AMA: Diagnosing disease and interpreting tests is the practice of medicine - page 2

found at physician news digest, philadelphia edition 11/29/2006 diagnosing disease and interpreting tests is the practice of medicine, and physicians should be supervising any work by... Read More

  1. by   SueBee RN-BSN
    So much for checks and balances. If doctors had things their way, no one would be in the loop but them. They are the most insecure bunch. Patient care always needs more than one pair of eyes, for safety.
  2. by   appydfc
    ...and this isn't all they want, Guys. The AMA also wants to limit the scope of practice of Advanced Practice RNs, Optometrists, Chiropractors, PAs, etc. I can't quite reconcile how the AMA thinks it has authority to do so. People need to listen to some of their position statements....

    If the AMA really cares for patients, it would do more to assure that underserved areas of the country get the needed practitioners to keep people healthy.

    It's a money game......
  3. by   gauge14iv
    Quote from Gromit
    We would be a powerful force to contend with if we were unified in a common set of goals.
    We outnumber them by the thousands - but it's like trying to get my 4 kids to clean the living room when they were done playing - they always ended up fighting. Divide and conquer has worked for so long - unity is our only chance. And I am *NOT* talking union here. I think educated professionals who join together to accomplish something can do it without a union.
  4. by   Gromit
    Very true, on both counts. We could easily dictate terms if we stuck together (but we don't, and we won't) -it would NOT take a union to do it -but thats generally easier (to have a centralized voice which speaks for the group -which makes it by definition a 'union' regardless of weather or not its formally called that). No, the best we will get is a bit of griping on this and boards like this one, and thats pretty much about it. Wish I had a better answer, but I don't.
    I will say that I know two doctors personally, that have refused to be a part of the ama because THEY don't like where the ama wishes to take them. I raised my eyebrows at that -was genuinely (and pleasantly) surprised.
  5. by   SueBee RN-BSN
    Medicine is not a democracy. Here in Missouri the CNM have been run off for the most part, a few are "allowed" to practice in selected areas. It will not be long until all of them are gone. The CRNA is always under attack in some fashion. The PA's can not longer practice alone in rural areas of Missouri(2006). Many of them had to move, and move jobs. Why would anyone continue to work in health care? Let the doc do it all, to include staff the wards, and change bedpans.
  6. by   Gromit
    Doesnt have to be a democracy -and its not relevant anyway. When you have OUR numbers, if you refuse en masse to put up with something, you will put a stop to it. The doctors wouldn't WANT our jobs -and most of them wouldn't be able to cope anyway -they aren't trained to do bedside care. The measure I'm talking about is the most drastic one -when the straw that breaks the camels back is reached, you just stop. Entirely. Completely refuse to work under the conditions they demand. A single hospital can get by with this by calling in agency nurses. A state cannot.
    The only thing that would cause this to happen is if the general nursing workforce truly got fed-up (so I won't hold my breath). No way can they sit in their ivory towers if we don't prop them up. WE are an integral part of the healthcare system as well, and the days of nurses just emptying bedpans and smiling sweetly are long-gone. We peform MANY valuable functions -and I tend to frighten folks when I smile sweetly anyway
  7. by   utahliz
    The measure I'm talking about is the most drastic one -when the straw that breaks the camels back is reached, you just stop. Entirely. Completely refuse to work under the conditions they demand. A single hospital can get by with this by calling in agency nurses. A state cannot.
    Nurses' sense of responsibility to patient needs runs deep enough to make this a shaky proposition. It'll only happen if we frame the issue as management/the AMA, etc. neglecting patient needs and our actions as necessary to protect them in the long run. AND, if we as nurses stop judging our peers for walking out. Nursing strikes leave a great deal of lingering divisiveness in their wake, for just this reason.
  8. by   Gromit
    I'm not saying that its a desired outcome. It is not -obviously. For many reasons, not just the one you state, but also because few of us would care to be out of work (or could even afford such a proposition). I'm just saying that its really the only way things are going to change. They don't, as a matter of course, really care about your opinions -the business machine will do what it needs to do in order to survive. In the case of a strike, they will leech employees from other facilities who are willing to work -or from agencies- until the pressure is so great (on the striking nurses) that the strike breaks. More times than not, this is exactly what happens.
    Only a massive exodus would exert enough pressure on THEM to force them to improve the plight of the nurse. It wouldn't be pretty, but if you know of any other truly effective way, I'd LOVE to hear it.
  9. by   SueBee RN-BSN
    Gromit,

    I would love to see every nurse in the U.S. just refuse to come to work one day, and leave these power hungry folks in a lurch. The healthcare system in America, and a few other countries, is going to have to break before it can be fixed.
  10. by   Gromit
    it would be an amasing feat. I'd hate to be one of the nurses on duty though, if such an impromptu 'stoppage' occurred. They wouldn't be able to leave without legal repercussions (abandonment). Besides, it would be totally wrong to leave things like the ICUs unstaffed. That would spell death to many of those kinds of patients. There are other less disastrous alternatives, though.
    In all seriousness, if the nursing community truly did get behind a cause, and grew a spine, there would be little that we could not accomplish. For my part, better wages and a more sensible patient load would be the goal.

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