Midlevel.WTF (Page 13)

AAEM/RSA Releases Statement of Concern about the imploding EM physician job market due to proliferation of midlevel NPs and PAs

AAEM/RSA Statement of Concern for Graduating EM Residents and the Current Job Market | AAEM Resident and Student AssociationThe American Academy of Emergency Medicine Resident and Student Association (AAEM/RSA) is a non-profit professional association for emergency medicine residents and medical students.AAEM/RSA - AAEM Resident and Student Association

CRNA

There is no such a thing as a nurse anesthesiologist

> Same reason we say: “Nurse Anesthesiologist” Except we must work 100% harder for 70% of the credit and 50% of the pay https://t.co/nu09atdc2x — Dr. J.DeLoz, DNAP🇺🇸 (@JoshDeloz) January 28, 2021 [https://twitter.com/JoshDeloz/status/1354749600549187588?ref_src=twsrc%5Etfw] Anyone who feels the need to

News Featured

The casualties of cost-cutting: rookie CRNA midlevel in charge of colonoscopy case that went horribly wrong

Beaumont Health and NorthStar (DeathStar?) Anesthesia clearly have their priorities straight.

"The best NP preceptor is one you can find"

> NPs recommend to just get clinical hours; quality education doesn’t seem to matter. 😢 #NurseTwitter [https://twitter.com/hashtag/NurseTwitter?src=hash&ref_src=twsrc%5Etfw] #MedTwitter [https://twitter.com/hashtag/MedTwitter?src=hash&ref_src=twsrc%5Etfw] #NPsLead [https://twitter.com/hashtag/NPsLead?src=hash&ref_src=twsrc%5Etfw]

News

AAFP objects to VA's interim rule permitting midlevels to practice unsupervised

AAFP Sees Harms to Team-based Care in VA Interim Final RuleThe AAFP and other medical societies this month urged the Department of Veterans Affairs to rescind an interim final rule that would decrease the standard of care for U.S. veterans. https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/

Noctor

"Dr." Monica Roundtree

Another example of a NP "noctor", this time in Florida, taking full advantage of the state's recently-passed "full practice authority" statue. Just because you have a DNP doesn't mean that you can present yourself as a doctor to patients, a term that refers exclusively to medical doctors (who actually went

Social Media Consults

Online, quick and reasonable fee: the "Doctorate" of Nursing Practice

Online, quick, and resonable (sic) fee? Why not get all three and do a DNP? This post pretty much sums up the "Doctorate of Nursing Practice" degree's fluff and lack of rigor in a nutshell. If you think a one-year program is comprehensive or rigorous enough to be considered a

Noctor

"Dr." Cynthia McNeill, Ph.D., MBA, FNP-C

Website Here we have another example of a midlevel nurse practitioner being blatantly misrepresented as a doctor in a clinical context. Cynthia McNeill's "doctorate" in "Human Services" comes from Capella University, another fine and reputable for-profit institution known for its rigorous online coursework /s. We're not exactly sure how a

Noctor

"Dr." Katina Davis-Kennedy

Because University of Phoenix + FNP = Doctor.

Social Media Consults

NP worries more about billing and reimbursement than what's wrong with the patient

Wow, OK...where do we start with this one? 39 years old, early kidney failure, high LFTs? A fatty diet could potentially explain the high LFTs, but kidney failure in a 39-year-old? Something serious could be going on here! Maybe even...hepatorenal syndrome in the worst case! Perhaps this midlevel

Social Media Consults

Facebook Pediatrics Consult

This one has been making the rounds lately, but we share it anyway for posterity: > FNP seeking advice on a 20 week old infant. Babies deserve more than a Facebook consult. #medtwitter [https://twitter.com/hashtag/medtwitter?src=hash&ref_src=twsrc%5Etfw] #nursetwitter [https://twitter.com/hashtag/nursetwitter?src=

Social Media Consults

Because Facebook is the new UpToDate

I wonder if Stacie's patients know that she gets her medication dosing from a Facebook group. Surely, if it's guideline-directed, those guidelines must be published online somewhere on a site more reputable than Facebook! But it probably doesn't matter if all those different medications are "equivalent", right?

Nurse Practitioner

The Dunning-Kruger effect is strong with this one

> I don’t enjoy having to check with a physician about my plan. #fullpractice [https://twitter.com/hashtag/fullpractice?src=hash&ref_src=twsrc%5Etfw] now! #np [https://twitter.com/hashtag/np?src=hash&ref_src=twsrc%5Etfw] — Dr. Don (from Morningside), RN, DNP, JD, FAANP (@DonMorningside) December 27, 2020

Social Media Consults

Midlevel discovers the easy way to becoming a radiologist

Who needs four years of college, four years of medical school, one year of internship, four years of radiology residency, and potentially more years for fellowship when you can just go online and spend a few minutes watching YouTube videos? This midlevel has it all figured out!

Social Media Consults

Oncology definitely isn't your specialty

Ah yes, because trying to second-guess the oncologists when it comes to a complex disease process like pancreatic cancer. What could possibly go wrong? And what does the patient being vegan have to do anything? Perhaps we should try some essential oils first? Better make a decision quickly before that

Midlevel malpractice leads to senseless deaths of two children

Families sound alarm on medical transparency after deaths of their childrenA special NewsNation investigation into health care in America will introduce you to two families sounding the alarm about the care their loved ones received, and what they feel is a lack of transparency.NewsNation NowRich McHugh

I work in rheumatology but don't know how to prescribe steroids

I'm not an allergist or rheumatologist, but I am a physician, and I'm pretty sure that if you work in these fields you should probably have a basic fucking grasp on the basics of dosing and prescribing steroids. "Tapering is confusing to me" - good lord, even an intern or

Social Media Consults

Who needs Coumadin clinics when you can just use an app?

Someone should let this midlevel know that Coumadin clinics exist for a reason, and it's not because INR is so easy to manage that it can be done with an app! What happens if you drop the ball and your patient's INR becomes subtherapeutic, resulting in a clot? TIA indeed!

TikTok

NP tries to meme on TikTok, ends up making cringiest video ever

> @pardoparty5034 [https://www.tiktok.com/@pardoparty5034] #nursepractitioner [https://www.tiktok.com/tag/nursepractitioner] #nursepractitionerstudent [https://www.tiktok.com/tag/nursepractitionerstudent] #nursesoktiktok [https://www.tiktok.com/tag/nursesoktiktok] #cnasoftiktok [https://www.tiktok.com/tag/cnasoftiktok] #healthcarehumor [https://www.tiktok.com/tag/healthcarehumor] #healthcareprovider [https://www.tiktok.com/tag/healthcareprovider] #foryou [https: