Physician vs Nurse Practitioner? 

If you have dosing questions, please ask pharmacists rather than APPs. They are the experts and always superhelpful.

Do not forget, it was the PATIENT who requested a doctor ---the person/people upon your livelihood depends!

A specialty and subspecialty trained physician and a board certified GI specialist can not do a simple Entecavir dosing. Interesting!

He got through IM residency and GI fellowship just to not know Entecavir dosing? He wasn’t capable of looking up that information on his own to build a personal decision that is evidence based to treat? And didn’t know his cirrhosis patient was decompensated? The example this sets is that highly trained physicians can’t look up even an UpToDate article’s worth of information and just accept a dosing recommendation blindly. If you aren’t vetting information on an hourly basis, that is negligent.

What a sellout. This is obviously untrue. It’s funny how many doctors will decide mid-levels are amazing once they’re attendings in a field where having NPs see their patients increases their income.

When I was in college, a nurse practitioner prescribed me ativan daily as a sleep aid for YEARS. I was young and naive so I just trusted how she practiced medicine. I begged her for ambien when I realized couldn't fall asleep without the ativan and she refused, I would try 3-4 benadryl and not fall asleep. She tried to switch me to gabapentin and trazodone "to help me sleep better" (no mention of risks of benzo withdrawal). Getting off of the ativan was one of the hardest things I've ever done, I thought I'd never feel normal again.

I'm pro team, and experience is great, but arguing a nurse practitioner is equivalent to a physician is false. We can respect physician extenders without doing a discourtesy to other physicians and the patients who want them by perpetuating falsehoods of equivalency.

Sorry...no. At my provider's clunic, there is no doctor present. Ever. They are all nurse practitioners. And if those practioners need a consult with a doctor, they send you home and you wait a day or two to get that opinion. That is, provided that the nurse practitioner actually communicated your question correctly to the doctor. While this is a cute skit, the fact is this is a cost cutting measure that puts patients at risk and muddies the practice of medicine.

You need to rely on nurses to get your dosage right? They don't teach that to the GI fellows at Loyola? Honest question.

First thing I genuinely disagree with you on, and this is coming from a nurse. We both know that the educational background from nursing school and medical school is vastly different. Sure an experienced NP could be a good provider, but not when it comes to complex cases/patients (even in this case, they are more familiar with algorithms rather than why, mostly due to education [not going to med school]). Making it seem as if an NP and physician are similar is very misleading and honestly a little dangerous. A physician with a DO or MD degree are the same, an NP is still a nurse (despite higher education). Tell me, if your child was incredibly sick, would you rather have them see a physician with 10 years of experience, or a nurse practitioner with 10 years of experience. We both know the answer to that lol.

Im a CT/ Rad tech. My experience is mid levels have very little training regarding radiology. Its takes a few years working experience before they even know what exams to order and how to order them correctly.

Love this idealized presentation, ignoring the hordes of unsupervised midlevels

As a GI fellow, I was a big fan of yours. We’ve interacted a few times on your IG. But this is disappointing. The generation of docs before us sold our soul to midlevels. So to see a doc of our generation, right after he becomes an attending and benefits from cost cutting measures of midlevels, simp to appease them is disheartening. Why not advocate for the thousands of unmatched med students, who go into debt, much more qualified than a mid level, to practice in the same way. This is a totally different issue, I know. But as soon as you become an attending, seeing a video like this… makes you look like a sellout. Lost a lot of respect for you. You know you don’t need an NP to dose meds, but you belittle yourself for clicks and popularity, while pushing the AANP agenda. Patients will ultimately suffer, but as long as you get to dual bill makes it okay.

The AANP and the AAPA (the organizations for NPs and PAs respectively) have been lobbying to have NPs and PAs working independently despite their lower level of training. As mid-level providers, they are invaluable in helping address the common diseases, but when a case is more uncommon or complex, their training doesn't cover it. This is a patient safety problem if they are able to practice independently. A video like this may apply a false equivalence, and to paraphrase Dr. Jabbar of Med School Insiders from his Doctor vs NP vs PA video, the current climate prioritizing emotions over facts is a problem, as while humans are equal, we are not all equally trained nor equally capable. The scope of practice creep must be stopped.

