[NPInfo] An editorial From Dave

[Michael E. Zychowicz]

I have an additional comment that I would like to add to the brilliant Dr.
Fitzgerald’s comment below.  I may be out of my mind with this idea also -
But, from a purely legal perspective are NPs legally authorized to practice
medicine.  I know the NY State Education law states that PAs can practice
medicine under the supervision of a physician, blah, blah, blah – but I
don’t think NPs can practice “medicine” from a technical legal perspective.
I know you are all thinking I am out of my mind because we know what we do
with patients and we know how we deliver health care services.  I think it
is technically phrased in the NY State Education Law that we NPs deliver
advanced practice nursing services (or something like that).  I know this
may sound like a stupid question but does anyone know if it is illegal for
NPs to practice medicine (without a medical license)?

 

Mike

 

Michael E. Zychowicz, DNP, RNFA, NP-C

Assistant Professor of Nursing

Nurse Practitioner

Mount Saint Mary College

330 Powell Avenue

Newburgh, NY 12550

Phone: 845.569.3144

Fax: 845.569.3360

Email:  mzychowicz at hvc.rr.com

 

 

-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Margaret A. Fitzgerald, DNP, NP-C, APRN, BC, FAANP, CSP
Sent: Thursday, February 08, 2007 9:02 AM
To: npinfo at nurse.net
Subject: RE: [NPInfo] An editorial From Dave

 

Hi- One more comment- we say we practice "medicine", the next comment is 

then, "Where did you go to medical school?" Who wants that?

 

And the nation needs every single NP and PA who graduates.

 

 

 

Dr. Margaret A. Fitzgerald, DNP, APRN, BC, NP-C, FAANP, CSP

President, Fitzgerald Health Education Associates, Inc.

85 Flagship Drive

North Andover, MA 01845-6154

978.794.8366

FNP, Adjunct Faculty, Family Practice Residency

Greater Lawrence (MA) Family Health Center, Inc.

FHEA website www.fhea.com

FHEA on line store www.fhea.biz

Proud member of "Team Mimi", Leukemia and Lymphoma Team in Training  

http://www.active.com/donate/tntma/tntmaMFitzge

 

 

 

 

 

>From: "David or Diane Dito" <dddito at charter.net>

>Reply-To: NP Info <npinfo at nurse.net>

>To: "'NP Info'" <npinfo at nurse.net>

>Subject: RE: [NPInfo] An editorial From Dave

>Date: Mon, 5 Feb 2007 19:38:33 -0600

> 

>I like HCP better than APC. It says it better and is more inclusive. Now

>there's some power with Dave and Peg to back this concept! Let's do it!

>Diane Dito

> 

>-----Original Message-----

>From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf

>Of David Mittman

>Sent: Monday, February 05, 2007 6:43 PM

>To: NPinfo

>Subject: Re: [NPInfo] An editorial From Dave

> 

>Peg:

>I do not disagree. Want to get people thinking a bit. Just saying out loud

>that people are going to start to look for APCs who can provide medical 

>care

>(I could be wrong also!) and if they think NPs do some sort of

>"nursing"-more medical schools will be built. If they think PAs are really

>"assistants",  same for us.

>Let's change all our names to HCPs (Healthcare Practitioners) then and

>educate people we can provide healthcare and medical/advanced nursing care

>also.

>Dave

> 

> 

>On 2/5/07 12:41 PM, "Margaret A. Fitzgerald, DNP, NP-C, APRN, BC, FAANP,

>CSP" <pegf at hotmail.com> wrote:

> 

> > David, You and I have known one another for decades and respect one

> > another's work. We are usually on the same page as well. While I agree

>with

> > most of your editorial, I disagree with you on the medicine practice 

>part.

> > What we all practice is healthcare, not medicine, a word I believe puts

>one

> > discipline in the driver's seat. Healthcare should be patient, not

>provider,

> > focused.

> >

> > Peg Fitzgerald (who sends this note with a big hug to my buddy David

>Mittman

> > and is a healthcare practitioner, FNP, in family practice)

> >

> >

> >

> > Dr. Margaret A. Fitzgerald, DNP, APRN, BC, NP-C, FAANP, CSP

> > President, Fitzgerald Health Education Associates, Inc.

> > 85 Flagship Drive

> > North Andover, MA 01845-6154

> > 978.794.8366

> > FNP, Adjunct Faculty, Family Practice Residency

> > Greater Lawrence (MA) Family Health Center, Inc.

