My fellow collegue,
I can understand where you come from. I understand that whatever practice you are in, you must work within your scope because that's what you applied for. NP must respect their scope just as a MD must respect his or hers. And NPs should not expect having same salaries as MDs, but if one knows this, then why be an NP or any other mid level? However, I knew what I signed for, and what I want, however, long hours does not make you a great provider or earn respect. Your "quality of care" does. Working an 8 hrs a day doesnt make me or anyone else less of a provider. If I have to work more hours at my practice to educate a patient on their acute or chronic disease or when their managing severe symptoms e.g. stroke, heart attack until ambulance reaches them then I will. I have always done so. Which provider will not? I could never sleep well if I did not give it my all. But also when you add the 6 or more hours of charting/reviewing new labs you have to do at night and the follow up calls to patients you have to do in the morning as well signing heaps of paperwork...then how much extra work is needed? I dont understand this MD vs NP thing. Arent we all here to help each other? To serve and change the life of the patient?
Having more loans, extra schooling, and residency does not mean an MD will not make mistakes. Also, does not excuse an NP from making mistakes either. We are not gods. We are just prilvilaged to provide a service to those in need. I have had docs misdiagnosis my patients. What do I do? I correct it and move on case closed. But I know if that was NP that misdiagnosis a doc's patient. Well, that NP is in deep **** or worse some docs call the board on that NP.
However, society is understanding the value of midlevel practice. If midlevels are underclassed then there wouldnt be 21autonomous states in the US regardless whether the ANCC or AANP lobbied. I understand why NPs want to practice independently because some MDs dont want to do their job, but still want the NP to be under their thumb. You have independent NPs paying a supervising physcian thousands of dollars to assess their charts and do occassional rounds. But some MD does not step their foot in the NP's office. Either because they are too busy chasing that dollar or they just want to take advantage of that NP. Is being an MD and having 4 private practices where the NP works alone and (MD) working at the hospital earning respect or working hard??? No. Just like some nurses just want a paycheck same with some docs.
I had an former MD who I worked with that was like that. He was medical director here and there, but would never see his patients. Yeah, chasing that $$$$. Thats job fulfillment for you. I did all his work. He wouldnt even see his patients when they would request for him to come during their dying process. I did. And he didnt have to attend to all, but he couldnt attend to one either. Patients would die disappointed. Later on, it came to the point that patients didnt want to see their MD because I was reliable and took care of them apprioprately. They wanted to see me. And soon after, it made my supervising physician jealous, but he still couldnt commit to his patients.
The point of the matter, is everyone should do what they feel is comfortable for their livelihood. I am happy with my pay. I sleep well knowing my patients are ok and happy-thats an added bonus. I am satisfied and have a sense of fillfullment helping my patients with my NP license. Maybe others not so much with their RN or APN license. Maybe others are not satisfied with their current position, feel they are not contributing, etc. But, thats the beauty of healthcare. We have options. Do what makes you happy. If you want to be MD fine. Just be a good one. If you want to NP or PA then fine as well. Just be a good one too. But lets not let the patients down. Because what is life or fillfullment anyway?Lets work together to achieve the greater good.