Stories - Midlevel.WTF

Nurse Practitioner

NPs get stuck in an infinite loop

Do you hear that noise? It's the AANP clamoring to trick the general public into thinking that patients seen by midlevel nurse practitioners have higher satisfaction and fewer unnecessary emergency room visits. Well, guess what? I'd be pretty goddamn unsatisfied if I went to

My first Noctor experience

We've cured your child of cancer, now get the hell out of the hospital.

ER NP checks labs, finds "no acute abnormality"

It's not like hypokalemia can be dangerous or anything.

NP students don’t know rudimentary medicine

"But holy shit, you’d think interpreting a CBC was worthy of a Nobel prize after working with these people. FPA is lethal to patients."

Physician Assistant

Neurosurgery PA bashes on physicians

Originally posted on Reddit. Lightly edited for grammar and clarity. This morning I’m sitting on the Neurology floor minding my own business when I hear a Neurosurgery PA talking very loudly to a patient about how she does neurosurgery. She goes on to

Nurse Practitioner

Urgent care NP sends patient off to the ED to get a cardiac stent

We can feel our troponins rising after reading this tale of sheer midlevel stupidity.

Nurse Practitioner

When an NP gets mad at you for seeing a real doctor

Originally posted on Reddit by u/RandomFlamingoo. Lightly edited for grammar and clarity. Earlier this year I switched my care in my primary care's office from an NP to an actual doctor in the practice, and ever since, whenever the NP or her assistant

Nurse Practitioner

Nurse practitioner missed a fatal diagnosis

Nurse practitioner? More like death practitioner.

Nurse Practitioner

NP forgets the names of ALL the antibiotics

Instagram: @the.np.momCan you imagine a PGY-1 intern, even on day #1 of residency, not being able to remember the names of any antibiotics? It's a scenario about as probable as the chances of Walden University becoming a respectable educational institution. On the

Nurse Practitioner

Children's Medications are Dosed in Milliliters, not Milligrams

Those advanced pharmacology classes in NP school must be outstanding.

A PA misdiagnosed my years-long battle with endometriosis as anxiety

See a midlevel, lose your ovary.

Genius FNP takes a novel approach to cancer diagnosis and management

Clearly, the first-line treatment for vulvar cancer is antibiotics.

Nurse practitioner's stroke of genius: it's just vertigo!

Nurse practitioner's stroke of genius: it's just vertigo!

Why give TPA when you can give Antivert instead?

Brilliant nurse practitioner writes the most useless consult note ever

The "cardiology" FNP who wrote this note is an utter waste of hospital oxygen who needs to be fired.

Misguided midlevel malice: genius CNM diagnoses diverticulitis on CT

Certified nurse idiot tries to take on another midlevel, fails epically.

Comedy of errors: a medical student's list of midlevel blunders

28 short stories of midlevels messing up, badly.

Radiologist saves a patient from midlevel mismanagement

Originally posted on Reddit. Lightly edited for grammar and clarity. Radiologist here with a little anecdote of an interaction I had a while ago with a midlevel in the emergency department. I come into work for my shift and open up my first case.

Ski town NP unaware of indications for surgical referral for clavicle fracture

Originally posted on Reddit Long before I ever was aware of the problems with mid-level education and practice, I had my own run-in with a poorly trained NP. This was back about 20 years ago before there were any online diploma mills and direct-entry

A tale of three midlevel mistakes in the ED

Anonymous emergency physician submission I’ve made it a priority to see every NP/PA patient, even at the expense of picking up new patients of my own. In the past month I’ve caught the following errors: 1. Patient with known posterior compartment

My experience as an M1 patient of an NP

Re-shared from Reddit This may be long, so I apologize. I just felt like I needed to tell this story and felt this page was the most appropriate. For about the past year and a half now, I have been having an issue of

The ED is not an appropriate place for unsupervised midlevels: a patient perspective

A story of a post-op wound check gone wrong, thanks to a PA's mismanagement.

Thanks for nothing, PA

Anonymous patient submission I went to an urgent care clinic to get something cardiovascular checked out. I also had a big lump on my shin so I already had an appointment with an orthopod the next day for that issue. I was seen by

My run-in with a nurse practitioner at the ER

Anonymous Reddit submission I wanted to share my experience with a nurse practitioner at the ER last week. She came in with no badge visible and I called her “doctor”. She didn’t correct me. I went in to the ER because of a

NP doesn’t understand how urine cultures work

Tell the bacteria to grow faster, or NP Karen will not be pleased!

I feel like I was duped...

Originally posted on Reddit. Lightly edited for grammar and clarity. A short background: I graduated as a biology major in 2015, worked as an outpatient surgical assistant through 2019, then went to get my BSN, RN. This BSN, RN program was accelerated, one year