[NPInfo] What a NP can do - RE: PA Video

[Alfredo Bimbela]

You ask, "What did she say about NPs that was inaccurate?"
   
  A few points are worth noting about the PA video:
   
  1. First, in reference to selecting a career, she states that she wanted to do something in between "a nurse" and "physician...so I wanted something in between". She does not make any distinction about between nurse practitioners and registered nurses, suggesting that physician assistant career represents the "in between" career, implying that "a nursing career does not". Minor point but presents an inaccurate picture to those viewing the video.
   
  2. She says, "One thing that is very different between a physician assistant and nurse practitioner is that when you become a nurse practitioner, you decide what sub-specialty you are going to go into...once you graduate with OBGYN, you are not allowed to practice anything outside of that". Misleading and inaccurate.
   
  3. She says, "every six years, I believe we are the only field that has to re-certify" -Inaccurate.
   
  4. There were other small details but are not worth mentioning. One of the PAs in the comment section already commented on a few.
   
  The reason I am drawing attention to these fine points is because this is what is out there for people considering careers, particularly those student who are deciding between a career as an NP and PA and MD.
   
  Now, had she had said that the NP profession is all over the place with state to state variability - I would have to say she is on the mark and has been staying informed about the NP profession :)) 
   
    Overall, I think she attempted to answer some very difficult questions that many of use, as NPs, find difficult to answer with clarity. 
   

  Alfredo
  www.bimbelapublications.com 
  www.bimbela.com
  
David Mittman <dmittman at advancedprac.com> wrote:
  OK. Maybe it's my mood. I do not agree with all that this PA said. 
She I bet is not a 20 year veteran but she seems quite competent. I 
actually think that for someone who is in plastics for a few years 
she is OK. What did she say about NPs that was inaccurate? I thought 
she was pretty spot on and never degrating. Her point was that ALL 
PAs are trained as generalists while most NPs were more vertically/ 
specialty trained,that all PAs were generalists first. Maybe we are 
talking apples and oranges here but I think that's true. That's why 
many states license NPs by specialty, FNP, ANP, PNP, GNP. PAs are 
licensed as PAs and never by specialty? Clearly we specialize but 
that is done later.
Also we started the ACC because we knew that NPs and PAs did not 
understand each other. We have done much to remedy that. Help me as 
to why this is innaccurate?
Cyberhugs,
Dave
PS Watching ER and Jeannie the PA is back for one episode. Seems she 
is running 2 clinics now and is divorced and a Mom. Who just gave her 
the low down on all that she missed in the ER? The nurses....
I am half watching though. Oh, oh she just found out her son has AIDS 
(brain tumor).


On Jan 3, 2008, at 7:35 PM, Alfredo Bimbela wrote:

> This is we wrote the publication "PHYSICIANS: What You Need to Know 
> to Work with a Nurse Practitioner ". The book is tailored 
> specifically for physicians about what they want to know about 
> nurse practitioners. It is simple and to the point on many issues.
> Right now, I am working to bring this publication to members of 
> the AMA.
>
> We have to be proactive and diligent in bringing the information 
> to physicians and not wait for physicians to do the leg work.
>
> Another forum that we can use is youtube.com.
>
> If you want to hear an inaccurate description by a PA about nurse 
> practitioners, view the following:
>
> http://www.youtube.com/watch?v=q3yFYnFakxM
>
> This is not to pick on this particular PA, but it serves to 
> illustrate that professionals struggle with learning about nurse 
> practitioners.
>
> Just my thoughts,
>
> Alfredo
>
> "suernfnp at iwon.com" wrote:
>
> Alfredo, I agree with you that most docs still do not understand 
> what a NP can bring to their practice. I left my hospital position 
> today and took a full time job with my retail clinic. One of the 
> docs I work with at the hospital asked why I was leaving and I said 
> "because you didn't offer me a job" joking a little with him. He 
> answered seriously, "I can't afford to pay you!" I told him he 
> needed to reframe the idea and think how much money I could EARN 
> for his practice. But he still doesn't get it.
>
> Sue D in MI
>
>
>
>
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