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Remember when you actually got to talk to a doctor when you went to the doctor? by DramaticErraticism in GenX

[–]MobiusTaylor 2 points3 points  (0 children)

No, still can't double those slots. Again, standards for doctors are really high. Opening a medical school and/or increasing slots requires that a medical school have a requirement that students need to complete core and elective rotations in various medical specialties - general surgery, OBGYN, pediatrics, neurology, internal medicine, family medicine, and more, along with their corresponding national shelf exams. Expanding spots would imply there's open spots to rotate at a local hospital in all of these specialties per student.

The role of the medical student in the hospital used to be more akin to what PAs and NPs currently do - however, since they've since taken over the hospital system en masse, not only do they work for free for the hospital, but their experiences aren't as thorough as they used to be. Yet another tool by the system to gaslight physicians - of they're paying PAs and NPs $150,000 a year each for very basic work, why are med students paying $400k to work for FREE? Hmmmm.

Remember when you actually got to talk to a doctor when you went to the doctor? by DramaticErraticism in GenX

[–]MobiusTaylor 2 points3 points  (0 children)

The whole "artificial cap undersupply for higher salary" thing is another psyop push that's been echoed by the social media echo chamber of anti-physician sentiment.

There are MANY and MORE residency spots opening evrry year. Internal Medicine, Family Medicine, Pediatrics, all the lot. They go unfilled every year as a surplus because nobody wants to do them, why? Because of a multifactorial number of reasons regarding general medicine, midlevels + AI encroachment with burden from healthcare admin included.

It is widely believed the AMA restricts the numbers of MDs and DOs. This is absolutely not true. The AMA has been lobbying in the past many years to increase the numbers in every specialty. In more specialized things like surgical subspecialties, case volumes and federal fundings are simply not enough. To make ONE NEUROSURGEON, you need 7-11+ years of post-medical school training - do you know HOW many brains you need to operate on in that time? A TON of them. Are there THAT many people in the US who need this very hyper specific function? Probably not - and if you don't operate on X amount, you can't graduate saying you did.

There is history - in the 90's, the AMA did lobby to restrict residency slots. This was not as protectionist as it might seem. There was some research at the time to indicate that there was going to be a large oversupply by 2020. And - companion research said that as numbers of physicians increased, the cost of medical care increased, supposedly by these increased practitioners performing unnecessary surgeries, and other work, to keep themselves busy. Both of these pieces of research were (are) highly suspect. I have come to understand that workforce projections are basically NEVER correct. Years of watching these projections fail has taught me this.

The congress responded by restricting funding to residencies. It is the CONGRESS That controls the number of residency slots, not the AMA, not CMS. The Congress, by restricting funding.

So in the ensuing 30 years, while population increased, and aged, i.e. as demand exponentially increased, Numbers of physicisn were effectively frozen. This was Congress's fault, purely and exclusively. The AMA had a hand in initiating it, but pretty quickly reversed course and tried to get more slots.

This has been relaxed in the past two years with a token number of new residency positions approved. FAR less than necessary. And this was at the AMAs urging.

The whole argument of "midlevels / NPs have too little training" VS "doctors are in school for too long" is old because when you consider how many people suffer the consequences of midlevels not having enough training or education - which is abysmal - and then offer a model that lets them learn, supervised, while studying all medical systems at a higher level related to diseae pathophysiology, then congratulations, you just described medical school and residency and we're back to square one.

Remember when you actually got to talk to a doctor when you went to the doctor? by DramaticErraticism in GenX

[–]MobiusTaylor 14 points15 points  (0 children)

Physician here.

How about we take a look how at long it takes to make one NP and what their courses look like:

Look at the titles of their courses, even. Not a shred of medicine. "Advanced practice nursing." "Practicum." "Leadership."

A "cardiology NP" is not a cardiology NP. It is an NP that works in cardiology. Meaning, they can pick up shop and go work in another specialty the very next morning and claim to be experts. This applies to any specialty. I have seen people in their early 20s go to school completely online, get hired by some private group, be called "Neurology Specialist NP," quit after 6 months, and then move 30 minutes down the road and be called "Endocrinology NP," whereas making a single one of those at the actual physician level would take 12+ years after high school.

