Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for ...
…
continue reading
1
The blind leading the blind? New NP gets bad advice from other NPs on Facebook
36:33
36:33
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
36:33
Christopher Garofolo, MD, unpacks the many errors shared by a more seasoned NP to a brand new NP seeking advice on a Facebook post. Learn more: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/ PhysiciansForPatientProtection.orgBởi Rebekah Bernard MD and Niran Al-Agba MD
…
continue reading
1
Physician training saved my newborn grandbaby's life: I fear future patients won't have this privilege
28:43
28:43
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
28:43
On the last podcast, I interviewed Dr. Anu Shokla who shared her story of her newborn baby being treated for an emergency rapid response by a nurse practitioner who had just rotated with her on the inpatient adult hematology oncology service. After hearing that podcast, Dr. Carol Nelson reached out to share a story of the alternate version: her new…
…
continue reading
1
"My newborn baby required a rapid response: The NP that showed up had just rotated with me on the adult heme/onc service."
31:38
31:38
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
31:38
Primary care physician Anu Shukla shares a personal story about the dangers that patients face when physicians are replaced with nonphysician practitioners. Dr. Shukla's comments on this podcast reflect her views and opinions. She does not speak for or represent her employer. Physiciansforpatientprotection.org patientsatrisk.com PhysiciansForPatien…
…
continue reading
1
Bloomberg Report Questions NP Education
24:33
24:33
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
24:33
In the first of a series 'The Nurse Will See You Now,' Bloomberg reporters investigate concerns about nurse practitioner education. The Miseducation of America’s Nurse Practitioners They don’t merely support doctors—NPs increasingly treat patients independently, including in specialty practices and emergency rooms. When they aren’t well trained, th…
…
continue reading
1
Dangers of nonphysician ketamine infusions
40:57
40:57
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
40:57
There are an estimated 500-750 clinics across the U.S. providing infusions of Ketamine for the treatment of a variety of medical conditions. This is big business, estimated to bring in $3.1 billion per year and projected to rise to 6.9 billion by 2030. But is Ketamine safe and effective? Psychiatrist Kristina Kise, MD discusses the use of ketamine …
…
continue reading
1
Why Psychiatry Needs Psychiatrists (and not just psych NPs)
42:51
42:51
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
42:51
Psychiatrists are increasingly being replaced by non-physician practitioners - psychiatric mental health nurse practitioners (PMHNPs) and physician assistants (PAs). This webinar explains the difference between a psychiatrist and a PMHNP and reviews the evidence regarding unsupervised care of patients with mental illness by non-physicians. Link to …
…
continue reading
1
Physician Leadership Through Self-Ownership
22:22
22:22
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
22:22
Over the last decade, as physicians have increasingly turned to employed practice to cope with declining reimbursement and increased administrative requirements, our role in advocacy has diminished. Doctors are afraid to speak out because we fear being fired and losing our livelihoods. But without physician advocacy, corporate interests, academic c…
…
continue reading
1
Small Democratic Groups (SDG): The solution to reclaim medicine from corporate interests?
29:57
29:57
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
29:57
Arthur Smolensky, MD describes his experience creating a Small Democratic Group (SDG) to take over emergency department staffing from corporate contract management groups. https://www.linkedin.com/in/arthur-smolensky-719806/ PhysiciansForPatientProtection.orgBởi Rebekah Bernard MD and Niran Al-Agba MD
…
continue reading
1
JOURNAL CLUB: Article claims that NPs, PCPs have same rate of inappropriate prescribing to seniors
24:45
24:45
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
24:45
In today's episode, Teresa Camp-Rogers, MD, MS analyzes a study published in the Annals of Internal Medicine, the journal of the American College of Physicians, entitled Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care Physicians The article, which seems to call for an expansion of unsupervised practice for NPs, c…
…
continue reading
1
Doctors' Day revisited: What has changed in the last three years?
26:26
26:26
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
26:26
Three years ago, we aired a podcast criticizing Doctors' Day posts from hospitals and healthcare organizations that included non-physicians and referred to physicians as 'providers.' Fast-forward to today, and some organizations (but not all!) seem to have gotten the message. Happy Doctors' Day to all physicians - thank you for your sacrifice and d…
…
continue reading
1
"I didn't know how bad it was:" NP pens report on NP education (Part 3)
20:28
20:28
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
20:28
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to th…
…
continue reading
1
"I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 2)
29:52
29:52
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
29:52
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to th…
…
continue reading
1
"I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 1)
30:12
30:12
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
30:12
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to th…
…
continue reading
1
The Assistant Physician (AP) - A pathway to independent practice?
