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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 21 May 2018

      David Gorski, MD, PhD Retweeted HCPLive

      Holy shit. This op-ed published by @MDMagazine is the nastiest, most misinformed, entitled rant about NPs I can recall seeing in a long time. There's so much wrong here that I don't know where to start. 1/https://twitter.com/mdmagazine/status/998618928958980098 …

      David Gorski, MD, PhD added,

      HCPLiveVerified account @MDMagazine
      A #FamilyMedicine physician asks fellow doctors to keep operating to the highest extent of their ability and to remind themselves of the value of their #MedicalLicense. http://www.mdmag.com/medical-news/opinion-fellow-physicians-please-stop-devaluing-your-medical-license …
      1 reply 3 retweets 7 likes
      Show this thread
    2. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      First, the misinformed idiot who wrote makes it sound as though most NPs get their degrees and become certified through correspondence courses. This has to be intentional and his rant had the air of coming from someone who just discovered that distance learning exists. 2/

      1 reply 0 retweets 0 likes
      Show this thread
    3. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      In reality, such courses are usually hybrids, like this program at Duke, with an on campus component. 3/ https://nursing.duke.edu/academics/specialized-programs/online-and-distance-learning …

      1 reply 0 retweets 0 likes
      Show this thread
    4. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      The intent of these courses is to allow working nurses to study to become an NP while still working, like this program. 4/ https://www.ohsu.edu/xd/education/schools/school-of-nursing/programs/masters/advanced-practice-nursing/family-nurse-practitioner/FNP-Distance-Program.cfm …

      1 reply 0 retweets 0 likes
      Show this thread
    5. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      The reality is that most NPs attend traditional nursing schools and do their clinical rotations at academic medical centers and teaching hospitals and clinics. Most decide to become an NP after working as an RN for several years. 5/

      1 reply 0 retweets 1 like
      Show this thread
    6. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      Now, it's true that there are some dodgy online programs out there, but these programs victimize NP aspirants in that their students struggle to find mentors to oversee their clinical rotations and pass the certification exams. 6/

      1 reply 0 retweets 0 likes
      Show this thread
    7. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      Now what about his rant about "independent" NPs in the 22 states that don't require a collaborative agreement with a physician? 7/

      1 reply 0 retweets 0 likes
      Show this thread
    8. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      He doesn't seem to realize that NP scope of practice is much more limited than MD scope of practice. NPs cannot practice outside their scope. A pediatric NP can't see adults, for instance. Can't. 8/

      1 reply 0 retweets 1 like
      Show this thread
    9. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      In addition to pediatric NPs, there are Family NPs, Adult NPs, Geriatric NPs, Women’s Health Care NPs, Neonatal NPs, Acute Care NPs, Occupational Health NPs, Certified Nurse Midwives, and Certified Registered Nurse Anesthetists. 9/

      1 reply 0 retweets 0 likes
      Show this thread
    10. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      A confusing patchwork of state laws determines what NPs can any can't do. 10/

      1 reply 0 retweets 0 likes
      Show this thread
      David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

      I'll stop now, other than to post a summary and discussion I wrote four years ago. 11/https://sciencebasedmedicine.org/expanding-the-scope-of-practice-of-advanced-practice-nurses-does-not-endanger-patients/ …

      6:07 PM - 21 May 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

          I'll also conclude with full disclosure. My wife is a pediatric NP. She's also more up to date on her medical knowledge than some of the pediatricians. She would've made an excellent doctor if she had chosen to go that route. 12/

          1 reply 0 retweets 1 like
          Show this thread
        3. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

          Why @MDMagazine chose to publish this drivel by a pseudonymous family practice doc, I'll never know. I'm all for strategic pseudonym use online and on blogs (obviously), but I'm much less a fan of them when used in journals and ostensibly respectable magazines. 13/

          1 reply 0 retweets 1 like
          Show this thread
        4. David Gorski, MD, PhD‏Verified account @gorskon 21 May 2018

          What is "Raymond Stanz" (yes, that's the pseudonym he's using) afraid of, that Big NP in the form of a giant Stay Puft man will target him for harassment and destruction? He seems not to realize that MDs still have the power. 14/14

          1 reply 0 retweets 1 like
          Show this thread
        5. End of conversation

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