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Curious...using the title "Doctor" for a DNP...



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  #31  
Old Apr 19, 2008, 04:56 AM
Registered User
Join Date: Feb 2007
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by elkpark View Post
The idea has been floating around "out there" for a while -- I've heard of it before now. Some pharmacists are pushing for Rx authority for pharmacists. The UK is already piloting a program, but I don't know any of the details. I did a quick Google search just now, and here are a few links:

http://blogs.wsj.com/health/2008/04/...x/?mod=WSJBlog

http://www.ajhp.org/cgi/content/abstract/40/8/1343

http://www.rxpalace.com/laws.htm
Pharmacists already have limited Rx authority.

If you bring in a prescription, for let's say, Ambien to a Walmart Pharmacy, and the original prescription calls for 30 pills and Walmart only has 15....the Pharmacist can WRITE you a prescription for the other 15 so you can take them to Walgreens, etc. and get them filled.

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  #32  
Old Apr 19, 2008, 06:22 AM
elkpark's Avatar
Moderator
Join Date: Oct 2003
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by Hopefull2009 View Post
Pharmacists already have limited Rx authority.

If you bring in a prescription, for let's say, Ambien to a Walmart Pharmacy, and the original prescription calls for 30 pills and Walmart only has 15....the Pharmacist can WRITE you a prescription for the other 15 so you can take them to Walgreens, etc. and get them filled.
Yes, but that's just manipulating how the original Rx that was written by the physician/NP/PA is dispensed. The pharmacist is only "writing" the Rx in the sense of moving the pen across the paper. That's very different from you walking into Wal-Mart, discussing with the pharmacist that you've been having a lot of trouble sleeping lately, and the Wal-Mart pharmacist deciding that it would be safe and appropriate for you to take Ambien and prescribing it for you ...

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  #33  
Old Apr 19, 2008, 09:40 AM
llg
Senior Member
Join Date: Sep 2002
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by Hopefull2009 View Post
Her title, however, is correct.

You know that horrible "Dr. Laura"???? One would think she is a Psychologist...she has her PhD in nutrition NOT Psychology.

Now THAT is misleading.
I totally agree. Professionals have an obligation to communicate clearly in matters related to their credentials. It all comes down to being clear and complete in that communication with each an every relationship.

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  #34  
Old Apr 19, 2008, 11:08 AM
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Join Date: Feb 2007
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by elkpark View Post
Yes, but that's just manipulating how the original Rx that was written by the physician/NP/PA is dispensed. The pharmacist is only "writing" the Rx in the sense of moving the pen across the paper. That's very different from you walking into Wal-Mart, discussing with the pharmacist that you've been having a lot of trouble sleeping lately, and the Wal-Mart pharmacist deciding that it would be safe and appropriate for you to take Ambien and prescribing it for you ...
THAT is NEVER going to happen.

Can you imagine the liability?

They will revoke/suspend the license of a Physician who consistently writes prescriptions on patients with no record/history of any type of physican exam....so why in the world would the USA allow this same practice for Pharmacists?

Pharmacists are simply not taught the same things as a physician or even a nurse practioner.

Healthcare providers find the disease/ condition and find the drugs or drug combination to treat it

The Pharmacist is ONLY concerned with how that medication will adversely affect the body, if the dosage is consistent with the medication, and how that same medication acts with other drugs/supplements/OTC's.

Notice when a physician writes you a prescription...he doesn't even write down what it's for? You know why? Because it's the job of the physician and not the pharmacist, to make that decision.

Unless a Pharmacist really wants to tick a doctor off, have you ever had a pharmacist say, "Why did he write you a prescription for ____ when ____is so much more effective?"

Because:

1. He isn't qualified to make that decision...he hasn't done a physical/health history/labwork on the patient.

2. His only job is to make sure that the medication falls in the above criteria.

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  #35  
Old Apr 19, 2008, 11:23 AM
mercyteapot's Avatar
I Like Pie&VDO
Join Date: Sep 2003
Re: Curious...using the title "Doctor" for a DNP...

Patients get confused anyway. How many of them automatically jump to the conclusion that every male is a doctor and every female a nurse? More than most of us would like, I bet.

If proper introductions are done and the DNP practices within the scope of their own specialty, why shouldn't they be able to use the title they've earned?

