Care delivered by physicians vs NP/PA at Hattiesburg clinic in Mississippi...

londonflo · Feb 8, 2022

Frankly, I stopped going to NPs after having an experience with a Walden graduate. You would do better to have a campaign with providers having a name tag that says "I am not a graduate of an online school"!

FullGlass, BSN, MSN, NP · Feb 11, 2022

On 2/8/2022 at 9:14 AM, londonflo said:

Frankly, I stopped going to NPs after having an experience with a Walden graduate. You would do better to have a campaign with providers having a name tag that says "I am not a graduate of an online school"!

Did you ever tell us exactly what your role in healthcare is?

FullGlass, BSN, MSN, NP · Feb 12, 2022

On 2/7/2022 at 8:35 PM, Ansu said:

Is anyone here aware of this study?

Maybe someone who works for Hattiesburg Clinic can provide more context to it...

I think our organizations should go on offense and discredit that BS.

https://ejournal.msmaonline.com/publication/?m=63060&I=735364&view=articleBrowser&article_id=4196853

Thank you for sharing this. I read it and the numbers are the numbers for this organization. That said, I think there are some obvious issues which need to be addressed. However, I won't have time to provide an in-depth analysis until Sunday or Monday.

subee, MSN, CRNA · Feb 12, 2022

17 hours ago, FullGlass said:

Did you ever tell us exactly what your role in healthcare is?

On 2/8/2022 at 12:14 PM, londonflo said:

Frankly, I stopped going to NPs after having an experience with a Walden graduate. You would do better to have a campaign with providers having a name tag that says "I am not a graduate of an online school"!

I had the same experience with an NP who went to a brick and mortar

program but with no nursing experience. I was healthy and just needed to go in occasionally for scripts so she was fine for the healthy patients. No harm done. But I did check my own EKG's when I was having bouts of PVC's during menopause because I knew she had never cared for a cardiac patient:( But, to the point of the above article about Hattisburg: I read it and we have to accept the stats for what they are, but the differences weren't dramatic although there was a consistent less number of routine monitoring procedures ordered by the NP's. The difference was small. The gist of the commentary was very complimentary to NP's and PA's and I don't see it as derogatory in the least. Now, if one wanted to study the differences between online NP's and in-person class NP's, I'd certainly read those with interest. My personal bias is that I don't think there was be a difference in primary care since most patients can survive less than stellar care from anyone. I think that the differences would show up more in acute care where there is less tolerance for error. Even though the AANA requires only 1 year of critical care experience for applicants, the norm of experience is much longer. But we are all cutting corners to rush graduates into practice. The standards for educating CRNA's , IMHO, has dropped since students started being farmed out to institutions without educators on site. Londflo: since you are an educator I am interested in your opinion if you ever read this:) If we want to distinguish between the performance of on-line vs. in person NP instruction, we would have to prove that. Perhaps we could start with the nurse-midwives since they do not have a labor and delivery experience requirement and their outcomes are easier to measure.

londonflo · Feb 12, 2022

34 minutes ago, subee said:

But we are all cutting corners to rush graduates into practice. The standards for educating CRNA's , IMHO, has dropped since students started being farmed out to institutions without educators on site

Yes, That is the basis of my whole distrust of places like Walden! The student NPs are not evaluated in terms of real time actions by an impartial educator. And their are those who pay for clinical NP affiliations. How could they be impartial when $$$ enters the picture?

I was sponsoring a Walden MSN student. The midterm evaluation caught me unawares. I asked for the items on the final evaluation so that I could keep records/anecdotals on the evaluation items for the final evaluation. I was refused. Told you are 'not a good fit' for a student who was only on time once for 8 weeks....Walden said she is doing a travel assignment 4 hours from home both ways (working fulltime), has children and is going to school full time. I remarked my students also are meeting these life events/activities and we don't excuse lateness. Thank God she got pulled to work with another Walden Grad ( who was an adjunct..never got hired in a tenure track position because she was not following paper requirements, clinical assignments etc. that supported the curriculum) . First day I heard from an other instructor she arrived very late, had no idea for where she should meet up with her preceptor....I am so glad I dodged a bullet.