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.

https://twitter.com/DigiaimoRon/status/1748779951099167217

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

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. 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

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.

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.

@Cigna doing what they do best. Denying s**t. 3 mo old baby in respiratory distress-s/p open heart surgery 2 months before. Baby gets intubated at local ED & doc makes decision to transfer to a higher level of care emergently & arranges for air ambulance.
kffhealthnews.org/news/article/m… 2)Unsurprisingly, air ambulance is out-of-network. Mom and Dad get $97K bill. Cigna believes the pt could have gone by ground ambulance & whines that no records show that ground ambulance “would impede timely and appropriate medical care.” If a doc is transferring a patient

Appears the NP who didn't recognize shingles(from my earlier post) was advised, by crowdsourcing, that the patient has shingles. One would think that would be enough. Nope. Now she asks how to treat. She has no idea how Acyclovir is metabolized(hint: it's not the liver) or how

https://twitter.com/Suburbanbella/status/1763842280006521176

2)it's dosed. I will keep ridiculing this nonsense until dimwitted legislators stop enabling scope creep & nursing does something about it's trashy NP education. Improved access, but the quality of care sucks. No access is better than this s**t. midlevel.wtf/elite-np-would…

This is what bulls**t looks like. Lip service to appear important-but no receipts so the public can understand. Contrary to popular belief, PA school is not med school on steroids. Allow me to interpret the BS. If one is REQUIRED to apply to a med school, there is no "IF". 2)"If" implies the individual either does not know what the f**k they are talking or they are straight up lying through their f**king teeth. In the scope creep issue, it is both. "Regardless" is equivalent to "Anyway"...with an attitude. And no receipts.

What a move by the RCP. Totally antithetical to their core mission. Sellouts. PAs have been in the UK since 2005. Unregulated. Suddenly, regulation and prescribing rights are of the utmost importance. Let me say that as an EM doc, I have to be very familiar with pharmacology so

2)that I can intervene expeditiously in patients suffering from various toxidromes, in addition to "routine" medical management. Can't rush through learning that s**t. Ask a pharmacist. But a college that represents physicians is sanctioning expediting prescribing rights for a

Some of you may recall the NP in California who impersonated a doctor online and in-person by not clarifying that she was a NP-as required by state law(Nursing Act). $20,000 fine by the San Luis Obispo DA. She had an "independent" medical practice(NPPs 2)cannot own medical practices in CA), writing prescriptions for everything under the sun w/o a protocol in place(also a violation of the law) & only notional supervision. Her "supervising" doc worked in Massachusetts. Welp, the doc has been fined $25K for failing to supervise.

Listen, I have to get this s**t off my chest. Who the f**k actually believes it is acceptable to allow a so-called "health profession" to have access to patients, to do whatever the f**k they want, yet have no regulations or guidelines(so the public is not protected), 2)no CLEARLY defined scope of practice and NO LICENSE requirement?!! UK PAs, I'm looking at you👀. People, for the love of God, this is unethical as f**k. I cannot believe the commentary by physicians, who represent one of the most regulated, overly licensed & certified

This is the future folks...Hellcare. Read this on Reddit..breaks my heart. What follows is my perspective on what I believe is happening in countries like the U.S. and the UK and why. I'm going hard and may seem paranoid..I don't give a f**k. Long thread.
reddit.com/r/Noctor/comme…




2)"Healthcare" is big business-actual health care is not. Venture capitalists figured this out years ago. It's why the U.S. system is pretty much owned by private equity. The money is in prolonging illness, not improving health. Insurance execs desire healthy people because

Colleagues in the UK, as you fight this ridiculous scope creep battle, I would like to offer a few caveats/quotes for support. Be warned that you will be gaslighted & sealioned to death. You will be asked to prove a negative(ie: that PAs don't measure up to docs). Don't fall for 2)it.
Caveat #1: "The practice of medicine is the gold standard by which all other disciplines of health provision are measured. The onus is on them to prove, with VALID evidence of sound quality and unquestionable standards and methodology, that their discipline measures up."

