NPs sue to use "Doctor" title
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Sort of related....
The American College of Cardiology (ACC) has announced its 2024-2025 officers and trustees, including the group’s next president and vice president.
Cathleen Dalton Biga, MSN, RN, president and CEO of Cardiovascular Management of Illinois, will serve as ACC president in 2024-2025 after serving as the group’s vice president in 2023-2024. Biga has more than 40 years of healthcare experience, working as a registered nurse, service line director, vice president and CEO. At Cardiovascular Management of Illinois, she works with more than 100 separate cardiology practices throughout the Chicago area.
Cardiologist Christopher Kramer, MD, chief of cardiovascular medicine with UVA Health, will serve as ACC Vice President in 2024-2025. Kramer, a cardiac imaging specialist, has authored nearly 200 peer-reviewed publications, more than 100 book chapters and three books focused on cardiovascular health over the course of his career. He previously served as president of the Society for Cardiovascular Magnetic Resonance.
I met Biga about 20 years ago. She was the CEO of our place for about a year (there was a revolving door).
After I was introduced, she said, "So, you pass gas for a living?"
I responded, "Yeah, and sometimes I put people to sleep too."
She didn't find it amusing.
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Outcomes of Hematuria Evaluation by Advanced Practice Providers and Urologists
We identified 59,923 patients who were initially evaluated for hematuria. Visits with urologic nurse practitioners rather than urologists were associated with significantly lower odds of receiving cystoscopy procedures , imaging studies, and bladder biopsy procedures. Visits with urologic physician assistants were associated with 11% greater out-of-pocket payments and 14% greater total payments.
Large number of patients. Unfortunately, the fact that NP's cost more (to the patient) and ordered/peformed fewer tests and procedures is not mentioned as related to outcomes.
You can bet your ass that if I start peeing blood, and it's not an infection, I want someone taking a look.
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I’m sorry, but nursing is starting to come across as very similar to teaching. Yes, there are dedicated professionals out there that truly make a great and positive difference in patients/students care. There are also a great majority that are clock punchers. That want the social approbation that goes with their chosen career but don’t truly have the welfare of those in their care at the center of their career. In and amongst that group is a minority that Carrie’s power. One that wants to elevate their standing. That wants an undue amount of credit and irresponsible levels of responsibility without the appropriate study, work, and accreditation necessary. They also want to bury anybody in their path. These are the Doctors of Nursing (or Education, for that matter) that insist upon being called Doctor. They push for greater responsibility beyond their capacity or what is appropriate. It’s very similar…
Reading a couple of nursing forums where the CRNA’s rail against CAA programs and positions has been quite enlightening.
The Brad
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I’m sorry, but nursing is starting to come across as very similar to teaching. Yes, there are dedicated professionals out there that truly make a great and positive difference in patients/students care. There are also a great majority that are clock punchers. That want the social approbation that goes with their chosen career but don’t truly have the welfare of those in their care at the center of their career. In and amongst that group is a minority that Carrie’s power. One that wants to elevate their standing. That wants an undue amount of credit and irresponsible levels of responsibility without the appropriate study, work, and accreditation necessary. They also want to bury anybody in their path. These are the Doctors of Nursing (or Education, for that matter) that insist upon being called Doctor. They push for greater responsibility beyond their capacity or what is appropriate. It’s very similar…
Reading a couple of nursing forums where the CRNA’s rail against CAA programs and positions has been quite enlightening.
@LuFins-Dad said in NPs sue to use "Doctor" title:
Reading a couple of nursing forums where the CRNA’s rail against CAA programs and positions has been quite enlightening.
It's all about knowing how to "stay in your lane."
Just because my license says "Physician and Surgeon" doesn't mean that I'm qualified to do open-heart surgery, or even treat obscure infectious diseases.
But, if you need an airway, I'm your man.
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@LuFins-Dad said in NPs sue to use "Doctor" title:
Reading a couple of nursing forums where the CRNA’s rail against CAA programs and positions has been quite enlightening.
It's all about knowing how to "stay in your lane."
