Відео

I turned down a job offer from a PEDIATRICIAN WANTING ME TO SEE 25 PEDIATRIC PATIENTS A DAY AND PUT THEM ON ANTIPSYCHOTICS AND STIMULANTS 😂😂😂😂😂 I am without a job because I refuse to do the things you trash ALL NPs over in your videos calling us imposters. Im WITHOUT A JOB BECAUSE OF WHAT MDs WANT ME TO DO!!! THERE ARE NO RESIDENCIES OR TEACHING OPPORTUNITIES FOR US!!! What are we supposed to DO!???

So what do you both think NPs SHOULD DO??? WHAT ARE ALL OF YOU DOCTORS ON HERE WILLING TO DO TO HELP US??? Mommy and Daddy didnt send me to medical school, I had to pay for my own college so I did it working full time and going to grad school. Life just did not bless me the way it did all of you “doctors”. Guess I just “wasn’t good enough” and watching these videos makes it clear you guys feel we should all QUIT. LOL 😂 Now $138k in debt without a job because I’ve turned down SIX UNSAFE JOB OFFERS FROM MDs AS A NEW GRAD!! Stop tearing us down and HELP US!!! Im not an imposter doctor. I went into this TO BE A MID LEVEL!!! THERE ARE NO MID LEVEL JOB OPPORTUNITIES!!!!! ITS MDs JOBs TO MENTOR US AND INSTEAD YOU ARE PUBLICLY SHAMING AND HUMILIATING US!! AS A PSYCH NP, THIS IS DISGUSTING TO ME!!! **DO SOMETHING** TO HELP US OR QUIT COMPLAINING!!! I may just have to start my own channel where me and other NPs do “reaction” video blogs to YOUR VIDEOS!! If you want to call is out we can call you out too for DOING NOTHING TO HELP

So what do you both think NPs SHOULD DO??? I hear a lot of complaining and criticism in these videos but no one on your videos offer SOLUTIONS. Do you or any of your doctors on your videos have licenses in Florida? I NEED A RESIDENCY PLEASE!!!! I turned down a job at a ketamine clinic that wanted to pay me $150k a year plus bonuses for “productivity”. Wanna know who was trying to hire me?? DOCTORS!!! My parents were bith homeless and on drugs. Mommy and Daddy didn’t send me to medical school to become an MD. Im now $138k in debt and without a job because I have turned down SIX UNSAFE JOB OFFERS!!!! FROM MDS!!!!! Please have me on your show. Let’s come up with solutions!

I’ll be waiting to hear what you and everyone else who puts these videos out thinks we should do about this. What are MDs willing to do to HELP US???? I can tell you from first hand experience that NO DOCTORS WANT TO TEACH US!!! If you guys are going to go on here and trash NPs, please be willing to help us and DO something about it. This really just grinds my gears. So you giys thinks its okay to spy undercover in these groups then trash us on social media, but you don’t have any solutions??

Okay, so for those of us NPs who fully agree with you, I’d like to provide a very unbiased response. I am also a trained court mediator, so I am solutions-focused. I hear a lot of criticism… which I support… however, what do we all DO ABOUT THIS?? If I am an NP who wants a residency, but there is no one willing to give me one and/or there just are no opportunities coming your way, then what do you say we do? Im $138k in debt now and barely getting by on my own. No one is willing to do a residency and I can show actual job contracts asking me to see 25 patients per day as a *brand new grad*… I turned down six unsafe job offers from other MDs and business owners/ corporate companies. They were unsafe for a new grad and completely inappropriate. I am without a job because we have a target on our backs and we are being exploited by the system. So what are we going to DO about this? Im in.

liking this so far, but there was a huge gloss over regarding the shortage of providers. This was backed by providers. It would have been nice if you had held providers more accountable in this decision process in the same manner you seem to want to hold NPs accountable for knowing their limits. The research and evidence on this goes back to the 1960s here in the US. Knowing that providers (using as a monolith but understanding that not all providers wanted this), the shortage was artificially created to help keep the supply of providers in demand and the cost of their labor high. Not sure if you conveniently were omitting this considering there is no way you could not be aware of this if you did the same amount of thorough research on that topic as you did on the rest. Only 14 minutes in so far, so maybe you do end up holding the provider community accountable. Unless you are stating that the provider community as a whole are too ignorant to have understood that this would be a repercussion of their actions which then doesn't bode well for the general level of competence you are bestowing upon them yet denying NPs. If it's that they pushed for this path out of "consistent high pay and shortage in their field" then you would be arguing for them not actually having the patient's health in mind by creating an unnecessary supply and demand resulting in insufficient access to care in the same manner you may be arguing for the NP not having the patients' health in mind over their self-interest? I am new to your channel so maybe you discuss this more thoroughly in another video or even your book. ua-cam.com/video/8q71hrwUcu0/v-deo.htmlsi=4RHn6Tql8CINsQcB

Too many NPs have online degrees.