No wonder his co fellows at SLU spoke poorly of him.

I love how a direct phone call turned into “I ran into them out there”

Midlevels, especially NP, are persons with extremely limited training (compared to doctors) who are employed by a healthcare system because they are cheaper than doctors. Initially, they were to work under the close supervision of doctors, but that has changed, and they have pushed for and won independent practice, leading to worse patient outcomes. Making the danger worse is that instead of being trained in one specialty, they are allowed to after their minimal training switch specialties on a whim and get a job in a different field. Some are great and stay in a field for their whole careers and stay in their scope, but that GI NP coulda been a psych NP last week and just decided to switch jobs and now dabble in GI because it looks fun. Him asking for info from someone else isn't the problem. Its his incomplete and false explanation as to what an NP is and is not.

Has to be one of the most shameful sellout videos I've seen recently from a doctor. No wonder medicine is going down the hole.

NPs hop from specialty to specialty all the time and cross cover in areas they have no experience in. I always refuse to see NPs.

wtf is this? GI specialist shouldn't need to refer to a NP

My experience with nurse practitioners has been okay at best. I took my partner to PP to get switch to the depo shot from minipill, they saw two NPs. First one said you couldn’t take the minipill until the depo kicks in (completely false), second said we could for a week. They ended up seeing an endocrinologist a week later who immediately said it was perfectly okay to even take the minipill alongside the depo shot when spotting occurs to stop it. Way better experience with her. Not saying all NPs are bad, just not happy to get 2 completely different answers from NPs at the same practice, who should have birth control as their bread and butter since it’s PP! Endo was way more helpful.

Loll we all know there is no equivalency between physicians and NPs. Really? A board certified GI specialist can’t dose a medication? If anything this says more about his clinical acumen than anything else.

The point of the degree is to guarantee a level of training and board certification at minimum. All MD/DO's have passed USMLE step 1/2/3, as well as ABIM or ACG boards. There's a guarantee that they will have been exposed to, and are required to continue updating their medical knowledge for the patients. The same is not true for NP's who can simply transfer fields, at which point this is built simply on trust rather than oversight.

When I moved to a new area no doctors who accepted my insurance were accepting new patients. I went with a nurse practitioner and I could not be happier. Come to find out that for years she was the nurse practitioner at my orthopedic surgeon's office so they all know her and speak very very highly of her. She's around my age and is very easy to talk to. I really like her and I am so glad I decided to try a nurse practitioner. She's not a doctor and does not pretend to be. But she is a highly trained skilled professional and I would recommend her to anyone.

Definitely lost some respect for you here. We don’t collaborate as equals and portraying it as such is irresponsible. Some NP’s are good, many are not and that is honestly where we are at due to their lack of standardization. Either way we do not collaborate as equals

Wow. I’m glad your decade of training with physicians to become a physician wasn’t enough and you have to ask an NP for help as if you're equals. Good to know though that if I ever go to your GI clinic, that you’ll ask an NP for help regarding my condition and not another physician.

"The MAs and CNAs in my clinic have been working here longer than I have and have a lot of first-hand experience. I ask them for advice all the time." That's how you sound.

I bet Loyola is proud to have you out here saying you don't even know which labs to order for Hep B. Solid representation.

Oh Please. Stop right there. There may had been a good intention of starting NPs at some point of time but right now its all how to increase profitability for hospitals and groups. 8 out of 10 NP won’t be your “practiced years and under supervision”. They will be from online diploma mill, today FNP, tomorrow aesthetic derm clinic NP just collecting checks. No oversight, no concern. But hey at the end it will keep practices making money. Shameful that you painted this one sided story in your video.

