Taz Profile picture
Jul 18, 2021 11 tweets 4 min read Read on X
Every physician, fellow, resident and medical student should read this article. It remains as relevant as the time it was written in 2014. I will share excerpts that I believe most exemplify what we are experiencing today. They thehealthcareblog.com/blog/2014/09/1…
2)clarify the tactics used by corporate entities to control physicians who are strong patient advocates. And my suggestions on ways to take our power back. Unfortunately, the vitriol that docs think we are gods is prevalent. The toxic environment in which docs are trained
3)today virtually ensures that is not the case. Nevertheless, the false claim still prevails. Doesn't help to have virtue-signaling docs perpetuate the hype. Docs, you matter and patients matter. Never forget that, despite the gaslighting.
4)One good answer to this intent to "baffle". Direct Primary Care(DPC). Self-employed docs control their own destiny. Quality(not quantity) of care trumps everything. The patient-doctor relationship is just as important to patients as it is to docs. No meddling middlemen.
5)Confidence is maintained in knowing that you know medicine-they don't. Also, never keep all your eggs in one basket. Termination is a risk when one cannot be controlled. Keep yourself marketable)clean record, excellent LORs, etc.). No favors. Company needs my services-pay me.
6)I reiterate, you know medicine, they don't. Don't allow businesspeople to convince you otherwise. You know exactly how you were trained. Remember your oath.
7)This is why I do not subscribe to the term "Provider". Medicine is a not a fast food joint and patients are not customers/clients. These business terms are dehumanizing(as they are meant to be). I cater to patients, not metrics. For that reason, always have two jobs.
8)Again, f**k metrics and patient satisfaction scores. Put the patient first and keep them there. Want your quality to suffer, then let metrics be your guide. And your liability will increase. Anybody can sue, but not everyone wins. Take care of your patients right, they win, you
9)win. Again, always have two jobs. This last "strategy" I find to be the most despicable. It is why patients can now go to a hospital and only be seen by NPPs from admission to D/C, no physician in sight. This is where corporate medicine has won. The patients and/or their
10)families have the right to request a physician. FYI, every department has a medical director. They are physicians and fully capable of seeing patients. Anyone permitting this kind of irresponsible practice in their department is accountable, as is the facility. Chronic
11)understaffing of physicians is a choice and a business decision that doesn't have anything to do with patient care. @pppforpatients @PPA_USA @TakeMedBack

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More from @Suburbanbella

May 28
Sigh....I really dread these posts, because the scope creep s**t is never ending. Even though patients continue to be injured, such as the victim in this case. RN in Tennessee performs Botox injection on a patient in a medspa owned by a layperson.
2)RNs are not independent practitioners-ANYWHERE in the U.S. Nevertheless, the RN may not require supervision-just depends on state law. So the victim complains to the TN BON who doesn't do jack s**t and closes the case. RN is now a "highly-skilled", online-trained NP with a
3)sham s**t DNP degree, running rampant somewhere in TN. Here's the deal folks. It is not unusual for RNs to administer Botox, in MOST states it is legal, with one caveat: it must be under the supervision of a licensed medical professional. Of course, the TN medical and nursing
Read 11 tweets
Mar 20
With the fiasco happening around UK PAs, I am compelled to once again introduce logic into the conversation, considering the U.S. has the same s**t with NPs/PAs(NPPs). Back in the day, NPs/PAs were aka "physician extenders". They remained under physician supervision but gained
2)autonomy as relationships were long-term and trust was developed. However, these PROFESSIONAL NPPs knew their SOPs and limitations-well. If there was a question, they errored on the side of caution and transferred care of the patient to the physician. Why? Because the care &
3)safety of the patient was tantamount, not their ego. These exceptional NPPs were confident(not arrogant) in their roles because they knew they had been educated & trained well. Many people don't know that Eugene Stead, the physician who created the PA role, initially wanted NPs
Read 26 tweets
Oct 19, 2024
2)When I started on this journey to oppose anyone who is not a physician practicing medicine w/o a medical license, it began with NPs/PAs. The PAs whined that they shouldn't be lumped in with NPs. My counter was that their leadership did that s**t when they decided to follow the
3)NP playbook on scope creep. And they are following it, hook, line and sinker. Including crowd-sourcing for answers for life-threatening s**t. Sometimes I'm forced to take a break from this nonsense because it is so distressing. When I said permitting this s**t to continue
Read 10 tweets
Aug 6, 2024
Sooo..the American Academy of Physician Assistants(AAPA) wants a truce so the AMA will stop opposing their attempts to have "broader clinical rights" aka the unsupervised practice of medicine aka practicing medicine w/o a license. Because it's "divisive".
medpagetoday.com/special-report…
2)What is divisive is the AAPA pushing the agenda that they can practice medicine w/o going through the appropriate training. Let's not forget it was the AAPA who wanted to cut docs completely out of the picture with Optimal Team Practice(OTP). The PAEA president at the time
3)emphasized why that was not a good idea and further intimated that the PAEA would not sign on for OTP unless the AAPA agreed to not sever that relationship. In addition, he emphasized that PA programs DO NOT prepare PA students for independent practice.
Image
Image
Read 17 tweets
Jul 26, 2024
FINALLY! A series exposing NP substandard education and how patients are being affected by this nonsense. I have been waiting 8 f***ing years for this to happen. For a spotlight to be shined on this s**t.
bloomberg.com/news/features/…
2)Included in the articles are John Canion, NP, a long-time advocate for improvement and standardization in NP education and Rayne Thoman, RN, who spoke out about the lousy NP education and sued her NP program for not providing the education promised. Somebody finally listened
3)to the ethical NPs who want s**t done right. The same NPs who have been harassed, threatened and bullied by the masses of morally corrupt NPs who don't want anyone to know about this. Two of the reporters, Caleb Melby and Polly Mosendz, wrote an exposé on Cerebral, an online
Read 9 tweets
Jun 20, 2024
As long as I have been on Twitter pontificating about the scope creep issue, it should be evident by now that the claim by NPs that they wanted FPA(aka the unsupervised practice of medicine) so they could "improve access" to care in rural & underserved areas was a bald-faced lie.
2)The intent, which began with the Future of Nursing Campaign in 2009, was always to expand their scope by legislation-not education. FOR ONE REASON ONLY. To dabble in lucrative medical areas in which they are not properly trained. Pay close attention to the s**t below. Image
3)This NP is "expanding" into female HRT; apparently they plan to learn as they go. On the job. This is not how medicine works folks. That's why Endocrinologists have extensive training. Ob/Gyns as well. Hormones are nothing to f**k around with because you don't want to find out.
Read 14 tweets

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