The economics of PA vs. NP

A PA asserts that their futures may be limited by supervising requirements despite lower educational requirements for NP's.

Updated:   Published

A PA asserts that their futures may be limited by supervising requirements despite lower educational requirements for NP's.

https://www.kevinmd.com/blog/2020/03/whats-the-future-of-the-physician-assistant.html

Specializes in Anesthesia, Pain, Emergency Medicine.
5 hours ago, subee said:

 

 

Saying that students are competent to work alone after doing the "minimum" standards is blather.  If what I see in my institution is common, then we are not giving students the skill sets they need.  I know my old program is just cranking them out to work in the ACT model.  We are in a wealthy part of the country where anesthesiologists are tripping over themselves and the salary between an experienced CRNA and a jr. level MDA aren't very different.   Those MDA's keep a tight rein over the students and aren't interested in helping them develop to work independently.  It's a problem.  There are no instructors from the university onsite in the hospital.  That's a problem.  We even had a student who was working in a room with an MDA and that doc left the room.  And then the student left the room and went out in the hallway to find help.  Neither party suffered more than a slight violence of the tongue.

You may want to read my post again. Nowhere did I even remotely say that students are competent after meeting the "minimum standards". Do you have to make things up? You call this an adult conversation?

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Specializes in CRNA, Finally retired.
17 hours ago, nomadcrna said:

You may want to read my post again. Nowhere did I even remotely say that students are competent after meeting the "minimum standards". Do you have to make things up? You call this an adult conversation?

Just sayin' that I can't imagine a student graduating today wo can put in a central line or be competent with spinals a week after graduation  when no assistance is around.  It wasn't always like that.  I stand my assertion that CRNA factories cannot oversee their students as well as a consistent instructor who knows the student, knows their progress from beginning to end and  makes sure that they get extra chances to more than the minimum and earn their salaries as instructors.  I don't know what's not adult about that.  

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Specializes in Anesthesia, Pain, Emergency Medicine.

Your IMAGINATION is not the same as reality. Just because you "imagine" students graduating today can't place a spinal, epidural or central line does not make it true.
But you stay in your little bubble and keep putting out information from your "imagination". smh

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Specializes in psych/medical-surgical.

 

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Specializes in CRNA, Finally retired.
6 hours ago, nomadcrna said:

Your IMAGINATION is not the same as reality. Just because you "imagine" students graduating today can't place a spinal, epidural or central line does not make it true.
But you stay in your little bubble and keep putting out information from your "imagination". smh

I WORKED with these students.  I know exactly what they are doing.  Why would I be telling you this if I didn't actually do cases with these people?

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Specializes in Pediatry , Med/Surg , Anesthesia Tec,MBG.
On 2/22/2021 at 7:51 PM, nomadcrna said:

Your comments are telling.
You "HAD to work alone out of school"?
You were graduated without knowing how to do central lines and spinals? Seriously?
A spinal is such a basic part of our practice that I fail to see how your program to fail you so hard.
I assume you also did not do PNBs as well.
Your retort is pretty much word salad. It makes little sense.

My "ego" has nothing to do with my post. My anesthesia care is absolutely no different than an MD anesthesiologist.
My ER care of patients is no different than an FP physician. In fact, I find it much better due to also being a Nurse Anesthesiologist (CRNA).

OMG

You have become exactly the nurse I want to be.  Can I send you a message?

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Specializes in CRNA, Finally retired.
14 hours ago, barishan said:

OMG

You have become exactly the nurse I want to be.  Can I send you a message?

Just so you know, Nomad had completely misunderstood what I was saying in that post.  I was saying that I HAD to be able to perform alone from the day I graduated because I HAD to work ALONE without MDA's in the house after 7 pm and on weekends.  I had no one to back me up if I failed and my program actually prepared me for that.  There were 9 students and my instructors knew me well and made sure I scurried around in the OR and got what I needed to do.  They knew my progress personally.  Now, we just have so many factory programs that train students to work in ACT model.  That's all I was saying.  If I rotated to a hospital in a different borough of the city, an instructor affiliated with my university was there for my rotation.  That's what I paid for....instruction.

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