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cgfnp

cgfnp

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cgfnp's Latest Activity

  1. cgfnp

    Midlevels trashed again by MDs

    It's too bad that moron fake PA gave the MDs someone to point their finger at. They don't want the bad publicity, so they look for a scapegoat, in this case it was an unlicensed PA.
  2. cgfnp

    Midlevels trashed again by MDs

    Did you see the latest cover of medical economics? Big, bold title showed $200+ million lawsuit, and in big, red letters it says, "It started with a midleves mistake". Turns out it was an unlicensed PA that was involved, but now all of us under the AMA-created title 'midlevel' are incompetent. Just another sign of the MD community trying to segregate themselves at the top to keep their thumb on everything else. The more heated their position gets, the more worried they are. We're not going anywhere....
  3. cgfnp

    Too much work, too little play

    I think it's the 24 hr ED/hosp call that breaks this camel's back. It's frustrating and sleep depriving. I have to do around 25% of the call. Doesn't sound like much, but it feels like a lot.
  4. cgfnp

    Too much work, too little play

    I could, and have a really good offer, but I'm making too much money now to change. I was having a really bad group of days and venting a bit. There are positives, like the fact that since there is no doc backup I have to learn everything and it's helping me become really good at what I do. Then again, my buddy NP is pulling down around $300K/yr in his own business niche and he wants me to join him for the same $$$.... hard to turn that down!!! We'll see...
  5. cgfnp

    Too much work, too little play

    I did the same thing. I know how you feel. Hang in there. There are good days and bad. I was getting super stressed and super tired and vented a bit. It's not that bad some days. You will always have the experience that you are going through now to look back on and compare lifes tough times to, which helps. You'll have bad times in some form in the future, and you can say, "this sucks, but not as bad as when I was in school and I worked full time and......".
  6. cgfnp

    Too much work, too little play

    Ever feel stretched so thin it makes you wish you never got into healthcare in any form? I'm about spent here.... a rural hospital with the only doc on vacation so I'm it for the ER/hospital/LTCU and clinic and literally people all around me waiting to take a piece of me all day and that's not counting any of the patients!!! Trying to juggle trauma patients/cardiacs while running back between xrays to the clinic to try to see 3 or 4 more patients while the phone is ringing needing instructions on INR results, panic values, order clarifications on the new RSV infant admission, or the ****** off inpatient that can't understand why we can't do a HIDA scan before an ultrasound, or the call me in the middle of the night every night to come in and see whatever in the ER... AAAAAAAAAAAHHHHHHHHHHHHHHHHHHHH!!! I wish I would've become an engineer...
  7. cgfnp

    Anyone heard of any NP to MD programs?

    Yep. Primary care clinic, with inpatient rounds on my admissions and 1:4 ER/LCTU/Acute call. 1:4 would be nice, but I somehow get stuck with about 40% of the call time. And I get paid the least of the 4 for the call time. I get more angry every single minute...
  8. cgfnp

    Anyone heard of any NP to MD programs?

    I work in one of the most rural places in America. Yes I know what it's like. I don't rotate there. I work there. Once again, I think it would be better to put up with the rural %$& independently than be in a urban setting without autonomy. Isn't really off topic either, as autonomy and independence has everything to do with NP to MD programs, as that would be the driving force for most NPs doing this.
  9. cgfnp

    Anyone heard of any NP to MD programs?

    Everything. The call, the pay, the lack of administration, the patients constantly bothering you for more and more, the drug seeking tax-dollar slugs on welfare and medicaid, the movement toward government run socialization of medicine, the ones who are too good to get on the phone and consult with someone that wasn't part of their fraternity in school. I'm just going to find where the best reimbursement is in medicine right now, and explode in it and make enough money to invest in other venture enough to get out of medicine altogether. I'd rather run a backhoe than do this crap.
  10. cgfnp

    Anyone heard of any NP to MD programs?

    Not so much that anyone wants to. We'd just rather live rural and independent than urban and not. Lesser of two evils. Doesn't really matter to me personally, as after 3 yrs out of school, I already hate it so much that I make a daily attempt to find another way to make six figures as far away from healthcare as I can get. Come on powerball....
  11. cgfnp

    Anyone heard of any NP to MD programs?

