Abscence of evidence is not evidence of abscence. At some point, less training=worse outcomes, otherwise we might as well send EMTs to do cancer surgery. The question is, at what point and in what roles do those worse outcomes start?
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I work alongside cardiac surgery NPs who are easily my equal when it comes to managing complex ECMO patients in the ICU. I am humbled and honored to learn from them. I am less than enthused to get consults from Derm NPs moonlighting in the ED w/zero extra training.
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I am a doctorally-prepared NP. I have been in primary care practice for 10 years. I am FNP/DNP faculty at a nationally ranked university. I am not trying to be a physician. I am proud of the care I provide.
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1) NPs have a different scope of practice than MDs, but I’m not certain that MDs understand then full scope of NPs practice (or RN practice for that matter) and it leads to assumptions regarding level of training, etc.
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2) While I am aware that anecdotes =/= evidence, I will share one anyways. I’m a RN who has worked with NPs and MDs, and we can all work well together. I have yet to see a NP reluctant to transfer care to an MD when needed.
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What is the "scope of practice" of an NP, and how is it different from an MR/DO?
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3) When utilized properly, NPs can provide consistently positive outcomes while reducing the burden on MDs
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IMO, it depends on the NP. I know an NP who insists on being called “Dr” b/c she has her PhD. That is dangerous and confusing in any healthcare setting. I also had an NP at the outpt clinic in college give me truly bad care. The again, I also know of 2 truly excellent NPs.
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I have lots of personal evidence as a hospitalist,I admit weekly horrible and terrifying NP mistakes to include polypharmcy, incorrect antibiotic choices and angioedema that was treated o/p with Zyrtec and Steroids
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How can you justify that an NP after obtaining a year of “collaborative” hours can practice unsupervised without any additional testing or critique? Another NP or MD signs off and the NP is granted a license. This is not good quality control. We don’t allow this for MDs.
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