Study finds primary care given by NP's and MD's comparable - page 2

I found the results of this research study interesting. It found that the outcomes of both Nurse Practitioner and MD primary care were similar in almost every case.... Stevern21... Read More

  1. by   caldje
    You're writing is eloquent. BUT. I think this is what bothers me the most about the whole NP thing. Sure, NPs can be prudent clinicians. I AGREE 100%!! BUT WHY... WHY do nurses have to ADD IN that "a doctor would have missed." or that a "doctor wouldn't have cared enough to work up the person with a h/o anxiety for their new onset chest pain." Thats is simply not true. IT IS POSSIBLE to promote one person without putting down the other. Physicians do a great job and have much more pressure on them than the average NP. They see more patients and see more acutely ill patients. It is just not fair to say they have a "god complex" etc. WHY DOES NURSING perpetuate an underlying disdain for physicians? They aren't enemies, they are colleagues!
  2. by   LuvLondon04
    Quote from caldje
    You're writing is eloquent. BUT. I think this is what bothers me the most about the whole NP thing. Sure, NPs can be prudent clinicians. I AGREE 100%!! BUT WHY... WHY do nurses have to ADD IN that "a doctor would have missed." or that a "doctor wouldn't have cared enough to work up the person with a h/o anxiety for their new onset chest pain." Thats is simply not true. IT IS POSSIBLE to promote one person without putting down the other. Physicians do a great job and have much more pressure on them than the average NP. They see more patients and see more acutely ill patients. It is just not fair to say they have a "god complex" etc. WHY DOES NURSING perpetuate an underlying disdain for physicians? They aren't enemies, they are colleagues!
    Perhaps some nurses have a small disdain for doctors that treat them like animals. I've seen many a physician ride on their "high horse" with my own two eyes. I once knew a mid-40's urologist (my brother's, in fact) who threw charts at nurses, called them morons to their faces, and put the phone down on them. A surgeon once screamed at me and called ME a moron for not knowing the Trendelenburg position (something I hadn't studied until 2 days after the fact). I was, at the time, 16, a new CNA, and just learning what the medical profession was all about. I have also known nurses to be the same way, and some NP's to be downright disgusting and rude because of their status. I'm not saying there aren't incompetent nurses that fuel these situations, by the way. However, in my opinion, there is no excuse for these types of behaviors in a care setting and in front of patients- whatever one's title. You're right, they ARE colleagues and should be treated as such!! It is unfair to umbrella every physician, but try looking at it from a nurse and support staff point of view as well.

    To agree with a previous post: I would hope that if I had to have major surgery that I would not be seen solely by an NP. I would sincerely hope that medicine in the richest country in the world would never come to that! A followup, a cold, routine checkup, an assistant to my specialist... of course! Why not? Leave the special cases (i.e, my severe childhood scoliosis) and their final decisions to the physicians, sure, but the extra set of hands, eyes, and ears of the NP standing beside them can make a huge difference!

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