mige

just as nurses dont like medical assistants to be called nurses around the office. The same exact thing. Is human nature to defend your own.

how can you say is a professional degree along the same way as an MD but then you say the role for the DNP has not been clearly define? How can you say something looks like another thing when you dont even know how your thing looks???

as a physician we dont know ALL the medications. Even as an atteding now I dont know ALL the medications and their doses. I had a nurse asked me 1-2 weeks ago what X medication did and I honestly told her: I dont know but I will get back to you in 5 minutes and I did. The medication ended up being a trial drug for lymphoma cancer. Making fun of residents is pretty bad. I didnt even think of making fun of nurses when I was a resident. I remember during residency having to take out my first central line and asking a young nurse to bring me supplies to take out the central line and she told me "I dont know what you need since this is my first one", I didnt laugh or ridicule her instead we both went to the supply room and got the stuff. We are a team with different backgrounds and roles, making fun of one or the other only makes patient care worse and the patient is the one that pays the price.

funny that she was seen by 2 nurses in teh ED, an MD and the technician read the US as negative.

the original poster dissapeared faster than george bush when obama took office after all the responses. But in all seriousness, never downplay chest pain. You might disagree with the orders but for the safety of the patient go ahead and do them and THEN talk to the intern and tell them why you disagree.

I cannot believe that you call the senior resident to change the orders just because you felt they were not 'stat" worthy and also because it was close to your shift change. Imagine if those troponins would have come positive with EKG changes? I can agree with you that sometimes nurses disagree with our plan but to change it just because of shift change? are you kidding me. If a physician saw this patient personally and examine her and decided she/he wanted stat labwork ESPECIALLY ON A CHEST PAIN PATIENT then it has to be done because as a lot of people said already these test were not harmful to the patient, a possible AMI could have been. I those test would have come back + you would have been looking for a new job. you dont BS with chest pain, no matter the scenario (s/p chest surgery).

god selected MD's? wow, I never received that memo!!!

And regarding the point of NP's satisfaction between patient is higher vs physicians is interesting. How much time does a NP has to see each patient? what is their patient load per day? I remember in my 3rd year of Internal Medicine residency training my clinic director increase our time to see each patient from 20 minutes to 30 minutes as precepting with the attending will take off 5-7 minutes from that total time. And it was funny to see that my patients evaluations were improving, but only in the area of "time allowance/time with physician". It seems that because I was with my patients for 3-5 more minutes per encounter they thought i was doing more and/or they were happier even though I was not changing their medical plan when I saw them for 30 minute time slot vs the 20 minute time slot. there has been studies that show that even a hug/more contact with patient (no sexual harrasment kind of thing) between a patient and a healthcare professional has improve patient/professional relationship.

so wrong in so many ways. Its call been worried about patient care. When you see that the DNP movement has not establish a curriculum which all DNP schools are going to follow and you also see that majority of DNP schools offer online education then you start to worry. how many DNP schools have surface in the last 2-3 years? Do you know how long it takes for a medical school to be accredited by the LCME? YEARS. Medical school, all of them, follow the same guidelines and also residency training programs (accredited by the ACGME). I dont see that in the DNP process and its very worrisome. its very worrisome that x school can be teaching this and y school can be teaching that. I remember when I was in medical school and there was this movement to make the anatomy class an online class and it was turned down pretty fast and that was only one class imagine if somebody wanted med school to become an online education. Also, is not about life outside their career. Im a hospitalist and I have 7on and 7offs and my family is pretty happy with it. I will give you the insurance issue. If you want to expand your scope of practice and practice w/o supervision not been a physician then you need to pay same insurance amount. Even a 3rd year Internal Medicine resident weeks from graduation needs a supervising attending as part of the admitting/discharge protocol. I remember when I graduated from residency and 2 days prior to finishing I was precepting an admission that I did as part of the admitting team. It has nothing to do with loans. If I plan correctly I will be debt free before Im 45 and I owe 200,000 dollars. This is all about patient safety. Many nurses dont want to hear that and think its all physicians been jealous/over-protective of their career etc. But as long as the DNP movement doesnt show a definitive curriculum with test/board certifications etc to prove you know what you are doing many physicians are going to fight for patient safety first.

Do as I did at my hospital. I was an internal medicine resident, I got yelled by a young nurse in the nurse station for a couple of seconds and it was so loud that other nurses came out of pt rooms to see what was happening. I reported her. Next time I had a pt with her she was very polite. report him. is that simple. If I did it as a resident (lowest person on the hospital pyramid) you can do it too.

when i was in the icu one of the attendings there who lived >45 minutes from the hospital used to stay in house to help the interns/residents when he was the attending on call. Now that Im looking for a job one of the places that gave me a "sample contract" had that we needed to live within a 10 mile radius from the hospital.

As a future physician that will be working at Kendall Regional Medical Center I agree with the propose establishment of a trauma center. As the report states traffic is pretty heavy in some areas of kendall making it very difficult sometimes for people to arrive in an adequate time-table to treat their life threatening emergencies. Im not a surgeon so I dont gain anything from kendall becoming a trauma center but I think patients in the Miami-Dade county area deserve more than one trauma center especially in that heavily populated area.

go with what you think happened, pt swallowing pills ok, no signs of aspiration.

or real medicine, especially residency training. I dont have that much time at work to be talking to my fellow interns/residents about their personal problems and we dont hang out with the attendings.

we dont know the entire story. we know the family mas mad/angry but we dont know what they told the doctor. Might have been something not offensive to the doctor but it could have been. We saw the second punch of the fight, people always miss the first!! but again, you shouldnt be saying that to people