Physician vs Nurse Practitioner?

Physicians and nurse practitioners work together in almost all clinical settings to help patients! In my GI office, I work with 3 awesome NPs who evaluate and treat patients. This allows me to see more people, allows my patients to have shorter follow up time if needed, and lets me do more procedures for patients who urgently need them! Thanks to Courtnery from @nursesofinstagram for joining me in this collab!
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[@emilybelle2083]

I'm pro team, and experience is great, but arguing a nurse practitioner is equivalent to a physician is false. We can respect physician extenders without doing a discourtesy to other physicians and the patients who want them by perpetuating falsehoods of equivalency.

[@lisaboban]

Sorry...no. At my provider's clunic, there is no doctor present. Ever. They are all nurse practitioners. And if those practioners need a consult with a doctor, they send you home and you wait a day or two to get that opinion. That is, provided that the nurse practitioner actually communicated your question correctly to the doctor. While this is a cute skit, the fact is this is a cost cutting measure that puts patients at risk and muddies the practice of medicine.

[@forestrackes]

You need to rely on nurses to get your dosage right? They don't teach that to the GI fellows at Loyola? Honest question.

[@pat15663]

I bet Loyola is proud to have you out here saying you don't even know which labs to order for Hep B. Solid representation.

[@MSRDinMS]

NPs hop from specialty to specialty all the time and cross cover in areas they have no experience in. I always refuse to see NPs.

[@michaelelliott6483]

Love this idealized presentation, ignoring the hordes of unsupervised midlevels

[@user-ue5my9fx2r]

Shame on you Doc Schmidt

[@joshb2686]

Definitely lost some respect for you here. We don’t collaborate as equals and portraying it as such is irresponsible. Some NP’s are good, many are not and that is honestly where we are at due to their lack of standardization. Either way we do not collaborate as equals

[@joy10030]

Do not forget, it was the PATIENT who requested a doctor ---the person/people upon your livelihood depends!

[@SmolAliens]

Are we really simping for NPs now?

[@ANSNify]

If you have dosing questions, please ask pharmacists rather than APPs. They are the experts and always superhelpful.

[@TusharSingh-zh5tq]

He got through IM residency and GI fellowship just to not know Entecavir dosing? He wasn’t capable of looking up that information on his own to build a personal decision that is evidence based to treat? And didn’t know his cirrhosis patient was decompensated?

[@nengin]

A specialty and subspecialty trained physician and a board certified GI specialist can not do a simple Entecavir dosing. Interesting!

[@xboxfullauto1000]

First thing I genuinely disagree with you on, and this is coming from a nurse. We both know that the educational background from nursing school and medical school is vastly different. Sure an experienced NP could be a good provider, but not when it comes to complex cases/patients (even in this case, they are more familiar with algorithms rather than why, mostly due to education [not going to med school]). Making it seem as if an NP and physician are similar is very misleading and honestly a little dangerous. A physician with a DO or MD degree are the same, an NP is still a nurse (despite higher education).

[@scootiemcpootie]

Im a CT/ Rad tech. My experience is mid levels have very little training regarding radiology. Its takes a few years working experience before they even know what exams to order and how to order them correctly.

[@lin80085]

When I was in college, a nurse practitioner prescribed me ativan daily as a sleep aid for YEARS. I was young and naive so I just trusted how she practiced medicine. I begged her for ambien when I realized couldn't fall asleep without the ativan and she refused, I would try 3-4 benadryl and not fall asleep. She tried to switch me to gabapentin and trazodone "to help me sleep better" (no mention of risks of benzo withdrawal). Getting off of the ativan was one of the hardest things I've ever done, I thought I'd never feel normal again.

[@victoriaanderson7954]

When I moved to a new area no doctors who accepted my insurance were accepting new patients. I went with a nurse practitioner and I could not be happier. Come to find out that for years she was the nurse practitioner at my orthopedic surgeon's office so they all know her and speak very very highly of her. She's around my age and is very easy to talk to. I really like her and I am so glad I decided to try a nurse practitioner. She's not a doctor and does not pretend to be. But she is a highly trained skilled professional and I would recommend her to anyone.

[@Vivienne99]

What a sellout. This is obviously untrue. It’s funny how many doctors will decide mid-levels are amazing once they’re attendings in a field where having NPs see their patients increases their income.

[@TheClonetruper]

I love how a direct phone call turned into “I ran into them out there”

[@razakhan23465]

The AANP and the AAPA (the organizations for NPs and PAs respectively) have been lobbying to have NPs and PAs working independently despite their lower level of training. As mid-level providers, they are invaluable in helping address the common diseases, but when a case is more uncommon or complex, their training doesn't cover it. This is a patient safety problem if they are able to practice independently. A video like this may apply a false equivalence, and to paraphrase Dr. Jabbar of Med School Insiders from his Doctor vs NP vs PA video, the current climate prioritizing emotions over facts is a problem, as while humans are equal, we are not all equally trained nor equally capable. The scope of practice creep must be stopped.