> > FHEA website www.fhea.com

> > FHEA on line store www.fhea.biz

> > Proud member of "Team Mimi", Leukemia and Lymphoma Team in Training

> > http://www.active.com/donate/tntma/tntmaMFitzge

> >

> >

> >

> >

> >

> >> From: David Mittman <dave at mittman.us>

> >> Reply-To: NP Info <npinfo at nurse.net>

> >> To: ACC-Circle <acc-circle at listserve.com>, NPinfo <NPinfo at nurse.net>,

> >>  <PAForum at mc.duke.edu>

> >> Subject: [NPInfo] An editorial From Dave

> >> Date: Sun, 04 Feb 2007 19:38:20 -0500

> >>

> >> Let¹s Redefine Medical Care, Quickly

> >> By Dave Mittman, PA

> >>

> >> We will have mandatory national health insurance. Every week one state 

>or

> >> another talks about the fact that many of its citizens are not covered 

>by

> >> medical insurance. A number of states have come up with plans to 

>address

> >> this and if California can pull it off successfully,  they will 

>certainly

> >> be

> >> looked at as a model for the other larger states.

> >> On top of this, we have a physician shortage. A recent article stated

>that

> >> the Council on Graduate Medical Education predicted a shortage of close

>to

> >> 100,000 physicians by the year 2020. That¹s a huge number of physicians

>to

> >> be short of. Add to that the fact that there are almost 200,000 NPs and

>PAs

> >> already delivering of healthcare in this country and you know we have a

> >> problem.

> >> Business will demand national healthcare coverage because it has to for

>its

> >> own survival. Not because business people are experts in medical care 

>but

> >> because they cannot compete on a world level anymore because of the

>burden

> >> of healthcare costs. A small business in the U.S. that has six 

>employees

> >> has

> >> to start out budgeting $75,000 for health insurance before they even 

>open

> >> their doors. The same business in Western Europe, Canada, India, Mexico

>or

> >> the UK does not have to worry about this cost. What a deterrent to

>opening

> >> new businesses and competing on the world level. So, not if but when

> >> national insurance comes, how many more providers will we need?

> >> And, how can we ever begin to figure out what the medical care needs 

>will

> >> be

> >> of the baby boomers as they age into their 60s, 70s, 80s and beyond?

> >> What does this all tell us? That the powers that be; medical schools,

> >> organized medicine (read AMA, AAFP, ACOG, etc), public health 

>officials,

> >> big

> >> business, and others will be called in by Congress and asked to develop


>a

> >> plan to provide more medical care to our citizens. Their logical answer

>to

> >> this challenge will be to create many more medical schools and many 

>more

> >> doctors. What else could they say?

> >> What else would anyone expect them to say? This is a no brainer.

> >>

> >> That¹s where I get worried. For years there has been a debate as to 

>what

> >> kind of ³care² PAs and NPs provide. Look at most literature from the NP

> >> movement and you will see that NPs provide ³healthcare² or ³advanced

> >> practice nursing care². Rarely does the ³organized² NP world admit to

> >> providing medical care, although individual NPs certainly do and always

> >> have.

> >> Now I understand this healthcare/medicine distinction fully and 

>actually

> >> agree with it. But it should change. Now let¹s look at the PA world. 

>They

> >> do

> >> provide medical care but always seem to officially say that in a humble

> >> way,

> >> as in ³we do it, but we do not want to say it as loud as we can². That

>will

> >> wind up hurting PAs if they keep it at that level, because when it 

>comes

> >> time for all of the different medical care groups to chime in and look 

>at

> >> JUST WHO CAN PROVIDE MEDICAL CARE and whom to give the money for the

>future

> >> provision of such, where do you think it will go? Thirty more medical

> >> schools will be built and many others expanded.

> >>

> >> I say let¹s step up to the table now and have both our fine professions

> >> start educating the powers that be that we provide ³medical care² to 

>over

>a

> >> million people every day and want to expand our delivery of it in the

> >> future. Yes, I  am sure we also provide more than that. Maybe it¹s

>holistic

> >> care. Maybe it¹s more patient oriented care? But in this context will

> >> Congress or your state legislature even understand the nuances? We have

>to

> >> tell the world that yes, we do medicine, and we do it well! We also 

>must

> >> not

> >> be afraid to ask for a seat at the table when this new healthcare

>delivery

> >> system is being carved out and to lobby to make sure both professions 

>are

> >> involved. If the country needs medical care, let us answer the call and

> >> give

> >> it to them.

> >>

> >>

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