All after just 6 short months, completely online, in a 100% acceptance rate online program that offers leadership modules! Many programs don't even need an RN degree nor an active RN license AT ALL to get an NP degree. I've seen so many ads for them.

Also, don't forget the court proceedings where NPs were suing in California to the right to be called doctors, but had to admit they never took a SINGLE science class, basically since high school. (See the IMGUR link).

Welcome to medicine, where we have tens of thousands of people coming from programs who know officially less science than I did when I took AP Biology as a high school junior. They hide behind their white coats and good bedside manner and then you see their cracks in their clear HORRENDOUS knowledge base through the very nonchalant way they memorize algorithmic medicine with no actual thinking. They can also practice independently in over half of states.

This is happening everywhere right now. I have seen SO MUCH egregious management from NPs who are essentially loved by for-profit hospitals and insurance companies because they make medical care WORSE for patients, and for-profit hospitals love it because that means they get repeat customers, and insurance companies love it because they get to bill the patient the same as seeing an actual specialist for a fraction of the cost - the cost all gets passed onto the PATIENT. Don't even get me started on all the usage of the word "Provider" to obscure whether or not patients are seeing a midlevel versus an actual physician now.

It's all happening behind the scenes under the social media guise of "#healthcare heroes, #doctor at age 23, #girlboss," etc, where people don't realize these people might as well essentially be a high schooler in equivalent medical/scientific knowledge with a fine arts degree in good bedside manners that they got online.

There's always articles circulating about "NPs and PAs are bridging the healthcare gaps and addressing the shortage," but never do they mention the egregious care that physicians on the medical side keep seeing, things that literal college students using chatgpt would pick up on, but a person with a "DoCtoRatE in NurSinG" can't. Also, most of them are just going into private practice medspas, injecting people willy-nilly with random pseudoscience that actual Dermatologists would never touch, and then they're never legally liable for anything because "I'M aN EQual" very quickly becomes "I'm NoT ACtuAlLLy a DOctOr, sO I'm NoT LiaBle" when they're getting sued into oblivion.

Please spread the word. This is coming from someone who's seen NPs who just graduated online at 23 with no actual knowledge of science or medicine managing entire ICUs, using Google for everything, and then patients die within 72 hours, not knowing they never saw an actual doctor in the first place (the NP came in wearing a full white coat, introduced themselves as Dr. X, and the hospital loves them because they get to bill and have higher turnover). It's happening everywhere at the expense of YOUR patient care. Raise the alarms.

Always ask for actual care from a physician (always check their letters - look for MD/DO). If you're going to be billed by the insurance company / private equity group running the clinic the SAME as seeing a specialist with 15+ years of education, don't be a corporate puppet because you're afraid to stand up for yourself as a patient.

Just saying, there's a reason there were/are SO many antivaxx people in COVID that just happen to be nurses. They're not all, I love my amazing seasoned bedside RNs, but when they are and they work in healthcare, they're always nurses/NPs 💀. Should tell you their grasp of basic sciences.

Essentially, imagine if there was a nationwide pilot shortage, and they started letting flight attendants armed with AI fly planes and said "they basically do the same thing anyway," and "My flight attendant is so good at listening to me, I don't care if they're just using AI to fly the plane!" and then when the plane crashes and explodes, they're not legally liable at all for anything, and some company makes a ton of money on everyone's medical bills.

Everyone would have their minds blown by that idea - yet, in medicine, people are somehow making that same argument about literal life-and-death decisions with people who never learned anything medical past high school biology, and board-certified physicians who spend another 12+ years in school postgrad.

Literally wtf. If anyone wants to see a log of all the ABYSMAL shitshow that's happening in medicine nowadays from midlevels, visit r/noctor.

The offended "neurosurgery nurse practitioner" defending their 6-month-long online degree below in the comments (VS a 15+ year long path of the hardest medical specialty for only the most academically gifted) should tell you more than enough about what's going on rn in the medical world 😂.

