I get tired of this nonsense. Having worked with NPs all my career, I view propaganda like this as nothing more than turf protection, plain and simple. I often wonder why doctors like Dr. Elle don't spend nearly as much time and effort opposing naturopathic licensing bills. 1/https://twitter.com/McknightmdEllen/status/1104361877583417345 …
-
-
So much has happened since you came to the conclusions in 2014. There has been “mission creep,” with NPs calling themselves doctors, hanging up a shingle and practicing independently today. They often do not specialize in training. The key is patient protection. Full disclosure.
-
Be careful what you challenge me with. I might just take another deep dive. It's been five years; so the time is ripe. I also note that five years ago the literature most definitely did not support the contention that NPs provide inferior care. Any bets that that's changed?
- Show replies
New conversation -
-
-
Ahh you address everything!

-
You have no idea.
End of conversation
New conversation -
-
-
Aside from the obvious bias (WIFE IS AN NP) this paper sites multiple studies that are comparable to the parachute study https://www.livescience.com/64307-parachutes-work.html … In a journal entitled “science based medicine” it worries me that such studies are allowed to be quoted.
-
I read his linked blog post. What a bore. How can any research scientist take seriously a longitudinal primary care study covering only a period of one year with mortality as the primary outcome?
End of conversation
New conversation -
-
-
He also fails to mention important facts: patient satisfaction scores are associated with a HIGHER mortality https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1108766 … And the most important study: there is no long term evidence that NP outcomes are equal to MD... https://www.ncbi.nlm.nih.gov/books/NBK384613/pdf/Bookshelf_NBK384613.pdf … Let’s see a REAL study.
Thanks. Twitter will use this to make your timeline better. UndoUndo
-
-
-
Thank you for writing this. My favorite part, which I apply in practice every day (as an NP): "The key is to be able to recognize when you’re in over your head and can’t handle a problem and not to be too proud or stubborn to call for help from someone who can handle it."
-
I've also been very fortunate to work with physicians who are encouraging, supportive, respectful of the profession, and great mentors. Their focus is uplifting patient care, not their ego.
- Show replies
New conversation -
-
-
Soooo - you are an oncologic surgeon - how many cases have you handed off entirely to an APP? Made the case that they can replace you? Hmmmm - let me know. IM/Pall Care MD here. What makes your training more difficult???
Thanks. Twitter will use this to make your timeline better. UndoUndo
-
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.