession was made to help out physicians by having people able to take in less complex cases (i.e., common cases), and the rest are left to the physicians. But even then, PAs still have to collaborate with the physicians. I'm pursuing PA school, and I don't expect to have the same scope of practice as physicians once I'm a PA. I don't know why any mid-level providers would even claim to be doctors. It would mislead patients, and so potentially harming them. Patients always have to be informed who is in their care team to avoid confusion.
@MHSMagicLuver
Жыл бұрын
I wish. I started my first job as a PA in family medicine and I was seeing patients just as complex as the physicians and even more complex sometimes. I barely had any on the job training and started seeing 14 patients of my own after shadowing a NP for 2 days. I wish I could have had the easier patients and let the physicians have the harder ones. I would have felt way more comfortable and I might have stayed at that job. I left after 22 months because I was afraid some of the people I wouldn’t know exactly what to do and may hurt someone. So I moved states (my husband got a job in a different state) and now I am looking for a job and I’m making sure it has good training. Is when you’re looking for a job please ask those questions.
@inyeneekrikpo7922
Жыл бұрын
lets be real, its 2023
@musicenthusiast19
Жыл бұрын
Hahhaa best sentence ever
@brettclinton971
4 ай бұрын
AMEN BROTHER PREACH IT. DNP to Premed here. Just sat for MCAT and submitted my primary. You don't know what you don't know. This video speaks to my soul and this needs to be broadcasted to every citizen of the US.
@goldtree4219
Жыл бұрын
Former army medic, currently premed. I worked at a for-profit urgent care where the PA (also owner) forced the medical staff to inform the patients they will be seen by a “provider” - I was fired within a few days of being hired because I didn’t follow along. Pts actually believed they were being seen by a doctor. The new NP there was a CNA 3 years ago and swabbed people for everything under the sun. Oh, and can’t forget a chest X-ray just in case. I’m curious to see where this will all lead to in the coming years.
@HoangTran-eu7eu
Жыл бұрын
Giving a X-ray without clinical indication exposes the patient to unnecessary radiation SMH
@I-must-scream
Жыл бұрын
YIKES
@MossyMozart
Жыл бұрын
@@HoangTran-eu7eu - And COST to the medical system.
@jaligawesa
7 ай бұрын
😮
@ryanthesrn
Ай бұрын
Im very proud to be a nurse but if I earned my DNP and if I did introduce myself as a doctor (unlikely) I would say " Hi im Dr. Ryan, doctor of nursing" My state allows this along as I clarify that I am not a physician. But in reality I would introduce my self as a nurse practitioner, I have to much respect for the doctors I work with.
@kphu1075
Жыл бұрын
At the end of the day, it’s all about patient safety and accountability. If you make a mistake and harm a patient as an NP or PA, you are held to a lower standard in malpractice proceedings than physicians are. As long as that is true, NPs and PAs should not have the same responsibilities as physicians do.
@dirtychai5245
Жыл бұрын
That is not true. PAs and NPs in all 50 states can be sued independently on their supervising physician and under just as much scrutiny.
@elverdad6805
Жыл бұрын
Yes! Thank you! When I was trying to start my own Home Care nursing business, I was getting the run-around as I contacted various nursing resources for accurate information on regulations. This was partly because when I took the course to get my certification for the specialization, the nursing instructor began with, "This is what you say on the test because that's regulation, and this is what you do in real life...". Actually, her first statement was "You will all pass". She was right, all the nurses in the class passed and went out into their various communities NOT practicing regulation and thereby putting their patients at risk. Anyways, one of the nursing organizations finally offered to give my number to a private nurse. To their credit, he finally told me straight. The only reason those organizations existed was to collect money (in the form of registration fees) to pay for extremely inadequate malpractice insurance. I finally left nursing a couple years later. But I still have the debt to show for it.
@OP-gt3rh
Жыл бұрын
@@elverdad6805 good for you for leaving nursing… my goal is to leave it too.
