Doctor's negative view of NP / Psych NP

[Granted Fal]

As an NP that currently specializing in psych, i sometimes attend medication marketing dinners and meet with the reps and found it's a great way to connect with others in the field and with networking. On occasion, you get a doctor who has a really negative and pompous view of the NP. The comment was something to the effect of, "I waited three months to see my doctor and it turned out that it was an NP and then I left to find another doctor." Implying the NP wasn't competent. I didn't know whether to really feel offended or not.

I've found I have my own biased thoughts to some extent, hypocritically, with reservations about general practice NPs, however, in the psychiatric arena I've seen concerns from both the NP and the doctors. It sometimes seems that doctors often don't seem to know what they are doing either. This is psych mind you which isn't never a "perfect science," and the negative comment above by the doctor was aimed more at general practice NPs.

I've found that there are good NPs and bad NPs as well as good and bad doctors. But I have to say in my field with psychiatry, sadly, I've seen more bad NPs. Is it maybe true at least in my field? Not that I'm the best of all or something but I feel like i've been witness to some pretty shoddy care and have to often left to the task of trying to iron it out. For example, multiple antidepressants, serotonin syndrome, multiple antipsychotics, benzo plus a stimulant, numerous med interactions, no labs or monitoring, no EKG in some cases that are critical, very poor history, questionable diagnoses, no patient teaching, etc. Curious to see if any others have the same experience. Please comment.

Study your asses off and know your stuff!!!!

[Libby1987]

I've been seeing the same NP for my women's health for over two decades, I apparently like this arrangement!

I like taking my kids to NPs as a first line of care because it's a little easier for me to participate in their treatment planning however I haven't had any difficulty doing the same with any of the MDs either. Any of them have been cooperative with my questions and requests for referrals. Having been blessed with excellent insurance (so far) my kids have been referred and seen by Stanford specialists whenever we needed to r/o potentially serious conditions. Heart murmur and atypical migraine symptoms, referred and evaluated timely by Stanford pediatric cardiologist and neurologist. Minor illnesses, worked out mutually agreed upon out patient treatments. What's not to be thoroughly satisfied with?

Whether they like dealing with this mom is a whole 'nother topic but I think it's been okay

[PG2018]

As long as I'm getting paid. I don't give a rat's tail what physicians think (or patients for that matter).

[greygooseuria]

FNPs are not generalists. I never heard of the term. We work everywhere except Acute care, there are acute NPs. Yes you are and you referred to yourself as being ... The only smart one. It is the cohorts not the FNP. Your post is negative and rags on NPs, that are not Psych, I guarantee YOU could not do what we do caring for all patients throughout the Lifespan. I am an FNP, in school getting my DNP and I dont worry about what a other NP does and like I said I have never seen or heard doctors talk about other doctors regardless, nurses seem to be the regulars who display that behavior, and again, you are oneid them. Good night and get some integrity in the sister or brotherhood of caring about how you come across .... I think being an NP has gone to your head.

Ok, so first off, nobody here has disparaged the NP profession as a whole. At all. People were talking about specific NPs having problems. I do not know where any of your rant came from, but please, reread everything thoroughly because you completely misinterpreted everything that has been said in this thread.

Secondly, your ability to communicate via the written word is atrocious. I am shocked you are an NP, let alone in a doctorate program. Those in glass houses shouldn't be throwing stones, as it were. I could barely read your posts since the spelling and grammar was so poor.