Eliminating Physicians/Medical Schools

Specialties NP

Published

  1. Should physicians/Med Schools be phased out

    • Yes! NP's should replace physicians!
    • No! Physicians and Nurses serve important, and distinct roles
    • Maybe

105 members have participated

Serious Question. Should US Medical schools and physicians be phased out in favor of an NP driven and lead healthcare system? Some of my NP Peers assert that a 2 year Master degree NP program provides the equivalent education and yield superior outcomes than a 7 year medical school+ residency education trained Family Medicine Doctor. This saves students so much money and can easily fill the market with tons of trained healthcare providers. Plus, there are many online NP programs which opens the doors for many aspiring healthcare providers to study at their own pace and at home, without the burden and expense of having to attend a brick and mortar school.

NP's can easily transition into all the major sub specialities like dermatology, GI, psychiatry, surgery, Peds etc.. without all the red tape and regulations physicians need to go through.

With so many states gaining full NP autonomy and equal pay, with the argument that the nursing model is equal, if not better, than the physician model, do you think it is time for physicians to get the boot since they are too overtrained and a waste of limited resources when a cheaper NP can replace them?

Specializes in Reproductive & Public Health.
I'd love to see psych - any area of psych replaced by robotics. Que *robot voice*

Welcome to [inpatient Psychiatry] you have been placed on a [51/50] hold for [Danger to others] after [Chasing neighbors down the street yelling "Die Xenomorphs!" with a Katana]. I am you Automated-Nursing User-Centered Service, you can call me Nurse A.N.U.S. Our treatment algorithm shows you meet the Axis I criteria for [schizophrenia] due to your symptoms of [auditory hallucinations, visual hallucinations, delusions, anhedonia and anergia]. According to treatment algorithm [schizophrenia] automated program Specialty Healthcare Interventions and Treatment [Psychiatry] Dr. S.H.I.T has prescribed [Olanzapine Zydis] [Three times daily]. Dispensing pills. Please take your [Olanzapine zydis] from the pill dispenser. If you feel like you require continued assistance return to the Automated Nursing User-Centered Service and pick up connected telephone to contact our Central Representative All-Department Personnel. The C.R.A.P system is located in [india] and your wait time is [234,000,000,000 Minutes]. If you feel like your at an imminent risk of harming yourself or others please expose buttocks and back into the A.N.U.S system to receive IM medication.

Failure to comply will result in requests to apply [twice as tough Posy Restraints] to [upper and lower extremities]. If you require further assistance of education on treatment care plan please return to the Nurse A.N.U.S system. [Olanzapine Zydis] administered. Please remove the [Olanzapine zydis] from administration chamber. View above screen and enter [Hourly] pain score. If [Hourly] pain score is > 3 please contact the Central Representative All-Department Personnel [Wait time is now 234,000,000,005 Minutes] for further assistance. Please enter satisfaction score for above services, if patient satisfaction score is [below 3 out of 5] Turkey Sandwich, Xanax and Taxi Voucher will be administered for a rating above [3] upon discharge.

You win the internets.

Is this a bored member of SDN?

This.

NP's don't have the same level of training by far. Don't get me wrong, a NP is well trained but not to the extent of an MD.

Can we get this thread removed on the merits of its pure stupidity? It's bad enough someone's suggesting and or advocating for us to replace a profession as a whole that's not only well more trained but is essentially the original institution of the primary care space well before nurse practitioners were even a thought in anyone's mind. But the fact that someone from professional circles can find these posts and use it in their claims that NPs really want to replace their profession (and believe NPs speak to it seriously) is exceptionally negative on our profession as a whole.

Specializes in Family Nurse Practitioner.
Can we get this thread removed on the merits of its pure stupidity? It's bad enough someone's suggesting and or advocating for us to replace a profession as a whole that's not only well more trained but is essentially the original institution of the primary care space well before nurse practitioners were even a thought in anyone's mind. But the fact that someone from professional circles can find these posts and use it in their claims that NPs really want to replace their profession (and believe NPs speak to it seriously) is exceptionally negative on our profession as a whole.

I think it would be worth AN Admin considering a strategy for these instances because there is also a poorly written, cringeworthy thread in the APN section about a rudimentary encounter that could be damaging to NPs' reputation in the wrong hands.

I think it would be worth AN Admin considering a strategy for these instances because there is also a poorly written, cringeworthy thread in the APN section about a rudimentary encounter that could be damaging to NPs' reputation in the wrong hands.

I dunno. I think we need to "take our lumps." Sunlight is the best disinfectant, as the old cliche' goes. I have, in the past, argued here against mods correcting people's spelling and grammar in post titles to make them look "better" than they otherwise would. To me, the answer to this kind of problem is not to simply cover it up and pretend it doesn't exist. If we are part of an occupation that is turning out problem providers, we need to own and address that, not just deny it.

Specializes in Family Nurse Practitioner.
I dunno. I think we need to "take our lumps." Sunlight is the best disinfectant, as the old cliche' goes. I have, in the past, argued here against mods correcting people's spelling and grammar in post titles to make them look "better" than they otherwise would. To me, the answer to this kind of problem is not to simply cover it up and pretend it doesn't exist. If we are part of an occupation that is turning out problem providers, we need to own and address that, not just deny it.

Excellent points and I am torn. I would have totally agreed a few years ago when the NPs coming out of school were just not great and took an embarrassing amount of time to function in the role however...since schools have all added a dual BSN-NP tract and are clearly admitting anyone with a FSIQ of 80 I'm beyond embarrassed and now actually fear our progress will be reversed.

Excellent points and I am torn. I would have totally agreed a few years ago when the NPs coming out of school were just not great and took an embarrassing amount of time to function in the role however...since schools have all added a dual BSN-NP tract and are clearly admitting anyone with a FSIQ of 80 I'm beyond embarrassed and now actually fear our progress will be reversed.

Sure -- but, again, is the answer to that to cover it up (here) and pretend it's not happening?

The frightening part is 3 percent actually said yes to this stupidity.

Specializes in Assistant Professor, Nephrology, Internal Medicine.

The studies you are referring to I believe are primary care. It is erroneous to make a general assumption like this based on studies with minimal generalizability for their findings.

I dunno. I think we need to "take our lumps." Sunlight is the best disinfectant, as the old cliche' goes. I have, in the past, argued here against mods correcting people's spelling and grammar in post titles to make them look "better" than they otherwise would. To me, the answer to this kind of problem is not to simply cover it up and pretend it doesn't exist. If we are part of an occupation that is turning out problem providers, we need to own and address that, not just deny it.

Too funny. I literally just had some of my comments erased by a moderator because I taught someone that "your" and "you're" are different. And I wasn't even snarky about it. And I can be pretty snarky.

But quite honestly this question is ridiculous. Currently, the state of NP education is such that I'm not even certain most new graduates should be able to practice - period - with or without supervision. I feel like most people take the old adage "you can be whatever you want to be..." but forgot the part that says "if you work hard enough". NP education is so easy. So many schools have zero admission requirements, you take classes that have no clinical medicine content whatsoever, with no tests, just discussion boards and you go to clinical twice a week for 8 hours for a grand total of 500 hours. And yet, how many posts are on this forum alone of people with GPAs below 3.0 and no RN experience looking for a 100% online program with the shortest and lowest time commitment because they want "better hours" and "a good work/life balance".

Physicians know our education is awful, PAs know it is awful, and before long, the public and politicians will know it is awful as well. It's only a matter of time. And the nursing lobby's plan of churning out an endless supply of constituents to fund their over reaching lobbying efforts will be ineffective in the end.

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