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  #36  
Old Apr 19, 2008, 11:42 AM
elkpark's Avatar
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Join Date: Oct 2003
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by Hopefull2009 View Post
THAT is NEVER going to happen.

Can you imagine the liability?
There are plenty of people who said that about advanced practice nurses getting Rx authority.

There is at least one state (I forget which one at the moment, and I'm happy to be corrected if I'm wrong) that has given psychologists Rx authority.

"Never say 'never' ..."

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  #37  
Old Apr 19, 2008, 08:13 PM
pinoyNP's Avatar
pinoyNP (Male)
RN '91 ACNP '04
Join Date: Nov 2006
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by Hopefull2009 View Post
Her title, however, is correct.

You know that horrible "Dr. Laura"???? One would think she is a Psychologist...she has her PhD in nutrition NOT Psychology.

Now THAT is misleading.
I agree with you...she has all the right to call herself a Dr. and she actually clearly indicated her degree in the website. However, I also noticed that the home page of her website described her business as a "medical facility" when in fact, she is selling skin care products (non-prescrption) in a spa-like atmosphere. She also claimed she has "board certified medical professionals" staffing her clinic but refused to further list the names and credentials of these professionals she is referring to. I am not aware of California laws but I wonder whether the use of such terms in describing one's practice constitute a violation of the Public Health Code had her business been located in my state. Again, I am just wondering about it. I am not sure if what she is advertising is legal at all.

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  #38  
Old Apr 19, 2008, 08:25 PM
pinoyNP's Avatar
pinoyNP (Male)
RN '91 ACNP '04
Join Date: Nov 2006
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by elkpark View Post
The idea has been floating around "out there" for a while -- I've heard of it before now. Some pharmacists are pushing for Rx authority for pharmacists. The UK is already piloting a program, but I don't know any of the details. I did a quick Google search just now, and here are a few links:

http://blogs.wsj.com/health/2008/04/...x/?mod=WSJBlog

http://www.ajhp.org/cgi/content/abstract/40/8/1343

http://www.rxpalace.com/laws.htm

The issue with how turf wars get started between health profesions is in how we use terms interchangeably. In the first link (the WSJ article), the pharmacist is being touted as being able to practice some "primary care" tasks. That all depends on how one define primary care as there are multiple definitions of this concept. Different states as well as different professional organizations define the term in many different ways. The article to me does not indicate that pharmacists are actually advocating for fully practicing primary care in that they only participating in some aspects of the concept such as monitoring of medication regimen and instructions in diabetic management as the article stated. I actually thought the article is presenting a novel concept.

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  #39  
Old Apr 19, 2008, 08:47 PM
yellow finch's Avatar
ugh
Join Date: Apr 2006
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by jzzy88 View Post
I guess the public will have to be educated about the term "doctor". It shouldn't be too hard to grasp. Maybe the public will have to learn the term physician to distinguish the differences between the different types of providers. But if someone has a 4 year doctoral degree, they have the right to be called doctor. The public should have the right to see a physician if they want though.
I actually know people who think it's "offensive" or "ridiculous" for anybody who isn't a physician to be addressed as "Dr" even within their own setting (universities, business, etc). That's just wrong and disrespectful.

Just for the record, I admire the doctors in our hospital and in other clinical settings. They've completed rigorous education and training that many want but aren't able to complete for whatever reason. However, I also recognize those who have earned their doctorate degrees in other fields and address them as such in the appropriate settings.

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  #40  
Old Apr 19, 2008, 08:55 PM
yellow finch's Avatar
ugh
Join Date: Apr 2006
Re: Curious...using the title "Doctor" for a DNP...

Originally Posted by Hopefull2009 View Post
Her title, however, is correct.

You know that horrible "Dr. Laura"???? One would think she is a Psychologist...she has her PhD in nutrition NOT Psychology.

Now THAT is misleading.
There's a woman in Britain by the name of Gillian McKeith with a popular show "You Are What You Eat" who obtained her doctorate from an unaccredited school yet she calls herself Dr. You can see some of the debate over her use of this title at this website.

Personally, I like her nutrition concept. Her misleading use of Dr. is unfortunate. Would she be less popular if she dropped the prefix?

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