Six months OJT as an apprentice in the local butcher shop should do it.
/s
Posted on 12/22/2017 3:03:10 AM PST by buckalfa
A Missouri law allowing medical school graduates to treat patients without having completed a designated residency program — the first law of its kind in the U.S. — went into effect after nearly three years, according to 41 Action News.
The law created the role of "assistant physician," which applies to medical school graduates who, under certain rules, may be allowed to treat patients without completing residency. Former Missouri Democratic Gov. Jay Nixon signed the law into effect in 2014, but officials took nearly three years to implement it, according to the report.
To become an assistant physician, medical school graduates must speak English, have passed the first two steps of the U.S. Medical Licensing Exam, enter into the primary care field, plan to practice in a medically underserved rural or urban area, and work with a collaborating physician within 50 miles of the assistant's practice.
The state currently boasts 25 assistant physicians.
However, not all medical associations are on board with the law. David Barbe, MD, president of the American Medical Association, said in a statement to 41 Action News, "The AMA appreciates that the intent of this law is to bridge critical gaps in the healthcare workforce, particularly those due to limited residency positions. However, we encourage states to pursue more practical workforce solutions, such as increasing the number of state-funded residency positions."
The American Academy of Physician Assistants also voiced its opposition to the law in a statement to the television station, the report states.
Six months OJT as an apprentice in the local butcher shop should do it.
/s
Texas recognizes PA’s. I am treated at my doctor’s office by one. No problem with it that I can see.
I told the witch doctor I was in love with you
I told the witch doctor you didn’t love me too
And then the witch doctor, he told me what to do
He said that....
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang...
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
I told the witch doctor you didn’t love me true
I told the witch doctor you didn’t love me nice
And then the witch doctor, he game me this advice
He said to...
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang...
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Now, you’ve been keeping love from me
Just like you were a miser
And I’ll admit I wasn’t very smart
So I went out and found myself
A guy that’s so much wiser
And he taught me the way to win your heart
My friend the witch doctor, he taught me what to say
My friend the witch doctor, he taught me what to do
I know that you’ll be mine when I say this to you
Oh, Baby....
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang...
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Songwriters: ROSS BAGDASARIAN
Most often the foreign medical graduates do their residency at non-university based residency programs that are a lot easier to be accepted at. This Missouri program lets them skip residency training, and makes it easier for them to flood American medicine with foreign medical graduates. These are not people graduating from highly-rated schools in the UK, or Germany etc. This is a big mistake, and by specifically linking lower standards with working in ‘underserved’ areas, it pushes lower-quality medical care specifically on these communities (including rural settings).
Most states recognize PAs, but this is very different. Most of the PAs out there are trained at US programs that specifically train them to be physician extenders. They have to be accepted at these programs, and go through the training. This Missouri program sounds like it will allow non-US trained docs to skip US residency training and go straight to work as PAs. It removes a US training requirement entirely.
Correct. This is about slotting FMGs into the medical workforce.
This is how it was in 1985 when I graduated.
It's no wonder doctors don't like this. People can opt to not have health insurance or for Seniors Medicare Part B and go to a less expensive clinic with a doctor who hasn't finished their residency but has recently completed, most current, medical knowledge.
Except We were called Doctor.
How many of them will be Muslim “doctors” I wonder?
The article states that they have to speak English. Doesn’t that preclude your concerns?
If that's a concern of yours, you've completely missed the boat. Look at the graduating classes of any Med school and you'll see they are loaded with foreign students of many sorts; many with names from muslim countries. They routinely look at patients. It's been that way for decades.
Lovely. This is a big mistake. In the past, to get people to underserved areas there were tuition reimbursement programs for US-trained physicians, and other incentives. I would expand those efforts, and use US-trained PAs, before letting loose un-vetted FMGs into the community. I've had plenty of experience working with FMGs, and there is a huge amount of variability in their training, knowledge, and abilities. Having them go through a US residency provides a level of selection, observation and vetting that is necessary, and bypassing this is ridiculous.
Not in the slightest. It's about competency in medicine.
“Having them go through a US residency provides a level of selection, observation and vetting that is necessary, and bypassing this is ridiculous.”
Correct. What non-physicians often don’t understand is that graduating from medical school does not make one a doctor. Residency training is intense and where one learns the trade. This is an issue of competence.
Over the past ten years, I've had three encounters with the medical profession. The lung surgeon was the best. Except for that, the best care and advice I got was from people who were less than fully trained doctors.
My experience is anecdotal, for sure. But I don't think I'm alone. Look at the mess we're in because of over-prescription of painkillers, for instance.
I believe the Witch Doctor has an unusually competent nurse working with him. Perhaps you know of Madame Ruth? She’s the gypsy with the gold-capped tooth.
When the Islamic FMG kill enough, even by
not washing their hands, Missouri will loose
one of their Senators - like Rhode Island.
I think you are confusing a Physicians’ Assistant (PA) with this new designation “Assistant Physician”.
For years my primary care provider was a PA (I used to call him “Dr. Dave”) and he was better than any doctor I’ve ever seen. When I first moved to Pennsylvania, I was still going down to Maryland to see him for my yearly physical and he was in the Johns Hopkins system so if needed he could refer me to any of their specialists. He could write prescriptions, order medical tests, pretty much everything a primary care Dr. can do but as I understand they have to be supervised by an MD. But what I liked about him was his friendly manner and sense of humor and that I never felt he rushed me through an appointment or wasn’t willing to explain things and answer all my questions.
The other thing I liked about “Dr. Dave: was that when Johns Hopkins instituted new protocols, one being to ask all patients whether or not they had any firearms in their home, Dr. Dave asked me the question, but when I looked at him with a raised eyebrow, he told me “yes, it is a BS question so I’m just going to mark “no”.
The other thing “Dr. Dave” did was perhaps save my eye sight.
I had had a mild head cold but then developed “pink eye” but not your typical conjunctivitis. I was running a high fever, both eyes were pumping out copious amounts of yellow and green puss, my actual eyeballs were swollen and my whole face was swollen. I had to get a relative to take me in to see him because I pretty much couldn’t see well enough to drive myself.
Dr. Dave took one look at me and told me “Don’t touch anything!” and “follow me”. He called the Johns Hopkins Wilmer eye clinic but couldn’t get me an appoint right then so he called another eye specialist and my niece drove me right over.
When I got there, I was examined by several doctors and was told that it was the worst case of conjunctivitis that they’d ever seen. They actually wanted to admit me to the hospital but instead put me on oral antibiotics, a cream antibiotic to put in my eyes, and steroids. But I had to go back the next day to be checked because if it didn’t get any better or had gotten any worse, they were going to admit me to the hospital. They diagnosed it as acute hemorrhagic conjunctivitis, a viral infection but that had also led to a more serious secondary bacterial infection. But one of the eye specialist told me that “while a lot of doctors see pink eye and overreact, yours didn’t, he was right to not try to treat this himself and send you here right away.”
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