“Scaling the problems not the solutions and calling it “access”” yeah that’s a perfect way to sum it up.

We now have a medical industrial complex.

As an FNP-C for over 25 years and have practiced in several specialties, and have applied after over 2 decades for Independent Authority in California. I also was accepted to med school but changed my mind as well due to being 40 years of age with an infant would have been too much for me at that time.Completely agree I attended a brick and mortar school and clinicals are monitored and supervised by Faculty every few weeks to assure we were following Standard Care Protocols. I DO NOT trust these fly by night online NP schools at ALL.

Same coding for same patients, same liability with less training, yes this is true but we are held to same standards. This woman is old school and out of touch. I see the same amount of high acuity patients as the doctors down the hall for half the pay, now you know why this “problem of nursing” exists….too many sick patients not enough MDs.

It was nice to see an interview where they didnt completely bash NP’S the whole time. I am am NP with a collaborstive physician who sits right next to me everyday. He is always available to pop into the room to examine patient with me, reviews a percentage of my charts, and gets copied with all of my labs. Watching these podcasts always makes me feel like i am a terrible person for being an NP and should be fired 😂

Midlevel mafia at work

What a disgusting state of affairs.

I could poke holes in all of this. PMHNP here and would like to fact check this bit by bit… Not all of us want to be what you are describing but yet every W-2 contract I have received they want me to see 20-30 patients per day by myself fresh out of school!! There are no residency opportunities for us. We have a license number that can be billed to insurance at the same reimbursement as an MD unless its Medicare/ Medicaid, so companies expect us to function in that capacity. I want to be a mid-level, but there are no jobs with true mid-level duties!

Would you say physician assistant training is generally better than nurse practitioner training since it is based on the medical model?

ANP education is a joke

No nurse can ever equal a board certified physician. The physicians training and experience are different and harder. I'd like to see these nurses take the ABIM certification exam

Excellent. I totally agree with everything. I have seen NP really struggling, and they can't give solutions to the problem. They don't know the basic and they don't listen. They react quick fix but they don't prevent. They are not seeing the patient as a whole. I believe NP should have at least 10yrs of experience as an RN. Otherwise, they are putting patients at risk.

Nursing education is out of control.

I entered a RN program because I felt I was too old to attempt medical school. I was stunned by what I saw. Any idea I had about becoming an NP vanished. We're going to be in serious trouble if we don't get a handle on these RN and NP programs.

I just graduated as a PMHNP and became licensed in April. I have turned down SIX 6-figure offers because the MDs and for-profit companies wanted me to see 20-30 patients in on 8 hour day fresh out of school. We do NOT get one very crucial thing that MDs get - the residency. Most of us have a master’s and I do NOT feel as if I should be doing the same thing as an MD, but yet no MD wants to TRAIN ME. I would do ANYTHING to work side by side with an MD and learn from them, expand access to care together, grow the business together, while I do what I thought I was going to school to do - be a MID LEVEL. No one wants to treat me like a mid-level. This is about making money, and how can we be exploited ti make more money for someone else. Thats why we are expected to do what an MD does without residency training after our master’s like MD get. I think MDs like you all actually care about patients and you care about trying to make this “situation” better. As a psych professional, the problem in my eyes is a complete breakdown in the representation, interpretation, and the core relationship between the MD and the NP. The medical profession should have just stuck with PAs. I wish I had gone to PA school. I am nothing but an opportunity wasted to help patients because Im working as an RN with hospice admissions becoause no MDs want ti train me and Im too afeaid to work as an NP because unlike many others I actually know my place. Im not an MD but no MD wants anything to do with us NPs that actually want to learn. They just want to use us to make more money and they do not care about this breakdown that we all care about. I do not want to waste my education but I cannot put myself and patients at risk because of these unrealistic expectations placed on us. Its nit just NPs, its also greedy money obsessed individuals plus a lack of willingness to train us or offer a residency for us. I would take a residency if I could find one!!! This is so unfortunate!!