This is Trevor Schmidt, a Nevada PA performing liposuction in Oct 2022. Not in his SOP, but what else is new? Trevor was reprimanded in 2017 for poor record keeping of his lipo procedures, on multiple patients.
instagram.com/p/CjWN4O_AH_M/… 2)For some unknown reason, the medical board(BOM) did not reprimand him for practicing beyond his scope. His supervising physician(SP) in 2017 was a cardiologist. In Feb 2023, another complaint was filed against him. This time the complaint not only included poor record-keeping,

Y'all. My eyes have been opened over this last 2.5 weeks. I wrote an article in 2021 about the Whorehouse of Medicine. What I've learned is that the Whorehouse is a big f***ing house and encompasses Great Britain and Canada and God knows where else.
authenticmedicine.com/2021/08/pimps-… 2)The Cartel and Pimps are not letting borders inhibit their slimy progress. @mmamas1973, @Xeon4f145d96s1, @iDrSunny and @Dr_Done_ breakdown NHS shenanigans. I had no idea that United Health Group and its Optum arm have been in bed with the NHS since 2012. UHG is the most hated

Musings by Taz..The absurdity of this entire scope creep issue is NPs/PAs having the audacity to be offended that physicians don't support it. It was their leadership who decided arbitrarily, after so many years of being on a supervised team, they no longer wanted that 2)supervised team. The PA program was started by a physician in 1965 and was NEVER designed to for them to be independent. The first NP program, also created in 1965, was actually a Pediatric Nurse Practitioner(PNP) program begun by a pediatric RN and pediatrician who worked

Sigh...I'm going to keep posting this s**t until something changes to stop this insanity. This is someone who thinks medicine is an algorithm. "What type or length of cough...?" THERE IS NO ALGORITHM PEOPLE!! But there is such a thing as history taking, a review of systems(ROS), 2)making clinical correlations, being aware of the season and/or time of year, blah, blah, blah. In short, the practice of medicine. The nursing model is based on a metaparadigm concept and nursing theory. The medical model is a biomedical/biopsychosocial approach.

An educational moment..Any cardiologist signing up for this nonsense would be a fool. Maryland is an unsupervised practice state for NPs. They need only be supervised for 18 months then they can go off on their own. So why would this NP-owned practice need a cardiologist? 2)Guess. A liability scapegoat-what else? And for that risky privilege, they tell them what they will be paid, which is a measly $300-$500/month. "Treatment of patients is not necessary...". How nice.
kinetic-medical-group.business.site/?fbclid=IwAR13…

So AZ has now passed legislation allowing PAs to practice independently after 8000 hours of clinical practice. That is now 4 states, including Colorado, Illinois & Iowa. This is what legislators refer to as "modernizing" the PA-Physician relationship.
clinicaladvisor.com/home/topics/pr…
2)Many of you know I'm a wordsmith. I'm also adept at interpreting spun bulls**t. "Modernizing" is a euphemism for removing restrictions that were designed to PROTECT THE PUBLIC. But if legislators actually wrote that in their bills, the public would rightfully raise holy hell be

This is my last post for the night. Sometimes this s**t is just too much. This is a letter from the Chief Physician Executive at Atrium Health in NC, supporting the unsupervised practice of NPs. He regurgitates the same reasons as legislators. Here's the problem, he makes a

2)statement on the second page, which I have highlighted. He has no evidence to validate his statement, it is his opinion based on jack s**t. It's evident he didn't bother to read the Hattiesburg Study() which contradicts what he states, with valid data.web.archive.org/web/2022121309…

A refresher on why there is a shortage of physicians... Congress sets the number of physicians that will be trained per year. The Centers for Medicare and Medicaid Services(CMS), pays for these residencies. In the '80s, the AMA , the AAMC and other medical groups 2)predicted and subsequently convinced Congress there would be a glut of physicians in the upcoming years. ACGME froze residency slots and and the Council on Graduate Medical Education(COGME) reduced the number of IMGs, which was 25-30% of U.S. med school grads, to < 10%. Then in

In the fight against the unsupervised practice of medicine(UPM), I have many times stated that NPs, in particular, will be their own downfall. Because their deficits in knowledge are manifested in human beings and cannot be swept under the rug. I can say that because that is 2)literally how Physicians for Patient Protection(PPP) came to be. Patients showing up in mostly PC physicians' offices having been mismanaged...on an UNPRECEDENTED scale. Huge red flag. And the docs did what docs do when s**t like this happens in medicine-investigate WTF was up.

Some of you may have read about this nonsense. Looks very exciting, doesn't it? Doctorates for everyone...But the devil is in the details, baby. In 2018, the National Organization of Nurse Practitioner Faculties (NONPF),
wusfnews.wusf.usf.edu/health-news-fl… 2)supposedly the only organization specifically devoted to promoting "high quality" nurse practitioner (NP) education, made the "commitment to move all entry-level nurse practitioner (NP) education to the DNP degree by 2025." Initially, it was 2015 and it didn't work out.