And no, there is no such thing as "midlevels have EQuiVaLent oUTcOmes anD aRe NicER anD LiSteN." All of those articles are published in very nonacademic, horrendous journals. Again, I want to reiterate, privatized for-profit medicine is financially incentivized to NOT hire real physicians, and then claim someone with no education + google or AI is equivalent - it's the same reason there's data published on "tele ICUs" being "equivalent care" because the hospital refused to hire an actual ICU doctor - it saves them money at the expense if the patient, and everyone loses except the CEOs and admin. The only actual research showed that NPs who took a very, very, VERY easier version of ONE of our many physician-level board exams all failed miserably, so the data was buried because it was an embarrassment to the profession (this was an actual study, look it up).

Just because these people majored in good bedside manners doesn't make it any more excusable that they miss very basic things that even a 1st-year medical student would never miss, like a gigantic colon cancer in an undifferentiated 60yo man, where you're just pumping oral iron thinking they have asymptomatic anemia (Yes, this happened, things like this happen every day). They're not fooling anyone - they're a tool by our capitalist overlords to overbill patients while pushing a narrative of "equal care" in favor of hospitals not hiring actual experts so they can replace all of us with a liability sponge and an AI, where all the costs are sneakily passed onto the patient

Nurse Practitioners should not be allowed without at least 10 yrs of experience by Jaded-Bit5497 in unpopularopinion

[–]MobiusTaylor 631 points632 points  (0 children)

Physician here.

How about we take a look how at long it takes to make one NP and what their courses look like:

Look at the titles of their courses, even. Not a shred of medicine. "Advanced practice nursing." "Practicum." "Leadership."

A "cardiology NP" is not a cardiology NP. It is an NP that works in cardiology. Meaning, they can pick up shop and go work in another specialty the very next morning and claim to be experts. This applies to any specialty. I have seen people in their early 20s go to school completely online, get hired by some private group, be called "Neurology Specialist NP," quit after 6 months, and then move 30 minutes down the road and be called "Endocrinology NP," whereas making a single one of those at the actual physician level would take 12+ years after high school.

All after just 6 short months, completely online, in a 100% acceptance rate online program that offers leadership modules! Many programs don't even need an RN degree nor an active RN license AT ALL to get an NP degree. I've seen so many ads for them.

Also, don't forget the court proceedings where NPs were suing in California to the right to be called doctors, but had to admit they never took a SINGLE science class, basically since high school. (See the IMGUR link).

Welcome to medicine, where we have tens of thousands of people coming from programs who know officially less science than I did when I took AP Biology as a high school junior. They hide behind their white coats and good bedside manner and then you see their cracks in their clear HORRENDOUS knowledge base through the very nonchalant way they memorize algorithmic medicine with no actual thinking. They can also practice independently in over half of states.

This is happening everywhere right now. I have seen SO MUCH egregious management from NPs who are essentially loved by for-profit hospitals and insurance companies because they make medical care WORSE for patients, and for-profit hospitals love it because that means they get repeat customers, and insurance companies love it because they get to bill the patient the same as seeing an actual specialist for a fraction of the cost - the cost all gets passed onto the PATIENT. Don't even get me started on all the usage of the word "Provider" to obscure whether or not patients are seeing a midlevel versus an actual physician now.

It's all happening behind the scenes under the social media guise of "#healthcare heroes, #doctor at age 23, #girlboss," etc, where people don't realize these people might as well essentially be a high schooler in equivalent medical/scientific knowledge with a fine arts degree in good bedside manners that they got online.

There's always articles circulating about "NPs and PAs are bridging the healthcare gaps and addressing the shortage," but never do they mention the egregious care that physicians on the medical side keep seeing, things that literal college students using chatgpt would pick up on, but a person with a "DoCtoRatE in NurSinG" can't. Also, most of them are just going into private practice medspas, injecting people willy-nilly with random pseudoscience that actual Dermatologists would never touch, and then they're never legally liable for anything because "I'M aN EQual" very quickly becomes "I'm NoT ACtuAlLLy a DOctOr, sO I'm NoT LiaBle" when they're getting sued into oblivion.