I'm an ex-nurse, and right now I'm in northern Canada. I really think Dr. Nelson is onto something with the idea of physician oversight via camera and the provision of transportation from isolated areas. Not every clinic has a physician, but every clinic could have a web cam. Canada is light years behind the U.S. when it comes to discerning the risks of unsupervised NPs. Predictably, NPs are being promoted as a solution to the physician shortage, especially in rural areas. I believe one of the reasons we are not focusing on producing more physicians instead of NPs has to do with the fact that any nursing programs I considered focused more on politics than Pathology. The nursing field invests massive amounts of time, energy and money into being politically active. From what I have seen, that political activity is usually about money and power, but they've taken enough courses in politics to know to call it "patient safety". Nurses are very politically active. Physicians are busy providing medical care to patients during a physician shortage, and so are much less politically active. Meanwhile, the public and the politicians really only hear from nurses. Most members of the public are wary of what politicians say, but they've been told "nurses are angels and heroes" and they believe it. Thanks for another insightful video.

I agree with much of what he said, however, I disagree that there needs to be a mandate for a nurse to have 2+ years experience in critical care for NP school acceptance. This is great in a perfect world but for many of us, its not possible in our area. For example, I live in an area already inundated with RNs -either AD or BSN. There are not enough critical care units or jobs available to employ all our areas nurses...not by a lot. I know nurses who have wanted to get into ICU or trauma for YEARS while still slugging away at their med/surg jobs because not everyone can pick up move their families to somewhere else they could get an ICU job. Thats completely unrealistic. There are some excellent RNs who would make, or have made excellent NPs or PAs who have never spent even one working day in an ED or ICU...It depends on their area of expertise. Also...before you say a nurse should be required to have 2+ years of critical care experience, remember, many NPs are a highly valuable resource to the elder population. The boomer generation is about to deliver a tsunami of dementia and post-CVA people our way. If youve worked in critical care your whole career, youre not going to know what hit you if you need take your first NP job with a LTCF or memory care center. The skills are different - so please lets drop the old "critical care nurses are God's gift and are above everyone and can be good at everything" narrative, because its not true. It's not better or worse, its just different. PA programs admit people with ZERO bedside experience and who have english literature degrees so....where is that profession in demanding 2+ years of patient experience? 🤔 They are not demanding it. I think they should at least have an undergrad in something health or biology related, but unless that changes, why should NPs be expected to jump through more hoops (as this man in the video is proposing) than PAs are - and for roughly the same level of responsibility and pay ?? 🤔 That's unconscionable. Therefore, unless you make the education for undergrads incude longer clinical time in critical care areas, or hospitals are forced to open more nurse residency programs (after graduation), where are you proposing they train in critical care??? And secondly, while there are many of the same basic skills and knowledge all of us in healthcare need, a nurse practitioner's responsibilities (and I'd argue attributes) are very different (at least in an ambulatory office environment) than a bedside nurse on a regular floor. What I do agree with is yes, I think its dangerous for anyone allowed to enter either a NP program or a PA program without being a BSN prepared nurse, or for PA, there should be a specific PA prep route bachelor degree. This should absolutely apply to medical school too. I don't want to see a NP or PA or even an MD who has an undergrad degree in Elizabethan poetry!!!! 😮 So IMO, in terms of NPs, I think its less important how long a nurse has worked prior to NP education (as long as they are a RN), than it is that they have certain skills and attributes that are either innate, or have been taught with more clinical time (as this man states).

I absolutely refuse to see a patient without a physician being physically present, even though its unnecessary. Even if its not for a surgical/anesthesia patient. (Multiple bc) I wont even see a psych patient by myself. Not for the first few times

I am currently dealing with the mistakes made by NPs.. shocking mistakes.

