Why is the US healthcare system so full of "mini-doctors"? - page 3
Hello. My name's Luis Angel, and I'm a clinical laboratory technician student here in Mexico. My question is: why is the US healthcare system full of "mini-doctors"? like nurse practitioners,... Read More
Jul 5, '13Quote from Lvdovicvs.AngelvsI'm calling this from the "student doctor" website. It reads straight out of their playbook with screeds against midlevel practitioners.Don't worry. I know that what I do and what I know could be learned and done by any fool. It doesn't take a special person to be a clinical lab tech.
I won't go to MD school because I'm not interested. Most of my classmates want to apply for medical school, but I don't. You can dismiss my question as trolling. It's not a big deal.
Now, I would like you to think about this: Would you be OK with CNAs applying IM medication?
GreetingsLast edit by Esme12 on Jul 5, '13 : Reason: TOS
Jul 5, '13Before starting school, when my heart was in obstetrics, I did some massive soul searching. I've been a stay at home parent for years, so my salary isn't missed (although will be nice when it arrives because we're broke!), and I have the time to go through the right program for me. I decided I like the nursing model better. Sure the salary of an obstetrician would be nice, but that's not the point of what I'm doing. I am happy to make half as much money after being trained to perform care that is within the nursing model. And I am far from being lazy.
I was lucky enough to have the choice be entirely in my own hands. Others have to consider the financial aspect, the length of time in school (not for laziness's sake, but for the sake of having an income), location of viable programs.... There are so many different reasons why we choose the route we do, and absolutely NONE of those reasons is based on laziness. Simply getting into nursing school requires a level of drive and ambition that is simply unparalleled by anything I've encountered. When you're finished your first step, whether it be LPN, ADN-RN or BSN-RN, you take a job where you are underpaid and undervalued by many (if not most?). A very large number of programs require the clinical experience of an RN for 1-2 years before you can get into their graduate schools. If you're fortunate enough to be able to do a graduate program, you're looking at 2 years full time, more if you go part time, and then many employers want you to have a lengthy preceptorship-esque period with them before you are able to practice without their continuous, active supervision. No, the length of time in programs isn't as long as the length of time in medical school. And the scope of practice is different. Many states require direct supervision or a contractual collaboration with a physician for practice.
I can't speak to PAs because I know next to nothing about their programs and requirements, but I do know an NP generally becomes an NP because they want to be an NP.
On another note, I think perhaps the physicians on ambulances might have come from the French model. If I recall correctly (and I might not), the French utilize nurses and physicians in their EMS system so that they can treat at home when possible and lower hospitalizations. It lowers costs, ultimately, and gives an opportunity for more specialized care at home, or the site of injury. I am actually a fan of this, but I don't know that our current health care model and approach would really have the ability to support this financially.
Jul 5, '13Even if the OP wasn't posing a serious question, I still find the meta discussion concerning the differences in practice in other areas interesting. Surely we can carry on without him, as he has had his original question addressed and perhaps has nothing else to add.
Jul 5, '13MODERATOR NOTE: This thread has been heavily edited.
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