Just because my license says "Physician and Surgeon" doesn't mean that I'm qualified to do open-heart surgery, or even treat obscure infectious diseases.
But, if you need an airway, I'm your man.
@George-K said in NPs sue to use "Doctor" title:
@LuFins-Dad said in NPs sue to use "Doctor" title:
Reading a couple of nursing forums where the CRNA’s rail against CAA programs and positions has been quite enlightening.
It's all about knowing how to "stay in your lane."
Just because my license says "Physician and Surgeon" doesn't mean that I'm qualified to do open-heart surgery, or even treat obscure infectious diseases.
But, if you need an airway, I'm your man.
Or, if you’re qualified to talk to a student about what educational paths can help them find their preferred career, and passing out brochures on various scholarship opportunities may not make you the best person to help a child decide on whether they should be a boy instead of a girl and giving them chest binders while keeping it secret from their parents…
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@George-K said in NPs sue to use "Doctor" title:
@LuFins-Dad said in NPs sue to use "Doctor" title:
Reading a couple of nursing forums where the CRNA’s rail against CAA programs and positions has been quite enlightening.
It's all about knowing how to "stay in your lane."
Just because my license says "Physician and Surgeon" doesn't mean that I'm qualified to do open-heart surgery, or even treat obscure infectious diseases.
But, if you need an airway, I'm your man.
Or, if you’re qualified to talk to a student about what educational paths can help them find their preferred career, and passing out brochures on various scholarship opportunities may not make you the best person to help a child decide on whether they should be a boy instead of a girl and giving them chest binders while keeping it secret from their parents…
@LuFins-Dad said in NPs sue to use "Doctor" title:
help a child decide on whether they should be a boy instead of a girl and giving them chest binders
Well, yeah. There is that, of course.
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George has illustrated exactly why we have specialties. My GP is a highly skilled physician, but he doesn’t interpret imaging of any sort. This NP stuff is nuts.
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George has illustrated exactly why we have specialties. My GP is a highly skilled physician, but he doesn’t interpret imaging of any sort. This NP stuff is nuts.
@Mik said in NPs sue to use "Doctor" title:
he doesn’t interpret imaging of any sort
Read post #31 - the doc says he relies on the expert for interpretation.
I can spot a pneumothorax as well as
anyonemost docs. But, guaranteed, I'll miss the subtleties. And missing subtleties is what frequently kills people. -
I’m sorry, but nursing is starting to come across as very similar to teaching. Yes, there are dedicated professionals out there that truly make a great and positive difference in patients/students care. There are also a great majority that are clock punchers. That want the social approbation that goes with their chosen career but don’t truly have the welfare of those in their care at the center of their career. In and amongst that group is a minority that Carrie’s power. One that wants to elevate their standing. That wants an undue amount of credit and irresponsible levels of responsibility without the appropriate study, work, and accreditation necessary. They also want to bury anybody in their path. These are the Doctors of Nursing (or Education, for that matter) that insist upon being called Doctor. They push for greater responsibility beyond their capacity or what is appropriate. It’s very similar…
Reading a couple of nursing forums where the CRNA’s rail against CAA programs and positions has been quite enlightening.
@LuFins-Dad said in NPs sue to use "Doctor" title:
I’m sorry, but nursing is starting to come across as very similar to teaching. Yes, there are dedicated professionals out there that truly make a great and positive difference in patients/students care. There are also a great majority that are clock punchers. That want the social approbation that goes with their chosen career but don’t truly have the welfare of those in their care at the center of their career. In and amongst that group is a minority that Carrie’s power. One that wants to elevate their standing. That wants an undue amount of credit and irresponsible levels of responsibility without the appropriate study, work, and accreditation necessary. They also want to bury anybody in their path. These are the Doctors of Nursing (or Education, for that matter) that insist upon being called Doctor. They push for greater responsibility beyond their capacity or what is appropriate. It’s very similar…
Reading a couple of nursing forums where the CRNA’s rail against CAA programs and positions has been quite enlightening.
