An article appeared today in the New York Times as a followup to a bill passed in New York granting nurse practitioners the right to provide primary care without the oversight of a physician. The authors of the bill state "mandatory collaboration with a physician no longer serves a clinical purpose and reduces much-needed access to primary care". The need for more primary care providers is due to the shortage of primary-care physicians, the aging boomer population, and the Affordable Care Act.
Although the president of the American Association of Nurse Practitioners feels that the current "hierarchical, physician-centric structure" is not necessary, many physicians disagree citing that the clinical importance of the physician's expertise is being underestimated and that the cost-effectiveness of nurse practitioners is being over-estimated.
Many physicians also feel that "nurse practitioners are worthy professionals and are absolutely essential to patient care. But they are not doctors."
What are your thoughts on this? Where do nurse practitioners fit into the healthcare hierarchy?
I know it's a race to the bottom.. As long as you can come with stupid studies that claim 'equal outcomes' (whatever that is), these legislators will make you become physician-like... However, they will demand care from a physician when their love ones are sick... I guess the fake physicians are for the masses...
More stupidity... Your response adds nothing substantive to the conversation. A representatives perception of a provider has no correlation to their ability to provide care. As far as I am concerned your inability to provide objective evidence that APNs are unsafe is an admission that you concede the argument. If you have objective evidence to support your position please provide it.
Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
Something interesting happened at clinicals yesterday. The MD who was onsite was asking me about my program and when I graduate (he is not my preceptor)...just asking lots of questions. During this conversation he told me and my preceptor that he prefers NPs and he believes they have a better education. Interesting....just a little tidbit to go along with the numerous studies already posted.
Specializes in Oncology; medical specialty website.
Medical students?
If you want to be respected, you shouldn't insult others who are in the process of becoming providers. I don't care who said what to whom; if you disagree, then just refuse to engage any further, rather than being equally arrogant.
If you want to be respected, you shouldn't insult others who are in the process of becoming providers. I don't care who said what to whom; if you disagree, then just refuse to engage any further, rather than being equally arrogant.
It was intended as a small joke to lighten an otherwise tense thread; I assume most people would read it that way.
You really think I am "equally arrogant" to some of the other posters on this thread? To be honest with you, that is rather shocking to me. I guess that's arrogance.
Specializes in Oncology; medical specialty website.
I'm not going to get into a debate about what I think about your personality. I just think it doesn't serve your argument well to be insulting to others. If you disagree, that's fine.
Who really cares, if you don't like the posts don't read them. A little push back now from nurses will do a lot for already overblown ego later.
Actually, the terms of service specify that insulting other people/other people's opinions is not acceptable:
"We promote the idea of lively debate. This means you are free to disagree with anyone on any type of subject matter as long as your criticism is constructive and polite. Additionally, please refrain from name-calling. This is divisive, rude, and derails the thread."
Actually, the terms of service specify that insulting other people/other people's opinions is not acceptable:
"We promote the idea of lively debate. This means you are free to disagree with anyone on any type of subject matter as long as your criticism is constructive and polite. Additionally, please refrain from name-calling. This is divisive, rude, and derails the thread."
Oh well...I think the posts may skirt the terms of service, but they don't break them. As always if you don't like the posts don't read them or if it bothers that bad report them to the administrators. It isn't the job/duty of other forum members to advise other members of the terms of service.
NPs are in essence practicing medicine not nursing in the every day clinical setting. For medicine the absolute authority is a physician who attended MEDICAL school. If this were not the case why would we even have doctors. I love how PAs never get in a tizzy about independence/collaboration and do the same job as NPs.
If physicians wanted to practice nursing they would need to collaborate with that authority which is a RN/NP. Basic concepts people...
Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
NPs are in essence practicing medicine not nursing in the every day clinical setting. For medicine the absolute authority is a physician who attended MEDICAL school. If this were not the case why would we even have doctors. I love how PAs never get in a tizzy about independence/collaboration and do the same job as NPs.
If physicians wanted to practice nursing they would need to collaborate with that authority which is a RN/NP. Basic concepts people...
Just because collaboration happens doesn't mean it is needed. Just because it is how it has been done....doesn't mean it is best or right.
....and was within the TOS.
47yomalestudent
21 Posts
#529... Great question, and very good point. Thanks!