Actually, a lot of medical students/pre-med students as well.
I've been googling the subject DNP vs. MD and find little from nurses, but a slew of pure hatred for nurses and the DNP.
What gives? I understand the idea- the fear that the DNP will start to deprive the MD from practice, rather than work with the MD.
I found the threads interesting as at no point did any of the med students, not once, show concern that the quality of care provided might be lacking with a DNP.
The med students have this idea that from year 1 of undergrad through completion of a DNP program there are only 600-700 hours required in clinic, and that a DNP takes 2 years or less presuming one already has a BSN.
They also seem to rage in regards to nurses being able to work, and thus get paid, while attending school.
They call the DNP's "Dr. Fakey McNursey", and worse.
Where's the respect? What about the patients?
Why all the hostility? Why do MD's feel they're being pushed away? Is there a history of these new DNP's not providing quality care, or working with MD's? Is it just an ego issue? And why do so many existing NP's dislike the idea of the DNP (beyond what I've read- that additional education isn't apparently needed, some claim)?
I'm preventing major health problems by offering low cost care to patients who are uninsured and underinsured. Several of my patients can't afford expensive visits at either a physician's office or urgent care clinic, so they come to me. They are getting excellent and cost effective care. The reason I opened a practice in a medically underserved area is because patients needed health care and physicians weren't interested in providing it.
Get used to it, physicians will never be in control of health care again. Those days are long gone - thank GOD for that!
Correct me if I am wrong, but you seem to run a primarily cash only practice. Most physicians don't do that. Obviously, you're not facing the same hassles and problems that physicians face since you only deal with a couple of insurance companies. And, like I mentioned earlier, you seem to charge more for office visits, etc, than what the Medicare reimbursement rate is.
Physicians will always be at the top of the health care delivery food chain precisely because of their extensive training. Even if they weren't, it would never be midlevels or nurses at the top, if you were hoping for that. Rather, it would be more administrators (ie. businessmen).
I respectfully point out that the 3-7 years of residency after medical school is still training. Medical school is considered as undergraduate medical education while residency is considered graduate medical education.
Who is it that considers it to be so? Don't you need to have a citation for that? We certainly can't just take your word for it.
Correct me if I am wrong, but you seem to run a primarily cash only practice. Most physicians don't do that. Obviously, you're not facing the same hassles and problems that physicians face since you only deal with a couple of insurance companies. And, like I mentioned earlier, you seem to charge more for office visits, etc, than what the Medicare reimbursement rate is.
Physicians will always be at the top of the health care delivery food chain precisely because of their extensive training. Even if they weren't, it would never be midlevels or nurses at the top, if you were hoping for that. Rather, it would be more administrators (ie. businessmen).
The top of the food chain? What exactly do you mean by that? And how do you figure that physicians will always be there. Please explain yourself and add some citations here. Don't you have to prove it if you make the claim? Isn't that the hallmark of statistics and research?
The top of the food chain? What exactly do you mean by that? And how do you figure that physicians will always be there. Please explain yourself and add some citations here. Don't you have to prove it if you make the claim? Isn't that the hallmark of statistics and research?
In the field of medicine, physicians will always be considered the gold standard in patient treatment. They are educated/trained years beyond that of NP/PA and that will always be the fact. They will always be the person where the buck stops so to say.
In the field of medicine, physicians will always be considered the gold standard in patient treatment. They are educated/trained years beyond that of NP/PA and that will always be the fact. They will always be the person where the buck stops so to say.
Physicians are far from the gold standard in patient treatment. They are not well trained in a number of fields. Physicians know extremely little about a number of things. Despite all of their training, they know very little about nutrition. They aren't well versed in physical therapy. Physicians are not superior to other health care providers, they are simply different. I don't want a physician when I need a dental hygenist. I don't want a physician when I need a social worker. You need to take off those blinders and realize that healthcare is much larger than physicians. They are know longer the king of the hill and never will be again.
Physicians are far from the gold standard in patient treatment. They are not well trained in a number of fields. Physicians know extremely little about a number of things. Despite all of their training, they know very little about nutrition. They aren't well versed in physical therapy. Physicians are not superior to other health care providers, they are simply different. I don't want a physician when I need a dental hygenist. I don't want a physician when I need a social worker. You need to take off those blinders and realize that healthcare is much larger than physicians. They are know longer the king of the hill and never will be again.
There is a difference between "medicine" and "healthcare". You are using the terms interchangeably and they are not interchangeable.
Always have been and always will be... I'm very glad to have a physician backing me up in the clinical arena. The physcians I work with are extremely well versed in nutrition as it something we deal with on a daily basis be it TPN or tube feeds, as an aside. They, physcians, will always be the standard for patient treatment. There is no way in hell I would ever let my family be treated by a NP/PA in autonomous practice whether they have a dnp or msn. I want to know that a physician has their hand in the matter.
Always have been and always will be... I'm very glad to have a physician backing me up in the clinical arena. The physcians I work with are extremely well versed in nutrition as it something we deal with on a daily basis be it TPN or tube feeds, as an aside. They, physcians, will always be the standard for patient treatment. There is no way in hell I would ever let my family be treated by a NP/PA in autonomous practice whether they have a dnp or msn. I want to know that a physician has their hand in the matter.
This is where it comes down to personal freedom. The fact that NPs are not allowed to practice autonomously is unconstitutional. You choose to have whoever you want to treat you and keep your beliefs to yourself. Stop trying to push your silly reservations about NPs on everyone else in society. Nobody really asked for your opinion. Physicians have basically hijacked medicine and healthcare alike and taken it as their own. They have made the costs balloon in the last 40 years and are ruining the system. If you want a physician's hand in the matter, why don't you go pay for it and let the rest of us get what we want.
Its not about personal freedom...its about patient safety. It's not unconstitutional. Can you show in the constitution where suboptimally trained providers should be able to care for patients on their own? The people who are ruining healthcare are everyday people, not unlike yourself, who utilize the system for their own benefit. People with 150 visits to the ER because they don't want to pay for the physcian's service and know they won't be turned away due to nonpayment. People who feel as though they are entitled to healthcare but shouldn't have to pay for it. Also, you shouldn't take this so personally.
Its not about personal freedom...its about patient safety. It's not unconstitutional. Can you show in the constitution where suboptimally trained providers should be able to care for patients on their own? The people who are ruining healthcare are everyday people, not unlike yourself, who utilize the system for their own benefit. People with 150 visits to the ER because they don't want to pay for the physcian's service and know they won't be turned away due to nonpayment. People who feel as though they are entitled to healthcare but shouldn't have to pay for it. Also, you shouldn't take this so personally.
Do you really think that folks who use the ER for primary care do it because they WANT to? They WANT to wait for hours to see a random practitioner....instead of being able to see a primary care practitioner that knows them and their health history. It never crossed your mind that they're going to the ER because they don't see another way to meet their needs?
I think you're very disconnected from other socioeconomic group's day-to-day reality.
dgenthusiast
237 Posts
Correct me if I am wrong, but you seem to run a primarily cash only practice. Most physicians don't do that. Obviously, you're not facing the same hassles and problems that physicians face since you only deal with a couple of insurance companies. And, like I mentioned earlier, you seem to charge more for office visits, etc, than what the Medicare reimbursement rate is.
Physicians will always be at the top of the health care delivery food chain precisely because of their extensive training. Even if they weren't, it would never be midlevels or nurses at the top, if you were hoping for that. Rather, it would be more administrators (ie. businessmen).