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?
I have already successfully completed PA but thanks for the advice! I fully understand the impact of my statements. My co workers are glad that I commented on this thread. We were actually talking about it today :)
I just read your post on another thread, my apologies I misinterpreted your statement about school.
So you would absolutely vote against PAs having independent practice?
I am pretty well versed in the literature, but with you having 'already read' the research', what does the data show?
You asked me to cite my sources on a statement I made but you already had read the studies? So you knew my statement was correct initially?
I never said your statement was correct. I know the research well and I also know the research is very skewed. I put a great deal of thought into grad school before I made a final decision.
I never said your statement was correct. I know the research well and I also know the research is very skewed. I put a great deal of thought into grad school before I made a final decision.
Want me to cite some studies to make sure the is no question my statement was factual?
Very skewed? How so and by who? We are talking dozens of major independent studies and hundreds of smaller ones by different authors in a diverse set of peer-reviewed journals.
I have no doubt you did your due diligence when contemplating graduate school, but that doesn't have any impact on the data that's out there.
Frankly, if we are talking about outcomes, NP education is indeed superior to MD education as the data indicates our outcomes are equal or superior to physician outcomes. This is the facts and really goes to show that NP education produces better providers than MD education.
HBRN, that's great that you like your pediatrician. However, 200 years ago, people loved their Blood letting. Please keep up with the times. Physicians are overtrained for Primary Care. They learn far too many diseases that affect only
NP's are a cost effective solution to the primary care crisis. We are here to stay and we really no longer need physicians in the primary care role anymore.
Frankly, if we are talking about outcomes, NP education is indeed superior to MD education as the data indicates our outcomes are equal or superior to physician outcomes. This is the facts and really goes to show that NP education produces better providers than MD education.
Frankly, if we are talking about outcomes, NP education is indeed superior to MD education as the data indicates our outcomes are equal or superior to physician outcomes.
Clinical outcome studies and education are two completely different things.
It's heavily algorithmic now where we use evidenced based medicine to produce the best results.
Algorithms and guidelines are great for population based medicine, they are not so easy to apply in clinical practice.
We follow the best practices and dont experiment with dangerous drugs protocols unproven by medical evidence simply because we have some better understanding of the science behind it without any real clinical outcomes to back it up.
Why do all the good "ones" find the need to take it too far?
NP's are a cost effective solution to the primary care crisis.
The manner in which most outpatient NPs and PAs are used is actually not cost effective.
We are here to stay and we really no longer need physicians in the primary care role anymore.
NPs probably are here to stay, and there will probably be less physicians in primary care (a continuing trend) due to the fact they prefer not to be, and with their investment in education and debt I don't blame them.
Frankly, if we are talking about outcomes, NP education is indeed superior to MD education as the data indicates our outcomes are equal or superior to physician outcomes. This is the facts and really goes to show that NP education produces better providers than MD education.
HBRN, that's great that you like your pediatrician. However, 200 years ago, people loved their Blood letting. Please keep up with the times. Physicians are overtrained for Primary Care. They learn far too many diseases that affect only
NP's are a cost effective solution to the primary care crisis. We are here to stay and we really no longer need physicians in the primary care role anymore.
how do you know NP education is better, have you done both? what do you think we do in medical school for 4 years play with ourselves and chuckle on how we are 1337 uber sauce and everybody else sucks?
Do both then come back and we can talk.
Since when do NPs have more science back ground?
Dude, people here don't even take you serious when you spout such garbage lol. But you do get troll points. Stick to legitimate guns, such as NPs can be great providers with proper work ethic. Not this "our education is much better than everybody elses because thats what I'm doing and I am obviously far superior to everybody no matter what" mentality.
Cant wait for you to step into clinical and get reamed.
You can spend 20 years teaching somone the art of building a table. Or you can teach somone how to operate a mahcine that makes perfectly crafted tables. Its 2016 and not 1960. I learn most of my stuff online as do most of my colleagues and you don't need a lengthy medical education to be proficient. What are you learning right now? Kreb's cycle, protein synthesis, lysosomal storage diseases, pathways for folate deficiency. Yada yada yada. Beleive me, you will forget about those pathways and just remember the most superficial parts like what is a folate defiecny, and not so much the pathways leading to the macrocytic anemia.
how do you know NP education is better, have you done both? what do you think we do in medical school for 4 years play with ourselves and chuckle on how we are 1337 uber sauce and everybody else sucks?
Do both then come back and we can talk.
Since when do NPs have more science back ground?
Dude, people here don't even take you serious when you spout such garbage lol. But you do get troll points. Stick to legitimate guns, such as NPs can be great providers with proper work ethic. Not this "our education is much better than everybody elses because thats what I'm doing and I am obviously far superior to everybody no matter what" mentality.
Cant wait for you to step into clinical and get reamed.
Why are you even here. You Are a medical student....
You can spend 20 years teaching somone the art of building a table. Or you can teach somone how to operate a mahcine that makes perfectly crafted tables. Its 2016 and not 1960. I learn most of my stuff online as do most of my colleagues and you don't need a lengthy medical education to be proficient. What are you learning right now? Kreb's cycle, protein synthesis, lysosomal storage diseases, pathways for folate deficiency. Yada yada yada. Beleive me, you will forget about those pathways and just remember the most superficial parts like what is a folate defiecny, and not so much the pathways leading to the macrocytic anemia.
Is it too much to ask for a quick spell check after you finish your ridiculous patronizing diatribes? This is, in theory, a professional discussion...
You can spend 20 years teaching somone the art of building a table. Or you can teach somone how to operate a mahcine that makes perfectly crafted tables. Its 2016 and not 1960. I learn most of my stuff online as do most of my colleagues and you don't need a lengthy medical education to be proficient. What are you learning right now? Kreb's cycle, protein synthesis, lysosomal storage diseases, pathways for folate deficiency. Yada yada yada. Beleive me, you will forget about those pathways and just remember the most superficial parts like what is a folate defiecny, and not so much the pathways leading to the macrocytic anemia.
So are they teaching you how to operate remote control physicians and nurse practitioners in your program?
How do you even know you will be proficient if your still a student lol.
One day your going to make whatever physician you work under mad by being so uppity towards them. Tone it down a little, tuck your head in and just learn what you need to learn in school. Youll never get a job with this attitude toward other providers. I know you won't listen to this advice but in 2-3 years you'll wish you had.
BostonFNP, APRN
2 Articles; 5,584 Posts
I just read your post on another thread, my apologies I misinterpreted your statement about school.
So you would absolutely vote against PAs having independent practice?