👏🏼👏🏼

NP(S) HAVE REPLACED doctors as referenced by the following after surgery my husband was never seen the surgeon who performed the surgery instead, he was seen a NP WHICH WE WERE NOT AWARE OFF. THEY NEVER INTRODUCED THEMSELVES AS NPs we both thought they were nurses. He required sectioning frequently the suction bottle was never emptied he had to request a replacement suction it was so dirty. The patient was never informed that a NP was in charge of his care. I am a RN WITH VAST NURSING EXPERIENCE IN MANY AREAS WORKED IN ALL THE CRITICAL AREAS. I DO NOT WANT A NP TO BE IN CHARGE OF MY CARE OR MY HUSBAND'S CARE. THE NURSE PRACTITIONER HURRIEDLY DISCHARGED MY 83 YEAR OLD HUSBAND WITHOUT PRIOR NOTIFICATION I DID NOT RECEIVE A PHONE CALL TELLING ME OF HIS IMPENDIND D/C. H COULD NOT CALL ME BECAUSE HIS PHONE NEEDED CHARGING. I RECEIVED A CALL FROM THENP INFORMING ME ME THAT MY HUSBAND WAS DISCHARGED AND WILL BE WAITING FOR ME IN THE WAITING ROOM OR ON THE GROUND FLOOD OUTSIDE THE PHARMACY!!!! I HAPPEN TO KNOW THAT IS NOT THE HOSPITAL'S POLICY OR, NYSDOH REGULATIONS. DURING MY TELEPHONE CONVERSATION WITH THIS NP I REALIZE THAT WAS NEITHER AWARE OF THE HOSPITAL'S POLICY NOR THE REGULATIONS THAT GOVERNS A PT.'S DISCHARGE THE PATIENT SELECTED A PHYSICIAN TO BE IN CHARGE OF HIS CARE NOT A NP. IT IS A PT. RIGHTS VIOLATION. THEY ARE CREDENTIALLY QUSLIFIED BUT, MANY,MANY LACK ESSENTIAL BASIC NURSING EXPERIENCE OR VARIED PRACTICAL EXPERIENCE. I ADDRESSED THE ISSUE AS A CONCERN WITH HOSPITAL BUT, I DID NOT FILE A COMPLAINT DUE TO LACK OF INFORMATION. THE EDUCATION DEPARTMENT AS WELL as, THE nysdoh. Doctors are very unhappy with the hospitals' decision to assign these paraprofessionsl to be in charge of patients instead of Residents or interns. This practice must stop. Thank you Dr. Terrible how this Dr. Was treated. Where is the AMA and other organizations representing the Dr.' Speciality IMAGINE DISRESPECTING A PHYSICIAN BECAUSE HE IS PUTTING PATIENTS/CHILDREN 1ST. THE NP ACTIONS REPORTING THE DR.'S REQUEST FOR INPUT REGARDING THE CARE OF A CHILD. MANY OF THE DO FEEL THEY ARE ABOVE THE PHYSICIAN. Patients are not being informed of their rights to refuse NPs. The hospital should be more transparent about the role ofNps so that patients and their families are aware. I enjoyed the program

Physicians are sued for medical malpractice and mistakes for misdiagnoses all the time. While they do see many more cases and train longer, they also are allowed to see too many patients in one day for too little contact time per appointment and not spend enough time with their patients anymore and haven’t since the 1990s. Patients want to feel heard and cared for when they have had to wait months to see a doctor for 2 minutes. Nurse Practitioners make patients feel human again.

Dr Maron, I agree with you. I am a PA. Why would the physician be doing well-child visits while the NP (or PA for that matter) manages complicated cases? That is not how we are supposed to function as a team. The physician should be seeing the complicated cases while the NP/PA sees the follow-ups or routine well-child visits. We should be working together as a team to get all of the patients appropriately seen. I would be happy to work together with you. The organization's decision to fire you seemed to be an extreme measure to make an example of you. I'm sorry that happened to you and am glad that you have found other valuable work.

Please keep exposing this. I got some very reckless advice from a FNP that my specialist surgeon said “WTF” over when I ran it all by them. Someone needs to keep this topic coming up because special interests will continue to quell it.

there exists a gulf of education and talent between the nursing profession and a physician. That is something that cannot be disputed. You are looking at the difference between an individual who was top 1% in HS, then College, who then went on to graduate from a medical school which is 400 credit hours, and within that program are competing with the top 5% of college grads. And then, there is still 3-4 years of further education. An NP? Maybe a bachelor degree, and roughly 1/3 the education of the physician, competing against an entirely diff. strata of qualification. The only dispute is exactly how much real effect this has on outcomes. Obviously, the unsaid truth is that hospitals are using NPs for cost savings, when used in their "expanded" roles. When I was a resident, I had several conversations with NPs, and their knowledge tapped out pretty quickly. Take a scenario with a complex ASA-3 patient, with renal and hepatic compromise, and they are like...."uh....well...uh.....can we ask a doctor?"

They’re doing this to not pay as much

As a PA there are good and bad ones just like good and bad doctors….. but no one should loose their job over an opinion… especially in America. The future of healthcare will be full of PAs and NPs but they should not be looked upon as doctors when it comes to certain things… but a good PA and NP benefits everyone, so might as well teach them to make everyone better.

