[NPInfo] Physician blogs maligning NP s and PAs

[David Mittman]

As long as the ambient noise is not too loud, I'm listening!!!!!!
C'Mon board. GLAD to have you as one of the group.
I love what I do also.
Dave

On Mar 9, 2008, at 12:48 PM, jlambertrn at comcast.net wrote:

> Karen,
> I echo your thanks to Stephen and David. I agree whole heartedly  
> with you and your thoughts and the fact that much of our knowledge/ 
> training is similar to the apprentice concept that has been working  
> for centuries. (Sorry about the run-on sentence; my high school  
> english teacher is probably rolling over in her grave!)  As you, I  
> too remain humbled by the amazing amount of knowledge that is out  
> there that we (including docs) need to be on top of.  I treat  
> people with respect, and expect the same in return, docs included.  
> For the most part, I enjoy a very collegial relationship with the  
> other docs in the ED where I work.  Occasionally, I have to call a  
> specialist for a consult. Most are receptive to me as a NP, however  
> you still run across the  arrogant jerk every now and then. I  
> always remember who they are when I am moonlighting in primary care  
> as I frequently do.  Does a doc really think I am ever going to  
> refer a patient to him/her after being disrespectful or unprofession!
>  al towa
> rds me? If the offender treats a colleague in that manner, how will  
> he treat my patient?  Nope, no referrals for you!
> As far as Panda Bear is concerned, I feel he has way too much time  
> on his hands. His post was long, rambling and most of all B-O-R-I-N- 
> G.  One of the AMA's beefs with us has always been "they take  
> patients away from us, and it will affect my ability to earn a  
> living". Does Panda Bear have any clue to the difficulty a patient  
> encounters when he/she calls their PCP on a day when they truly ill  
> and are told that the next available appt. is in two weeks? We see  
> these patients in the ED every day, so there goes the theory of  
> "us" stealing "their" patients.  Paaaaallleeeeeze! There are plenty  
> of patients to go around and that is an unfounded, tired, mundane  
> talking point put forth by the AMA and other groups. That argument  
> impacts patients in a very negative manner. Yep, reading that blog,  
> made me get the same feeling in my gut that I get when I have to  
> call that arrogant ENT or surgeon, or whatever. The positive point  
> in all of this is that I LOVE WHAT I DO, and like Peg Fitzgera!
>  ld alwa
> ys says "Being a NP is the BEST job on the planet".  So what next?  
> We all go on doing what we always do- providing  quality, evidence- 
> based care to our patients  who put their faith and trust in us   
> every day. One patient at a time. I think it's time to join the  
> ACC- Dave Mittman, are you listening? I have my credit card in  
> hand. LOL.
> Julie Lambert, FNP
> Ocean County NJ
> -------------- Original message --------------
> From: karenfnp at comcast.net
>
>> Stephen and David,
>>
>> Thanks for your comments and the sample blog. As a champion,  
>> especially for
>> NPs, I like to hear what others say about us in order to facilitate
>> bridgebuilding. One aspect of health care provider training I like  
>> to stress
>> with docs and advanced practice clinician students is that so much  
>> of what we
>> learn in the medical aspect of what we do is apprentice based. We  
>> all have to
>> learn the same new info when new diagnoses, treatments and meds  
>> emerge on the
>> health care scene via CME and OJT to maintain quality evidence  
>> based practices.
>> ( To have more residency programs for PAs and NPs in speciality  
>> areas would give
>> us more credibility in specific content areas.) I like to maintain  
>> a posture
>> of humility in terms of all that we need to know these days and  
>> respect docs who
>> do the same. It looks like this "panda bear physician", per the  
>> content in this
>> blog blurb, chooses to spend energy putting NPs PAs down and  
>> reminds me how we
>> have to choose where to spend our energy in !
>> buildin
>> g our allies in the physician community and not waste it a la  
>> "casting pearls
>> to swine" as Jesus said once.
>>
>> Karen Riesinger FNP
>> Portland, OR
>>
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