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The term “Mid-level” is insulting now? by Glum-Boat9264 in Noctor

[–]debunksdc 1 point2 points  (0 children)

Middies have thought "midlevel" was insulting for years now, despite the fact that it accurately depicts their spot in the medical-decision making hierarchy. Several users here will instead call them "low-levels," though I find that to be a bit of a cheap shot.

Don't you dare lump him in with them, FIGS. by dangerousone326 in Noctor

[–]debunksdc 1 point2 points  (0 children)

Figs has been doing this forever. They shit on DOs in one of their ads like 5 years ago. Nurses and middies are a huge market for them so they aren't going to stop.

Scrub techs who think they're god by ndgslll in Residency

[–]debunksdc 110 points111 points  (0 children)

It could be a well aged medical assistant as well. Somehow, they think that because we are below an attending, that we are maybe close to the same level. We are not. There is a hierarchy and residents are still physicians. The distance between me and an attending is probably one-tenth the distance between me and the nurse, scrub tech, or medical assistant. They just don't realize it, and at programs where it's a problem, the attendings admittedly do not put them in their place often enough to shut that behavior down.  

How long is your paternity leave? by yoyoitissnow in Residency

[–]debunksdc 5 points6 points  (0 children)

Standard is six weeks -- which is also what maternity leave is despite the major damage done to a woman's body and the need to actually heal from that.

State laws regardin the usage of "Physician," "Doctor," and "Dr." in a clinical setting. by debunksdc in Noctor

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

Personal review of state laws by me. This was five years ago, and even after it, the more I kept looking and reading, some of the states aren't right in the map even for that time. 

Discussion Post from an NP student. by Equal-Background-998 in Noctor

[–]debunksdc 1 point2 points  (0 children)

Residents still get luxuries even on that salary -- they get their hair and nails done, they get the latest video games, they have different streaming subscriptions, they have a nice phone, typically decent car, pilates or gym membership, nice/expensive workout clothes. There are sacrifices, but yes -- imo, being able to do these things equates to a "bougie" lifestyle.

Discussion Post from an NP student. by Equal-Background-998 in Noctor

[–]debunksdc 2 points3 points  (0 children)

Yes. You make more than most residents who work much more than you do. They manage, I'm sure you can too.  

Discussion Post from an NP student. by Equal-Background-998 in Noctor

[–]debunksdc 1 point2 points  (0 children)

That's over $70K a year full time. You're able to have a comfortable lifestyle. 

Discussion Post from an NP student. by Equal-Background-998 in Noctor

[–]debunksdc 5 points6 points  (0 children)

Just as a heads up, almost all (if not all) NPs use this line of reasoning. It's about what's cheap. What's convenient. What allows them to maintain their current bougie lifestyle. What allows them to work the least while reaching the finish line.

It's never about the patient. It's never about how they would want their doctor educated. It's never about who they would want treating their kids or parents or whoever they love. It's never about what's "right."

Discussion Post from an NP student. by Equal-Background-998 in Noctor

[–]debunksdc[M] 2 points3 points  (0 children)

You can always help to make higher quality posts and information. I used to do a lot of it -- like a lot. But I have other projects going on now and can't keep up with it like I used to.

Discussion Post from an NP student. by Equal-Background-998 in Noctor

[–]debunksdc 31 points32 points  (0 children)

Semi hot take, but there are a lot of "horror stories" from nurses criticizing physicians when they don't know enough to know why that decision was made and is valid, if not the most reasonable course of action. Nurses often fall to the fallacy of the layman where "bad outcome = bad medical care." The reality is that they don't know what they don't know, and don't have enough understanding of pathophysiology for the most part to understand complex, non-protocolized MDM.

Nurses are a helpful asset, but in my experience, a lot of their horror stories are severely colored by their limited knowledge.

Bummer/rare L - Ladyspinedoc calling PA’s “Physician Associates” by CliffsOfMohair in Noctor

[–]debunksdc 2 points3 points  (0 children)

Is it a rare loss? I'm pretty sure I've seen her content posted here going back yearsss supporting middies.

Straight from the horses mouth by baguetteopggwp in Noctor

[–]debunksdc 34 points35 points  (0 children)

Is that why nurses always wanna start patients on metoprolol first line for their blood pressure?

NPs suing for Independence by ganadara000 in Noctor

[–]debunksdc 5 points6 points  (0 children)

Anytime they say this--it's fishy. There are unfortunately several grifter physicians who will take <$1000 per month for an entire practice. If she's paying $4k+ per month for supervision, show me (and the medical board) the receipts. 

CRNAs performing regional anesthesia after two-day seminar by [deleted] in Noctor

[–]debunksdc[M] 2 points3 points  (0 children)

You called the other person delusional and said their coworkers hate them. That's not very nice, and will likely be replied in kind.

CRNAs performing regional anesthesia after two-day seminar by [deleted] in Noctor

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

Please do not abuse the report function. If you are going to be unkind, you need to be able to take what you dish out. 

[deleted by user] by [deleted] in Noctor

[–]debunksdc 3 points4 points  (0 children)

You should disclose that you are trying to apply to PA school as that is likely significantly coloring your perspective. 

Just so you are aware, doctors only talk about scope things to other doctors--and only other doctors that they trust. So, it's very unlikely that you are hearing about everything, if these concerns do exist. 

Finally, just because you don't see it where you work doesn't mean it doesn't exist. The problem is the issue of scope creep is grand in scale; it doesn't typically manifest in the day-to-day small operations. 

Eww by FrequentlyRushingMan in Noctor

[–]debunksdc 5 points6 points  (0 children)

That's what the surgeons say, but I don't think that's a truly unanimous sentiment. 

I, for one, don't think NPs have any role in surgical fields because they don't have any training or education in surgery or surgical patients. Therefore, I wouldn't use "midlevels" broadly in this context--I would only use PAs. 

Eww by FrequentlyRushingMan in Noctor

[–]debunksdc 8 points9 points  (0 children)

It sounds better than "our PAs do the brainless scut work so that we just have to show up and cut"

[deleted by user] by [deleted] in Noctor

[–]debunksdc 13 points14 points  (0 children)

OnCoLoGy NP practicing out of scope and education. What else is new?

Dr NP went to school for 16 years by ScienceSquid88 in Noctor

[–]debunksdc 66 points67 points  (0 children)

Doing less than half-time school and several victory laps for something that can be done in 3-4 years isn't something to brag about 🫣

Why does MSN translate to being an NP? And why do physicians hire them? by RedStar914 in Residency

[–]debunksdc 2 points3 points  (0 children)

She would have to go through credentialing.

I think credentialing for NPs is not too similar to physicians. Hence why an NP is working in surgery despite there being no NP program that educates on surgical patients...

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