Physician colleagues, please, please, please stop accepting positions from recruiters like the one below. This is how you keep enabling the illegal practice of medicine. In response to a perfectly legitimate question by a physician, he accuses the doc of being egotistical. ImageImage
2)In addition to being unprofessional, the recruiter is incorrect in implying that an attorney would advise a physician that it is perfectly safe(or legal)for them to "collaborate" with an unknown NP in another state practicing hormone replacement therapy(HRT). For the record,
3)there are no NP programs that exist in the specialty of Endocrinology. New grads and physicians early in their career are vulnerable to this type of sales pitch. Don't fall for it. Unfortunately, there are corrupt and greedy physicians who actually sign up for this s**t.
4)Like dirt, they will always be with us. It's not about them. I'm speaking to those of you with good intent. Don't believe this s**t. There is only one way in which you can be guaranteed not to be sued, be it in a supervised or unsupervised state. That is to be indemnified.
5)"Indemnify: secure (someone) against legal liability for their actions"--Oxford Languages. In other words, you have something in writing from the employer stating that they will be legally responsible for any mishaps caused by the NPP under your supervision. There is only one
6)state that indemnifies physicians and it is specific. Surgeons supervising CRNAs in AZ. Otherwise, nothing prevents attorneys from holding docs accountable, they don't have any obligation under FPA or OTP laws and can ignore them. Another pearl: "Collaboration" is a misnomer Image
7)for "shoddy to non-existent" supervision. Collaboration is inherent in clinical practice. When it is mandated or required, it is supervision. Period. And docs are liable. This is a HRT clinic that was shut down in TX, thanks to one physician who suffered harassment and abuse
8)from NPs and people in the community for months, for trying to protect patients. As a result of her actions, two NPs relinquished their licenses, three so-called supervising physicians went before the Texas Medical Board and the clinic closed. Had the…
9)BON acted on her concerns almost 2 years prior, that child who ended up with thyrotoxicosis would not have been harmed and two men might still be alive. @pppforpatients @TakeMedBack @amytownsendmd @robertpainter

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More from @Suburbanbella

23 Dec
I typically have no interest in petty, childish tweets. However, this one in particular provides an opportunity to educate the public and HCPs interested in what the law has to say about the title "Doctor" and who uses it. Every state has a Business and Professions code(BPC) for
2)nearly every profession under the sun. That includes medicine and nursing. It is apparent to me whenever this issue arises, physicians and nurses have no clue what the BPC states when it comes to using the title "Doctor". First of all, it is imperative to understand,
3)BPCs ARE STATE LAWS. What one "thinks" or "feels" is irrelevant. A NP may feel that he/she can use the title "Dr." because they have that sham s**t, online, crap DNP degree, but it really depends on what the BPC states. BPCs varies state by state, so one cannot assume. In
Read 14 tweets
20 Dec
Kudos to Dr. Allison Brown, for going public and exposing more of the Cartel of private equity in medicine and how it affects the quality of care being provided to patients. Specifically in the specialty of Dermatology.…
2)Not surprising in the article is that the CMO and president of Pinnacle, the Pimp corporation backed by the Cartel, does what many of these sellout, traitor-trash docs do, parrot the same old bulls**t rhetoric about their prioritization of patient safety and quality of care.
3)"We...will continue to provide valuable dermatological care at the highest possible levels.” He then proceeds to disparage Dr. Brown. A colleague under his employ who shared her concerns, within the company, about patient safety and quality of care being compromised. ImageImage
Read 10 tweets
23 Oct
An adversarial "conversation" in Medical Economics between the new president of the American Association of Nurse Practitioners(AANP) and members of Physicians for Patient Protection(PPP). AANP president April Kapu, DNP, APRN got a bit
2)testy with PPP member Dr. Alyson Maloy's take on filling the physician shortage with NPPs…
3)and decided to write a…
Read 6 tweets
19 Oct
There is not only structural racism in medicine, there is structural misogyny. EM is no different where the "Old Boys Network" is alive and well. When the cronies are at their best, there is no meritocracy. You can be the best physician you can be but if one does not fit in their
2)particular demographic, one will not receive equitable pay, benefit packages, promotions, etc. The powers that be are in charge and not objective--they have no ability to be. They assist each other to move upward and onward--qualifications be damned. I've read the complaint by
3)Dr. Carmody. It's believable to me for one reason--I've lived it. I'm providing a few snippets of the bulls**t that she has made part of her lawsuit. It's sickening and so f***ing blatant. The kind of arrogance one sees when the offender gets away with this nonsense over and ImageImageImage
Read 9 tweets
15 Sep
Dear Student Doctors and Unmatched grads, DO NOT allow yourselves to be used as free labor by any medical institution or facility. You are not indentured servants who are required to put your lives at risk for the business of medicine. If they want you to work as
2)medical or nursing assistants, they should pay you as such. Do not agree to work as RNs because you are not. RNs are a specialized discipline and trained accordingly. They are in demand and being paid their worth...finally. They deserve it. However, the powers that be don't
3)want to pay. If you work for free, they can attempt to use nurses less just to get by and save money. Don't do it. It harms you, it harms the patients and it disrespects the nurses who deserve every f***ing cent they get paid. If the facility is short-staffed, that is an
Read 6 tweets
8 Aug
Envision does it again. First, there was the removal of a gaggle of anesthesiologists in Watertown, WI(). Then it was their powerpoint on how to save money and increase profits in the ER by using BC EM docs less and FM/IM docs and NPPs more. Then they
2)devalue interns, stating they add slowness and complexity to the EM doc's day. Guess they forgot when people are in training, it takes time to learn s**t right. Now an Envision contract(yes, it's been validated) which requires EM docs being hired to join ACEP. This is utter BS.
3)Since when can an employer mandate a physician to join an organization? It's the physician's choice. No one else's. Kudos to the EM physician who sued EmCare for wrongful termination after he complained about patient safety issues. For those who don't…
Read 4 tweets

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