Expanding the Scope of APRN's Does Not Endanger Patients

Published

http://www.sciencebasedmedicine.org/expanding-the-scope-of-practice-of-advanced-practice-nurses-does-not-endanger-patients/#more-29797

Excellent article (by a physician) on the Science Based Medicine blog pointing out the fallacies of restricting APRN scope of practice and supporting the ability of APRN's to provide quality patient care.

Specializes in Anesthesia, Pain, Emergency Medicine.

Great point. He is on ignore so he won't get any replies to his trolling.

Nomad, I wouldn't go that route. I have no problem acknowledging that med school curriculum is more rigorous than the typical NP program. As an NP the important thing is to recognize what you know and what you need to know to provide good patient care. I try to expand my knowledge all the time through reading textbooks, medical journals, etc. But I wouldn't get into a spitting contest with any MD with a fragile ego. My time is too valuable to waste on such juvenility.
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Specializes in cardiac, ICU, education.
^4 years of medical school +3-5 years of residency +1-2

Not to be ticky-tacky PP, but a family practice doc does 4 years undergrad, 4 years med school, and 3 years residency. They only do a 'fellowship' (which would actually be a different degree not a true fellowship) if they are going into another type of medicine altogether which then would not make them comparable to a FNP.

I would think if pretty princess were a med student, he or she should know this basic info already.

"Pears are better than Apples because they take longer to grow." Sometimes it's true, sometimes it's not, and it depends on what you're looking for at the moment.

That is a great quote and analogy. Is that your own?

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Not to be ticky-tacky PP, but a family practice doc does 4 years undergrad, 4 years med school, and 3 years residency. They only do a 'fellowship' (which would actually be a different degree not a true fellowship) if they are going into another type of medicine altogether which then would not make them comparable to a FNP.

I would think if pretty princess were a med student, he or she should know this basic info already.

That is a great quote and analogy. Is that your own?

I'm not just referring to FM; I'm talking about residency for physicians in general terms. Yes, FM is a 3 year residency but 5 years for someone going into general surgery, and four years for someone doing clinical/anatomic pathology. Also, your definition of a "fellowship" doesn't make sense. I work with a dermatopathologist and she is able to practice both dermatology and dermatopathology because she did a residency in dermatology and then a 1-year fellowship sub-specializing in dermatopathology.

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Specializes in Pediatric Pulmonology and Allergy.
^Sounds like you are very sensitive about this topic!! Clearly you have been put into situations where MDs questioned your education and knowledge on certain matters. Your passive-aggressive posts show you have pent-up anger from your work environment and I think it's great that you're expressing it on this forum!!!!

Guess again. The mds I work with are are professionals who value my skills and abilities just as I value theirs.

Honestly you're coming across as silly and ill informed and, in typical troll style, you NEVER respond in a substantive way to points raised by other posters.

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....you NEVER respond in a substantive way to points raised by other posters.

How so? I've answered your points. If you don't like my answers, stop being passive-aggressive about it and just say, "PP, I don't like your answers because..."

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FutureNP,

Great post. Very articulate. :)

Thank you!

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That is a great quote and analogy. Is that your own?

Yep, I made it up on the spot. I actually have no idea how long it takes pears or apples to grow, so I could be wrong though. Haha ;)

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Specializes in cardiac, ICU, education.
I'm not just referring to FM; I'm talking about residency for physicians in general terms. Yes, FM is a 3 year residency but 5 years for someone going into general surgery, and four years for someone doing clinical/anatomic pathology. .

First, I thought you were talking about Family practitioners. Your MD's vs. NP argument is way too broad. However, the NP does not have a surgical equivalent, at least not that I am aware of in the 6 DNP tracks that we have at our university. Even NP's who work for orthopedic surgeons do not do surgical interventions like the surgeon does so talking about surgical residencies has no value to the conversation. We were under the assumption that (or at least I was) that we were talking about NPs who have the ability to provide some of the same services that MD's can.

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Specializes in Nephrology, Cardiology, ER, ICU.

Great discussion - lets just be mindful that we debate the topic not the poster please. Thanks.

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Specializes in FNP, ONP.
Nomad

^Funny you should mention NPs voluntarily take Step 3! Did you know that a majority of them fail!?!?

Let's stick to facts please. Pass rate for first time DCC exam takers has varied from 33-70% over the 5 years the exam has been offered, for a mean of 51%. In otherwords, 49% fail. So, in fact, a majority pass. ;) Or, one could be less precise and simply state, the average is about half. I wouldn't quibble with that, but the quoted remark is false.

I don't know why anyone would bother trying to convince an obvious troll that water is wet, but I can correct faulty arithmetic as it leads to incorrect claims. I have taken a few math courses beyond "learnin' to cipher" along the way.

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Specializes in FNP, ONP.

Now, returning to the actual thread topic, that being the article by Dr. Gorski. I thought the article was perspicacious in the way that he recognized the differences between NPs and physicians and deftly described the systems problems that really get in the way of progress. The article has been picked up and reposted in several venues. There are more and more of these pieces in the media all the time, and if you read the comments, fewer and fewer of them are derogatory. NP independence in coming to all 50 states, an inexorable march of numbers. They will start falling like dominoes soon enough. The naysayers can grumble all they like, and seek out the few remaining MD/DP providers in primary care as is their right.

So let them grumble and go about your work, your education if you are a student. Your success will be their undoing. Go about it with quiet dignity and don't give haters the honor of a response.

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Specializes in Nursing Education, CVICU, Float Pool.
Now, returning to the actual thread topic, that being the article by Dr. Gorski. I thought the article was perspicacious in the way that he recognized the differences between NPs and physicians and deftly described the systems problems that really get in the way of progress. The article has been picked up and reposted in several venues. There are more and more of these pieces in the media all the time, and if you read the comments, fewer and fewer of them are derogatory. NP independence in coming to all 50 states, an inexorable march of numbers. They will start falling like dominoes soon enough. The naysayers can grumble all they like, and seek out the few remaining MD/DP providers in primary care as is their right. So let them grumble and go about your work, your education if you are a student. Your success will be their undoing. Go about it with quiet dignity and don't give haters the honor of a response.

Praise!!!

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