@elverdad6805
Жыл бұрын
@@OP-gt3rh I would really encourage you to be strategic about leaving. I kept trying to make nursing pay for itself while trying to avoid the bullying, but ultimately I ended up leaving suddenly, without much of a plan, and it took the better part of a decade below the poverty line to overcome the debt. I had gone into home care to work alone and avoid most of the bullying (my nurse managers still scammed me, but that's another story). I started my own small nursing home care business which was growing. However I had nearly maxed out my credit card to get things started. So when my car suddenly went belly-up, so did my business. My only option was to return to the larger facilities where bullying is at its worst, so I took a full-time job at a plant, and a part-time cleaning job to pay the bills. This is not how I would recommend leaving nursing, but it's how I made my transition. Today, I'm working a part-time job at minimum wage while trying to study full-time, still living at or below the poverty level, but at least I'm finally getting an education. So, please try to be as strategic as possible about leaving nursing - unless your debt is already paid off. I sincerely wish you the best of luck! :)
@neilpatel9765
Жыл бұрын
Though I agree with majority of what you are saying. The issue of being called a doctor in a clincal setting is primarly on the nursing side. DMSc is very very new and intended for admin and educational rolls NOT in the clincal setting to enhance your scope. DMSc is the result of DNPs and lobbying to compete with the midlevel market. Majority of PAs do not have a issue of calling themselfs doctor or thinking they are higher trained than a physcian.
@dorianjasper892
2 ай бұрын
I will always see this as an issue of ego. If you've earned a doctorate, you have the right to use the title. That being said, you're correct that the training varies. However, the number of hours can be debated. Your analogy was insightful. I believe an Advanced Practice Provider (APP) is only as effective as the physicians they work with, much like nursing assistants are to nurses. I understand your concern about potentially misleading patients, but whose responsibility is that? Ultimately, "Doctor" is just a title and not exclusive to physicians. Even if that's not your point, one could argue that MDs and DOs contribute to patient confusion by advocating treatments outside their specialties, which I witness often, both professionally and personally. If you call yourself "doctor," it's your responsibility to specify your field, or it's the patient's responsibility to ask-it's called due diligence for a reason. Patients do it all the time when selecting surgeons or avoiding pain medication they're allergic to, except for Dilaudid.
@npc9207
11 ай бұрын
Can we also say that doctors from countries with less training required will also be less knowledgeable than from countries with more training
@Aaron-ej9ql
8 ай бұрын
If all mid-levels just quit because of that trash talk about them then the system would collapse. MDs/DOs would quickly get overwhelmed and burned out and quit. "Just go to medical school" is the dumbest comment when there is an artificial bottleneck created to purposely keep numbers low. There arent enough funded residencies as it is for the amount of graduating medical school classes. So graduates never match with a residency and never get to practice. We could pour tons of money into creating more and opening more medical schools. But then the market wouldnt be as competitive for doctors and wages would drop. Doctors telling to just go to medical school would start changing their tune once their hiring salaries are dropping by 50% because there isnt an artifically created monopoly on the profession and available positions. And no, people dont get terminal degrees just to try lurposely blurring the lines as to what a doctor is. What a nefarious accusation. People just want a terminal devree in their field. I know many that have them and have not once ever called themselves a "doctor." This overgeneralized villainized prejudice rhetoric has to stop.
@jt3013
Жыл бұрын
PA here. In my training we are taught to remind patients that we are not physicians and to correct patients if they call us Dr. Calling yourself doctor in a clinical setting without being a physician is technically illegal. I def agree in physician led team care, and there should be well designed/thought out mid level to physician bridge programs to ease this seemingly ceaseless competition between them and provide a more straightforward path to doctor-hood for mid levels.
@colleenly8966
10 ай бұрын
I'm a PA wrapping up my DMSc. My program specifically emphasized that we are NOT to introduce ourselves as "Doctor ____" in the a clinical setting because the courses are NOT clinical base. They are to gain more experience if we decide to pursue a more administrative role. We are allowed to introduce ourselves as so if we are presenting or speaking in an educational setting or whatever. Are some APPs actually introducing themselves as Dr at clinic/hospitals???? Im so confused. However, I do wish they changed the name of degree to be less confusing to employers who read my resume.
@saranshsoni171
Жыл бұрын
🍿
@ryankelly8077
Жыл бұрын
I’ve been point out this problem in healthcare for YEARS now…
@malcolmgraves2428
Жыл бұрын
Based MCAT merchant. Jokes aside- appreciate you using your platform for this.
@erichermann1226
6 ай бұрын
Experience does not replace training, and training does not replace experience.
@TheRenaissanceAmazon
3 ай бұрын
Wow! Thanks for this video.
