Physician Hostility

Specialties NP

Published

You are reading page 7 of Physician Hostility

LolaRN

46 Posts

What color is the sky in your world? I have dealt with enough nuts for one night so this is it for me. This Dr. thought that studying nursing would make him better at all of the roles he is in. He is what some call a life long learner (a good quality in a medical person don't you think?) See ya. You will have to find someone else to argue with.

Dave ARNP

629 Posts

Deleted by user

fergus51

6,620 Posts

You probably dont even understand what real pathophys is. Give me an example of an NP teaching a resident about pathophys and I'll show you a weak resident.

Your hospital must be draw a very weak resident pool, meaning that its either in the stix or is full of IMGs from foreign countries because american grads didnt want to match there.

Are you on something? Trolling about for fun? This is a major hospital with a level 3 NICU, not in the stix or substandard by any definition. Unfortunately residents don't usually come to the floor knowing it all. If they did, why bother with a residency in the first place?

As far as not understanding what patho is... Well, even I can understand a sheet with names saying which NP will be teaching which group of residents....

fergus51

6,620 Posts

Probably a frustrated med student.... A nurse must have been mean to him in clinical:)

karenG

1,049 Posts

Specializes in midwifery, ophthalmics, general practice.
The reason that physicians are hostile toward NP's is that NP's attempt to seek more autonomy when their training does not prepare them to be solo providers. The pathophysiologic knowledge necessary to be a medical provider is simply well above that taught in any NP program. At least in PA school they teach the basics of the medical model, and they humbly agree that they need supervision to provide the best care. NP's will slowly alienate all state medical boards to the point that the they will push them to urge legislators to repeal the current nursing practice acts. NP's should simply learn that they serve an important role, but one that should be supervised. NP's will only cut off their own tails if they continue to seek autonomy.

I'm sorry but I beg to differ........ I work automously.... There have been countless studies over here looking at issues of patient safety etc and NP's in many instances come out safer than Docs!! I am not in any way suggesting an NP is better than a doc but we are a safe alternative for patients, we work in a different way.. dare I suggest we are more holistic in our approach?

I work to my NMC code of conduct which says I should work within my competencies. I am happy to acknowledge when I am out of my depth and call on help.. as should a doctor. My docs would be horrified to think they had to superivise me all the time.. given that I know more about asthma and eyes than they do!! might be interesting!!

I am an extended and supplementary nurse prescriber.. which means i have fairly extensive prescribing rights. cant prescribe everything yet but I dont want to! I can prescribe the drugs I need to to enable me to work efficiently as a NP.

Isnt is all about patient choice.. the patient seeing the most appropriate person and being allowed to choose who to see???

Karen

karenG

1,049 Posts

Specializes in midwifery, ophthalmics, general practice.
Are you on something? Trolling about for fun? This is a major hospital with a level 3 NICU, not in the stix or substandard by any definition. Unfortunately residents don't usually come to the floor knowing it all. If they did, why bother with a residency in the first place?

As far as not understanding what patho is... Well, even I can understand a sheet with names saying which NP will be teaching which group of

residents....

Fergus.......... I have reported this poster for trolling...........!

Karen

fab4fan

1,173 Posts

Hmmm...here I am, just a puny old RN who cares for hospice pts. I'm supposed to know nothing about nothing, according to some of our guests.

Yet this is what happens when I call the doc when there's a problem:

I call doc. Doc listens (usually). Doc says, "What would you suggest?" I give my suggestion to the doc. He says "Fine."

Now, I am not just talking about pain mgmt.; I am talking about all of the varied symptom mgmt needs a pt may have during the dying process. I'm not talking your run of the mill stuff.

Do I think I can practice indep.? No, but obviously, I have my own little niche in which the docs I deal with feel comfortable with taking my suggestions. And please don't diminish this with a comment like, "Oh well, your pts are dying anyway, so what could it hurt?" It can hurt a lot if symptom mgmt is not handled aggressively.

karenG

1,049 Posts

Specializes in midwifery, ophthalmics, general practice.
Hmmm...here I am, just a puny old RN who cares for hospice pts. I'm supposed to know nothing about nothing, according to some of our guests.

Yet this is what happens when I call the doc when there's a problem:

I call doc. Doc listens (usually). Doc says, "What would you suggest?" I give my suggestion to the doc. He says "Fine."

Now, I am not just talking about pain mgmt.; I am talking about all of the varied symptom mgmt needs a pt may have during the dying process. I'm not talking your run of the mill stuff.

Do I think I can practice indep.? No, but obviously, I have my own little niche in which the docs I deal with feel comfortable with taking my suggestions. And please don't diminish this with a comment like, "Oh well, your pts are dying anyway, so what could it hurt?" It can hurt a lot if symptom mgmt is not handled aggressively.

hi

you are working within your competencies... you may not know as much as the doc but you have learnt how to care for your patients and are working to a high level of practice. and if someone EVER told me my patients were dying anyway, so how could it hurt............. I'd probably kill them!! my hat goes off to you for working in such a difficult field...

Karen

zenman

1 Article; 2,806 Posts

I spend many hours explaining to patients and their families what the DR thought that they had explained adequately.

Posted by yersinia21: So what?

I hope yersinia21 realizes the importance of patient education and of being able to talk to patients of all educational levels in a manner they understand.

Gump

100 Posts

Tenesma, did you ever inquire as to how long those PAs/NPs had been practicing in that role?

Greekmed

2 Posts

Hello everybody!

Hi Helllllo Nurse,

I take some issue with your post. PAs are also practicing a learned profession. As a matter of fact there is currently much talk in the PA community to change the name to physician associate. This better reflects the role that PAs play in the learned profession of medicine and emphasizes the medical model approach to patient care. I personally think that Physician Assistant is a poor title. But I don't blame you, lousy titles can often convey the wrong information. When I was a Paramedic people called me ambulance driver because it was an term that many older folks were familiar with. Well I got tired of correcting people all the time and I'd just smile and let it go. But I'll tell you this, when I was juicing up their grand-daughter whose in stat-ep with some Ativan or consciously sedating and cardioverting grandpa's SVT they knew I wasn't the milk truck driver. PAs are just as much practitioners of medicine as NPs. It simply would not be proper to have called them Physician Practitioners (could be confused with physician proper) or even Medicine Assistant (which could be confused with medical assistant). The title of Nurse Practitioner was a good and convenient title to describe this advanced form of care NPs provide at the midlevel practitioner level and Nursing holistic approach to care. Simply stated PA and NP are both midlevel practitioner health care providers.

Aside from this issue, I want to say that I find this site very interesting and appreciate all of the information on it. I'd also like to ask you good folks to come on over and take a look at the PA website: www.physicianassociate.com I think alot of good can come from a free exchange of ideas, philosophy, from all of the midlevel providers in medicine. Besides a little hot debate is good for the soul! :) Talk to you folks later!

Right back at ya', Dave! :kiss

Another point I'd like to make is that physician's assistants are just what the title indicates: assistants to physicians.

Nurse Practitioners are Nurses who "practice a learned profession."*

Nursing is a very seperate profession from medicine. Of course, Nursing and medicine do overlap in some areas. However, an NP is a practitioner:. A PA is an assistant.

*The noun "practitioner" has 1 sense in WordNet.

1. practitioner, practician -- (someone who practices a learned profession)

Greekmed

2 Posts

The website is actually called physician associate.com , aka PA forum just in case the link above doesn't work.

+ Add a Comment