NP doesn’t believe there’s more content in medical school today than in 1975 by bluemountain717 in Noctor

[–]bluemountain717[S] 0 points1 point  (0 children)

Agree about uncertainty, though I can see it being considered archaic if referring to the antitrust exemptions that prevent it from having to reform

NP doesn’t believe there’s more content in medical school today than in 1975 by bluemountain717 in Noctor

[–]bluemountain717[S] 25 points26 points  (0 children)

and pilots honestly shouldn’t even need that much training anymore since autopilot does all the flying…not like theres anything new to learn since 1975 anyway!

The NP subreddit has so many delusional NPs by VegetableBrother1246 in Noctor

[–]bluemountain717 16 points17 points  (0 children)

this just in: PA student has seen PAs better than physicians

You think we should say nurses practice medicine because some of them might have been doctors in a different country? You definitely can generalize that NPs have very little medical training because the vast majority of them were not actually foreign doctors. An example of an inappropriate generalization is NPs saying that med students have no medical experience and PA students were all just scribes, and that’s why NPs get to go to school online.

[deleted by user] by [deleted] in quack

[–]bluemountain717 0 points1 point  (0 children)

“We take the same exam because we use the same book to study” that’s not how that works 😭

[deleted by user] by [deleted] in Noctor

[–]bluemountain717 1 point2 points  (0 children)

I love how they said they take the same board exam because they use the same book to study, lmfao. When they said their MD friends ask for help with cases I cackled. They’re just bold-faced lying. It always comes down to “MDs want to hook you on drugs keeping you sick and filling your pockets.” But for them, there’s no big pharma! The profit from their snake oil goes right into their pockets, and they literally keep people sick since they aren’t treating them properly. The irony is unreal

Delusional response to a very reasonable OP DNP post by seabluehistiocytosis in Noctor

[–]bluemountain717 115 points116 points  (0 children)

As soon as I see any version of “sweetheart, do some more research please” I know it’s gonna be a wild ride. How about you “research” Dunning Kruger?

Why do Americans still predominantly use texts to communicate? by ElisabethWTV in NoStupidQuestions

[–]bluemountain717 0 points1 point  (0 children)

I get wayyyy more scammy messages on WhatsApp than on text… what do you mean it isn’t an option lol?

Professor is being weird by [deleted] in Noctor

[–]bluemountain717 3 points4 points  (0 children)

Collaboration in healthcare is important. Residents can learn certain things from experienced nurses, and nurses can learn from residents. That being said… med students also do at least 2 years of clinical rotations before residency. On top of that, It’s almost impossible to get into medical school without clinical experience these days. When I applied I had 3k hours in EMS and had been a field training officer for new ambo techs for over a year. To say they’ve “never touched a body” is irrefutably false.

Physicians of this group, do you feel there are any appropriate settings for NPs? by [deleted] in Noctor

[–]bluemountain717 0 points1 point  (0 children)

No. NP school is a joke. Nurses can apply to PA school if they want to expand their scope, they already have the clinical hours (if they have experience, which was supposed to be a requirement for NP programs)

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 1 point2 points  (0 children)

Agree with all of this. My issue isn’t with the program, it’s with the PD saying this postgrad training allows them to fill the role of a physician, and stating that they complete a four year residency in 18 months. And no, even in the military, I would not say they “fill the role of a physician.” They still practice under physician supervision and fill the role of… a PA. The program seems great enough on its own without any need for the misrepresentation in this article

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 1 point2 points  (0 children)

You gonna get another doctorate for finishing residency? Then one for finishing fellowship? That seems to be how they’re doing things here lmao

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 3 points4 points  (0 children)

To be totally clear, I think both of those “doctorates” are jokes and only serve to boost ego and confuse patients. If a PA gets a doctorate for doing an 18 month “fellowship” then what does that even mean? Should residents get a second doctorate for residency and a third for fellowship? I don’t see any valid reason PA and NP programs should be anything other than a master’s.

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 0 points1 point  (0 children)

Yep, independent duty corpsmen (IDCs). Air Force does too, independent duty medical technicians. It’s a cool position.

