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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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    David Gorski, MD, PhD‏Verified account @gorskon 30 Dec 2019

    David Gorski, MD, PhD Retweeted DrStrange

    Of course, all I ever see from MDs and DOs ranting about how bad the care that NPs provide is are anecdotes. They can't even produce evidence at this level of quality to back their claims.https://twitter.com/DocStrange_1/status/1211287105004920832 …

    David Gorski, MD, PhD added,

    DrStrange @DocStrange_1
    Replying to @WholeLottaLuv00 @DrNoNonsense1 and 4 others
    It’s funny you use this article as a source, because it’s what I would use to counter your claims of equivalent care: low strength of evidence, medium to high risk of bias. It really drives home the point that some (you?) have difficulty reading beyond headlines. pic.twitter.com/dHjwmz1Unq
    5:27 AM - 30 Dec 2019
    • 3 Retweets
    • 17 Likes
    • Melissa Sauls Paul Prince Dan Sontheimer MD #ThisIsOurShot Dr. Tara A. Nitka 🦅 Traci M. The_Skeptical_Scientist⚗️💉🔬🔭⚖️ Kat (she/her) John Timpe
    9 replies 3 retweets 17 likes
      1. New conversation
      2. Vamsi Aribindi‏ @aribindi 30 Dec 2019
        Replying to @gorskon

        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?

        2 replies 0 retweets 6 likes
      3. Vamsi Aribindi‏ @aribindi 30 Dec 2019
        Replying to @aribindi @gorskon

        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.

        1 reply 0 retweets 5 likes
      4. Show replies
      1. JBAnderson‏ @JBAnder61008292 30 Dec 2019
        Replying to @gorskon

        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.

        0 replies 0 retweets 8 likes
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      1. Kat (she/her)‏ @PubHealthNerd 30 Dec 2019
        Replying to @gorskon

        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.

        0 replies 0 retweets 2 likes
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      1. New conversation
      2. Kat (she/her)‏ @PubHealthNerd 30 Dec 2019
        Replying to @gorskon

        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.

        1 reply 0 retweets 2 likes
      3. Jstamsch Stamsh‏ @JstamschStamsh 30 Dec 2019
        Replying to @PubHealthNerd @gorskon

        What is the "scope of practice" of an NP, and how is it different from an MR/DO?

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. Kat (she/her)‏ @PubHealthNerd 30 Dec 2019
        Replying to @gorskon

        3) When utilized properly, NPs can provide consistently positive outcomes while reducing the burden on MDs

        0 replies 0 retweets 1 like
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      1. Eleanor‏ @edabny62 30 Dec 2019
        Replying to @gorskon

        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. 🤷🏼‍♀️

        0 replies 0 retweets 1 like
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      1. DR.STRENGTH‏ @strength_dr 31 Dec 2019
        Replying to @gorskon

        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

        0 replies 0 retweets 0 likes
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      1. R.Block,MD, DMP 🌶 🦦‏ @RBlockMD 31 Dec 2019
        Replying to @gorskon

        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.

        0 replies 0 retweets 0 likes
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