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gorskon's profile
David Gorski, MD, PhD
David Gorski, MD, PhD
David Gorski, MD, PhD
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@gorskon

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David Gorski, MD, PhDVerified account

@gorskon

Surgeon/scientist promoting science in medicine and exposing quackery. Editor of Science-Based Medicine. My opinions do NOT represent those of my employers.

Michigan, USA
sciencebasedmedicine.org
Joined October 2009

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    1. David Gorski, MD, PhD‏Verified account @gorskon 9 Mar 2019

      David Gorski, MD, PhD Retweeted Doctor Elle

      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 …

      David Gorski, MD, PhD added,

      Doctor Elle @McknightmdEllen
      This is a succinct informative description of the training differences between MD/DOs and ‘D’NPs. Watch... https://youtu.be/a5cAm4IZyaM 
      24 replies 6 retweets 46 likes
      Show this thread
    2. David Gorski, MD, PhD‏Verified account @gorskon 9 Mar 2019

      David Gorski, MD, PhD Retweeted Alieta Eck, MD

      Not surprisingly former President of the a medical John Birch Society disguised as a medical professional society that is antivax, @AAPSonline, chimes in approvingly. 2/https://twitter.com/alietaeck/status/1104374282497548288 …

      David Gorski, MD, PhD added,

      Alieta Eck, MD @AlietaEck
      People need to be aware of the tremendous difference in training of nurse practitioners vs physicians. 600 hrs of health policy vs 20,000 hrs of hands on training in patient care. Watch this excellent talk. @AAPSonline @DPCCoalition @npchcp @JediPD @IP4PI Truth in advertising. https://twitter.com/McknightmdEllen/status/1104361877583417345 …
      3 replies 2 retweets 11 likes
      Show this thread
    3. David Gorski, MD, PhD‏Verified account @gorskon 9 Mar 2019

      I had to put up with the same BS in Michigan from the @MichStateMedSoc five years ago when a similar bill was being considered in Michigan. MSMS ran trucks with billboards by the state capital and lobbied legislators heavily, urging it's members to call/write our legislators. 3/

      1 reply 0 retweets 4 likes
      Show this thread
    4. David Gorski, MD, PhD‏Verified account @gorskon 9 Mar 2019

      When various naturopathic licensing bills or other bills to license quackery have come up since then...crickets. No email bursts from @MichStateMedSoc to its members. No lobbying legislators. I don't even recall whether MSMS even testified when the bills were in committee. 4/

      2 replies 0 retweets 11 likes
      Show this thread
      David Gorski, MD, PhD‏Verified account @gorskon 9 Mar 2019

      Anyway, @MichStateMedSoc's activity then inspired me to write this, and the reappearance of the same turf protection tropes today inspired me to repost it. It's sad to see that little or nothing has changed in five years. 5/5https://sciencebasedmedicine.org/expanding-the-scope-of-practice-of-advanced-practice-nurses-does-not-endanger-patients/ …

      7:14 AM - 9 Mar 2019
      • 2 Retweets
      • 11 Likes
      • Kar Elfer Fake George Julian, Indiana Snake Killer Brenda the NP, PhD-to-be B_a_r_bbb KellyR Mark Anthony Sison Gregorio sciencebasedlife Dr. Pink transplantrockstar
      7 replies 2 retweets 11 likes
        1. New conversation
        2. Alieta Eck, MD‏ @AlietaEck 9 Mar 2019
          Replying to @gorskon @MichStateMedSoc

          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.

          4 replies 0 retweets 9 likes
        3. David Gorski, MD, PhD‏Verified account @gorskon 9 Mar 2019
          Replying to @AlietaEck @MichStateMedSoc

          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?

          4 replies 0 retweets 7 likes
        4. Show replies
        1. New conversation
        2. B_a_r_bbb‏ @BarbM_76 9 Mar 2019
          Replying to @gorskon @MichStateMedSoc

          Ahh you address everything! 😊

          1 reply 0 retweets 2 likes
        3. David Gorski, MD, PhD‏Verified account @gorskon 9 Mar 2019
          Replying to @BarbM_76 @MichStateMedSoc

          You have no idea. 😏

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. New conversation
        2. Leah Houston MD‏ @LeahHoustonMD 10 Mar 2019
          Replying to @gorskon @MichStateMedSoc

          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.

          1 reply 1 retweet 11 likes
        3. DrStrange‏ @DocStrange_1 12 Mar 2019
          Replying to @LeahHoustonMD @gorskon @MichStateMedSoc

          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?

          0 replies 0 retweets 1 like
        4. End of conversation
        1. Leah Houston MD‏ @LeahHoustonMD 10 Mar 2019
          Replying to @gorskon @MichStateMedSoc

          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.

          0 replies 0 retweets 3 likes
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        1. New conversation
        2. Brenda the NP, PhD-to-be‏ @almostbrenda 10 Mar 2019
          Replying to @gorskon @MichStateMedSoc

          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."

          1 reply 0 retweets 2 likes
        3. Brenda the NP, PhD-to-be‏ @almostbrenda 10 Mar 2019
          Replying to @almostbrenda @gorskon @MichStateMedSoc

          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.

          1 reply 0 retweets 1 like
        4. Show replies
        1. Alisha‏ @Alisha749529191 10 Mar 2019
          Replying to @gorskon @MichStateMedSoc

          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???

          0 replies 0 retweets 3 likes
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