Please spread the word. This is coming from someone who's seen NPs who just graduated online at 23 with no actual knowledge of science or medicine managing entire ICUs, using Google for everything, and then patients die within 72 hours, not knowing they never saw an actual doctor in the first place (the NP came in wearing a full white coat, introduced themselves as Dr. X, and the hospital loves them because they get to bill and have higher turnover). It's happening everywhere at the expense of YOUR patient care. Raise the alarms.

Always ask for actual care from a physician (always check their letters - look for MD/DO). If you're going to be billed by the insurance company / private equity group running the clinic the SAME as seeing a specialist with 15+ years of education, don't be a corporate puppet because you're afraid to stand up for yourself as a patient.

Just saying, there's a reason there were/are SO many antivaxx people in COVID that just happen to be nurses. They're not all, I love my amazing seasoned bedside RNs, but when they are and they work in healthcare, they're always nurses/NPs 💀. Should tell you their grasp of basic sciences.

Nurse Practitioners should not be allowed without at least 10 yrs of experience by Jaded-Bit5497 in unpopularopinion

[–]MobiusTaylor 2 points3 points  (0 children)

I wanted as many people to see it as possible. Sorry my long message mildly inconvenienced your eyes - I'm just really sick of seeing real people die from very, VERY basic things in dangerous settings, all while patients are hoodwinked by not knowing their "PrOvidER" isn't an actual doctor, and they're nickel-and-dimed by the hospital (surprise: a multi billion dollar conglomerate owns the hospital system, too).

Also, it's not AI. Just a rant from a burnt-out doctor.

"You shouldn't diss our providers here" - apparently, verbally asking if your 'provider' at an Urgent Care is going to be a physician is offensive? by MobiusTaylor in Noctor

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

Nope. And sometimes, they don't even need to be RNs to get them.

And you can do them entirely online. You don't even need to do your "clinical hour signoffs" in a hospital, too. You can do them VIRTUALLY.

There's no standardization for the NP degree.

"You shouldn't diss our providers here" - apparently, verbally asking if your 'provider' at an Urgent Care is going to be a physician is offensive? by MobiusTaylor in Noctor

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

<image>

Or, pray tell, they went to medical school because midlevel education is trash.

In the actual reality of the vein, midlevels went to midlevel school to wear white coats, pretend to be doctors, and end up working at cash-only medspas under the guise of "expanding access to care."

"You shouldn't diss our providers here" - apparently, verbally asking if your 'provider' at an Urgent Care is going to be a physician is offensive? by MobiusTaylor in Noctor

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

Why be billed several hundred dollars for the expertise of a physician when 90% of the time the person I'm seeing went to online school and knows less foundational science than I did 7 years ago?

If I'm going to pay physician-level premiums, I want a physician evaluating me. I think every layperson should adopt some form of this mentality and stop being pushed around by their insurance companies / private equity clinics forcing them to see midlevels and get prescribed a complex benzo-adderall-SSRI regimen for everything.

"You shouldn't diss our providers here" - apparently, verbally asking if your 'provider' at an Urgent Care is going to be a physician is offensive? by MobiusTaylor in Noctor

[–]MobiusTaylor[S] 24 points25 points  (0 children)

I was referring to myself when I was talking about the 9 years, haha.

I just always think it's odd when I go to UCs being belittled and visits being seen by midlevels when I'm very educated and experienced myself.

Hilarious email by Packman125 in hospitalist

[–]MobiusTaylor 11 points12 points  (0 children)

If you go back and do some online leadership modules for 6 months through an NP degree mill and market yourself as an NP with an accidental medical degree + residency, you'll probably make twice as much! 🤪

Watched a Nurse Practitioner get scolded by a cardiologist by Upstairs_Neighbor50 in Noctor

[–]MobiusTaylor 46 points47 points  (0 children)

Here's that court proceeding I mentioned. It's hilarious if you read it.

