[NPInfo] Forbes-DNP-not written by an NP

[Eric Doerfler]

I don't think the MD test piece is going to go very far. I think this is an
experiment. 
e.d. 

-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Rose Moran-Kelly
Sent: Wednesday, November 28, 2007 11:47 AM
To: NP Info
Subject: Re: [NPInfo] Forbes-DNP-not written by an NP

Oh dear!!  Now it has happened.....I agree with califnp (who I usually
delete...sorry)
rose

On 11/28/07, Calif NP <np at c-zone.net> wrote:
> This mind-set by the BSN'ers (now DNP'ers ?  the Neocons of nursing?) 
> will certainly serve to add a new robust flavor to the MDs terms of
'mid-level',
> 'physician extender',  and of course 'nurse'.   This is very unproductive,
> flies in the face of good sense, and seems driven by those 
> self-appointed education mavens who have a vested interest in the
post-graduate degree
> generating money machines.  The AMA just has to love these people!!!
This
> sort of egocentric thought process and empire builder propaganda very 
> plainly is indicating that NP education, experience, in fact - the 
> very concept of NPs, is INADEQUATE in virtually every respect.  So, 
> how is this sort of nonsense being spread throughout the health industry
helpful?
>
> ----- Original Message -----
> From: "David Mittman" <dmittman at comcast.net>
> To: "ACC Listserv" <ACC-Circle at listserve.com>; "NPinfo" 
> <NPinfo at nurse.net>
> Sent: Wednesday, November 28, 2007 8:14 AM
> Subject: [NPInfo] Forbes-DNP-not written by an NP
>
>
> This article will be tacked up on every doctor¹s lounge billboard. I 
> am not sure this needed to be said in the way it was said. Am not even 
> sure 50% of the NPs in the country would say those words. And what if 
> you don¹t have a doctorate? Are you now an inferior NP? Comparing 
> training at this point is also not a wise move. Saying that the 
> training is high quality and allows one to diagnose and treat most illness
is the way to go.
>
> Commentary
> Who Will Be Your Doctor?
> Mary O' Neil Mundinger 11.28.07, 6:00 AM ET
>
> A quietly emerging trend in health care is likely to have a major 
> effect on who will diagnose and treat your illness in the coming 
> years. Rather than a physician, that comprehensive-care provider may 
> very well be a nurse--who also happens to be a doctor.
> As more physicians move toward specialties and away from general care, 
> there is a troubling lack of providers in this critical health-care 
> sector. The need is even more urgent in light of the growing number of 
> Americans who are suffering from chronic illnesses such as asthma, 
> diabetes and hypertension and require long-term disease treatment and 
> coordination of care. Many others who survive extraordinary medical 
> interventions or trauma need sustaining care for the rest of their lives.
> The doctor of nursing practice (DNP) is a new level of clinical 
> practice that is attracting a rapidly growing number of nursing 
> professionals. This doctoral degree enables advanced-practice nurses 
> to gain the knowledge and skills necessary to practice independently in
every clinical setting.
> In Pictures: Innovative Health-Care Solutions DNPs are the ideal 
> candidates to fill the primary-care void and deliver a new, more 
> comprehensive brand of care that starts with but goes well beyond 
> conventional medical practice. In addition to expert diagnosis and 
> treatment, DNP training places an emphasis on preventive care, risk 
> reduction and promoting good health practices. These clinicians are 
> peerless prevention specialists and coordinators of complex care. In 
> other words, as a patient, you get the medical knowledge of a 
> physician, with the added skills of a nursing professional.
> Truly comprehensive care requires both medical and nursing skills, and 
> nurses with a clinical doctorate have that complement of abilities. 
> Skilled at identifying nuanced changes of condition, and intervening 
> early in a patient's illness, these clinicians are also expert at 
> utilizing community and family resources, and incorporating patient 
> values into a family-centered model of care.
> Once patients move beyond the common bias that only doctors of 
> medicine can provide top-flight care, they typically come to 
> appreciate these added benefits. Most important, research has 
> demonstrated that DNPs, with their eight years of education and 
> extensive clinical experience, can achieve clinical outcomes comparable to
those of primary-care physicians.
> As more advanced-practice nurses pursue this new level of clinical 
> training, we are working to create a board certification to establish 
> a consistent standard of competence. To that end, we are working to 
> enable DNPs to take standardized exams similar in content and format 
> to the test that physicians must pass to earn their M.D. degrees. By 
> allowing DNPs to take this test, the medical establishment will give 
> patients definitive evidence that these skilled clinicians have the 
> ability to provide comprehensive care indistinguishable from physicians.
> Along with a doctorate and the title of "doctor," the fact that a 
> nurse practitioner has fulfilled this certification requirement will 
> instill confidence in patients that DNPs have the expertise to serve 
> as their health-care provider of choice.
> Nurse practitioners are reimbursed by Medicare and Medicaid in every 
> state, but only variably by commercial insurance carriers. That is 
> certain to change soon, as these DNP graduates prove they are the 
> logical choice to become the new comprehensive-care clinicians.
> As this valuable new resource grows and becomes fully established, the 
> health-care system's ability to meet the nation's desire for 
> accessible, high-quality care will be greatly improved, yielding better
health for all.
> Medical specialists are in short supply; patients increasingly need 
> their care. With the advent of the DNP clinicians, we can have both 
> dedicated, brilliant specialists and effective health management. It 
> is the future we all need and want.
> In Pictures: Innovative Health-Care Solutions Mary O' Neil Mundinger, 
> Dr.P.H., is the Dean of the Columbia University School of Nursing, 
> which was the first to pioneer the DNP concept.
>
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