I"m Canadian and have a nurse practitioner for my provider. I receive excellent care from her and she's the first provider I've ever had that actually did a physical exam when I presented with complaints, took a full history, and listened to my complaints. She did all the testing and referrals to GI to get me diagnosed with my IBD vs the series of MD's who dismissed me as having hemorrhoids or just being anxious without investigating. She operates completely independently as a primary care provider with her own patients.

Dropped the ball on this one..

I don’t really know much about different types of nurses. So I can say for me it feels like I don’t know if the nurse got a 2 year certificate like one who who beauty school and now works at great clips or did it for a year and is ready to quit. I do know doctor has way more education and trust that they are more dedicated

Sad to see you sell out the profession you worked so hard for

I’d prefer a physician. The NP didactics and clinicals aren’t near to that of an MD. NPs have a place in PCP offices, alas, as advanced practitioners in specialty offices: it’s a big NO for me. You can be as ameliorating as you’d like, given you work with them. The NP is an answer to staffing problems.

One of the places I brought elderly clients to the doctor abruptly resigned and they offered APRN'S instead. There were no more doctors on-site. Received a voicemail from my Dad that his side of the family had hemochromatosis before passing. Like to have blood analyzed and someone to review what they see. No one discusses things in depth which is hard if you are weak and tired alot.

This to me is like saying a line cook is just as capable as a chef in the food industry. Maybe here and there, but as a whole it's just not true.

I do not get the point of this video, besides the obvious pandering. Are you telling me all medical school, residency and fellowship training has not prepared you to become an independent practitioner? or at least when in doubt, reach out to someone with similar or more training for a more in-depth answer?

Yeah this ain’t it chief

Some of the comments here have been harsh, but the truth is that the job of making a diagnosis and prescribing medications should be for a physician, not a nurse. Interestingly, the same people who make laws allowing non-physicians to practice medicine, would NEVER allow a paralegal to practice law for any reason.

I understand the point you’re trying to make here, but it does your argument no favors when you contrive something very easy to ask the NP to help with. Like, you’re a board certified GI doc, it doesn’t ring true that you’d need an NP to help dose a very common medication. And if you needed a subject matter expert, the relevant one would be a pharmacist. I appreciate that there are individual NPs who take the initiative to learn a lot, but the patient character in this skit is not wrong to worry that seeing an NP could mean being evaluated by someone with very little experience, certainly far less than a doctor would need for an equivalent level of independence. Until the NP field gets its act together and implements rigorous standards, all docs like you can reasonably do is vouch for individual NPs that you personally know.

ew ... I guess you had to focus on your residency more than "comedy sketches "

Are we really simping for NPs now?

Disappointing coming from a physician.

If an NP is supervised, sure. But, they do not have the same scope of practice and should be referring to a physician for more complex cases. But how often does an NP at a Urgent Care refer versus just giving a ZithroMedrol pack? Now, I completely agree that we need NPs to extend our physician resources, and many are perfectly capable of being a PCP, but we shouldn't pretend they are equals.

I sill prefer a doctor. The copay is the same

Fan from the UK here. I like your videos. I think this one is a miss I'm afraid. We have similar, if not worse issues when it comes to scope creep, except my understanding is that here in the UK the PA expansion is the worst issue (where you guys across the pond are having more issues with NP scope creep). Doctors self denigrating themselves to NPs/PAs in private, at the workplace, as a joke, is fine. I do the same with PA colleagues here. The same is not true of public videos - people are liable to actually believe doctors are as incompetent as your character is +/- actually needs hand-holding from NPs/PAs. The reality is any competent gastroenterology registrar or consultant (UK equivalents to your US grades) would not need to ask a PA or NP any of the questions you just did.

Very good video representing how NP's and MD's practice together !

