104 episodes
Patients at Risk Rebekah Bernard MD and Niran Al-Agba MD
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- Health & Fitness
Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.
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Small Democratic Groups (SDG): The solution to reclaim medicine from corporate interests?
Arthur Smolensky, MD describes his experience creating a Small Democratic Group (SDG) to take over emergency department staffing from corporate contract management groups.
https://www.linkedin.com/in/arthur-smolensky-719806/
PhysiciansForPatientProtection.org -
JOURNAL CLUB: Article claims that NPs, PCPs have same rate of inappropriate prescribing to seniors
In today's episode, Teresa Camp-Rogers, MD, MS analyzes a study published in the Annals of Internal Medicine, the journal of the American College of Physicians, entitled
Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care Physicians
The article, which seems to call for an expansion of unsupervised practice for NPs, contends that NPs and physicians showed no differences in inappropriate prescribing to seniors based on Beers criteria, however, notes that NPs were overrepresented among clinicians with the highest and lowest rates of inappropriate prescribing.
Dr. Camp-Rogers points out that since most NPs are practicing under physician supervision, with an estimated 2-6% of NPs practicing without physician supervision, this study may simply prove what other studies have established: the physician-led care model works - NOT that unsupervised practice is safe. Further, she argues that this study begs a follow-up question: with such variation in potentially inappropriate prescribing by NPs, what do we know about which NPs were in the top and which were in the bottom?
https://www.acpjournals.org/doi/10.7326/m23-0827
Get the books! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/
PhysiciansForPatientProtection.org -
Doctors' Day revisited: What has changed in the last three years?
Three years ago, we aired a podcast criticizing Doctors' Day posts from hospitals and healthcare organizations that included non-physicians and referred to physicians as 'providers.' Fast-forward to today, and some organizations (but not all!) seem to have gotten the message.
Happy Doctors' Day to all physicians - thank you for your sacrifice and dedication to patient care!
PhysiciansForPatientProtection.org -
"I didn't know how bad it was:" NP pens report on NP education (Part 3)
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.
Canion suggests:
- At least 2 years of RN experience before starting NP school
- Increased standards for entry, including minimum GPA requirements
- Standardized, rigorous education and program-vetted preceptorship
- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).
He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."
Read the entire report here:
https://jcthenp.substack.com/p/2023-report-on-np-education-and-the
PhysiciansForPatientProtection.org
PhysiciansForPatientProtection.org -
"I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 2)
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.
Canion suggests:
- At least 2 years of RN experience before starting NP school
- Increased standards for entry, including minimum GPA requirements
- Standardized, rigorous education and program-vetted preceptorship
- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).
He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."
Read the entire report here:
https://jcthenp.substack.com/p/2023-report-on-np-education-and-the
PhysiciansForPatientProtection.org
PhysiciansForPatientProtection.org -
"I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 1)
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.
Canion suggests:
- At least 2 years of RN experience before starting NP school
- Increased standards for entry, including minimum GPA requirements
- Standardized, rigorous education and program-vetted preceptorship
- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).
He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."
Read the entire report here:
https://jcthenp.substack.com/p/2023-report-on-np-education-and-the
PhysiciansForPatientProtection.org
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