[NPInfo] Pri-Med Physician Workshop Proposal
Stephanie Walker
stephanie2u at optonline.net
Sat Jan 5 16:23:33 PST 2008
As you are suggesting a presentation which does not promote a product
(drug or device), and Pri Med is funded by the medical industrial
complex (Big Pharma and device manufacturers) to promote their
products in the guise of educational talks, it seems as though you
would need a drug company to put up the money for your presentation.
For instance, the company that makes Valtrex would be glad to sponsor
a talk about HSV as long as Valtrex is featured as a treatment of
choice. And in order to get their sponsorship you may have to push
something unethical like screening all your patients for asymptomatic
HSV in order to have a lot of reasons to write more Valtrex
prescriptions.
Pri Med is totally marketing, from my experiences there. I went once
and I would never go again. It's totally devoted to sales talks. You
get sold on the product in the sessions, then you go to the exhibit
area and get detailed by the reps for the product. Then you're a
believer and you write lots of prescriptions for their product,
because some doctor giving the talk says he's a believer. Of course,
the company is paying him to say that. I have no respect for the
doctors who give talks at Pri Med. They are the paid creatures of the
drug companies and get their slide set from the drug reps.
It's worse than having reps come to the office and use up your lunch
time giving you deli sandwiches and making you listen to their
detailing unless you can go sit at your desk and eat your lunch
there. With Pri Med, you have to drive yourself to some big hotel
during rush hour, find a parking lot and fight the crowds to get a
crummy box lunch and listen to detailing all day long. The little
gadgets where you push a button to answer multiple choice questions
are creepy and a Big Brotherish way to help program you to their agenda.
I'm not trying to be a wet blanket but it does seem that you have to
promise to promote some product to get through the door and reach the
Pri Med audience as a speaker. There's no free lunch.
Stephanie Walker, FNP
On Jan 5, 2008, at 6:39 PM, Alfredo Bimbela wrote:
> A few thoughts and ideas about initiating this Pri-Med Workshop
> Proposal:
>
> Pri-Med Workshop Proposal:
>
> 1. I will work towards finalizing the proposal and email it to
> anyone who is interested in reviewing the content, focus, and frame
> of the workshop. My goal is to make it clear, simple, relevant, and
> tailored for physicians. The objective is to bring the information
> that physicians want/need to know about working with nurse
> practitioners and physician assistants.
>
> Presenters: NP, PA, and Physician
>
> Identify Appropriate Pri-med Committee Contacts:
>
> 2. Does anyone know any Pri-Med committee members particularly
> members who may have a say in setting the agenda/curriculum? We
> need to identify a point person who is willing and interested in
> reviewing the proposal and bringing it to the Pri-Med committee
> members.
>
> I am thinking of approaching someone from UCLA, since I am an
> alumni of this program.
>
> As you can see from the West Coast Course Committee, we do have
> two individuals nurseing representatives on the panel, though not
> from UCLA (see the underlined members below):
> Sanjiv Chopra MD, FACP
> Director, Harvard Medical School Course Development Committee
> Harvey P. Katz MD
> Deputy Director, Pri-Med Course Development
> Jane S. Sillman MD
> Assistant Professor of Medicine
> John D. Goodson MD
> Frank Domino MD
> Martin Shapiro MD, PhD
> Martin A. Quan MD
> Randy Wertheimer MD
> Karen J. Carlson MD
> Assistant Professor of Medicine
> Harvard Medical School, Boston,MA
> Maryjoan D. Ladden PhD, RN
> Assistant Professor of Ambulatory Care and Prevention
> Harvard Medical School, Boston,MA
> Mark D. Aronson MD
> Harvard Medical School, Boston,MA
> Gerald W. Smetana MD
> Harvard Medical School, Boston,MA
> Rick E Harrison
> David Geffen School of Medicine at UCLA, Los Angeles,CA
> Sharon Steinberg MS, RN, CS
> Lecturer in Ambulatory Care and Prevention
> Care/ Prevention, Ex-Officio Member Harvard Pilgram Health Care,
> Boston,MA
> Patrick Dowling MD
> David Geffen School of Medicine at UCLA, Los Angeles,CA
>
> Representation and Support
>
>
>
> 3. The strength of this Pri-Med Workshop Proposal will be based,
> at least partially, on whether there is NP, PA, and MD/DO support
> for it. It will be helpful to have at least a few sentences of
> support from NPs, PAs, and MD/DOs. As you know, the Pri-Med
> Committee will likely want to know whether NPs/PAs/MDs/DOs will
> attend this workshop.