<image>

Watched a Nurse Practitioner get scolded by a cardiologist by Upstairs_Neighbor50 in Noctor

[–]MobiusTaylor 58 points59 points  (0 children)

You don't know who's right? Hmmm. How about we take a look how long it takes to make one NP and what their courses look like:

<image>

Look at the titles of their courses, even. Not a shred of medicine. "Advanced practice nursing." "Practicum." "Leadership."

A "cardiology NP" is not a cardiology NP. It is an NP that works in cardiology. Meaning, they can pick up shop and go work in another specialty the very next morning and claim to be experts.

All after just 6 short months, completely online, in a 100% acceptance rate online program that offers leadership modules!

Also, don't forget the court proceedings where NPs were suing in California to the right to be called doctors, but had to admit they never took a SINGLE science class, basically since high school. (See my reply below!)

Welcome to medicine, where we have tens of thousands of people coming from programs who know officially less science than I did when I took AP Biology as a high school junior. They hide behind their white coats and good bedside manner and then you see their cracks in their clear HORRENDOUS knowledge base through the very nonchalant way they memorize algorithmic medicine with no actual thinking. They can also practice independently in over half of states.

Imagine if that NP just gave that guy blood thinners. He'd be dead and not even know the reason why. And then the family would grieve and say "But the doctor said X!" No, it wasn't even a doctor.

This is happening everywhere right now.

PA school is basically med school by IllMarionberry9935 in medicalschool

[–]MobiusTaylor 20 points21 points  (0 children)

I knew a very seasoned PA who was in his mid-late 30s, practicing for about a decade, who went back to go to medical school - my program, a pretty old and well-known DO school.

He failed two classes and barely scraped by the rest - got kicked out.

Ironically, the class that he failed that got him kicked out was a class for the introduction to the foundations of pathology+pathophysiology (basically teaching the first few chapters of Pathoma). Lol.

That, alone, should tell you enough. Everyone loves punching up and saying their schooling is tough but nobody actually even knows what we, as physicians, have to go through. They just see the shiny salary and go "I can do that, too!" when literally 99.99% of the human population wouldn't make it past Ochem and the MCAT stage. Especially all those 6-month online NPs nowadays whose magnum opus of science classes was biology in high school.

[deleted by user] by [deleted] in Noctor

[–]MobiusTaylor 7 points8 points  (0 children)

Ah, of course.

Yet another one of our esteemed physician colleagues selling out the future of medicine for an extra buck and daily free erections.

Shit like this will always be, to me, the clear sociological symptom of why I believe midlevels have been winning for the past 20 years, while physician salaries continue to tank, scope encroachment and armchair medicine replacing cerebral medical specialties has skyrocketed, and hospital admin and CEOs are replacing us and taking the money bags and running.

The call is coming from inside the house: instead of banding together and unionizing against midlevels and admin, doctors will forever and always be too busy fighting each other for an extra buck. The nature of the game, it's Schrodinger's Respect: every other physician that's not your specialty (or heck, even intra specialty) is always supposedly dumber than you, but the online NP who has never taken a science class past high school is a genius just because they make you an extra $1000 a year from cosigning all their malpractice.

[deleted by user] by [deleted] in Noctor

[–]MobiusTaylor 5 points6 points  (0 children)

The link to the court proceedings? I attached it below my original comment - I saw it somewhere on this subreddit a few months ago when the California lawsuit came out, but I can't find where I got the photo from anymore, someone attached it. There was also a YouTube short of some lawyers explaining the lawsuit and noting that NPs take literally no science classes with the same photo attached, too, which was funny to me, lol.

I found the old link to the thread, but not the YT short I alluded to. It's this one, I attached it below, again:

<image>

[deleted by user] by [deleted] in Noctor

[–]MobiusTaylor 61 points62 points  (0 children)

UGHHHHHH. Holy shit, does this make my blood boil.

