The Decline of Physicians: Do we really need them anymore in Primary Care?

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Legislature Votes to Make NP Payment Parity Law Permanent - Nurse Practitioners of Oregon

Oregon equal pay for equal work law has been signed into law in an independent practice state with NP's and PA's getting paid FULL amount from private insurance. This means that a new grad NP's will be paid the same amount as an attending family physician and psychiatrist and also have the same rights and scope of practice as a family physician and psychiatrist.

With the tremendous push for equal pay and for autonomy for PA and NP, is there any reason for medical students to want to go into primary care anymore? I guess my question is, it seems so bizarre that someone would put themselves through hell when they could become a competent provider through the NP route or PA route.

So do you think with these new laws, PA's and NP's will ultimately lead primary care? will these laws drive away medical students from primary care? Is it financially reasonable for a medical student to become a family physician in an equal pay state?

As an sNP, I'm incredibly thrilled and happy at how much progress our profession has made. However, I also understand how some medical students hoping to go into family medicine can feel cheated and grumpy about it. What are ya'll thoughts?

Are direct entry programs in the majority or even all that common? I honestly don't know of any in my region or state (Texas). All the programs in my area specify at least a year of experience before applying and they recommend 2 years.

http://www.aacn.nche.edu/leading-initiatives/research-data/GENMAS.pdf

Link is to a listing from the AACN of all the direct-entry MSN programs in the US. There's only one in TX. One caveat is that this list doesn't identify which (how many) of the programs are generalist/CNL programs, and which offer advanced practice specialties.

The graduate school I attended offers a traditional nursing graduate program (for experienced RNs) and a direct-entry track for non-nurses. There are several times as many direct entry students as experienced RNs in each cohort.

Specializes in Internal Medicine.
Just to add some icing, by your logic, if I dropped out of school now and went back to work as an NP, my ability to provide patient care would be better than if I decided to do family medicine. I mean dang I better just quit studying and attending class/clinicals, my ability to perform is just going to go down hill in medical school :):):):)

wow...

You still have yet to offer a shred of evidence to justify your reasoning on why we need more education. Until you, or the medical lobby can prove anything, nothing is likely going to change and more states will continue to grant NPs autonomous practice, especially when less than 15% of new grad physicians are choosing primary care and are going into specialties.

Do do they really teach you all to operate without evidenced based practice in medical school?

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