Quote:
Originally Posted by Microscp
My humble opinion is that since the chance to implement a socialized healthcare is slim, they are doing this "through the back door " or backward. By having this bunch of nurses acting as doctors, you will have more supply than demand and the goverment finally can have a system where the cost of healthcare will be lower since they certainly will not pay the nurse the same fee they will pay a doctor and the insurance companies will encourage their clients to go a see a doctor nurse instead. In this whole mess, the affected ones are going to be us, the medical students or current doctors.
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Personally, I think the NBME getting involved in validating DNP knowledge by offering them a basic exam has the potential to worsen the cause of allopathic medicine and potentially the doctor-nurse profession as well. Why? If the DNP's pass the exam, US regulated allopathic medicine is in essence saying the Doctor -Nurse Practice (DNP) is equivelant to the general practitioner medical doctor.
On the other hand, if the doctor nurse practitioner fails the exam, the DNP loses some credibility as well. The answer is for the AMA/NBME and the powers to be in the allopathic medicine circles, is to clean their own house. Its amazing to me that the USA has lost the "General Practitioner" (GP) to numerous specialties. It is apparent insurance companies and law suits have been the catalyst to the demise of the GP in the USA.
However, in most of the rest of the world, the GP is still King!
I think the answer is the return of the "general practice" 1 year residency. Unfortunately, most states require FMG's to have 3 years of residencies anyway. It is amazing that a doctor of nurse practitioner can practice autonomously in many US states but a MD with 1 pgy year is for all intensive purposes worthless.