>
> The evidence of support does not need to be beyond sending me a
> few names and addresses so that I can then attach it to the
> proposal. The Pri-Med contact person can then bring the proposal to
> the Pri-Med committee members with some evidence of support for the
> workshop.
>
> Note: At the last Pri-Med, I did ask a few physicians,
> informally, whether or not they would attend such as a workshop.
> The majority said yes and the others proceeded to ask me questions
> about the scope of practice and background information about nurse
> practitioners, almost confirming the need for the workshop.
>
> Alfredo
> ---------------------------------------------
> www.bimbelapublications.com
> www.bimbela.com
>
> "You have not failed until you have failed to try"
>
>
> David Mittman <dmittman at advancedprac.com> wrote:
> Alfredo: HGow about the American College of Clinicians joining your
> effort?
> I could run by the Board!??
> Dave
>
> On Jan 5, 2008, at 3:20 PM, Alfredo Bimbela wrote:
>
>> Hi,
>>
>> I am drafting a proposal that serves to invite/encourage Pri-Med
>> Representatives to sponsor/support a workshop for physicians who
>> are interested in developing/building a practice with nurse
>> practitioners and physician assistants.
>>
>> I am not sure whether I will get any response or support, but it
>> will not be for lack of trying on my part.
>>
>> If anyone has any suggestions or ideas on this topic, please let
>> me know.
>>
>> Alfredo
>>
>> Michael Zychowicz wrote:
>> v\:* {behavior:url(#default#VML);} o\:* {behavior:url
>> (#default#VML);} w\:* {behavior:url(#default#VML);} .shape
>> {behavior:url(#default#VML);} st1\:*{behavior:url
>> (#default#ieooui) }st2\:*{behavior:url
>> (#default#ieooui) } Alfredo,
>>
>> Nice professional comments. Good job representing NPs
>> professionally.
>>
>> I agree with your point that we need to be a little more internet
>> savvy and get more info out there about our NP profession on You-
>> Tube and other platforms. I am actually going to bring it up with
>> my next NY state NP Association Board of Directors meeting.
>>
>> Mike
>>
>>
>> Michael E. Zychowicz, DNP, RNFA, NP-C, FAANP
>>
>> Associate Professor of Nursing
>>
>> Nurse Practitioner
>>
>> Mount Saint Mary College
>>
>> 330 Powell Avenue
>>
>> Newburgh, NY 12550
>>
>> (845) 569-3144 (Office)
>>
>> (845) 569-3360 (Fax)
>>
>> www.msmc.edu
>>
>>
>>
>>
>> ---------------------------------
>>
>> From: Alfredo Bimbela [mailto:bimbelaa at yahoo.com]
>> Sent: Friday, January 04, 2008 6:16 PM
>> To: mzychowicz at hvc.rr.com; NP Info
>> Subject: RE: [NPInfo] What a NP can do - RE: PA Video
>>
>>
>> I posted my comments in the section located below the video
>> clip. However, I did not go into detail about any portion of the
>> video because I did not want my observations to create division and
>> distance between our professions. Here is what I wrote,
>>
>>
>>
>> "It is always difficult to know the scope of practice,
>> educational background, prescriptive authority, and overall
>> preparation of other disciplines. Overall, except for one or two
>> inaccurate points about NPs, this video is great. I am always
>> advocating for physician assistant and nurse practitioner synergy
>> because we have more in common than people would like to admit.
>> Have a nice New Year everyone."
>>
>>
>>
>> I think we need more nurse practitioner youtube videos
>> promoting and representing our profession - one from each state
>> would do it.
>>
>>
>>
>> Alfredo
>>
>>
>> -------------------
>>
>> www.bimbelapublications.com
>>
>> www.bimbela.com
>>
>>
>> Michael Zychowicz wrote:
>>
>> If you take a look on the u-tube I think there is a spot for a
>> "rebuttal" or
>> something like that. I would encourage anyone who thinks this info is
>> incorrect to say so on there.
>>
>> Michael E. Zychowicz, DNP, RNFA, NP-C, FAANP
>> Associate Professor of Nursing
>> Nurse Practitioner
>> Mount Saint Mary College
>> 330 Powell Avenue
>> Newburgh, NY 12550
>> (845) 569-3144 (Office)
>> (845) 569-3360 (Fax)
>> www.msmc.edu
>>
>>
>> -----Original Message-----
>> From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On
>> Behalf
>> Of Alfredo Bimbela
>> Sent: Friday, January 04, 2008 4:16 PM
>> To: NP Info
>> Subject: Re: [NPInfo] What a NP can do - RE: PA Video
>>
>> 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 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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>>
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