18:27
18:27
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
18:27
In part 2 of my discussion of the Assistant Physician (AP) role, Dr. Keith Frederick meets Dr. Liz Troilo, who benefited from his legislation. After working as an AP, Dr. Troilo matched into residency and now provides critical access care as a Family physician in Missouri. Dr. Frederick proposes a possible alternate pathway to independent practice …
…
continue reading
1
BONUS EPISODE: AZ State Rep and ER physician Dr. Amish Shah discusses his run for U.S. Congress
19:45
19:45
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
19:45
Emergency physician Dr. Amish Shah has served the Arizona State House for the last five years and is now running for U.S. Congress. In this special bonus episode, Dr. Shah explains why he entered into politics, the work he has done to support the practice of medicine, and why physicians should donate to his campaign. Learn more / contribute to Dr. …
…
continue reading
1
Physician legislator and creator of 'assistant physician' role in Missouri discusses steps to improve physician shortages
25:54
25:54
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
25:54
There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. Today we are talking about a proposed solution to this problem—a new professional designation for unmatched medical school g…
…
continue reading
1
Physicians fight to prevent more patient deaths from 'wellness' treatments at medspas
30:05
30:05
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
30:05
In July 2023, 47 year old Jenifer Cleveland, a mother of four, died after receiving treatments at a Texas medispa. We reported on this tragic story in a podcast with plastic surgeon Alina Sholar (https://www.buzzsprout.com/1475923/13329411-when-wellness-turns-deadly-patient-dies-during-npp-medspa-visit.mp3?download=true). Today, we are discussing t…
…
continue reading
1
NP malpractice settlements on the rise, especially for NP-owned practices
36:32
36:32
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
36:32
Malpractice insurance company CNA, along with Nurses Service Organization (NSO) has been providing malpractice coverage for nurse practitioners across the country in a variety of practice settings for the last 30 years. The organization released its first report on NP malpractice claims in 2005, and recently released its 5th report analyzing data b…
…
continue reading
1
Wisconsin NP legislator makes unprofessional comments during testimony on vetoed bill
21:14
21:14
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
21:14
Nurse practitioner and Wisconsin Senator Rachael Cabral-Guevara jokes about 'missing' lobbyist Mark Grapentine's IV... and using the largest bore needle to try again. Bill co-sponsor Rep. Barbara Dittrich responds by pulling her name off the legislation. Get the books! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/162734…
…
continue reading
1
The Medical Ethics of IV hydration ‘bars’
28:39
28:39
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
28:39
There has been a dramatic rise in the number of clinics offering intravenous infusions of fluids and vitamins to treat an array of conditions and for a supposed wellness benefit. But do these treatments actually work? To discuss the risks and benefits of IV infusions outside of a traditional medical setting I am joined by nephrologist Dr. Christin …
…
continue reading
1
Esteemed physician organization American College of Cardiology selects nurse as new president
32:48
32:48
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
32:48
Interventional cardiologist Dan Sraow, MD, FACC discusses the election of a nurse rather than a physician to lead the American College of Cardiology (ACC), as well as the risks of non-physicians performing cardiac interventions. PhysiciansForPatientProtection.orgBởi Rebekah Bernard MD and Niran Al-Agba MD
…
continue reading
1
Louisiana doctors succeed at passing graduate physician bill
23:10
23:10
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
23:10
There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. To alleviate this shortage, some states have a new professional designation for unmatched medical school graduates called 'a…
…
continue reading
1
Louisiana physicians hire lobbyist and defeat NP independence bill
27:20
27:20
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
27:20
Louisiana physicians discuss their successful effort to block scope of practice expansion in the state. PhysiciansForPatientProtection.orgBởi Rebekah Bernard MD and Niran Al-Agba MD
…
continue reading
1
Bioethicist weighs in on use of the term 'doctor' by nonphysicians
30:56
30:56
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
30:56
In 2023, three nurse practitioners sued the state of California for the right to call themselves 'doctors' in a clinical setting. Bioethicist Arthur L. Caplan, PhD, discusses the ethics of titles in healthcare. Dr. Caplan's article - https://www.medscape.com/viewarticle/994536 Get the book Patients at Risk and Imposter Doctors! PhysiciansForPatient…
…
continue reading
1
Patient asks for OB physician during pregnancy and delivery, told 'no'
22:32
22:32
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
22:32
At 39 years old, Hasina Hafiz wanted a physician to oversee her pregnancy and delivery. However, the only clinic in the area that accepted her insurance refused, allowing only CNM/ WHNP care. Retired OB/GYN John Lafferty, MD discusses complications that can occur during pregnancy and delivery, and why team-based care should always be led by a physi…
…
continue reading
1
Noncompete contract restricts rural patient access to physician care
32:29
32:29
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
32:29
Jacqui O'Kane, DO was fulfilling the promise of Family Medicine, providing expert physician care to rural residents of Georgia. Burned out from overwork and support staff challenges, she decided to leave hospital employment. But instead of allowing her to open her own direct primary care practice, the hospital enforced a 50-mile radius noncompete c…
…
continue reading
1
Physician discusses why she will no longer train or supervise NPPs
35:00
35:00
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
