Physician Hostility - page 10

Why are so many physicians threatened and hostile toward NPs? What are the strategies in dealing with these types of professionals,and in what ways can we make it easier to practice together?... Read More

  1. Visit  zenman profile page
    0
    Posted by tjjs: In our nursing class, not NP but RN, we had a man who was a DR, who taught A&P, Patho, etc at the university who wanted to be an RN.
    Reminds me of Wilfried Rappenecker, a German M.D. who now primarily practices Zen Shiatsu which we all know is preferred over allopathic medicine and nursing!
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  3. Visit  PA-C in Texas profile page
    0
    Quote from zenman
    Reminds me of Wilfried Rappenecker, a German M.D. who now primarily practices Zen Shiatsu which we all know is preferred over allopathic medicine and nursing!

    Hi all. I came over here to this board because I wanted to try and foster a better image of PA's and medicine in general with some of the nurses. I honestly never knew that there was this much hostility between nursing and medicine before I attended a state NP meeting and heard all of the vitriolic garbage about the conflict between the two groups. It seems that this also goes on in medical circles judging from some of the posts in this forum from other boards. Honestly, it had never occurred to me that there was so much conflict because I have NEVER experienced it in my years of school or practice.

    I never denigrate the education of NP's because I believe they have an important role in health care. However, I often hear PA education referred to in a way that conjures up images of driving up to DeVry Institute and having them throw a diploma in the back end of your pick-up truck. That is neither fair nor accurate. In Texas, the length of PA curriculum exceeds that of NP students by an average of three months. In addition, the average amount of clinical time exceeds that of Texas NP programs sometimes as much as four-fold. This is not to say that NP's have lesser education. They are almost all RN's before they attend a master's degree program, and so the longer PA program is used to compensate for that even though almost all persons accepted into PA programs are either paramedics, respiratory therapists, nurses, or something related.

    I do not have the knowledge base of a physician and neither do any NP's that I have ever known. Does that make our skills less valuable? No, but I am not so bold to believe that I can ever replace the physician as the ultimate authority in medicine. I feel I could practice independently (I pretty much do anyway) and do just fine, but I am not so eager to abandon the physician/mid-level relationship as some of you are. Many of you speak of physician hostility, but I am curious whether MSN programs foment this hostility on the nursing side. If you look at an M.D. or D.O. as someone who is holding you back, it is easy to create tension and anger, but if you look at them as a resource who probably is more informed than you are, and treat them with the respect that you wish to receive, productive relationships can evolve.

    I chose medicine because I believe in the medical model. Some of that is probably a function of working in emergency medicine before becoming a PA. Feeling someone's pain really does not help them when they are in asystole due to hyperkalemia and you are trying to set up an emergency hemodialysis, but patient education is something that physicians don't usually do very well.

    For all of you who claim physicians are holding you back or are rude, etc., remember that when they look at you, they see someone who wants to play the same game but not do the time, and the situation is never going to improve if the 'holier than thou' attitude continues on both sides. I will diagnose and treat pneumonia just the same as the rest of you, but for some reason, we choose to focus on distinctions rather than commonalities.
  4. Visit  zenman profile page
    0
    Aloha PA-C. Your comments, while valid, do not go with my quote. I was making the point that both you guys(NPs and PAs) are not the only game in town! I'm not a doctor nor a NP/PA and I have no idea why there is so much hostility among the groups. As I've said before (in jest) "I'm not racist, I hate everybody!" The medical model is another story alltogether...well our entire healthcare system...and one that really needs reworking. I'm now more interested in Eastern modalities and their focus; the Western model is just too boring for me after 30+ years. Of course, I've had the scapel applied to me several times and that is why I think both systems need to work together. If I need cutting on I prefer the Western model; for keeping myself in shape and avoiding the need for the Western model or for chronic conditions I prefer the Eastern model. Maybe now would be a good time for you NPs and PAs to discuss how you are similar and how you look at a patient. Then when you are stumped or your patient does not get better...just call me...Dr. (Hon) Feelgood!
  5. Visit  PA-C in Texas profile page
    0
    Quote from zenman
    Aloha PA-C. Your comments, while valid, do not go with my quote. I was making the point that both you guys(NPs and PAs) are not the only game in town! I'm not a doctor nor a NP/PA and I have no idea why there is so much hostility among the groups. As I've said before (in jest) "I'm not racist, I hate everybody!" The medical model is another story alltogether...well our entire healthcare system...and one that really needs reworking. I'm now more interested in Eastern modalities and their focus; the Western model is just too boring for me after 30+ years. Of course, I've had the scapel applied to me several times and that is why I think both systems need to work together. If I need cutting on I prefer the Western model; for keeping myself in shape and avoiding the need for the Western model or for chronic conditions I prefer the Eastern model. Maybe now would be a good time for you NPs and PAs to discuss how you are similar and how you look at a patient. Then when you are stumped or your patient does not get better...just call me...Dr. (Hon) Feelgood!
    Sorry. You are right. I just hit that little reply button in the bottom right hand corner and it quotes the last post.


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