Man this is really embarrassing :/ to think you’re a doctor whose gone to medical school, residency, and fellowship is posting this

On behalf of all physicians, this is BS and I’m quite disgusted by this video coming from an MD. For every NP who knows what they’re doing and refers to the physician in a timely manner when needed, there are 50 more who are overconfident and lack knowledge. The “collaboration” between an MD and NP in their respective fields is completely one-directional, as the knowledge and skill gap is astonishingly large. I have known NPs who have worked in a field for >10 years and seem to be quite good at what they do, but as soon as they exit their safe “bread and butter” territory, the lack of training becomes disturbingly apparent. I encourage everyone to be seen by a physician, MD or DO.

Let me know how it goes when you're transferred to the ICU and knocking on deaths doorstep, do you want the critical care physician or the nurse? Look inward, only you know that answer.

So after 4 years of medical + 3 years of IM residency + GI fellowship you need to fall back on the knowledge of someone who may or may not have had RN experience + 1 year of “masters / doctorate level nursing training” +

Nice of the Dr to defend this NP but sometimes you just want to see the dr.

Constructive feedback. I think this video woulda been ignored by the physicians as just irritating rather than infuriating if a few things had been done different. 1. You named it physician vs nurse practitioner which leads me to believe you wanted to stir up drama. Did you seriously not realize that title would prime your physician base to feel the need to defend the profession before even watching. You had to know this is a huge problem and strong opinions with this topic. 2. Big issue was starting the skit by discouraging a patient from trying to see someone with the training and education he prefers and further enforcing the message that the patient woulda been better off with the NP because you didn't know something you really shoulda been able to handle on your own. Im not against getting help from whoever the hell can help you but this sequence of events were giving a terrible message. Theres no way you didn't know physicians are pushing for patients to seek clarity in who they are seeing, undetstand what it means and speak up about who they want. You could have even had the patient give an example of a bad experience he had with a midlevel and said "yes, unfortunately that can happen. Im lucky in my group coutney has been practicing GI medicine her whole career and in our practice we work closely together incase she hasn't seen something before, i know that's not always the case but it is here so try not to worry if you sometimes do see Courtney" 3. A better example of "collaboration" woulda been something like getting a call from a pharmacist informing you that the patients insurance didn't cover a med and saying to the NP next to you.. "hey I'm unfamiliar with what med this insurance company covers, what have you had success getting covered?" And then maybe even having the phamacist help with dosing. 4. Making it clear that this has been YOUR experience with SPECIFIC NPs and it is not true of all NP. For example when the patients said "what if i had something she hasnt seen?" You said the NP doesnt work independently. This may be true IN YOUR CLINIC but it is just factually wrong for most states and is one of the biggest issues physicians have with midlevels.

Yeah this video isn’t gonna go over well

Unless you present with hemochromatosis and the gene test only tests as a carrier but you definitely get better after the blood draws. 🤷🏻‍♂️

Gotta admit, my experiences with and opinions of NPs are mostly bad. They are not comparable to doctors but they are overconfident and entitled enough to pretend to be equivalent and most do not actually seek doctor input cause their arrogance (or maybe insecurity?) leads them to believe they don't need it. And then the patient suffers the consequences. I do try to avoid NPs whenever possible in favor of seeing a doctor instead, as is my fucking right as a patient. I don't care how that makes a nurse feel. Their training simply is not remotely the same and it shows. It's dangerous.

Pretty disappointed by this video. Have followed you since the start of your vids but you have really just done a disrespect to your profession and colleagues.

Really ruined it with this one. Look harder why your peers are rolling their eyes at you. Before you defend this anymore, really take a break and look inwards.

Imagine being a GI doc and not know if your patient has decompensated liver failure or not. Yikes.

Lmao im sorry but my psychiatric NP misdiagnosed me with an extremely stigmatizing personality disorder after exactly ONE appointment so I do not think this is true in all cases.

Oh I see. The stuff we're learning about in medical school actually does get used 🤔

I wouldn't have guessed you'd be pandering to the MBAs in the C-suites. Why are you trying to convince someone to take their sick daughter to an NP to save the hospital money? Hey, hopefully they give you some of that sweet admin money right?

