Example letter that anyone (MD, DO, PA, NP, person in general from any state) can send to email@example.com.
Texas Medical Board,
I am licensed as a nurse practitioner (APRN) in Texas, and I oppose the Texas Medical Board adopting rule 193.21 as published in the Texas Register on January 25, 2019.
This rule would severely limit the practice of APRNs who have safely and regularly read and interpreted radiologic studies, and also diagnose and treat patients based upon these radiologic studies. It also unfairly restricts physicians who wish to delegate this ability to APRNs they trust and work with daily in order to provide the best team-based care possible. For example, in my practice, the clinic is in a rural community, it’s myself and an MD. Regularly, the MD takes 2 weeks off for CME and vacation. During that 2 weeks, this is a sole NP clinic. We have x-ray at the clinic, and do several a week. Not only does this ability prevent unnecessary hospital and ER visits, but it provides urgent/emergent treatment to be initiated without delay. If this rule passes, then I can assure the TMB that the Texas residence of this community will suffer not only delay of care but feasibly even death especially in the case of acute heart failure, bowel obstruction, and pneumonia.
There is no evidence that APRNs who read, interpret and diagnose medical conditions based upon radiologic studies has resulted in increased danger to Texas patients. Imposing arbitrary and punitive regulatory restrictions on the physicians I work with and at the same time restricting my role on the health care team will disrupt the lives of the patients I care for every day.
I beseech the Texas Medical Board to reject rule 193.21 for the good of all Texas patients.
Michael Ryan MSN, APRN, FNP-C