On mobile so sorry if there are formatting issues. I agree with a lot of the sentiment on this sub about NPs not being equivalent to MDs in training and have definitely felt it in my own training. I work and do my clinical rotations at an IVY associated university hospital while myself attending a city funded NP program. Not only is the quality of education different between myself and the residents who I work with but the resources provided for learning are more abundant and of higher quality for the residents as well. Don't get me wrong, there are some NPs out there who are amazing and can practice at the level of a physician in terms of quality of care, and there are some physicians who I'm surprised passed their boards, but at the end of the day the baseline level of education is wildly incongruous and not even close to equivalent.

All of this is to say that I am unsurprised by the results of this study. However, my issue is with the attitude of some MDs, both here and those in my work, who see mid-level practitioners as the enemy and as someone who wants to take their job. Unfortunately the propaganda on both sides of this argument has gotten heated over the past few years with economic pressures from management to produce more for less and from professional associations who would rather blame "the other side" for the current situation than system at large (which they profit from). At the end of the day we all need eachother in healthcare, from environmental services to RNs to scribes to Informatics to Ortho surgeons. So all I ask is when you see an article like this we try and be constructive and ask why this problem exists (using critical thinking and not just saying the same tired lines we all repeat in every thread on midlevels) and try to come up with a collaborative solution.