It’s basic to those who do not know what they do not know
kaiser in cali has started to replace NPs with physicians in primary care since they are essentially using the quality of care model. The midlevels referees too much stuff that should have been easy to handle by a primary to specialists thus wasting money and time.
Much of primary care is basic basic but often midlevels don’t even know who to refer patients too much less properly handle things they should be able to in primary care.
Im not against FPA, but the way midlevels are trained leans them to being more useful with working with specialty physicians. The requirement of broad knowledge is not gained in a 1.5 year program that NPs go through. They at least need residencies. Primary care seems easy bc it’s hard to outright kill someone but badness Over time is just as dangerous to a community.
FM and IM docs are some of the most sought out specialties in medicine by recruiters. There is a reason they aren’t just filling all of these spots with MLP. OFTEN places have dozens of openings for primary care physicians but none for midlevels. Patients want doctors often times and recruitment demand reinforces this notion