    Wrong again. Autonomy won't give any advantage to fam practice NPs in a place with all the goodies where all the MDs have flooded to. I would much rather practice independently in a rural area than joined at the hip with a MD in museumville.
  12. cgfnp

    Anyone heard of any NP to MD programs?

    Let's see... more autonomy, how about complete so I don't have to have an even higher overhead and startup expense to open a new clinic in a rural place that doesn't have one. Then I see around 5000 people a year who likely wouldn't have seen anyone had a provider not come to their town. Then, I can consult the physicians I refer to regularly as needed, just like I do now. Yeah, go to one of the completely autonomous states and find a NP who is independently practicing orthopedic surgery. Yeah, I want to get paid family docs wages too for the same services. How dare I... Where's the savings? How about the miles the rural folks have to drive if they don't have a clinic in their town? How about the ERs who have about 70% of their patients that belong in a clinic where the bill to us taxpayers is about 10% the cost. Instead their in the EDs because they can't get into their doctor (or more appropriately the system has led them there like sheep).
  13. cgfnp

    Anyone heard of any NP to MD programs?

    Compared to yrs ago, they most certainly are starving for students. And so are fam practice residencies. Keep thinking you are on par with God as your last sentence suggests and remember all those rural nobodies that will die without proper primary care because there are no docs to replace the retiring ones. This isn't a hypothetical situation, either. It's happening right here right now. You can try to convince God when you meet him... because you can't convince me or anyone else that isn't a traditional med student/grad. Or you could just give us NPs complete and total autonomy to open our own rural health clinics without having to pay some doc to sign off. That would be also worse for the patient although I think it would be fine in most cases. Bet you'd rather pick the first option if you were forced to pick one, further strengthening the argument that it's not about the patients benefit at all.
  14. cgfnp

    Anyone heard of any NP to MD programs?

    This is the school of thought of the general opposition to any change such as a bridge program for midlevels. It makes sense to me, however, in a growing shortage of fam docs... why not create a bridge program that includes all the essential sciences and cuts way down on all the non-primary care exposure? It COULD be condensed, it COULD work well and it COULD produce real, competent doctors for the primary care field. Hell, you could even require rural health practice for one of these "short-cut" doctors. "sure it makes sense to you because you are a np" states the med student. I personally hope to be so far away from medicine in any form by then it won't matter. I hate it. "but bridging is a short cut and that's not fair because that's not how I did it" states the med student. 4 yrs bach, min 1 yr experience, 2 yrs grad school, for a total of 7 yrs when you want to begin your likely 2 yr bridge program... hardly a shortcut. "but your 7 yrs isn't as hard as ours" Who cares? This attitude of my way or no way is costing this country a lot of lives. That's right, many people will die simply because a bridge program idea or other open minded ideas to increase the primary care doc work force will continue to be shot down because the opposition ultimately cares more for themselves than the patients. "but patient safety is what we're concerned with" No, you're not. If the number one killer is heard disease, and the way to prevent that is the simple task of lower lipids, blood pressure, controlling diabetes, and promoting heart healthy behaviors, that even us lowly midlevels can do with our eyes closed then it's easy to see that even a MD that was bridged would satisfy the laws to open their own clinic and receive the meager reimbursements to make a practice work. This would result in more patients seen, and therefore more risk factors treated, resulting in lower mortality and morbidity in this country. At least now you can admit that you'd rather more people die than be open minded to an alternative method of becoming a primary care MD.
  15. cgfnp

    Help! Did I screw myself?

    Bullseye. You could attempt to find a career field that is loaded with more ambiguous and meaningless material, but you will not succeed. Nursing education makes me nauseous. The nursing educators will argue that you need to write papers about what color of aura Martha Rogers was feeling on Tuesdays, but you'll never convince me this can make you a better NP. If there ever comes a day that a NP can get a MD online with clinical rounds at your home town or nearby city, I'll be saying goodbye to the N in FNP forever.
  16. cgfnp

    Help! Did I screw myself?

    or you could just anonymously run a bead of polyurethane glue along the door of her office, then close it. once it dries within a few seconds, they'll have to saw around it to get it open. :angryfire