Nursing has a very effective lobby.
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The teaching profession has been feeding off the narrative that they're underpaid heroes for as long as I've been alive. Any hero narrative will end up biting you as the beneficiaries take it for granted, and then want more, in a perpetual cycle. Similar to oppression narratives. Maybe there's a similar narrative thing going on with nursing.
Education is extremely important.
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The sad thing is that the bill might very well pass as it can be seen as a way of lowering the cost of medical care.
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The teaching profession has been feeding off the narrative that they're underpaid heroes for as long as I've been alive. Any hero narrative will end up biting you as the beneficiaries take it for granted, and then want more, in a perpetual cycle. Similar to oppression narratives. Maybe there's a similar narrative thing going on with nursing.
@Horace said in NPs sue to use "Doctor" title:
The teaching profession has been feeding off the narrative that they're underpaid heroes for as long as I've been alive. Any hero narrative will end up biting you as the beneficiaries take it for granted, and then want more, in a perpetual cycle.
Hmmm … I think I see a pattern:
- Soldiers as heroes … the military has problem recruiting enough cadets.
- Police as heroes … the police has problem recruiting enough cadets.
- Nurses as heroes … we have nurse shortage.
- Teachers as heroes … we have teacher shortage.
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@Horace said in NPs sue to use "Doctor" title:
The teaching profession has been feeding off the narrative that they're underpaid heroes for as long as I've been alive. Any hero narrative will end up biting you as the beneficiaries take it for granted, and then want more, in a perpetual cycle.
Hmmm … I think I see a pattern:
- Soldiers as heroes … the military has problem recruiting enough cadets.
- Police as heroes … the police has problem recruiting enough cadets.
- Nurses as heroes … we have nurse shortage.
- Teachers as heroes … we have teacher shortage.
@Axtremus said in NPs sue to use "Doctor" title:
@Horace said in NPs sue to use "Doctor" title:
The teaching profession has been feeding off the narrative that they're underpaid heroes for as long as I've been alive. Any hero narrative will end up biting you as the beneficiaries take it for granted, and then want more, in a perpetual cycle.
Hmmm … I think I see a pattern:
- Soldiers as heroes … the military has problem recruiting enough cadets.
- Police as heroes … the police has problem recruiting enough cadets.
- Nurses as heroes … we have nurse shortage.
- Teachers as heroes … we have teacher shortage.
The police and soldier as hero narratives have long since passed. Obviously the mainstream narrative for police these days is villain. Soldier is still respected somewhat.
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@Axtremus said in NPs sue to use "Doctor" title:
@Horace said in NPs sue to use "Doctor" title:
The teaching profession has been feeding off the narrative that they're underpaid heroes for as long as I've been alive. Any hero narrative will end up biting you as the beneficiaries take it for granted, and then want more, in a perpetual cycle.
Hmmm … I think I see a pattern:
- Soldiers as heroes … the military has problem recruiting enough cadets.
- Police as heroes … the police has problem recruiting enough cadets.
- Nurses as heroes … we have nurse shortage.
- Teachers as heroes … we have teacher shortage.
The police and soldier as hero narratives have long since passed. Obviously the mainstream narrative for police these days is villain. Soldier is still respected somewhat.
@Horace said in NPs sue to use "Doctor" title:
@Axtremus said in NPs sue to use "Doctor" title:
@Horace said in NPs sue to use "Doctor" title:
The teaching profession has been feeding off the narrative that they're underpaid heroes for as long as I've been alive. Any hero narrative will end up biting you as the beneficiaries take it for granted, and then want more, in a perpetual cycle.
Hmmm … I think I see a pattern:
- Soldiers as heroes … the military has problem recruiting enough cadets.
- Police as heroes … the police has problem recruiting enough cadets.
- Nurses as heroes … we have nurse shortage.
- Teachers as heroes … we have teacher shortage.
The police and soldier as hero narratives have long since passed. Obviously the mainstream narrative for police these days is villain. Soldier is still respected somewhat.
God Bless our men in uniform.
