In fact, nurse practitioners have what’s referred to as “full practice authority” in 20 states, meaning that they do not have to work under the supervision of a doctor. A new study published in the Health Services Research journal shows that physicians and nurses are more likely to turn to alternative and complementary medicine than … For example, in Arizona the nurse practitioners have had independent practice unsupervised since 2001, and in 2017 there were fewer than 11% of nurse practitioners in rural areas of the state. sounds like its time to go work for the other hospitals. A group of nurse practitioner organizations responded with a unified stance: physicians do not own the title “doctor.” This group reassured physicians that nurse practitioners have no intention of misrepresenting themselves as MDs — or as a DO, DDS, DMD, … I just don't agree (like) militant CRNA's, and Dr. Nurses who really think they're qualified to be physicians with no medical school or residency training. The latest version of an annual survey from Medscape/Web M.D., shows dissatisfaction among U.S. doctors rising. 1-612-816-8773. The use lower pain NPs (compaired the the MDs) to do some of the work, thus they are able to see far more patients (and bill them of course) than the faciliety that chooses not to use NPs. Specializes in Mental health, substance abuse, geriatrics, PCU. Those facilities also hire FNPs and PMHNPs whereas my hospital doesn't. NPs can prescribe medication, examine patients, diagnose illnesses, and provide treatment, much like physicians do. Why? It seemed as though she was in her own little world, not a doctor or a bedside nurse, so she wasn't easy to deal with. It may not display this or other websites correctly. Knowing this, I understand that professionalism and basic respect can be lacking at times, especially during stressful situations. Can you read it? 20 Reasons Why Going To The Doctor Is The Absolute Worst. I suggested that we start hiring NPs. allnurses.com, INC, 7900 International Drive #300, Bloomington MN 55425 Good luck with that, LOL! Has 15 years experience. The doctor apparently loses it and screams "I'm the doctor here! Don't scream. Has 4 years experience. You've seen the handwriting on the wall. Under-valuing physicians, and replacing them with substandard care, ultimately places the patient at risk. I would let it go. And that, my friends, is unethical. It's hard to work with someone that doesn't even see your degree as legit. As for clinical skill, I think the same rule of thumb is true for doctors and nurse practitioners: those that devote themselves to learning beyond their curriculum end up being competent. I don't know how long I could stand being around those people and doctors knowing their feelings towards nursing. I was proud and thankful when they realized MD's can't do it all themselves and they can utilize other qualified professions. As a new NP, did you do a residency program? The OP already stated that the other facilities are both offering incentives AND they hire NPs. The idea of using live tv sessions to shame people into leading better lives is highly unethical. Has 16 years experience. I haven't ever heard of a facility using that cheesy excuse. People reply to threads that interest them. JavaScript is disabled. Like others have written you suggested it and they were short sighted enough to blow you off. If they hate NP's and don't trust them enough who is to say they trust or respect any nurses? There are a number of reasons you might hate your nurse practitioner job. Please do not tell me that a PA is the same thing as a medical assistant, I would love a *real* answer here, so if you aren't sure what you are talking about - please do not bother! For me, I hate the fact that some nurses are attempting to encroach on a physician's area of practice. by Kristin Chirico. I guess it's a sense of fairness for the work you put in to being a doctor. Nurse practitioners fill a much needed role in psychiatry to address the gross under availability of providers. Letting nurse practitioners do more work without a doctor's direct supervision sounds appealing, but doctors undergo training that NPs do not. Nurses so really think twice before going NP. Doctors no longer get the huge fees they had in the past but are expected to do much more with less. Photos.com 17. So the director of psychiatry and some senior psychiatrists at my hospital are in a funk. The chief director of psychiatry will be present at the next meeting and I really think its worth a mention. Notwithstanding, I think nurses are a valuable asset and I think they are urgently necessary and their work should be respected as such. I don;t think they are all difficult, but if the doctors are resisting it, I wouldn't push it. It’s a lot of work. Which do doctors respect more, Physicians Assistants or Nurse Practitioners? So you're a doctor, a big, fat, sad, suicidal doctor, and all you want to do is take some time off, but, hey, you can't. You'd be shooting yourself in the foot (or a more personal area of your anatomy a bit higher up) to bring it up again! NP- independent practice (without supervising MD). This is a good time to brush up on that hierarchy of evidence we all learned about in research class. If their psychiatrists are flocking now for better pay, etc and they're already short but haven't even thought to, or wont, raise their incentives as well to retain and recruit more psychiatrists then they will either have to suck up their pride and hire NPs or run into the ground. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. The other night, I couldn't sleep. 23 Things Patients Do That Drive Doctors Crazy. In real life, off the blogosphere, there is great respect, in general, both ways (ie physician to nurse and nurse to physician). But would I be overstepping boundaries if I drew up a presentation at our next meeting to outline the benefits of hiring NPs? They also have an understanding of the state laws and the reimbursement realities. Lucky for the patient, there was an electrophysiologist on the case as well that happened to make rounds a few minutes after this incident. Earn 6 College Credits in 2 Weeks: http://www.collegeplus.org/cowcredits NEW VIDEO EVERY MONDAY & FRIDAY! Despite what is going on in the political realm, many physicians value NP's as important healthcare professionals and respect what we do. You are using an out of date browser. Read More » Like the previous poster mentioned, I would not present anything at the next meeting because it seems they've made up their minds about this issue. I have the luxury of speaking outside the realm of the profession. A recent report on a pilot program to increase the availability of Advanced Practice Registered Nurses underscores the current anti-doctor climate in healthcare. Search. Any director who basis their practice on bitterness and jealously rather evidence isn't worth working for or with. Specializes in Adult Internal Medicine. My hospital just recently (last couple of years) started hiring NP's and PA's in their clinics and to help the hospitalists. People reply to threads that interest them. How to Become a Vestibular Physical Therapist. That doesn't explain why the OPs hospital is saying they aren't able to offer a competitive wage for providers. ", tells the nurse to do nothing, and promptly hangs up. Preparing for med school, you have to do well on the MCAT. Nurses should absolutely "think twice": think twice about why the "opinion" of a minority of "MDs" that is in direct opposition of a myriad of published studies and the IOM bares even the slightest bit of weight. A great diagnostician, with a great medical plan, still needs to be implented by the nursing staff, and if it's not communicated well, it's no longer great! Because when you take time off more people die. Doctors don't mind if you do a little bit of research on your own, but don't come in with guns blazing, trying to teach them something about their profession. The use lower pain NPs (compaired the the MDs) to do some of the work, thus they are able to see far more patients (and bill them of course) than the faciliety that chooses not to use NPs. Since this is not the appropriate forum, I will close this thread (BTW, I read the post last night but was too tired to post any meaningful response; it had nothing to do with any negative feelings about nurses). Let it go especially because this wouldn't be doing NPs a favor. Specializes in Family Nurse Practitioner. Should you as a nurse practitioner enter the physician lounge for a quick bite to eat or park in a physician-reserved spot prepare for immediate and intense verbal assault if this particular doctor is present. While although I think adding Psych-NPs to an inpatient psychiatric team is a great idea what I'd really like to know is why the heck can't they offer a competitive salary? Specializes in around 25 years psych, 10 years medical. allnurses is a Nursing Career & Support site. This is why I would never do NP. BND: What do you hate most about your job, and why? America needs good PAs and NPs. NP income in the State of TEXAS compared to California. I just don’t agree (like) militant CRNA’s, and Dr. Nurses who really think they’re qualified to be physicians with no medical school or residency training. I can only see this mentality hurting them in the future, because there seems to be a couple underlying issues at the facility and the perception of NPs is only one part. Not saying this will happen tomorrow but they could possibly expect this in the near future. What they think is what they think; I can't change that. Specializes in CCU, SICU, CVSICU, Precepting & Teaching. Barry: What I hate about medicine [is actually] two things. I find it