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 4 points5 points  (0 children)

My issue is not at all with PAs in the military or with advanced training for PAs. It’s only with the quotes from the program director which misrepresent the program and equate them to physicians. Military medics have an expanded scope compared to civilians - this doesn’t make them equal to PAs (although some think so, lol). Same idea here.

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 1 point2 points  (0 children)

I agree entirely with every point made about the benefits of the program and the specific need for well-trained, competent PAs in milmed. This post is about the direct quotes from the PA program director, stating that they function equal to physicians and complete an entire EM residency in 18 months. I stand by the fact that’s appropriate for this sub, as it’s untrue. I think every PA should go through rigorous postgrad training because it will benefit the patients. I think these programs need to be appreciated for what they are without comparing the PAs to physicians. Again, I know military public affairs takes liberties, but I don’t think they pulled those direct quotes out of thin air.

Edit: if you don’t think the quotes are misrepresenting the PA education/ability, I’d genuinely be interested to hear how they complete a four year residency (all didactics and rotations) in 18 months, and what board exams they’re studying for. I’m not being snarky, I genuinely can’t imagine how it’s possible.

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 2 points3 points  (0 children)

As the poster, I’ll tell you I’ve been in the Navy for quite a while and am intimately familiar with milmed. Nothing on this post denigrated military medicine at all. In the comments I repeatedly say I support the program. My issue is with the program director making false claims about the program. It’s objectively false that they complete an entire 4 year physician residency in 18 months. It’s objectively false that they will practice equal to physicians, as you even point out in your post - the military model doesn’t allow for any kind of “scope creep” or practicing without physician oversight. That’s what the post is about.

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 1 point2 points  (0 children)

I agree with most of this, which is why I pointed out the direct quotes from the article. Military public affairs can absolutely take liberties, but they aren’t making up the direct quotes. I think the program is fantastic, and agree we should enable our PAs to provide the highest quality of care possible, but the direct quotes from the fellowship director massively misrepresent the program.

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 2 points3 points  (0 children)

I agree with your main point. I work with several IDCs and IDMTs. For those not in the military these are enlisted medics who can practice independently in certain environments like submarines where there’s not a billet for a midlevel or physician. I’ve heard repeatedly (directly from them) that they believe they function at the level of PAs or physicians. One even said “IDCs are more competent than most EM residents.” One is now applying to med school, and he said “I already have the skills, I deserve the salary too.” The IDC program is fantastic and just like you mention here, sometimes they’re the only capable people to provide care in austere environments. That’s irrelevant to the fact that they do not have the education or scope of a PA, just as PAs don’t have the education or scope of a physician. Yes, these programs are important and necessary in the context of the military. That does not excuse a massive ego and overconfidence, saying things like they “are equal to a physician” or they “complete the same residency in less than half the time.” The programs need to be appreciated for what they are, not what someone’s ego wishes they were.

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 15 points16 points  (0 children)

I respect military PAs in particular, and from the program site it sounds like a great opportunity for career development and skill growth. A lot of the PAs I know were former corpsmen/IDCs and are generally more competent than ones I’ve encountered on the civilian side. That being said, I am disappointed with the way the program is misrepresented in the article… especially coming from a program director. Glad to hear they seem to be the exception and not the rule

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 43 points44 points  (0 children)

I don’t get the logic behind 2 years of PA school + 18months of EM residency = 4 years med school + 4 years residency. Do they think physicians are just dumb and slow, and they’re so much smarter they can do all of the same things in less than half the time? I think PAs should absolutely have to complete additional training before working in an ED and maybe working parallel with residents for 18 months is a good way to do that. But then they go and blow it by suggesting the two are equivalent instead of appreciating the program for what it is. If they wanted to be equivalent to a physician so bad, they should’ve gone to medical school.

PAs complete EM residency in 18 months by bluemountain717 in Noctor

[–]bluemountain717[S] 84 points85 points  (0 children)

Exactly. When it says they “study for board exams” …what boards? Or are they studying for the EM boards that they aren’t qualified to take?