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n_g

n_g

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n_g's Latest Activity

  1. n_g

    Low TSH, increased Synthroid

    What if the pt has Sheehan's Syndrome? Then a low TSH means a malfunctioning pituitary and low T3/T4 levels.
  2. n_g

    Retail NP

    Take a look at this http://blogs.wsj.com/health/2009/03/10/cvs-shutters-90-retail-clinics-for-the-season/
  3. n_g

    Is a NP also a " Physician?"

    Look at any state law. "Physician" will be defined as someone who holds either an MD or DO. Ever heard of the phrase, "It is illegal to impersonate a physician"? You can go to jail for that. I guess NP's could amend the state laws so that they are included among "physicians", but then they would be forced to be regulated by the boards of medicine because the state laws also specify that. Discussion done.
  4. n_g

    Is a NP also a " Physician?"

    Physician is a protected legal term. Discussion done.
  5. It's called supply and demand. Nursing education can be done quickly, therefore supply is higher than demand and hence lower salaries.
  6. n_g

    Cash Only Practice Ideas

    Doesn't Texas have thousands of physicians waiting to get into the state to practice? Since tort reform, Texas has been a very popular destination for physicians. In fact, they had to expand the medical licensing department to handle all the paperwork. It's kinda hard to make the "physician shortage" argument now.
  7. n_g

    crna market saturation

    If more states license AA's, more AA schools open, and more CRNA schools open in response, yes we will hit a saturation point very quickly. It may happen sooner than most of you think. One day it's all great, and then next month the market goes off a cliff. Isn't that how most bubbles end?
  8. n_g

    Does what school you go for your FNP matter?

    However, to get that residency at Mass Gen or JHU or to get into derm, plastics, etc, it sure helps you a lot if you go to Harvard Med or JHU Med. To get into Harvard Med, it helps if you went to an Ivy for college. Not saying it's impossible to get into a great residency from State U Med, but it's a lot more difficult.
  9. n_g

    Does what school you go for your FNP matter?

    I think what ANPFNPGNP is trying to point out is that among docs the school that other docs went to is very important to them. Graduating from Harvard Med is different in the eyes of many docs than graduating from State U Med. So why are people surprised when they use this same yardstick when it comes to APN's? In theory, if docs are presented with two APN's, one from an elite school and one from unknown school, which one would they pick? 9/10 times, it will be the elite school. However, this rarely happens. Docs probably will pick among individuals from schools they have only vague idea about.
  10. n_g

    Question about NP/DNP

    I doubt it. If PA's are smart, they will stay master's. I've been saying this over and over again. We're shooting ourselves in the foot with the DNP. DNP is longer to complete than a PA but there's no benefit in terms of scope or pay. The DNP does not give us an edge when it comes to finding jobs. If you're an MD, who would you rather hire? A PA who is asking for 70k or a DNP asking for 100k but they both do the same job?
  11. So how can anyone here argue that APN's shouldn't at least be regulated by both BON's and BOM's as they do in some states? Many of you are saying is that you do both. If you do both, then doesn't it make sense that both regulate APN's then? APN's are clearly practicing medicine. Remember that the DO's decades ago pretty much preached the same thing about looking at the patient as a "whole", etc. They even tried to create their own state boards. Look at what has happened. DO training today is nearly indistinguishable from an MD's. Besides Mundinger's study which hardly holds any water, there aren't much data out there comparing NP's and MD's. What if the MD's start to get serious and start to do real studies? How confident are the people here that the studies will unequivocally show that NP's are just as good as MD's, even in all areas of primary care? This is what people don't get. We have it good today. All we need to do is go to NP school for 2 years. I fear, and with good reason, that if the MD's start to really scrutinize the DNP and training we get, the training will get longer and harder. There will be more regulations, more cert exams, re-cert, etc. The same BS that MD's have to go through to practice. Is that the kind of regulation NP's want? Why do you think that the MD training got so long? Because it's heavily scrutinized field. A few people screw up and they tack on one more year of training for everyone. Something like that will happen to NP's if we allow these ivory-tower figures like Mundinger to lead us off the cliff.
  12. n_g

    Curious...using the title "Doctor" for a DNP...

    But it doesn't have to be just through the legislative process. Politicians can be bought, but the judical process is a different case. Can the APN's with their DNP's, who Mundinger claims to be equivalent to primary care physicians and can work in any clinical setting, argue in court why APN's should not be regulated by BOM's or BOM's and BON's? If people on here readily admit that APN's are practicing medicine, it probably would be obvious to any judge that they are too. Before putting out a knee jerk response, remember what happened to the CRNA's doing pain in Louisiana courts. Push too hard and people may be regret it.
  13. n_g

    Curious...using the title "Doctor" for a DNP...

    If many people readily admit that ANP is really medicine, why should the physicians allow ANP's to continue to be regulated solely by BON's? If anything, ANP's should be regulated by either BOM's or both BOM's and BON's. Be careful how hard you push.
  14. n_g

    Curious...using the title "Doctor" for a DNP...

    I'm just injecting some reality in these discussions. I don't want to spend an extra two years of my life because Mundinger has an axe to grind with MD's. I'm not the only one who has said it on this forum. The DNP curriculum is a joke. If Mundinger wants to make it equivalent to MD's, then give us a real curriculum that will prepare us to do so. What I see will not do anything to help me earn a higher income or increase my scope.
  15. n_g

    Curious...using the title "Doctor" for a DNP...

    There's so much cheerleading on here I think I'm going to get a cavity. Remember why the DNP was created. Because the nursing profession recognized that the NP training was deficient. Even with a few more nursing theory and leadership courses and a few more hours, many still feel that not much has changed. If it makes the holder feel better, you can introduce yourself as "Dr.". Heck, everyone else in the hospital is doing it, so why not nursing. But that's probably the only change you'll actually perceive. Scope and pay won't change. With everyone wearing long white coats and introducing themselves as "Dr.", who does the patient still ask for? "Give me the person who is in charge". Of course, that will be the attending. At that very moment, you'll realize that those two extra years of your life pursuing this "doctorate" was a waste.
  16. n_g

    NP science preparation vs. MD science preparation

    Cost is not the prohibitive factor. You would be comparing the outcomes of two groups. One by NP's. One by MD's. How many research studies and how much money do you think is spent on research every year? There's nothing about doing a nationwide, multi-center study that would be out of the ordinary in terms of cost. You're not building a multi-billion dollar particle accelerator here.