insulting to think we would be brought in because they are too miserly to pay a decent rate for their doctors. Why should anyone let such pettiness get in the way of their goals and the patient care they want to be involved in? Perhaps the clinic where you work is poorly managed or the expectations placed on you are unreasonable. Many MDs are resentful of NPs due to perceived and actual differences in educational preparation. No it makes sence. It becomes crystal clear early on in practice that in order to be a better physician, communication (including listening) with nurses improves patient care. BuzzFeed News Reporter 1. Specializes in Cardiac, Home Health, Primary Care. For the dumbest and most obvious reason: Doctors go on vacation in July. I don’t think physicians can have it both ways. Simply put, being a doctor has become a miserable and humiliating undertaking. “Why do I need 535 people in Washington, D.C., to fix things?” asks Hill. This is the internet, you can't take things too seriously. And yes, it's true... Not every single physician in America hates NPs. Our members represent more than 60 professional nursing specialties. Nurses and NPs are not medicine “lite.” The vast majority, especially after the 1990s, did not go into their respective professions because they couldn’t get into medicine or used their nursing careers as stepping stones to enter medical school. Has 6 years experience. Maybe you work in a specialty you aren’t passionate about. What really bothered me is that the director said, "I HATE Nurse Practitioners" as if that was a good enough reason for not hiring them in our facility. Right or wrong. Guys. I never seen so much hatred from health professionals. For a better experience, please enable JavaScript in your browser before proceeding. So far, we have lost four psychiatrists in the past five months to nearby hospitals that are offering those incentives. by. Shortly after the publication of “ Independent practice: Both nurse practitioners and physicians should be outraged ” (January 5), the Nurse Practitioner (NP) leadership responded with a press release, denouncing the concerns that were cited, calling them “rhetoric.”. Doctors, he said, can’t adjust their rates to keep up with expenses. That is baloney. It appears surrounding hospitals are offering incentives (increased salary and other benefits) to attract psychiatrists to their institutions - and its working. That means interns become residents and residents pretend to be the real doctors. In addition, electronic record keeping is a burden both in terms of cost and time. We just love being ... tables, chairs, and even kids' toys. There are going to be naysayers no matter what profession you are in. I don't think the incentives are the only reason providers are leaving en masse. He then proceeded to tell me how many years of schooling and training he's had out of some need to compare himself to a PMHNP. I don’t like nurses that aren’t happy with being a nurse and feel that they’re entitled and capable to do whatever a doctor can do when they aren’t. Most doctors have welcomed NPs into their practices to allow them to spend more time with the patients who do require the services of a doctor. (CRNA, and some DNP). The cost of operating in your local area is what it is and while I think we NPs enhance a team to bring us in because they aren't willing to pay enough to keep a decent doc is insulting. Clearly there is no way for my hospital to match the benefits of the other competitive institutions and there is a huge shortage of psychiatrists in the area. For me, I hate the fact that some nurses are attempting to encroach on a physician's area of practice. Alot of MD's have that opinion. Why Doctors Do Not Prescribe Natural Alternatives; Why Doctors Do Not Prescribe Natural Alternatives. To make up for the Psychiatrists that we've lost, the current ones are doing more on-call time, taking on more patients, and covering more units because there's not enough coverage when a psychiatrist takes the day off. I don't really think that many people hate nurses. Leah was FIRED for not being good enough. Specializes in burn ICU, SICU, ER, Traum Rapid Response. With more physicians looking to go part-time, avoiding primary care, and talking increasingly about retiring early, we need more PAs and NPs to pick up the slack, not fewer.. It's why lots of docs don't like NPs with independent practice rights - they have 2 years of training vs our 8 years, but the derm issue is more about unfair reimbursement rates (side effect of the US healthcare "system") level 1 If you treat one of his patients … Do Physicians Respect Nurse Practitioners? In my six year career, I have experienced minimal problems, and generally great relationships with the nursing staff. If I were you, I would keep out of it. i knew I had a UTI and felt terrible, but dealt with it because I