@456myer
Жыл бұрын
Drs are the literal EXPERTS in their specialty. There is nobody who knows more about their specialties aside from God. I’m not comparing them to God by any means but the expectations of doctors (MD or DO) are seriously way beyond what the average citizen is willing to or capable of being responsible for. As an RN who’s worked with true drs and mid levels, mid levels are like your parents who you trust…. To an extent. But the dr is the grandpa that has sprinkled enough golden nuggets of info into you through the years to know when to question your parents orders and go tell your grandma/grandpa what mom and dad are trying to get you to do.
@jacobthiessen7027
Жыл бұрын
I was an ICU nurse for 5 yrs before I started med school last year. I have never understood why a healthcare provider would want to claim more knowledge and experience than they have. It just makes you look worse when you flounder. The funny thing is, a lot of mid-levels DO own up that they don't have the same expertise as a physician. For example, I worked on a Neuro ICU and we had an NP and PA that helped manage the neurosurgery patients with the team. We had a pt who needed a bronchoscopy and the intensivist immediately looked for the mid-levels to give them a chance to do the bronch. They were both cagey about doing it, but eventually the NP came. She had to be walked through it and had some major bedside confidence issues, but she did it. How would you feel if you had only done a bronchoscopy twice and that was 5yrs ago! The SAME! Of course she didn't have parity with the intensivist.her entire graduate program was the same amount of time as his FELLOWSHIP ALONE! Mid-levels absolutely have a place at the table in healthcare, they are awesome to work with and help fill a critical need. But they don't have the training or experience to be a "doctor"
@vincentalakija5515
4 ай бұрын
How's med school going for you?
@MHSMagicLuver
Жыл бұрын
I’m a PA so I’ll put in my thoughts on this. So yeah, we are not a fan of the name mid level providers. I personally (and I feel the majority) like the name advanced practice providers better if you’re going to lump us with NPs. Although we would rather just be called PAs because most PAs (like me) are very proud of our career. Most of us do not equate ourselves to physicians and do not think we are physicians. PA school interviews actually try to weed out those that are either using PA as a backup plan or do not really want to be a PA (or May want to go to med school later but in that.. why go to PA school. Literally a waste of time and money). I became a PA because I wanted to be a PA. I did not want to be a physician (well I did my first semester in college but that’s because I had never heard of PAs). After I heard of PAs, that’s what I wanted to do. I do want to work collaboratively. I was in family medicine as my first job where I had a lot of autonomy. I saw all of my own patients. I actually was unhappy with that. I had basically no on the job training. They had me shadow a NP for 2 days and then they had me seeing 14 patients of my own the next day.. I was not happy with that because I wanted more supervision and help especially as my first job. That’s why for my next job, I’m making sure I have good training (and not in family medicine). My top is going to be general surgery or hospital medicine. These are because in these fields I feel like there is a lot more teamwork and hopefully I’ll learn a lot. I’ll say about the “doctor” most PAs who get their doctorate are not doing it to be called doctor in clinical setting. Most of it’s for educational purposes in PA programs. My program director had her doctorate. We called her Dr. In our program but she always said that anytime we are in a clinical setting, do not call her doctor. And that’s what I believe too. Only MDs and DOs should be called doctor in the clinical setting. I honestly feel like it’s more the NPs that go into their doctorate to be called doctor in clinic settings (I feel that alot more NPs also get their doctorate - and it seems straight from their BSN to their doctorate instead of their masters first where for PAs you get your masters first and then you can do additional schooling for your doctorate if you want). I’m not saying that’s all NPs either as some NPs do have the same stance as me with only calling doctors “doctor” in clinic. When I’m in office, I always introduce myself as “hi I’m Lisa, the PA”.
@johnlemma401
11 ай бұрын
This is a comment section, not a journal
@TheeSecondSon
8 ай бұрын
exactly why I’m considering going to CRNA school rather than med school to specialize in anesthesiology. I’ve known a couple of CRNAs to make well over 300-400k a year or $ 200-300 dollars an hour easily; which is more than your average family medicine doc makes and about the same as other physicians make being beat out only by the competitive specialties like Neuro, Cardio, Derm & Plastics. Honestly at this point, a part of me feels I would only pursue being a physician for the title and prestige…and I doubt that’d be sustainable in the long run.
@Rinsuki
8 ай бұрын
That makes me sad because I do feel that providers should get paid more and during their training. It shouldn't be about mid levels vs provider. We should be on the same team to treat the patient.
@neilpatel9765
Жыл бұрын
The comparison of PAs and NPs are night and day education wise also......
