physasst

Had breakfast with Polly Bednash, who is the Executive Director of the AACN, the current president and CEO of the AAMC, and my friend, and colleague, VP of the AAPA Bill Fenn. What a wonderful lady. We had some great discussions, we discussed the DN...

Wow, so the DNP's are taking part of the USMLE exams. Likely a version of step 1. "By this fall, the National Board of Medical Examiners (NBME) will begin offering part of the United States Medical Licensing Examination (USMLE) - the physicians' medi...

Wait, you have to staff with an attending???? Really? I work at three different ED's, and I only staff cases when I feel I need to. In fact, the one ED I work in doesn't even have any physicians on site. It's soley PA's at this point in time. Althoug...

Yep, and anecdotally at least, I have had several RN's, probably 4 or 5 come up to me over the past several months asking for more information about PA school, as they don't want to complete the DNP. Although, for one of them, they were more attracte...

Amen, sister, amen. You are preaching to the choir here.

Nah, in the ED, I am treated as a colleague, NOT a subordinate, which seems to be the case in some of the other departments. I have complete authority to order, admit, consult, whatever. Many, if not most, of my patients only see me, and after so man...

Ahhh, yes, the stem cell research position statement debate......I agree, that was worst. I don't mind the 10 year re-cert discussion, as I actually agree with that personally.

See, in our ER, I have full admitting, consulting and ordering privileges. I get treated as a colleague, and not a subordinate, however, I have friends in other departments, and I know that it is dramatically different in other areas. Many of my pati...

when i refer to poorly planned, i mean that it could have been executed better, and i am referring to this in his statement: but back to the dnp. what is sad is that the dnp is not standardized, and in many educational programs it is not a clinical d...

Well, in Minnesota, PA's and I believe NP's can do the same things, neither of us can be completely independent, and both of us have similar prescriptive authority (II-V). Mayo has slightly more conservative policies regarding "midlevels" and while ...

i would say, that i disagree with parts of mr mittman's assertions as well. i don't believe that we will be "forced" to have them. i agree with him that the dnp was poorly planned and is not being executed well. i also agree with him that joint resid...

Well, we have ONE ACNP in our ER.....we have six full time PA's, and then several PRN PA's as well. Our NP is having to complete her FNP training as well, as she will have to see peds patients soon, so that seems like a lot of extra work to me. Our p...

Dave Mittman is one of the most respected clinicians, in both PA and NP circles. I don't know him really well, as he is not really active in the AAPA anymore, but he was a founder of the ACC, The Clinical Advisor Journal, as well as many other projec...

This was a well worded post. Others on here continue to try and slam ANYONE who questions the validity, or necessity of the DNP. It's kinda sad, because there have been several physicians on here, and they continue to get mocked as well. Many states...

Oh, and also, there is a rumor, that Emory in Atlanta is pursuing a 2 year PA to MD completion program. NO, I don't have a link, but it is being discussed in various circles. It may only be rumor, but I've heard it several times now from different pe...

I am fairly biased in all of my opinions, as are most people. I have no dislike for NP's or nursing, I have some concerns about the DNP degree..... IF you can definitively show that A. it dramatically improves patient care, and lowers M&M, improv...

For starters, I believed it to be factual, and no, I am not going to go run to the policy books every ten minutes. As to the comment regarding the Baylor PA's...yes they will still be PA's. But that's the whole point, a DNP is still and NP, no matte...

one of the big pushes by this administration, and by congress, as pertains to health reform is centered around "paying for performance"..... i am intimately involved with the mayo clinic health policy center, and this is one of their cornerstones as ...

Sorry for the delay in responding, I was at policy meetings in DC and subsequently Chicago. Then I had to work 4 shifts straight in the ED. I have policy related concerns about the DNP degree, of which BTW, many of your own colleagues agree with, an...

Thinking of starting an EM residency for PA's at our institution, and have gotten a few inquiries from NP's in our department about the ability for NP's to complete it. I'm not aware of any NP residencies, and if there are, what kind of accreditation...

Yes, Rochester, Yes, level one trauma. OB is more difficult, as all OB patients are instructed to present at the other hospital (Mayo has TWO) to be seen by OB directly. Although, I certainly think a rotation over there would be beneficial. There wo...

Well, Mayo has always been a physician centric institution, and there was considerable concern amongst the physicians that allowing other providers to use the title would create significant confusion among patients, and as a physician led institution...

It certainly could be, but currently, with the economic crisis hitting many academic institutions, and no, ours is not spared either, the impetus and design of such programs may not reach fruition currently. Which is truly too bad. For all of us. NP'...

Yeah, she finally gave up. She has like 7 years left until she can retire, and she is counting the days. She basically hates nursing now. Mayo does have a policy regarding nonphysician use of the title "doctor". It is restricted to DPM's, PsyD's, an...

The "Gold Standard" comment, it was meant more from a medical legal perspective. Our standard of care will be held up next to a physicians. IF, a midlevel is being sued for malpractice, say a family practice PA, than the first thing the they will do ...