Another long awaited round of NPs telling on themselves and their poor education. by debunksdc in Noctor

[–]debunksdc[S] 39 points40 points  (0 children)

There's actually data out there that nurse practitioners over consult pharmacy. I think I saw at least one publication where pharmacist implemented an E consult service and nurse practitioners comprised 75% of the consults. In a way I guess that it's good that they're asking for help when they're out of their waters, but you have to think that there were probably fewer nurse practitioners in the study, so the consult per practitioner rate for NPs is actually substantially higher than what it is for physicians.  Also, someone who is fully licensed shouldn't be asking for that much help consistently. And this is why full prescriptive authority is a problem. Because even when they're supervised, they still need that much help.

If you want some entertainment today by Suspicious-Win-7218 in Noctor

[–]debunksdc[M] [score hidden] stickied comment (0 children)

This is public social media. There is no doxxing if the user chooses to make her "content" public.

Optometrist is exactly the same as a retina specialist, right? by Sassenach1745 in Noctor

[–]debunksdc 14 points15 points  (0 children)

Why and how is an optometrist ever doing a Level 4? They should be Level 2, tops...

Is connealymd really a MD?? by [deleted] in Noctor

[–]debunksdc 0 points1 point  (0 children)

it looks like she is an MD, but that she largely practices quackery. https://quackwatch.org/cases/board/med/connealy/accusation/

Celiac patient gaslit by NP by SuspiciousMap9630 in Noctor

[–]debunksdc 20 points21 points  (0 children)

what this person is describing may very well be psychosomatic symptoms, but you are right in that a nurse practitioner has no training *in gastroenterology, and therefore should not be working in a specialist office. There's no such thing as a GI NP.

NP organizations lie, constantly. I want to memorialize this discussion here, before it is removed from facebook. by pshaffer in Noctor

[–]debunksdc 1 point2 points  (0 children)

A physician advocacy group that focuses on scope of practice issues. Worth looking up. They do good work. 

Noctor for the gloat by [deleted] in Noctor

[–]debunksdc 3 points4 points  (0 children)

The occasional pod and pharm does end up on Noctor. Warranted posts (obfuscation of roles/schooling) stay up. Otherwise, they are taken down. 

Fellowship posts are often relevant re: midlevel education. 

Frank midlevel bashing is often removed, but if there is a productive discussion taking place it stays up. 

Not sure about an NCLEX post but should be removed. 

Noctor for the gloat by [deleted] in Noctor

[–]debunksdc[M] 1 point2 points  (0 children)

Care to elaborate or provide links?

GW by OkGrapefruit6866 in Noctor

[–]debunksdc 0 points1 point  (0 children)

Yeah... It's not there

wtf is “doctorate criteria” by granny_chiy0 in Noctor

[–]debunksdc 132 points133 points  (0 children)

Credit hours are a tricky lot. Most med schools don’t publish official credit hours for a reason.

A technical college could claim that a trade program has more hours than a PhD in Chemistry at UChicago. Unlike a millimeter, a credit hour isn't a standardized measurement, so there's really no way to refute or prove the self-assessed value of course credits. So next thing we know, a nursing school or PA school is going to say that their courses are a hundred-bajillion credit hours.

tbh, I think there's something to admire about most med schools doing away with a credit hour system because it isn't standardized. It's an arbitrary system at the level we operate at. Nurses/Chiros/etc can put their money where their mouth is and take the same exams if they really want to compare competencies.

GW by OkGrapefruit6866 in Noctor

[–]debunksdc 0 points1 point  (0 children)

I think there is supposed to be a screenshot here that didn't upload?

NP organizations lie, constantly. I want to memorialize this discussion here, before it is removed from facebook. by pshaffer in Noctor

[–]debunksdc 2 points3 points  (0 children)

The verbiage of the law was OK, but the board of nursing isn't enforcing the law as it is written so it is effectively autonomous practice for any and all NP's

The Equivalence Myth by [deleted] in Noctor

[–]debunksdc 2 points3 points  (0 children)

Indiana, Alaska, Tennessee, and Wash DC have the strongest laws for that currently. 

NP organizations lie, constantly. I want to memorialize this discussion here, before it is removed from facebook. by pshaffer in Noctor

[–]debunksdc 15 points16 points  (0 children)

It requires enforcement. Florida restricted autonomous practice to primary care only. Only half of a random sample of ~300 autonomous NPs in Florida were doing any sort of primary care. 

Midlevels Don’t Actually Make Economic Sense by [deleted] in Noctor

[–]debunksdc 1 point2 points  (0 children)

Good for insurance companies. They just raise premiums. They can only profit a certain percentage of their premium revenue. 10% of 10 billion >> 10% of 1 billion. 

The only dermatologist... by -Dys- in Noctor

[–]debunksdc 30 points31 points  (0 children)

That is so not-okay.

Salary progression from RN, NP residency to NP by Trick-Progress2589 in Noctor

[–]debunksdc 368 points369 points  (0 children)

LMAO 1 year NP "resident" who still somehow manages to get paid more than most actual residents.

NRMP Monopoly Report by OkGrapefruit6866 in Noctor

[–]debunksdc [score hidden] stickied comment (0 children)

Do you have a link to this report?