@burky5913
Жыл бұрын
Thank you, Dr Jubbal! I just matched into residency and I'm glad someone is finally talking about this. NPs and PAs intentionally misleading patients with title inflation is a patient safety and informed consent issue!
@waliahwyatt2659
Жыл бұрын
I love this! Ha ha ha!
@waliahwyatt2659
Жыл бұрын
Lies lies and more lies
@hmb6188
Жыл бұрын
@@TheToxicMegacolon bro's mad lolll. He's talking generally, just like Kevin Jubbal is, by commenting on the matter. He didn't say "I know so many NPs and PAs intentionally misleading patients", he was simply commenting on the matter. I assume your are a PA or NP and that hurt you for some reason. Focus on doing actual and useful training first.
@alenpete8480
3 ай бұрын
Based on my expertise in pattern recognition, I have to respectfully disagree. While the ability of nurses and PA's to recognize patients' (common) problems is a way of pattern recognition, so is MD's diagnosis of complex cases. The difference is that you have learnt in med school and in your residency more background knowledge, that, hopefully, if you remember, can help you know _where to find_ an explanation for a patient's situation. In reality, how many patients are in those "complex scenario"? Just like less experienced MDs, if they are allowed to practice separately, those DMSc doctors should simply recognize their limitations and refer those complex cases to more knowledgeable doctors. This is a solution to the lack of physicians, but rejecting it simply because of the 1% of cases that those "fake doctors" cannot handle? That's not reasonable to me...
@AymanAlmshaqbh
Ай бұрын
Two problems: 1- 10% of Americans have a rare disease, so sure you might not encounter a specific rare disease in a lifetime but there's so many rare diseases that you will encounter one of them everyday or so, you just won't be able to recognize it, and that's without even including complex cases because complex isn't the same as rare, unlike what you've said, and even now specialists have to rewrite many orders and fix many mistakes done by general doctors because they don't know enough about some cases even if its a simple one as a specialist will know the exact treatment while a general doctor will make a mistake here and there, if you include someone even less knowledgeable and less trained than a general doctor you're just gonna amplify the problem many times. 2- PA and NP aren't safe careers, you've said it yourself, your job is pattern recognition, and who's better at that than AI, I know that eventually most doctors will be replaced as well, but PAs and NPs will be replaced first because their job is simpler, I'd encourage you to use chatGPT to try to solve a simple case, even by now it has faster, easier and more accurate differential diagnoses and treatment than most doctors, all you need is someone to do the history and physical exam, so a nurse is more than enough. if chatgpt fails THEN its can be referred to a doctor. doesn't that sound exactly like the current job of PA or a NP?
@oo-ru5lt
23 сағат бұрын
Midlevels 😂😂😂
@MsNupagadi
6 ай бұрын
SO TRUE!
@cillian_scott
Жыл бұрын
🍿
@chickenlad1829
Жыл бұрын
Honestly the real issue is there aren’t enough MD/DO’s to keep up with amount of demand. If we had more residencies and more seats in schools to support the ever increasing demand. I believe mid levels was a short term fix to a long term problem.
@i2929i5794
Жыл бұрын
Are there medical schools for nurses and physician assistants to be become physicians?
@mikeL347
Жыл бұрын
Lecom has a bridge pathway
@nesttrys6954
Жыл бұрын
I couldn’t agree more. You have articulated my thoughts much better than I have. I am currently an NP working in the ED. Have been doing it for seven years. I just enrolled in school to finish requirements to take MCAT and get into medical school for all of the reasons you have stated. It is actually scary some of the “new” grad NP coming out. You are correct. They don’t know what they don’t know. I am also not putting my self on a higher step but I am actively trying to change my discontent.
@seanchang1741
Жыл бұрын
Totally agree, I said that many time, if you want to be called as a Doctor, then go to medical schools
@kidus_1010
Жыл бұрын
That’s an overreach of the point he was making. Being called a doctor is valid as long as you hold a doctorate degree like a PhD. Dentists, Pharmacists, Physical Therapists, and Psychologists also go by doctor and so do some lawyers. The difference between the things I’ve listed here and PAs and NPs is that PAs and NPs do a similar job to an MD/DO and work exclusively alongside Physicians so it’s easy to cause confusion and for inappropriate scope creep to occur.
