PA-C's on L&D - page 5

Does anyone have any expeirence with physician assistants on labor and delivery? My wife is looking to hire a PA and is convinced that they can do just about anything their doc will let them, going... Read More

  1. by   fiestynurse
    "Education consists of classroom and laboratory instruction in the basic medical and behavioral sciences (such as anatomy, pharmacology, pathophysiology, clinical medicine, and physical diagnosis), followed by clinical rotations in internal medicine, family medicine, surgery, pediatrics, obstetrics and gynecology, emergency medicine, and geriatric medicine. "

    Sounds just like my BSN program!
  2. by   naggytabby
    Thanks for your kind clarification of the role, training and ability of Physician Assistants. I am disappointed in some of the remarks I have seen and believe they most likely stem from bad experiences, misperception and misinformation. Before I went to PA school I had an extensive health care background- as did all my classmates. My personal experience was in... childbirth. I worked with a midwifery practice for several years and, yes, delivered babies ( delivered is really poor phraseology, but you know what I mean- really, the mom does the work ). During my PA training, I had an intense OB GYN rotation, with both high and low risk situations. One of the marvelous aspects of my training was in how much we all had to teach each other- students, PAs, nurses, MDs, techs, etc. As with all professions, there are many levels of expertise, passion and ability. None of us is ever done learning.


    My new favorite bumpersticker: God bless the whole world. No exceptions.
  3. by   fergus51
    Are there any studies out there looking at outcomes with PAs vs MDs or CNMs?
  4. by   sbic56
    Hello naggytabby,

    Glad you are here to speak up and ad your views. Hopefully you can squelch some ignorance!
  5. by   fiestynurse
    The PA and NP debate goes way back to the late 1960s, early 70s. There was a Physician shortage in the rural areas. The AMA and ANA disagreed on what to do with the Army medics that were coming back from Vietnam with all this hands on medical experience. Heaven for bid, these guys did not want to be called nurses! Many State Nursing Organizations tried to keep PAs from practicing in their states. I went to nursing school in the late 1970s and I had PA students in the same classes. All I remember is that they were predominately male and their starting salaries were more than the advance practice nurses. I can vividly remember my nursing instructor calling them "glorified nurses." Many in nursing felt like PAs would confuse consumers and we didn't understand why we needed to create another member of the health care team. The male dominated and more powerful AMA won!

    Now, 35 years later the animosity is still there.

    I personally have nothing against PAs. I am sure that you are all wonderful people. BUT, You must understand, that as a female dominated profession, we were left in the dust by the woman's movement and have continued to fight for the respect and acknowlegement that we deserve. The creation of PAs was a BIG slap in the face to us!
  6. by   sbic56
    Interesting history.Thanks for sharing! Knowing the history makes me understand the origin of the hostility, but also makes me realize it is time to give up the ghost!
  7. by   fiestynurse
    Actually, I still haven't given up hope that nurses would finally own their power, based on there sheer numbers, and run all the PAs out of town and close down all the PA schools. Just kidding...I think.
  8. by   naggytabby
    More than half the PAs are female- and many are also nurses. In my class there were 6 RNs- and in some classes the number has been higher. I am also, to my delight, female. And pursuing my CNM.
  9. by   fiestynurse
    They initially were not female.
    Medical Schools also are half female NOW.

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