When did we become??? - page 4

The other day I was thinking (I know, I'm not susposed to do that outside of a clinical setting on my own), wondering when we became the personal property of the physician we worked for? Note that... Read More

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    If you are a NP I certainly hope that you do not protray this attitude to other people; however by guessing I would say that you are either PA-C or seeking your MD.

    To state that a NP's training is inferior to a MD simply shows your lack of knowledge of the NP profession. While your mother may be a NP, her reflection of the profession portrayed to you appears to be unique. I would have real issues with your father if he didn't correct your mother when she said she has less training than she does.

    I will condceed that when it comes to a surgical speciality, or other highly specialized field, MD's do have additional training. I will openly admit that Cardiac surgeon father has more cardiology training than I do. However, I would invite you to ask a Cardiac surgeon where to even begin in the treatment of primary care issues. When I say that I have equal training to any MD, I speak in terms of MD's trained in my speciality.

    Look at the studies. Those Np's that you state are undertrained have statistically been proven to provide equal or superior care to an MD, have greater patient satisfaction, and do it a lesser costs in regards to tests ordered and medications prescribed.

    Finally, do not attempt to assume that I have no respect for MD's. I work in a very collabrative arrangement with a doc, and it is not just implied, but understood that we are equals. We are both aware that we possess strengths that the other does not, and frequently consult and share patients with each other. This is not to say that I do not possess the strenghts because of my lack of training. He simply does not like gynecology, and dislike dermatology.

    Perhaps you should do some one on one work with an NP before you assume beleifs that are imposed by others.

    David Adams, ARNP

    P.S. If you were to ask a patient if they would seek heathcare from a person who had less training than they had, I think you would find they would refuse this. So why is it that I have several MD's... who are MY patients?

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    I tell my patients I am their nurse.....I think if you don't want to be referred to as someones NP, then perhaps you should go on to become a doc .....Just kidding. Why would anyone want to do that. I guess I just don't see the problem the way you do...
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    Another note to Mbess,

    When I posted my reply I was under the impression that I was speaking to a colleague of medical model training who had simply fallen victim to the down talking of mid-level providers. It was pointed out to me that you are phelbotomist.

    I'd like to invite you to discuss the NP profession once you obtain some training as a clinician and have first hand expeirence working with my kind. Perhaps then, you can provide a subjective opinion based on first hand knowledge, rather than social beleifs.

    David Adams, ARNP
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    I'm not a phlebotomist, I am a medical student, and I do phlebotomy as needed.

    I don't wish to argue with you. I don't think MD's are better than NP's, and I always say that when I'm sick, i'd rather talk to my FNP mother than my surgeon father- I just don't like your signature that implies that MD's are incapable of talking to patients in a collaborative way.

    Thank you for explaining your posts. I am not going to post anymore in this forum!!
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    VERY well said....
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    Hope you all won't mind a slight change of subject. I wandered off to work and when I came back the tone of this thread had changed before I got a chance to put my .02 in.

    A patient's point of view:
    A few years ago, my GP referred me to a specialist who, I felt, treated me badly. I now see the NP in the office who is wonderful. She listens to me (what a change), encourages me, respects my opinion.... I could go on. My problem is that every time I go in for an appointment, the office staff refers to me as "Dr. K's patient". I always correct them and say "No, I am Ms. T's patient". I think I am getting a rep for being difficult but I'm not giving up.

    I'm looking forward to the day when I can say "I'm an NP" like docs say "MD" and have people know what it means.
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    Interesting. I hadn't really thought about this topic until just now. I will finish my MSN for FNP in August 2004. I haven't caught anyone referring to me in any proprietory way.

    I haven't heard anyone refer to my FNP clinical preceptor in any proprietory way. Her patient's just love her, and a couple apparently think I am ok too because they make their appointments on my days.

    My second clinical site is in the ED where I am also employed. Everyone is very respectful. My friends tease me about being the doctor today, but that is all that it is. One of the teasers has enrolled in an FNP program and another goes to an info session this month. Perhaps I inspired them in some small way and THAT is truly a compliment.
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    This is great! I had one of our trauma surgeons ask me if we had any nursing positions so he could start working as a nurse and not have to deal with his trauma doc partners......I told him to leave the dark side and come to the light...hee hee. But then we were wondering who would want to precept him in the unit???
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    I work independently, so I'm not anyone's NP except my patients'.

    However, I don't know if I would mind being Dr. X's NP or not. After all, you are colleagues. Interesting question... and its a shame this thread took the direction it did.

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