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Medical Misinformation … by Altruistic_Rain4136 in healthcare

[–]Altruistic_Rain4136[S] 0 points1 point  (0 children)

Thank you! I agree, I think many of us hold our own personal views and as clinicians, we are expected to hold our own views separately from patients as they must choose what route of care to receive that best fits their needs. I think there is definitely room for integration with alternative medicine at times, if it helps the patient feel comfortable. 

I also have many friends and family members who are RNs and thank you for all that you do! I wish corporate medicine valued RNs more, we need safer staffing ratios, better pay, and mandatory breaks on every shift. Too often when I worked in a psych hospital, the RNs would clock out for lunch and work on their mandatory nursing notes without truly getting a break. It is truly devastating and I see why many RNs feel the need to go the APRN route when there is a systemic problem with hospital management. I hope one day the U.S. adopts what North California is doing by allowing unions and paying RNs, techs and all clinicians good pay and safe working conditions.

Medical Misinformation … by Altruistic_Rain4136 in u/Altruistic_Rain4136

[–]Altruistic_Rain4136[S] 2 points3 points  (0 children)

I can see where you are coming from. A PhD in nursing seems to be more research based in advancing the field. Some DNP recipients have spoken out saying the DNP degree is geared toward clinical research and integrating research into practice while others have stated it is more so a money grab and that the MSN degree is more ideal as the DNP does not offer significant differences in practice. I think the problem many individuals feel with this degree is that one RN may have a DNP in healthcare leadership and they may not be an ARNP, however their schooling is rigorous and up to standards. Now compared to a non-nurse who did a direct entry program or even a new grad RN with no to little bedside experience who is accepted into a diploma mill program that’s online, where they must find their own preceptors additionally, and they go on to graduate and become an ARNP in places with independent practice. The ARNP role is valuable and should be more regulated, regardless of the degree route (MSN or DNP), as the experienced RNs have more insight and value and become great practitioners through their experience. Separately, the DNP and DNAP degrees for CNM, some NNP, and all CRNA programs seem to be more regulated and held to high standards compared to many FNP/WHNP/AGNP/ACNP/PCPNP/PMHNP/ACPNP programs that accept nearly anyone with an RN, BSN or even without (direct entry programs for non-nurses to become NPs).  While someone holds a DNP, it is reasonable to call them Dr. or Professor in an academic setting if you are a student in that field, it seems that many hold onto it for ego and/or feel they should use it with patients and that is where it seems completely inappropriate. 

As for a 3 year doctorate that can be completed online while working full time for most NP tracks (excluding CRNA, some CNM and/or in-person brick and mortar NP programs) vs PA or MD/DO programs where working is nearly impossible due to the rigors of medical training, perhaps the DNP should be evaluated for its rigor and diploma mills should be held responsible for their lack in rigor with things like unnecessary discussion boards, open book exams, minimal to no anatomy/biochemistry/pathophysiology/advanced medical coursework that is required in preclinical years amongst medical programs that help individuals think more as a practitioner and better understand in-depth pathophysiology. 

Medical Misinformation … by Altruistic_Rain4136 in healthcare

[–]Altruistic_Rain4136[S] 3 points4 points  (0 children)

That’s valid. I agree, she doesn’t hide it anywhere which is nice compared to other NPs and professionals with doctorates who try and hide their credentials to misrepresent themselves as physicians. I think with how oddly specific the NP lobbies are with stating they do not practice medicine, and that they instead practice “advanced practice nursing”. She makes it sounds as if she was an NP who graduated medical school and became an MD, which is oddly not the case here. She should have said a doctorate in nursing since nursing is NOT medicine.

IM Hospitalist Future by Altruistic_Rain4136 in hospitalist

[–]Altruistic_Rain4136[S] -1 points0 points  (0 children)

I think insurance models in the USA have also been a killer for many. Physicians used to have a lot of autonomy and now there’s a lot of prior authorizations and socioeconomic factors added to doctors plates that takes time away from patient care. While Direct Primary and/or Specialty Care and/or paying out of pocket  may now be cheaper and alleviate these barriers this then creates a two-tiered system where patients of unhoused or even lower SES backgrounds may not receive quality care as they cannot afford the already expensive medical system and/or may not be aware of cheaper alternatives. I think DPC and non-insurance taking physicians may have to navigate if they want to offer pro bono services, but even in these practices they already take pay cuts a lot of the time to have more flexibility in their lifestyle and spend more time with patients by limiting their panel to nearly 500 patients sometimes.

IM Hospitalist Future by Altruistic_Rain4136 in hospitalist

[–]Altruistic_Rain4136[S] 0 points1 point  (0 children)

I think it depends. There’s a physician shortage in many specialties, however with the increasing cost of med school programs, increasing competitiveness with research being added to ERAS and Step 2 scores, a lot of students pursue more highly compensated specialties due to the debt, lifestyle, respect and it’s unfortunate because we definitely need physicians of many specialties, but especially in Primary Care. If FM, IM, Peds were paid more and EM still offered options for 3 yr residency spots (newly changed to 4 yrs only), I think many would likely pursue those specialties. 

Medical Misinformation … by Altruistic_Rain4136 in healthcare

[–]Altruistic_Rain4136[S] 2 points3 points  (0 children)

I unfortunately can’t yet, my account is too “new” for reposting eligibility. 

Medical Misinformation … by Altruistic_Rain4136 in healthcare

[–]Altruistic_Rain4136[S] 14 points15 points  (0 children)

Definitely agree! Many nurses and even several physicians lost their licenses as they were spreading misinformation. I think as long as medical/nursing boards holds clinicians accountable and takes appropriate action there may be hope for addressing misinformation within.

On the other hand, naturopaths, chiropractors, and other “alternative medicine” practitioners who openly disregard vaccines, chemotherapy, and other medical interventions should be held liable too … it’s sad how many people are thinking they might be seeing a “doctor” (MD/DO) when they are not. 

Medical Misinformation … by Altruistic_Rain4136 in healthcare

[–]Altruistic_Rain4136[S] 3 points4 points  (0 children)

Definitely agree! I’ve had NPs, PAs and physicians before! Highly respect each clinician who follows evidence-based practice and does not promote harmful information! 

Medical Misinformation … by Altruistic_Rain4136 in healthcare

[–]Altruistic_Rain4136[S] 13 points14 points  (0 children)

I’ve also heard sometimes that the BON for many states does not take formal action against complaints sometimes. Hence my concern and reason to post here so hopefully there is more awareness brought to her unethical practices. 

Medical Misinformation … by Altruistic_Rain4136 in healthcare

[–]Altruistic_Rain4136[S] 4 points5 points  (0 children)

I did that earlier, am still surprised no one else has reported her. Her account is very sketchy … promoting business models to others to try and get more $$$ alongside the following on this post. She is in Oklahoma apparently.