This is why medicine is going into the toilet. FNP takes a liposuction course provided by two Ob/Gyns specializing in cosmetic gynecology. NP is from AZ, a state where NPs can practice "independently". Course is in NJ. FNP "specialty" is an O/P curriculum in primary care-the SOP
2)DOES NOT include surgery. There is no NP program or curriculum that exists for liposuction and fat transfer. This is basically a 2-day course/seminar. But since these docs teaching the course most likely don't know or care about NP SOP and the FNP has no oversight in Arizona,
3)what's to prevent her from practicing surgery w/o a license at her own medspa(renewedmedicalhealth.com)? Not a damn thing. She may claim she is "certified" because of the form she receives for the course/seminar. Who is the certification body? The International Society of
4)Cosmetogynecology(ISCG), a legitimate association (iscgyn.com/en/aboutus) founded by the same docs who run the course/seminar. FNP's med spa in AZ performs a lot of functions that fall under the practice of medicine/surgery: plastic surgery, dermatology, endocrinology, etc.
5)For the public, this is known as practicing w/o a medical license. Medical board in AZ will do nothing, even if a patient is harmed because the individual who caused the harm is a FNP. A nurse with a master's degree. If it was a layperson, he/she would be arrested. If it was a
6)doc trained in none of those areas, the BOM would suspend or revoke his/her license. Here's the kicker. Docs can legally practice in all these areas because our licenses permit it. We have a broad SOP. Know why we don't? Because we know our limitations/SOP and we know that the
7) BOM will yank our licenses in a heartbeat because we have not completed residencies in those areas. Nursing boards won't do jack. So guess who handles the complications caused by FNPs who practice in this realm? The plastic surgeon, the dermatologist, the surgeon,
8)the endocrinologist, etc. The physicians. You know. The ones to whom they claim their practices are equivalent. Yeah. For those who haven't figured it out, procedures in liposuction and fat transfer are not currently in high demand in rural areas. This is what FPA looks like.
**SOP=scope of practice
**FPA=full practice authority=practicing medicine w/o a medical license.
So AB 890 was signed into law by our CA governor, unfortunately. Some may feel as if it is a win, I do not. To clarify, nothing was preventing NPs from caring for the underserved...nothing. The lack of logic to their claims that physicians never work rural/underserved areas but
2)somehow prevented them from doing so did not register with legislators. The thing when one talks BS is you have to remember the lie. It's tough. They have been given license by our legislators to practice medicine w/o a medical license. The irony is the only nursing body to
3)oppose AB 890 was the CA BON who has now been forced to supervise what they did not want nor are equipped to supervise. So a fake-a** "advisory committee" made up of 4 NPs, 2 token physicians and one community member. No idea how members will be selected but I can guarantee you
@DocStrange_1@GallaherCaren "However, our national organizations strongly oppose the view that emergency care is solely “physician-led” or that physicians should dictate education and practice standards for advanced practice registered nurses (APRNs). APRNs undertake rigorous preparation through their
@DocStrange_1@GallaherCaren 2)education and clinical training through nationally accredited graduate programs, as well as pass national board certification exams. APRNs practice in accordance with the scope of practice determined by national standards and state law." I have no qualms in stating that there
@DocStrange_1@GallaherCaren 3)is no emergency nurse practitioner(ENP) curriculum that can compare to the training required to become an emergency physician. Not even remotely close. If the AANP does not want physicians to dictate education or practice standards, then don't ask us to precept. Don't apply to
@ODAV17@ihategetting@ace2blue@NewsNationNow Get your s**t straight. Her boyfriend was Kenneth Walker. Neither Breonna nor Walker had a h/o drug offenses. She lived with her sister, no boyfriend. The warrant was issued for Jamarcus Glover, her ex from 2 years before. He was 10 miles away at another home for which they also
@ODAV17@ihategetting@ace2blue@NewsNationNow 2)had a warrant, including an ADRIAN WALKER, who is not related to Kenneth. You people make me sick. You are so eager to blame this innocent, 26 y/o Black mother and EMS worker living her life above the law that you just make up shit. Absolutely disgusting you have such hatred.
@ODAV17@ihategetting@ace2blue@NewsNationNow 3)It is so f***ing easy for you to label Black people drug addicts that any lie is preferable to the actual truth. You ought to be ashamed of your disgusting self.
@hrh_approved What's pathetic in this thread, in their haste to place the usual vitriolic focus on docs, is the failure of people to note the last paragraph in the statement. "Hospitals or employers should not create or advertise post-graduate training of nurse practitioner and physician
@hrh_approved assistants in the Emergency Department without explicit involvement of and approval of the emergency departmental and residency leadership." Now, why would this be an issue? Because in EM, the C-suite of some hospitals is creating "residencies" and "fellowships" for NPs/PAs,
@hrh_approved 3)using ACGME accredited programs(from whom they did not bother to gain approval) without involving the chair or program directors of the departments in which the "training" will be occurring. This won't bother NPs/PAs who benefit from this, even if it violates ACGME guidelines.
@DrSchechterMD MD, when you make comments w/o doing your homework you embarrass an entire profession. 1. No one has perused that bill better than this physician right here. Sent Jim Wood with the details BEFORE he ever submitted his bill. He ignored it. He was paid well. Need I remind you he is
@DrSchechterMD 2)a dentist and knows nothing about the practice of medicine. 2. There is malpractice data that exists regarding NP practice in CA. Published by the California Nurses Association(CNA) and the Nurses Service Organization(NSO)--they provide NPs with liability insurance. Bottom
@DrSchechterMD 3)line: payouts have increased. Now why would that be in a supervised state? Because supervision is lax. Poor oversight, people practicing medicine w/o a medical license, the results should not be surprising. Top 3 "specialty" areas with the highest payouts? Obstetrics,
@CalebJHull "We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.--That to secure these rights, Governments are instituted among Men,
@CalebJHull 2)DERIVING THEIR JUST POWERS FROM THE CONSENT OF THE GOVERNED. That whenever any Form of Government becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute new Government, laying its foundation on such principles and organizing
@CalebJHull 3)its powers in such form, as to them shall seem most likely to effect their Safety and Happiness. Prudence, indeed, will dictate that Governments long established should not be changed for light and transient causes; and accordingly all experience hath shewn, that mankind are