Posted on 01/14/2020 5:59:33 AM PST by Kaslin
and when you are in the ER with chest pain? Do you want the lecture or treatment
Somehow NPs and MAs are unable to do this - or so say doctors, ex-doctors, and family members on this thread.
Right before I retired as a nurse, our yearly mandatory education had a topic on how to communicate to obese patients about their weight. We were told not to say the word “obese” because the word may offend them.
Patient satisfaction scores determine employment and salary now. Administrators who now control healthcare ( thanks to the ACA) control physicians, and many physicians shy away from the discussion anymore.
It happened to me. A morbidly obese patient wanted me to ask the physician for a prescription for a wheelchair she could use at work to maneuver around the office. She was 25 years old. I told her that it was good for her health to mobilize. I spoke to her in a very nice manner. However, she wrote a complaint against me to administration.
Why should a healthcare professional even bother anymore, when having frank discussions may result in a complaint and possible termination.
People know what they need to do, and having Medicare pay for it is a waste of money.
Because midlevels are not trained enough to know that something that appears to be mild may be something more serious. However, if they get autonomy from supervision, then they better have some good malpractice insurance and not rely on a supervising physician to train them.
I knew a new NP grad who was hoping at her new job that the MD would train her in that specialty. That is crazy. If you graduate from a program, you should be able to effectively treat patients without relying on physicians to train you.
I know that, and I have no medical training.
I agree with you.
Having been married to a doctor since med school in the 60s and members of my family and myself working in the field, the golden age of medicine is almost dead.
Foreign trained doctors who tend toward cultural illeteracy. Med schools which turn out grads who are not taught the basics of what used to be the all important physical exam which included touch, hearing, and looking all group to set us on the path to very poor medicalcare.
PAs and NPs are plain dangerous when turned loose as primary providers. Med school grads who go directly to a specialty residency, bypassing a general internship, end up with tunnel vision always seeing their specialty nail in their patients.
The best suggestion I have heard is to require every graduate doc to spend two years being mentored by the dinosaurs whose experience is invaluable. Mayo’s is doing something like that now.
The White House proposal guarantees sub par medical care. Resist!
One of the
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