@rosru924 @amytownsendmd @RealLion33 @RBlockMD @BuckeyeGrad1999 But see, that is not the same. The cardiac surgeon is a surgeon. They can indeed treat an ingrown toenail. Our license says "Physician and Surgeon". If I wanted to do surgery, I could. My license allows for that. But I won't because I have not received the extended training and
@rosru924 @amytownsendmd @RealLion33 @RBlockMD @BuckeyeGrad1999 2)education required to considered a specialist in that area. Could I do it, with instruction? Of course. Would I, no. It would be unethical. I stay in my lane which is EM medicine. It would have to be extreme circumstances for me to step out of it. IMO, one of the areas that I
@rosru924 @amytownsendmd @RealLion33 @RBlockMD @BuckeyeGrad1999 3)believe the old school NPs shined was in patient education. Exceptional. They were an "extension" of the PMD. For instance, if the PMD had a patient with DM, the NP also knew the patient. Made home visits, evaluated the trend of the FS, obtained a relevant history and discussed
@rosru924 @amytownsendmd @RealLion33 @RBlockMD @BuckeyeGrad1999 4)with the PMD. The doc formulated a plan, the NP executed. Much like an officer and enlisted soldier in the military. The NP understood what the labs meant, knew what was abnormal and needed immediate attention and informed the doc. Issue addressed, pt managed by this team. It
@rosru924 @amytownsendmd @RealLion33 @RBlockMD @BuckeyeGrad1999 5)was exceptional. Many NPs taught in the nursing schools. The students were sharp. I see none of that today. NPs who can't even interpret a urine dip. It's ridiculous. I had RNs and NPs who knew when an EKG showed an AMI. They didn't have to know all the nuances I do, but they
@rosru924 @amytownsendmd @RealLion33 @RBlockMD @BuckeyeGrad1999 6)knew what was deadly. Unfortunately, many younger docs did not experience what I did so they never saw the heyday. I have something to compare it to. What we see today I find offensive because I know NPs were better than that. The old school NPs loved being nurses. So much that
@rosru924 @amytownsendmd @RealLion33 @RBlockMD @BuckeyeGrad1999 7)they advanced their education and became NPs so they could teach. Today, the RN degree is used as a stepping stone to become an NP. They just don't respect the knowledge these nurses had. I do not support FPA, but I do support the autonomy NPs had under the nursing model.
