Is it the idea of NPs in general Dr. Leah Houston is disgusted with?

caliotter3 · Nov 14, 2019

I guess it is unfortunate that some of the best medical care I have ever received came from NPs while almost all of the poor care, to include misdiagnoses, has come from MDs. I have no complaints with NPs to date. Sorry to say I can’t say the same for the almighty MDs.

djmatte, ADN, MSN, RN, NP · Nov 14, 2019

Those who are most vocal often have the most to hide or make up for. Wouldn't be shocked to see her on a suspended license list or serious malpractice suit some day.

llg, PhD, RN · Nov 14, 2019

I've been misdiagnosed by an NP and on another occasion, by a physician. Both instances had consequences for me. My brother had serious consequences after being misdiagnosed by a PA.

We are an equal-opportunity family. I guess we shouldn't trust any primary health care providers.

FullGlass, BSN, MSN, NP · Nov 14, 2019

1 hour ago, llg said:
I've been misdiagnosed by an NP and on another occasion, by a physician. Both instances had consequences for me. My brother had serious consequences after being misdiagnosed by a PA.
We are an equal-opportunity family. I guess we shouldn't trust any primary health care providers.

Trust but verify.

myoglobin, ASN, BSN, MSN · Nov 14, 2019

Rather than anecdotes it would be more helpful to cite studies that compare outcomes between MD and NP's. Most of the studies that have been conducted have shown no difference in outcomes:

a. https://www.ncbi.nlm.nih.gov/books/NBK384613/

b. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594520/

c. https://www.aanp.org/advocacy/advocacy-resource/position-statements/quality-of-nurse-practitioner-practice

It is unfortunate that professionals as highly trained in the scientific process as MD's (in this case) rely on personal experience rather than empirical evaluation of the data.

db2xs · Nov 15, 2019

Haters are going to hate. I am already bored of her and have more interesting things to pay attention to. See you!

AlwaysLearning247, BSN · Nov 17, 2019

There are huge egos I never knew existed before I become a nurse. We are all a team and it’s pathetic that some people feel the need to degrade one another. There have been times when I caught a mistake on the MDs part, and vice versa! I do agree that NPs do not get the same amount of training as MDs, but that does not mean that they can’t do their job just as well, if not better. We are comparing apples to oranges.

DeeAngel · Nov 17, 2019

Aaron needs to learn what the term “racist” actually means.

djmatte, ADN, MSN, RN, NP · Nov 17, 2019

2 minutes ago, DeeAngel said:
Aaron needs to learn what the term “racist” actually means.

And the 25 people who "loved" his post.

popopopo · Nov 18, 2019

This is because she is an unpleasant person. Please disregard her title.

popopopo · Nov 18, 2019

On 11/14/2019 at 4:33 PM, myoglobin said:
Rather than anecdotes it would be more helpful to cite studies that compare outcomes between MD and NP's. Most of the studies that have been conducted have shown no difference in outcomes:
a. https://www.ncbi.nlm.nih.gov/books/NBK384613/
b. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594520/
c. https://www.aanp.org/advocacy/advocacy-resource/position-statements/quality-of-nurse-practitioner-practice
It is unfortunate that professionals as highly trained in the scientific process as MD's (in this case) rely on personal experience rather than empirical evaluation of the data.

I briefly scanned these. One is a systematic review with many studies in question having NP who were supervised by attendings. It didn't even list the database they used. Who their right mind would do a real study giving NPs and physicians equal acuity patients? Wouldn't it be unethical to do so? Any studies like these are a laughing stock because the methods are so bad to begin with.