Should DNP's be able to practice on their own? How do you feel about midlevel encroachment

[curiousobserver]

I am recently learning about the healthcare field and I saw the MD's perspective of why DNP's shouldn't have their own independent practices.

From your point of view, why should they?

[NICUmiiki, DNP, NP]

NPs in my state are required to have a collaborative practice agreement, but that doesn't require supervision at all. They even have full prescriptive authority. The MD/DO only has to agree to answer questions if needed. They don't ever have to be on-site, see the patient, review charts, sign anything, or take any responsibility for anything the NP does, and they collect a nice check for providing this service to the NPs. So even though they are not fully independent, there are many NP owned and operated clinics, from single provider clinics to multi-provider, multi-location organizations. It's obvious, at least in my state, that the MD/DOs benefit financially from the collaborative practice agreements for very little work. The public is usually against full authority at first because they are under the assumption that NPs are being actively supervised by MDs. The medical board would have you believe that CNAs are writing prescriptions, but NPs aren't as undereducated as they'd like you to believe and have proven themselves to be safe and effective providers. I wouldn't be against post-graduate residencies for NPs. A bunch supervised experience would cover a lot the the current complaints (even if they aren't fully warranted).