Did you seriously call a midlevel regarding med dosing? Buddy, that's below intern-level....

Bro what?! What's the point of residency and fellowship?! This guy is simping for the mid levels and inflating their already huge ego

Nurse practitioners are great if in a system that incorporates them so you still are in a room with your dr. I had one where alarming results were just shrugged off my the offf site dr and I was never able to ask for further test. My NPrs (they were the only ones in the building as the dr was across town where I was not permitted to go) always said “we will keep an eye on it” when I expressed concern. Because they not empowered me bough to be a primary.

While very much against the NP/PA being equal to MD/DO and OPPOSED to independent practice of mid-level practitioners, I think the point of this video is that physicians need to be open to all streams of information from other healthcare professionals in regards to patient care - including the NP (but not limited). So the point of the video should be applauded and well-received, just because doctors have xyz training they have to respect the input of others and create a cohesive work environment for all in order for the patient to benefit. However, I do not agree with the presentation and it might be overtly pandering and creating a false equivalency. Everyone I know in medicine has stories regarding PA/NP mistakes, I worked with a PA myself that was unsure how to check a blood sugar and had to be taught by a medical student. I believe that we are becoming over-reliant on less trained "providers" to the point that some hospital executives are not adequately staffing physicians (not to mention the ridiculous barriers (financial, exams, time, geographic hazards) we place on American college and medical students). Not to mention that almost no NP school offers didactic gastroenterological curriculum - nor are they licensed to practice gastroenterology by any medical board - nor are they tested regularly to ensure they are up to date on their knowledge of GI. Not to mention the tremendous stress and sacrifice that US medical students go though - finding a medical school willing to accept them getting into 300k of debt at 7% interest rate, taking increasingly difficult exams with limited time to study (especially shelf exams and rotations), taking 9 hour + exams on a regular basis - then even after all that being unsure of whether you can be close to your family and loved ones for your medical training where you are paid less than minimum wage per time spent at work and also asked to study, do research and teach others. This is in contrast to the numerous NP schools (including online) that you equate to the same thing. No residency training is necessary for NPs the obviously cannot access MD residency programs (due to lack of USMLE exams) and have very few "1 year" programs that essentially are shadowing other midlevels - compared to at least 6 years in the respective MD training pathway that is far more involved. Then finally you are lucky enough to be an attending, your parents are elderly and frail, your relationship may struggle, you may have age-related fertility issues and have to adjust your family expectations - not to mention the 300k at 7% is now 600k and preventing you from buying a home let alone the life you want to lead. I think this is a good check your privilege moment from someone that pays attention to entecavir doses and am not the xth generation physician in my family. This video deserves correction and some mention of the struggle of medical training. Physician/medical student suicide is a real thing and the amount of work we place on them only to say that an NP with far less work/stress is equal is ridiculous, contributory, and dangerous.

What a sellout with the false equivalencies here. If he's really exchanging ideas like this with an NP, I would never go to him because he's obviously lacking in medical knowledge

Tenofovir...so he's on vemlidy

I gave you the benefit of the doubt so I came to check this video out myself. Shame on you. Oh and NPs have secured independent practice in 32 states so far, I hope you won't regret your decisions of belittling doctors for social media clout.

I've used "ran into them I the hallway" to mean searched them down in the doctor's lounge to get the answer. Lol

I had different experience with GI np working with me during residency gi block . Hep b can be confusing with that hbv DNA and alt to decide progression and who to treat. Interesting u chose hepatitis b . Didn't u had a video on that of how confusing it is. Collaboration is important. SCOPE creep isn't . I saw ur call schedule . U need app don't u . 😅😅😅😅😅🎉