35:00
Sara O'Heron, MD discusses changes in the education and training of NPs and PAs over her 35-year career. Learn more at PatientsAtRisk.com Get the new book, Imposter Doctors, available in paperback, eBook and Audible: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk-ebook/dp/B0C4J3P3Z1/ PhysiciansForPatientProtection.org…
…
continue reading
1
When 'wellness' turns deadly: Patient dies during NPP medspa visit
31:38
31:38
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
31:38
Plastic surgeon Alina Sholar, MD discusses the risks and dangers associated with non-physician supervised medspa medical procedures. Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/ Join PPP: PhysiciansForPatientProtection.org PhysiciansForPatientProtection.org…
…
continue reading
1
Ensuring a fair physician employment contract
33:32
33:32
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
33:32
Employment attorney Dennis Hursh, Esq advises physicians on best practices for a fair employment contract. Mr. Hursh is the owner of Physicians Agreements Health Law and the author of The Final Hurdle: A Physician's Guide to Negotiating a Fair Employment Agreement https://www.amazon.com/Final-Hurdle-Physicians-Negotiating-Employment-ebook/dp/B07R59…
…
continue reading
1
Original study shows impact of NPPs on Emergency physician residents
33:08
33:08
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
33:08
Lead author Andrew W. Phillips, MD, MEd, joins me to discuss the brand new study 'Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education,' the first study to evaluate the impact of NPPs on EM resident physicians. Permalink https://escholarship.org/uc/item/9g14r2jx Journal Western Journal of Emergency Medicine: Int…
…
continue reading
1
New Book - IMPOSTER DOCTORS - Now On Sale!
21:29
21:29
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
21:29
Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW at Amazon and Barnes and Noble. PhysiciansForPatientProtection.orgBởi Rebekah Bernard MD and Niran Al-Agba MD
…
continue reading
Can't find a job that doesn't require you to supervise non-physician practitioners? It's time to consider a return to self-ownership! Psychiatrist Dr. Rashida Gray discusses her journey and encourages physicians to take back control of medicine by opening their own practices. Learn more about Dr. Gray at her website: GrayMDPsychiatry.com Join us: P…
…
continue reading
1
Innocent EKG findings lead to unnecessary ER visit: Why physician training matters
17:42
17:42
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
17:42
Emergency physician Andrew Wilson, MD, discusses a case in which a routine work physical at an Urgent Care resulted in an unnecessary ER visit for a patient. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164 PhysiciansForPatientProtection.orgBởi Rebekah Bernard MD and Niran Al-Agba MD
…
continue reading
1
Healing the healers: The Physician Support Line
27:54
27:54
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
27:54
Last week was Match week, and while thousands will celebrate matching into residency, 2,500 medical school grads will face an uncertain future due to a shortage of residency positions. If you know someone who might need help through this difficult time, the Physician Support Line is a free, confidential, and anonymous resource. Dr. Mona Masood, psy…
…
continue reading
1
Utah physician on hiring unmatched medical graduates (associate physicians)
28:48
28:48
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
28:48
Nurse practitioner and physician assistant use are often justified because of a shortage of physicians, especially in underserved areas. One major cause of the physician shortage is a lack of residency positions, the required minimum training that must be completed after medical school to be licensed as a physician. Every year, thousands of aspirin…
…
continue reading
1
Psychiatrist explains dangers of NP-staffed mental telehealth platforms
27:38
27:38
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
27:38
The COVID19 pandemic created both challenges and opportunities in the healthcare sector. One major winner: telehealth startup companies offering ‘virtual’ medical care, including psychiatric care. But instead of hiring physicians, these companies hire nurse practitioners to care for some of the most complex and vulnerable patients in our nation. Th…
…
continue reading
1
Vicarious liability: Family physicians discuss getting sued due to association with NPs
24:14
24:14
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
24:14
Nurse practitioner and physician assistant advocates often assure physicians that they face little liability or risk when performing supervision, insisting that NPs and PAs are liable for their own errors. But case law examples demonstrate this to be false. If state law requires physician supervision or collaboration, the physician may be held vica…
…
continue reading
1
Lack of informed consent: Patient nearly dies after CRNA mishap
26:24
26:24
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
26:24
Imagine this scenario: You are rolled into an operating room in a surgical center for an outpatient elective procedure. But when you wake up; you’re in an emergency department, and you learn that you nearly died from anesthesia complications. Even worse, you find out that your anesthesia was provided not by an anesthesiologist, but by a nurse anest…
…
continue reading
1
Training matters: small town ER doc makes limb-saving diagnosis missed by urgent care NP
28:38
28:38
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
28:38
Physicians train for at least 15,000 hours before we are permitted to practice independently, and one of the reasons is that it takes a long time and a lot of patient volume to be exposed to the many different presentations of disease processes to learn how to recognize true emergencies that need immediate interventions. Today’s guest brings us a p…
…
continue reading
1
Will an NP/PA perform your next colonoscopy? Part 2
23:42
23:42
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
23:42
Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. …
…
continue reading
1
Will an NP or PA perform your next colonoscopy?