don't trust doctors. Stick out your tongue. Can a Nurse Practitioner become an Art therapist? (CRNA, and some DNP). There is a particular physician employed by my hospital who HATES nurse practitioners. Notwithstanding, I think nurses are a valuable asset and I think they are urgently necessary and their work should be respected as such. ... reddit.com. This is the internet, you can't take things too seriously. Specializes in Case mgmt., rehab, (CRRN), LTC & psych. That doesn't explain why the OPs hospital is saying they aren't able to offer a competitive wage for providers. They will have to offer a competitive wage and hopefully they won't wait until all their present staff has left. I don't really think that many people hate nurses. Here it goes, read on if you want the hard truth (this one’s for you med students): 1. Frankly, I do understand that med students/residents/physicians work very hard, and have personal lives and problems of their own. Sounds like your MDs are highly threatened by the NP profession, nothing new there. And look, we don't want to slut shame her—because it's not a bad thing to have a sex drive and be a sexual person—but it's really unprofessional to sleep around with colleagues. Has 40 years experience. Further, bumps in the road which are appreciated by the nursing staff need to be communicated to the physician, and if the physician doesn't listen, again the patient's care is compromised. Clearly there is no way for my hospital to match the benefits of the other competitive institutions and there is a huge shortage of psychiatrists in the area. Specializes in PACU. (CRNA, and some DNP). I truly appreciate the two responses I received, they were very kind and balanced, and I agree wholeheartedly with them. Author: Rebekah Bernard MD. That's why we buy those tables with beads we can nail to the ground. Personally, I'd rather take into account those published studies than random opinions. An average primary-care doctor in the U.S. in 2018 made $223,000, which isn’t a lot when you consider the many years of training and the growing time demands of an electronic record-keeping system. Has 10 years experience. Subscribe! One of the senior psychiatrists actually shouted at me for coming up with "a stupid idea." The eternal struggle over the scope of practice of nurse practitioners reaches a new low when a doctor attacks online and all hell breaks loose. BuzzFeed Staff, by Ariane Lange. You received that kind of response and you think it would be a good idea to bring it up again? Support Blimey Cow & Get Cool Rewards! On this site, for whatever reason, a lot of nonsense goes back and forth. Since 1997, allnurses is trusted by nurses around the globe. Indeed, many doctors feel that America has declared war on physicians—and both physicians and patients are the losers. Plus trust me the hospital admins might be shocked at how much a decent psych-NP costs. You won't be able to change their minds. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. I don't really think that many people hate nurses. The fact that people may have viewed (not actually read) your thread and did not reply does not mean they hate nurses, it may mean that they just aren't willing to engage in conversation about the topic. It’s important to American health care that we find ways to expand our ability to care for more patients. Sure, all the doctors on the show do it, but they really shouldn't be. I worked with a NP who was not very friendly. Yes these people agree, but it amounts to exploitation. I don't like nurses that aren't happy with being a nurse and feel that they're entitled and capable to do whatever a doctor can do when they aren't. Could not have said this better myself. Those hospitals may have something better to offer you too lol. This is why I hate doctors... in my area, they are jerks and care only about themselves and their career... here it is.. If those in charge of your practice share those feelings, then let them run their business into the ground, no skin off your back, plenty of hiring and expansion going on in your area it sounds like, In my current clinic, the doctor that I work for is the owner of the practice and he's very open to NPs for financial reasons hehe. Honestly, they're running themselves into the ground now. Nurses should absolutely "think twice" about the "advice" of other nurses that simply assume the "MDs" must be right because...well because they say so. The fact that people may have viewed (not actually read) your thread and did not reply does not mean they hate nurses, it may mean that they just aren't willing to engage in conversation about the topic. For me, I hate the fact that some nurses are attempting to encroach on a physician’s area of practice. I don't like nurses that aren't happy with being a nurse and feel that they're entitled and capable to do whatever a doctor can do …