As a patient, I'm concerned by the general attitude I'm seeing from doctors in the comments here. From what I've seen with similar divisions of labor in other industries and areas of life, if time is of the essence, I want to be seen by someone with experience, regardless of education. If accuracy is more important than quick and decisive action and weird things are going on, I want to be seen by someone with education, regardless of experience. And if I'm dying of something totally baffling, I'd like to see the two working in parallel, either cross-checking each other hands on, or with the experienced one keeping me alive while the educated one hits the books to figure out what's going on. And what's scary as a patient is the acrimony that doctors are displaying towards NPs and the allegation they are making that the feeling seems to be mutual. I'd rather be seen by someone with neither education nor experience that could fall back on someone with just one of those factors than be seen by a pair of individuals with both education and experience that were constantly backbiting each other to the detriment of my care.

I would like to have doctors that are willing to talk , too.

I never see an actual doctor or even a NP, just a string of different PAs. They're okay, but most of them only care about my lab work like cholesterol, but weren't interested at all in helping me when I was severely suffering. Every single day I had severe abdominal bloating, liquid stools, weakness, fatigue, trouble standing up straight when I first stood up, and trouble walking when I tried taking my first three or four steps after I had stood up. I also had severe thirst, occasional weird pressure feelings in my head, couldn't breath at all if I bent over (likely from the severe bloating), all over water retention and what I assume was inflammation (although I wouldn't know because they never checked), and I basically never felt comfortable. The bloating would get worse throughout the day. I would wake up looking 6 months pregnant and by evening I looked 11 months pregnant, would have pain into my back and neck, and could no longer stand to sit up. I also experienced a lot of shortness of breath, which I assume was from the bloating. I also had a lot of pain in my feet and between that, the exhaustion, the weakness, the bloating, and the shortness of breath just taking a shower was really hard for me to do. All of that started in my early 40s and continued until two years ago when I tried eating carnivore as a last ditch and desperate effort. I'm 51 now and am no longer suffering, but no thanks at all to my doctor's office. The only out of the ordinary tests they did was food allergy tests which came back negative. I do realize this isn't the experience with all medical professionals, but I'm willing to bet this kind of thing happens often. All I can do is be extremely grateful I had the guts to try eating a plant free diet, and even more grateful that it turned out to be the answer.

This is horribly dishonest and disturbing. NPs aren’t MDs. And the fact that you as a physician don’t know how to dose meds shows more about you than her. You are doing a disservice to doctors when we are living in a time that care is jeopardized bc of scope creep. There is a place in medicine for everyone. But NPs have a role and that role isn’t to play doctor.

LOL if you need to ask a NP for management. you are not deserved to graduate from fellowship.

You should’ve kept this one in the archives. All you’re doing is spreading misinformation.

These comments are fully unhinged...

Down vote. Unsubscribing. Doctors for patients!! no more online NP, CNP… 😕

What kind of NP knows dosing and adverse reactions to entecavir but has no understanding of how to read a mfin iron study??? If anything, this clip shows the massive disconnect between midlevel and physician training.

This speaks to the (poor) quality of your own clinical acumen

The fact that most people missed the purpose of this video says a lot about who we are as a people. Egocentric!!

So much toxicity in the comments for a video essentially saying it's a team effort.

Oh wow this video is still up? Gotta give him credit for taking the fall of his brief social career so well. Just stick to studying for your upcoming boards

My only gripe with NP’s is that their standards are not high enough like CRNA school. I’d even argue is harder to get into PA school. The standards to become an NP should be the same everywhere. I remember hearing an NP that it’s so easy to get that the degree itself is becoming oversaturated and not as valuable as it once was as far as pay goes for the amount of time you put in.

Wow these comments are disgusting. A nurse practitioner is not a nurse. The ignorance is astounding. If you can google your symptoms and come in ready to demand a specific medicine, you can google what a nurse practitioner is.

You’re not familiar with how to dose medications for hepatitis? It’s one thing to ask for experience on switching meds on patients. It’s another to show you can’t even look up a medication on UpToDate. Come on dude, a med student could’ve done that. They teach that before med students start clerkships. How is a fellowship-trained GI specialist unfamiliar with that?