28:12
28:12
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
28:12
Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. …
…
continue reading
1
Physician, Own Thyself: Taking Back Professional Control
32:32
32:32
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
32:32
Tired of being owned by corporations, but don't want to open your own practice? Stephanie Freeman, MD, a critical care physician and entrepreneur, teaches physicians how to become self-employed through contract work and locums. Learn more at DrStephanieICU.com http://www.freelocumstraining.com for free online locums training. National Association o…
…
continue reading
1
Nursing research leaders: NPs should not work alone in the ER
28:53
28:53
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
28:53
In Jan 2022, the Journal of Nursing Regulation published an article entitled: Analysis of Nurse Practitioners’ Educational Preparation, Credentialing, and Scope of Practice in U.S. Emergency Departments The summary: “Due to the variability in educational preparation, NPs should not perform independent unsupervised care in the ED regardless of state…
…
continue reading
1
Point of view: Let NPs and PAs practice independently - but hold them to the same standard as a physician
34:02
34:02
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
34:02
Attorney and emergency medicine physician William P. Sullivan believes that nonphysician practitioners should practice independently, but be held to the same medical standard as physicians since NP/PA leaders argue that there is "no difference in the practices and outcomes between physicians and advanced practice providers." Dr. Sullivan joins us t…
…
continue reading
1
The headlines don't always match the data: an example of egregious methodology in NP literature
33:46
33:46
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
33:46
In several previous podcasts, you have heard us refer to research studies that claim to show that nurse practitioner care is just as good or better than that provided by physicians. We’ve shown that in many of these cases, the study authors are using flawed methodology or failing to disclose important information, like nurse practitioners working u…
…
continue reading
1
The secret to hiring and retaining good doctors (and why hospital administrators don't want to hear it)
35:43
35:43
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
35:43
Douglas Farrago MD discusses why '9 out of 10 administrators' absolutely hate his new book, The Hospital Guide to Physician Retention: Why Creating A Physician-Friendly Environment Is Critical For Your Organization’s Success. Dr. Farrago has been fighting to improve the state of medicine for decades, authoring books on direct care and pointing out …
…
continue reading
1
Women physicians on scope of practice (part 2)
19:37
19:37
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
19:37
Sonal Patel MD and Jou Jou Hanna MD discuss the difficult choices that women make to become physicians, and why that training matters. PhysiciansForPatientProtection.orgBởi Rebekah Bernard MD and Niran Al-Agba MD
…
continue reading
1
No shortcuts in medicine: why women physicians are fired up about scope of practice (Part 1)
33:05
33:05
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
33:05
One topic that gets women physicians fired up like no other is a discussion of gender issues in medicine. While medical school classes are currently made up of about 50% women, women physicians are still a significant minority in medical practice today, and women doctors face serious inequities due to their gender. One of the biggest challenges tha…
…
continue reading
1
Is it time for an NP/PA 'Flexner Report?' Part 2
20:25
20:25
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
20:25
Part 2 of our discussion with John Lafferty MD regarding the need for Flexner-style reform for NP and PA programs. Dr. Lafferty describes his experiences training PA students. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ Thanks to our sponsor: Old Pueblo Anesthesia (OPA) is a physician-owned an…
…
continue reading
1
Is it time for an NP/PA Flexner Report? Part 1
23:02
23:02
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
23:02
Many of our podcasts have focused on concerns about the deterioration of nurse practitioner training, with an increase in for-profit schools that compete fiercely for student tuition dollars. These programs often boast 100% acceptance rates -in other words, anyone who applies is accepted. Students who attend programs like these complain about sub-p…
…
continue reading