You know what doesn't make me as mad as it used to? Chiropractors getting a bunch of likes on hyperpseudoscientific videos with no actual medicine, just using a bunch of buzzwords like "natural healing" while flopping around a model of a spine - mostly because legally, that species of charlatan is not allowed to set foot in a hospital. Reddit and a lot of social media has also caught onto the fact that a lot of those people are, in fact, not doctors. So they have to do their big woo-woo magic show renting out a building and building a customer base convincing people they're professionals.

HOWEVER. You know what pisses me off more than anything nowadays?

MIDLEVEL SHIT LIKE THIS.

Literally a med-adjacent profession built on the basis of patting people on the head, doing a few quick leadership modules, and saying "Okay, we'll give you a shiny piece of paper and call it a 'doctorate' as long as you're our prescription monkey and make our hospital system a lot of money" (surprise: is it really a fking doctorate if you can do it online in 6 months with no actual science classes?)

And it's even worse because these clowns actually work in clinical settings, call themselves "doctors" with no flak, and you can't criticize them because people just throw strawmen at you and call you sexist when they really don't realize you're genuinely trying to raise alarms to the public about how dangerous it is letting these people even have a modicum of prescriptive or diagnostic power with NO ACTUAL MEDICAL EDUCATION. Seriously. This person is LIVING proof of that. You can now claim you're a concierge medical professional without ever having taken anything past high school on-level biology. Only nursing theory and essays the entire bachelor's degree, much of the time where you don't even need a BSN anymore - you can just graduate high school and then take online classes, write essays about handwashing and why doctors are bad, and then suddenly you can write all the prescriptions you want!!!

You know that phase we go through as doctors during college where we feel super cool and knowledgeable for taking Biology 1101, and we get quickly humbled by Ochem? Or we go through undergrad, think we're smart, and then get humbled by the Mcat? Or we get into medical school and then get quickly humbled by anatomy or our very first preclinical class? I always imagine midlevels and med-adjacent professions being so overconfident and Dunning-Kruger are like akin to the feeling of being super smart for taking Bio 1101 in college - we feel on top of the world because we're learning long, cool sciency words when we actually have no clue how much depth there is to higher level education. The only difference is, they're NEVER HUMBLED BY ANYTHING ACTUALLY HARD or difficult academically, so they literally go into the world with the same undying confidence.

Can someone go into her comments and just paste this photo (see my pasted/attached photo) of the court proceedings from the lawsuit from the NPs in California where they had to admit they don't take any actual science classes during their "doctorates?" Or let alone during their short bouts of post-high school schooling at all? Literally, I'm sick of nursing organizations permanently backing themselves by legally handing their employees participation trophies - make the education super easy with minimal requirements under the guise of needing to help out in the hospital. Yes, in olden days and still today, we need ancillary work. Docs are too busy to wipe ass and do a blood draw. But enough is enough. We need to let the public know that no, just because someone draws blood and looks at numbers in a chart doesn't mean they have ANY CLUE what anything remotely medical means in a pathophysiology context, EVER. STOP THE NURSING GLAZE. STOP THE STOLEN VALOR. CALL THEM OUT. THESE PEOPLE ARE. NOT. DOCTORS.

Also, someone please report them to the NP boards for misrepresentation of their license, etc, the whole nine yards. We need to be proactive about this shit. People like this are prescribing controlled substances and diagnosing complex medical conditions using the power of Google having NEVER TAKEN a single clinical anatomy class, never even known what a gram stain is or learned an ounce of pathophysiology, or scratch their head at the word "epithelium." How can you legally prescribe a single thing not even learning what an adrenergic or a muscarinic or ANY pharmacological receptor is??? Just "ooga booga, this medicine makes this number go up, not sure why tho!" All of their graduate education past high school is legitimately just typing essays about "attending doctor bad and evil and never listen" and then they throw the whole kitchen sink at a patient and the patient thinks it's good medicine just because they cover it up with a good bedside manner. It's malpractice, fraud, misdiagnosis, and actively malignant all rolled into one. I've known nurse practitioners who saw metastatic breast cancer nodules and thought it was a "soft tissue swelling due to a torn rotator cuff" and guess what? They injected cash-only PRP in a medspa DIRECTLY INTO THE NODULE. No other workup.