@seanchang1741
Жыл бұрын
@@environmentalnews6040 In the hospital the only one that called himself/herself the doctor is the physician. When someone said, "is there a doctor in the house?" do you see someone with PhD degree standing up and saying "I am a doctor". Yes, the PhD is a doctor but that is only in the classroom not in the hospital. We are talking about the healthcare environment
@johngrey1074
Жыл бұрын
Mid-level scope creep is a symptom, not an underlying issue. The core problem is a shortage of medical care in the United States. If you're worried about PAs and NPs having expanded privileges, then you should advocate for a massive increase in residency spots - more residency spots, more physicians to fill the shortage. If a patient has to wait months to schedule an appointment with a doctor, I can see why he or she would rather see an independently practicing NP.
@anitaremizova8118
Жыл бұрын
They don’t want to see the midlevel. They get forced to because of lack of physician availability. Everyone would rather see the doctor let’s be honest
@disciplesensei
9 ай бұрын
It's also important to understand that there are so many titles in healthcare. Patients mostly only know "doctor" and "nurse". They don't know anything else unless they're versed in healthcare. Look at Optometrists for example. They are not physicians either yet patients usually call them "doctor". It's silly that only physicians can be called a doctor. BUT I do agree that if used out of context then it can be misleading. I feel like NPs who have a doctorate should clarify in the clinical setting if they want to be referred to as "doctor". "I'm Dr. XYZ, the Nurse Practitioner." So at least patients can also learn that there are other provider types as well.
@JohnSmith-r7p
Жыл бұрын
As a PA student, the term “assistant” doesn’t do the profession justice. Especially when you have PA’s in the ER placing central lines, chest tubes, intubating patients, etc.. or those in private practice seeing just as many patients as their supervising physician. The profession is constantly confused with medical assistants. So a name change is justified, however, a different name would have been better. Furthermore, the doctorates for PA’s really only helps them in moving into higher administrative roles in academia. It will not change anything in the clinic. Last but not least, I am fully cognizant of the fact that physicians have more extensive training. If they offered PA’s a minimum 3 year + residency across various specialties the gap in knowledge would be nearly indistinguishable. Regardless, that will likely never be approved for PA’s, so it is what it is.
@kevinjubbalmd
Жыл бұрын
doctorate for PA in administrative roles is an attempt to blur the line
@alteclansing2638
Жыл бұрын
PA to doctors are like engineering techs to engineers. Engineering school is at different level than Technology school.
@johnhale5271
7 ай бұрын
As a doctor who practiced over 40 years in hospital ORs, ERs, in patient, out patient and private office settings I watched the transition to share patient care with NPs and PAs. As a result of my personal observations I would prefer to be evaluated by a MD for a physical or any issues.
@melhopkins1743
Жыл бұрын
I think most NPs and PAs are aware of this and don’t try to mislead patients and I think it’s adding to the unnecessary drama to say this… there are very few people arguing that the education is equivalent, I don’t know a single NP who has claimed they are the same as an MD?? however I think they should introduce themselves as an NP with a doctorate degree and it’s our job to educate the public on our education. It’s not fair that other professions like a PhD can call themselves doctor and other people with doctorate degrees can’t, we just have to educate the public on what it means for us vs an MD. Also I’d rather see an NP with 10 years of experience in their specialty than a MD who is a 3rd year resident… it’s not just about schooling, in this case the NP would most likely be more knowledgeable. Also NPs aren’t getting a DNP “to call themselves doctor” that was a bit of a misleading statement. Most Np schools are moving toward doctorate degrees only so there isn’t even a choice to get a masters.
@psychiatricallyinclined
Жыл бұрын
👌
@hadi_177re
Жыл бұрын
I don’t understand it. You wanna be a doctor and you think you can be a doctor then go to medical school. That’s the bottom line. No need to take shorter or easier path then call yourself a doctor . The title ( doctor ) is that much important to you and you think you can earn it then go to medical school.
@michellerowe-smith5803
4 ай бұрын
PA’s have a scope. Medicine is a collaborative effort. The issue is some people do not want to practice within their scope. After being a PA for 21 years I work very closely with my attending and discuss patients so that I can have the best patient outcomes.
@drewratliff5680
Жыл бұрын
All the experience in the world will never make up for NPs/PAs not having the depth of understanding of physiology, pathophysiology, pharmacology, etc. that MDs/DOs have. Whenever you have a complex patient with multiple conditions on numerous medications midlevels simply do not have the breadth of knowledge to understand the interactions on the same level a physician does... no point in pretending the care they provide is on the level as a doctor.
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