Having to Live with one of the worse and deadly sickness can be really frustrating I have had herpes for the last 1 year now and I’m getting really fed up with it.

And this is where I unsubscribe.(not that you care, I just can't support this) Seriously dude? If you get through a whole ass fellowship and still don't know as much as the PA/NP that means you're not a great physician...it does not mean the NP/PAs are just as good if not better. How dare you act like a physician and NP/PA knowledge base or education is equal. Physicians are working to prevent scope creep and protect patients from the damages mid-level providers are doing and against the fact that they are pushing for independent practice. Studies show that mid-level in the ED require more time, order more unnecessary tests costing the patient more, and have worse outcomes. Your comment of them not practicing independently relies on them recognizing they don't know something which failure to do so has led to patient deaths that I've seen first hand. Are there good PA/NP and bad MD/DO absolutely, but this is the exception.. not the rule.

Sad to know you got sold out too to the NP lobby, it's a shame that you're putting peoples lives at risk by downplaying the danger posed by midlevels

I don't really get all the hate. MDs and NPs both have a place in the medical community. I have worked with very capable mid-levels and new grads.

What an incredibly irresponsible thing to post. How disappointing for you and most importantly your patients.

I see a couple nurse practitioners who have really helped me find the best treatment plans for me. They refer me to doctors and specialists when need be. For general primary care my NP does amazing, and for specific issues that require expert insight I can see MDs

This video is very misleading and frankly really dangerous… MD’s and NP’s are NOT equivalent, they may work and collaborate on the same team. Despite the disgraceful trend of physicians being replaced by NP’s, if you or someone you care about have a serious medical issue make sure you are seen by a PHYSICIAN.

We saw an NP for a PCP post treatment for an eating disorder. She told my kid who had recently left treatment to be careful to not overdo eating in the afternoon because she could put too much weight on. She said this to a kid who nearly succeeded dying from being at a dangerously low weight. I actually filed a complaint on that NP. My kid has an excellent mental health NP now! Probably the best NP ever and I am so grateful.

I’m not a medical professional, to be up front about that lol so I’m not super familiar with the territorial battles and biases other commenters are alluding to (in many cases with surprising amounts of coming out of the gate swinging)… but to me, it didn’t strike me that the doc was trying to say that NPs are the same as or as educated as doctors. Or that he’s incapable of taking care of all his patients without an NP holding his hand or something 😂 I think he simulated a simplified scenario to illustrate in under two minutes that while doctors are extremely educated, they’re also not walking encyclopedias of all possible conditions and treatment options/parameters-and neither are NPs. He made a point of showing how the NP asked for his help as well… and it just makes logical sense that with all there is to know about the complexities of the human body, a responsible medical professional would consult with whoever might have more direct/recent/in-depth experience with something that they might not have focussed as intensely on themselves. This feels like if people asked lawyers to be able to quote all possible legal precedents in their chosen law field rather than have massive shelves of reference texts and a crew of law clerks to do a bunch of research for a bunch of case-by-case specifics 😅 maybe there’s better long form ways of making the point, but the point seemed simply to be that collaboration helps care for patients better than any one professional working in a vacuum. But meh, what do I know-I write manuals lol again, it just seemed like people were a bit too ready to be angry, and not fully open to hearing the core point here.

This is true in an urgent care setting also

wow, a patient getting to see a health care practitioner in america, and not relying on google.... that's nice.

I have seen an FNP many times. A PA too. At the Ob- Gyn the only thing she couldn't do was a Biophysical profile. She was great

As a Family Nurse Practitioner for over 10 years and a Registered Nurse for 30 years this is how I’ve always worked with my physicians. Some things I know more about and some things they know more about. We work together and that’s the way it’s supposed to be. I don’t want to be a doctor or I would have gone the med school. I like the patient centered approach of nursing and nursing training. We are very different and should be complimentary.