I think it's funny when an MD posts think about PA, why didn't you?
i became an MD 30 years ago. Medicine is so so so so much different now.
I spoke about Nurse Practs also did you read that Doctor?

DO you want to report back the MD all the time?
NPs do not have to do that Doctor!

DO you want the patients say "So you are not a REAL doctor huh?"

I know for a fact that rural people dont care! doctor!
they are happy to get care in some areas they are lucky to see someone with a stethoscope, DOCTOR


Do you want to work that hard and still make even less and get less recognition since you are PA and not the MD?
Recognition seems quite important to you doctor!
you doctahs shot yourself in the foot
greedy greedy greedy greedy!
thus HMOS..... thus the medical crisis today

I think this is always "The grass is greener syndrome" and sometimes Burnout!

I am very very happily semi retired doing what i want in life, not just a doctor. Doctor

I think we are entering dangerous territory with some states allowing PA/NP to act like Primary MD's more and more,

you sound like you would
sorry to enlighten you but there are hundreds of NP's and PA already with their own practice DOCTOR!

this seems to have nothing to do with safety or skill level but the shortage of Docs.
A tremendous shortage of DOCS, doctor!
They cannot get doctors in rural areas. Locum tenens is a multimillionaire business i know i am the director of one!
doctor!

This is the wrong approach, just about everyone agrees that the Physician is the top, why do you want less then whats best?

The Top? the top of what? You seem very very concerned with being the TOP! my bosses for the last 20 years have been PHDS CEOs COOS RNS MSN DOCTOR!


As far as your practice I'm in clinicals now in a rural setting, the Docs here make a decent living and the pace is good,

what is decent? doctor?

you do get to spend time with Patients, we spend 20 to 30 minutes many times talking with our patients, I think if you want to you can practice the way you want to, there are no laws to how much time you spend with a Patient and spending time with a patient does not always = good care.

Get a practice in the tristate area NY NJ and pay 10000 a month rent and tell me time isnt money and that you are going to spend 20 minutes with each patient. DOCTOR!

(I've been an RN for 19 years now so I do know something about this too)

No offense but after years she may, but also it's up to the Physician and what they have done too, I know PA's do not do the exact Basic Sci and the Exact clinical time and the Residencies, also they do not get all the Board Certs that Physicians do,

DOctor pa's in general hospitals in many states do what the doctor does. You are very very badly informed!

ALso PA= Physicians Assistant, I hesitate to ever think PA will ever = Physician. No offense intended.[/quote]

no offense ever taken
this was and is going to get some controversy

but it is already happening
physicians were not like physicians 30-50 years ago

the assistants and NPs and rehab therapists and midwifes
and psychologists and you name will eventually be the health givers
maybe not in our time but they will DOCTOR!
the system is very broken
50 million cannot afford medical care

this is earth
not Planet MARS