I'm a Doctor, NOT a Provider
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- Опубліковано 13 сер 2022
- I am a physician, Not a provider. Have you ever heard the term provider thrown around the hospital? I have a lot and never really thought much about it until I came across an article that made me think a little more about everything behind the term 'provider.' I'm curious to know your thoughts on this term and what it means to you.
03:50 - What is a Provider?
08:42 - Do I want to be called a Provider?
09:23 - Is being called a provider dehumanizing?
Article: www.kevinmd.com/2022/07/im-a-...
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#doctor #provider #hospital
PA here. I feel like "provider" is more for insurance purposes and internal jargon within the healthcare system. My badge says "Physician Assistant" in bold letters. I introduce myself as "Mike the PA" when I see patients. If people call me Doctor by mistake, that's on them because it's obvious I'm not one, but I'll correct them once or twice if they miss it. Patients have the right to know exactly who is treating them. Now in reality, I feel like no one even notices. People see a guy with black scrubs, a stethoscope around his neck, a badge, asking about their symptoms, and they don't pay attention to the PA, NP, MD, or DO at the end of your name. They just see someone with the ability to write prescriptions and make some level of medical decisions for them. I think that's where provider gets thrown around because often times, patients never see the doctor. There are entire specialties where midlevels are the only ones that ever see a patient. Sure, I can bounce questions off my attending but they're not seeing the patient with me. Most family med clinics, urgent cares, and outpatient specialties have separate panels entirely for each provider (meaning PAs and docs). I do think the term provider is a bit unfair to docs, lumping them in with NPs/PAs who only have Masters degrees. Not to downplay my training, but a residency trained doc has a lot more knowledge than I do. If I was a doc, I'd rather be called a physician, but I wouldn't die on that hill. I strongly feel that only MD/DO should ever call themselves doctor in a clinical setting, though. An NP or PA with a doctorate might be an academic doctor, but they're not a patient's doctor.
8:09
In my experience, "provider" is not a title. It's a function. For example, not everyone has a physician as a primary care provider. Some have NPs, some have PAs, and some have physicians. You're a "provider" because you provide medical care; you are a physician because you are a doctor. That's the difference. As you point out, it's also a lot faster and more efficient to ask about a "provider" when the exact type of provider (physician, NP, PA) you need isn't critical.
I agree that the term ‘provider’ seems to relate more to the insurance world than inside a medical institution. I’ve seen the word provider on insurance bills, but at my institution, we call MDs, PAs, & NPs as such. I’ve been a nurse for awhile & I’m still in the habit of calling physicians & residents Dr…… Some of my co-workers do the same, others just use their first name, so I appreciate your viewpoint!
I've been working in health care for the last 13ish years first as an EMT, then Paramedic, now as a Nurse, I have used "provider" for years because what I want is someone with a higher level of care to tell me what to do, and I don't really care who that person is. If it's a physician great, if it's an NP or PA also great, I just need the person on the other end to know I need someone with more education and the authority to make treatment decisions, and write orders.
Thank you. When this provider term come onto the scene in the 1990s managed care, I flipped. I’m a pharmacist btw. A Doctor is a title, defining what you do. Managed care took this away and I expected a huge outcry. Nope, not a word. This is the first time I’ve heard a dr address this issue in the negative. You are the first doctor who thinks like me. 🙌 I support your quest to educate your peers.
I think we need to really re-haul who wears what in a hospital. Mostly so patients and staff members can quickly assess your what your job is if they don't know you. You are right, too many people wear white coats, and even doctors alot of the time don't wear a white coat. It is all very confusing haha.
Nurse Practitioner here. When introducing myself I always use "Hi I'm Liz, A Nurse Practitioner Here" and would never use the term provider Liz to describe myself, totally agree there. That's super awkward. But I do prefer the term provider when I'm calling somewhere and want a MD, DO, PA or NP. I don't say "member of the healthcare team" because many many people fall under that, such as nurses, respiratory therapists, pharmacists, etc. As a nurse, I often fielded most communication for the "healthcare team" when it was addressed that way, because people would tell us and then it was our job at my hospital to get that information to the person it was best suited for. I found provider is a quick and easy way to refer to a group of people (MD, DO, NP, PA) without having to spell it all out. And at the end of the day, usually when I'm calling to discuss something with another healthcare provider, I have no idea what their title is, I just say "can I speak to the healthcare provider for patient x". Which helps make sure I don't assume they are a physician, or assume they are an NP, or PA.
Excited to watch!!
This video is so important. You are making a lot of sense. You wouldn’t feel dehumanised now , but when AI is used to provide the service you usually gave it would matter then. They (insurance companies) are just kind of sowing that seed now in advance. My take is identity is important. I am a physician and prefer to be addressed as such , especially within the medical marketplace, so my customers know exactly what they are getting when they ask for me.
The term "Provider" is used more for billing purposes in insurance to reference which doctor, group, or hospital is billing for the provided services.
I'm an MA at an urgent care and we always use the term provider. I got used to it there because depending on the day patients are usually seen by a PA, and NP, and occasionally an MD or DO. Using the term provider just covers the bases by letting the patient know they're the one who will be providing the medical care, and also because they rotate every day it just makes it easier. I sometimes even forget their exact title, especially if it's my first time working with that provider 😅
Yesss another upload from the ir king 🙏🏼
I appreciate your stance on that the title is what you do and not your identity. I was taught in my doctoral studies that we should always introduce ourselves to our patients with our first and last name in order to make the patient feel at ease to have a dialogue with versus immediately building a wall. The patient knows the physician is the doctor and will usually respond accordingly.
I agree. I am a Direct Support Provider, meaning I support people with intellectual or developmental disabilities with ADL’s and with getting out into the community. I have heard the term “provider” be used interchangeably for ALL “supports” my clients have. I think it fits for my job, but not for physicians. Physicians are “providing” medical care, but the title physician fully encapsulates what you do. I provide support (among other things), and it does feel like that is a good term for what i provide.
As a 2nd shift radiology secretary, this was very informative. ty
Good to see you back Dr Cellini!!! Missed you 🙂
I think the problem is that there is a need to identify "people who can issue medical orders", and that's what "provider" does. The term "team" doesn't necessarily address that because there are lots of other people on the team, like RNs, who can't address the issues you are trying to address.
I really like these type of videos on your channel ( article review)
As someone pursuing an eventual NP, I believe the term is intended to be a catchall for "people with prescribing and/or diagnosing authority" even those of us who act moreso as extensions of a physician which I think is a useful term to have within the hospital/medical system more generally.