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

Aug 6
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
Jun 20
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
May 12
People, it is imperative to understand that this is not ok. This is not "modernization", this is some 5th world kind of s**t. I want the public to understand that this is not how medicine/surgery works. Some 100+ years ago standardized medical training became a necessity because
2)the sloppy, haphazard, subjective, apprenticeship type model that existed at the time did not bode well for patients. What has been exposed in this article is the regression, not the progression of medicine. This surgical dept and/or team arbitrarily decided that this SCP,
3)a nurse, was "qualified" enough such that she could be trained to perform cholecystectomies since she had assisted in enough surgeries. Exactly how was her qualification and competency objectively validated? Or was it? It is apparent, by their response, that this move was not Image
Read 13 tweets
Apr 30
Specialties that don't have a scope creep issue yet..be wary. You will. It is a common marketing ploy by current NP leadership & corporate medicine to claim that there is a "projected shortage" in some medical specialties & that the answer is to use nurses to fill that shortage.
2)It is important to delve deeper to determine what the real issue is and that should not come from people who don't know jack about medicine. The shortage in Rad Onc is staffing shortages. They need RNs in RadOnc, now that is a position they should seek as it aligns w/ their Image
3)education and training--provided they did not matriculate at an entry-level program. Know where there is a massive shortage where NPs are actually needed? Nursing. Crisis levels. Worse than any medical shortage. AANP likes to stay mum on thta s**t.
uschamber.com/workforce/nurs…
Read 6 tweets
Apr 27
In 2020, myself and other colleagues in PPP vigorously opposed AB 890, the bill granting NPs unsupervised practice in CA. It unfortunately passed and was enacted in Jan 2023. One of the most dangerous parts of the legislation is the removal of standardized procedures. Image
2)By removing this regulation, Jim Wood, the sponsor of the bill, & sycophantic legislators effectively granted NPs the right to practice medicine w/o a medical license. I had warned that there were NPs, prior to introduction of the bill, that were using their sham s**t DNP
3)degrees to imply they were physicians. In Aug 2019, a complaint was filed against Sarah Erny, a CA NP who had opened her own medical clinic, for misrepresenting herself as a medical doctor.
s3.documentcloud.org/documents/2330…
Read 16 tweets
Apr 21
One more time...there are no accredited Dermatology programs for NPs/PAs. Period. There are only NPs/PAs who work in Derm. That qualifier in the red circle doesn't mean jack to a PA or degree mill NP w/ no ethics & who is a fan of scope creep.
Image
Image
2)Because it doesn't prevent them from claiming to be "experts" in Derm/Dermatopath after completing this online module course. The docs teaching this course are enablers & expediters of scope creep, whether or not they mean to be.
3)The assumption is that those NPPs working in Derm, Dermatopathology or PC clinics have a basic knowledge base on which to build upon. Nope. Especially if they are a degree mill NP. But these kind of courses don't screen. NPs/PAs working in FPA/OTP states can open up their
Read 9 tweets

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