I have worked extensively with NPs; and no they should not
be working independently.

one NP I worked with had no idea how to read an ekg

one NP did not know how to treat htn urgency/emergency

one NP had no idea how the differentiate noncardiac from cardiac chest pain

sending every chest pain to the er is not good care

one NP did not know how to interpret a complete blood count

can anyone really push staffing emergency rooms with NPs and PAs;
so then why is that acceptable for an int med/peds/fam med clinic?

as for the schools in the west indies; yes some are not as good as
usa allopathic schools. but remember everyone has to pass the usmle
and pass through residency, board certif etc
judge each person by their credentials and skills.
I have worked with USA allopathic grads and osteopaths that were
not up to par.

as for any studies showing equivalence of care of outcomes; remember
that any difficult cases for NPs are then evaluated by the MD who is
present or sent unnecessarily to the er if a physician is not present.

funny ive seen people from us med schools write posts like

one IMG I worked with had no idea how to read an ekg
one IMG did not know how to treat htn urgency/emergency
one IMG had no idea how the differentiate noncardiac from cardiac chest pain
one IMG did not know how to interpret a complete blood count

So perhaps the "one guy i worked with" criteria is the best way to decide on care parameters and policy.

__________________
Steph
If you get a warning, put on yer manpants and stop whining about it.

the last sentence in the last post i guess the word "not" is missing

nice tit for tat post

actually where you went to med school will not come up unless you
did not practice good medicine or some employers want usa grads only

but there are plenty of jobs available

never let a point constrain you.

__________________
Steph
If you get a warning, put on yer manpants and stop whining about it.

I agree with the threadstarter. I was an RN for 15 years (UK and US) before joining the MD program at SGU.
I am in favor of nurse doing nursing duties and doctors performing their role. Some people at floor level want the status and recognition of doctors but do not want to put the time in. No, sir! A nurse is a nurse and a doctor is a doctor; let's keep it that way.

why go to med school when you could have become a DNP, not worse than DO and make same bucks

If that was directed at me, then if you really want my input, pm me. I don't see the point in starting a flame war.
This is very complex and longwinded and I am not sure what DNP is, ARNP, know that one. Perhaps different letters in different states.
DO = MD; and their salaries are certainly higher than an ARNP, even an FP DO. ARNP have limited prescription rights; I do not think nurses should prescribe.
Nursing = tons of responsibility, little respect. I say this with those 15 years of experience. Plus, nurses are not a cohesive body, they frequently tear their own colleagues down.

i agree with the point that Docs should be docs and nurses nurses. As i said, docs suck at nursing duties. My points were just about the polemics. Polemics aren't based in substantive insight but merely in advancing a personal intrest.

__________________
Steph
If you get a warning, put on yer manpants and stop whining about it.

I see people comparing Doctors and Nurses claiming that nurses know more than doctors sometimes. Most of the time they are talking about new residents and the nurse they compared the doctor too has like 10+ years experience in the field. Of course the nurse will know more than the doctor. However if you compare a doctor with 10+ years experience with a nurse with 10+ years experience, I'm pretty sure you would get a totally different story.

" Plus, nurses are not a cohesive body, they frequently tear their own colleagues down. " quote

doctors are the same. they never stick together and worry about the other guy taking their patients. insurance companies know that the other guy will see patients for less.

quote
"docs suck at nursing duties"

and the opposite is true
and nurses suck at doctor duties

nursing is a tough job that requires patience and there is shortage
in the usa.

"However if you compare a doctor with 10+ years experience with a nurse with 10+ years experience, I'm pretty sure you would get a totally different story. "

the depth of knowledge and training is different.