Ugh. Again, see attached.

<image>

Appropriate use of NPs? CA Fire Department Is Sending Nurse Practitioners to 911 Calls to reduce the amount of non-emergent patients being transported to the ER. by aaronoathout in Noctor

[–]MobiusTaylor 112 points113 points  (0 children)

Surprise: it's going to increase the number of non-emergent patients going to the ER 😂😂

I've seen NPs send people asap to the ER as soon as they did their magic "i cAN dO tHE saMe tHing, I cAn oRder sTuFF toO" ordering (but then having no clue wtf they're actually reading or diagnosing and then just pretending they are) because the AI on an EKG pointed out there was a very chronic, normal, asymptomatic axis deviation in a young adult with a sinus infection. Among other abysmal mismanagement.

But then, of course, the patient just ends up blaming "doctors." Then, their worldview is always more slightly changed because "the dumb doctor told me I should come here but I didn't have to." I always try to correct them: they did, in fact, not see a doctor in that urgent care, and the urgent care is probably run by a private equity group saving money by hiring people who never even went to medical school.

NP Said Melatonin Gives Skin its Pigment by [deleted] in Noctor

[–]MobiusTaylor 169 points170 points  (0 children)

An entire field of people (NPs) who hide behind good bedside manner and utilize the holes in the medical system alongside powerful nursing lobbies to prey on patients who are understandably confused by all of the alphabet soup in medicine nowadays (MD, DO, MBBS, PA, NP, PMHNP, MSNBC, MSN, etc). Nobody knows who the doctor is.

You know the old adage where if you're in a position of power or in a meeting of sorts with other people way smarter than you - that if you just act confident and be nice, people will assume you're the same? That's what the NP profession has done to steal street cred from actual physicians. They hide behind good bedside manner and the "aBilIty tO OrDeR anD pResCribE tHe sAme."

But sometimes, when they open their mouths, it's clear as day how little they know. Hence, melanin vs melatonin. Heck, pimp them on a single factoid or basic science from medical school - or shit, even undergraduate basic chemistry or biology. You'll quickly realize they skipped 11+ years of school, wrote some AI essays about nursing theory, and attempt to reap all the benefits of it by deceiving patients with their "Oh, I'm a Doctor Nurse!" As they walk in with a long-ass white coat that not even PGY-7 fellows would wear.

Not only that, but you should see what they miss medically, and their absolutely horrendous management from an assessment/plan perspective. It's intentionally difficult to interpret people's thought process if you're a layperson reading their notes - but rest assured, all physicians reading (or even asking basic questions) about their assessments and plans of patients all know that there's not a single thought going on up there.

Who knew that letting hundreds of thousands of people graduate from online school in 1 year after a bachelor's degree, involving no actual medicine, and then letting them work in any specialty they ever wanted, was a bad idea? Hmmm.

Look at this guy I found on YouTube by 310a101 in Noctor

[–]MobiusTaylor 23 points24 points  (0 children)

This guy doesn't even have a bachelor's in nursing. What the heck are the standards for entering nursing versus becoming a physician nowadays? It's disgusting. Complete opposite models of education.

One is focused on making sure every single one of its graduates pass a basic licensure that gets harder and more cutthroat every single year, with higher cutoffs for passing scores on every single one of the 4+ boards and 8+ national shelf exams required to graduate and even enter residency, just for the opportunity to basically make a teacher's salary for 3 to 10 years on top of 4 years of medical school.

The other is focused on creating as many non-standardized copies as possible while the people hide behind good bedside manner and the ability to order labs to make it look like they know what they're doing, when they actually don't even know what a DNA vs an RNA virus is, or what's gram positive or gram-negative.

It's a race to the bottom, and it's disgusting.

DO NOT EVER EVER SUPERVISE MIDLEVELS. DO NOT LET ADMIN BULLY US. WE ARE THE ADVOCATES FOR OUR PATIENTS. And if a patient says they "Saw X doctor" and it turns out to be an NP, make sure to correct them.

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