This is why I'm moving to Europe

As a nurse, I saw this pattern repeatedly. If I took a stand for patient safety which inadvertently exposed the nurses putting patients at risk, I suffered huge consequences. The nurses I was working with thought the rules didn't apply to them, so they didn't have to follow regulations that protect patients. I insisted on following those regulations at least by myself and was essentially pushed out of a job in less than a week. Then nurses strike for more money for less pay and call it "patient safety". Thank you for another illuminating video!

The NP makes a low hourly wage therefore the CFO will direct the schedulers to fill the NP’s schedule with 99214 or 99215’s every 15 minutes. If the NP complains, they just replace them.

Please keep telling the truth. We appreciate your courage

Nurse Practitioners are simply not that good. They can do things like test for strep throat, treat minor acute injuries, but are no good for chronic conditions. NP's are the ones that are offensive with their overblown egos.

Wow. Money over everything. How dare he speak the truth and upset the cash flow of these organizations. These organization care more about money than the health of patients

This is not right and dangerous. A nurse practitioner should not be in the position to on consistently undifferentiated patients. However, if you have a differentiated patient and a nurse practitioner doing the followup with a skilled, physician led team you are in good hands.

This is just awful....they violated his first amendment rights...why are we at the place where there is more respect and protection of NPs over medical doctors??? WTH!

"Taking a license and stretching it to make money." Bingo. Travis Dunn could not have spoken truer words.

He keeps Saying USLME../

While you are clearly eager to expound on such cases to prove inferiority of NPs compared to MDs, much of the blame can be placed on facilities hiring inexperienced providers, especially in high acuity settings, with inadequate orientation or assigning a mentor. I have been an NP for 27 years, and have many times diagnosed potentially life threatening illnesses missed by ER doctors - as often these really ill patients get discharged from ER and come right to the clinic because they are scared. Epiglottitis with closing airway (Er - neg strep, go home), sepsis many times (they just want antibiotics) subtle strokes (pinched nerve in shoulder causing paralysis of arm/hand, + infarct on imaging), and yes even pulmonary embolism (especially during Covid). Despite, I would never accuse MDs as being incompetent, and usually not even if it was “missed” by one given the time pressure and lack of relationship with the patient which is a huge diagnostic disadvantage. I would be interested for you to bring forth incidence data comparing legal action taken against NPs vs MDs. Anecdotal cases abound and it is factually lazy to use this to disparage and attempt to erode trust to an integral part of the healthcare team. Not to shock you, but there are not enough MDs to care for America alone. Elitism doesnt work any longer. We need to work as a team and respect one another, and NPs have been providing excellent care to patients for nearly 55 years and will continue to do so.

The issue is the the residency bottle neck, but lets be honest residency is just hands on training. Same as if a PA or NP was working for 5 years. So I agree that the PA/NP dont come out of school near an attending ready but years down the road its the same quality of care, and do give me the excuse PA school is 2-3 years. MD programs have like no pre reqs like anatomy and thins like that. PA school has the same science pre reqs as MD plus far more. A fresh PA is like a fresh MD student who hasn't done residency. They both dont know anything.

NP’s are needed and doctors are lobbying against NP’s to keep control. Sooooo many times I have seen NP’s have all the experience and the answers and the doctors have gone through the hoops but don’t have the true applied knowledge. So many people I went to school with, ended up being doctors and they are just checking boxes. Brand new doctors and nurses are all going to make mistakes, but every position should doctor or nurse needs more training for high acuity areas. Don’t make an anecdote speak for the entirety of a group of people and professionals. Small towns and rural America need NP’s and mid level providers. Stop making a bad name and power mongering, training isn’t that different from physicians.

You are not a true Godzilla fan if you don’t watch Pulgasari

I’m curious about the liability of the hospital credentialing this NP to work in the ED with no EM training. I would think there would be substantial liability for negligent credentialing and oversight. This NP with no EM training shouldn’t have been in the ED at all taking care of patients, even being supervised by a physician.

PA/NP do not belong in the hospital, respectfully. I am a registered nurse and had a horrifying experience with an NP during my last shift. 35 y/o male Patient came to my floor(intermediate) with a hx of diabetes, CKD requiring dialysis.. took his blood pressure.. it was 256/116. There were no standing PRN blood pressure orders. I notified the NP.. no orders for 40 minutes. Im sure the patient needed dialysis immediately, however the lag time and lack of competency in sending orders in a timely fashion was mind boggling.