MidlevelWTF - Midlevel.WTF (Page 12)

Social Media Consults

Internal Medicine NP is confused about insulin

Diabetes is to Internal Medicine as "completely inadequate education" is to midlevels.

Social Media Consults

No big deal, it's just poison ivy

Hopefully her friend's foot doesn't fall off before she gets some answers from Facebook.

Nurse Practitioner

Psychiatry NP turns teenager into walking pharmacy

There's not enough time in a day to take all those pills.

Social Media Consults

"How do you treat this?" Endocrinology 101

I guess they don't teach how the hypothalamic–pituitary–thyroid axis works in online NP school!

Social Media Consults

NP consults other Facebook NPs for insight into aortic dissection

It's not like aortic dissection can kill you or anything.

Social Media Consults

Guidelines exist for a reason

"How to manage type 2 diabetes" is not something that should be up for debate in 2021.

News

Washington State wants to reimburse midlevel NPs at the same rate as physicians?!

Medicine is not a participation trophy.

Stories

It happened to my father

An unexplained blood pressure of 89/58 is just "dehydration", according to the NP that took care of this person's father.

Social Media Consults

NP has run out of ideas, consults Facebook for help

PMH NP needs some help from the hive mind.

Social Media Consults Featured

Karen NP cancels group member after she suggests to "discuss it with a MD"

Midlevel Karen has no chill.

Social Media Consults

The practice of medicine isn't an algorithm

"Am I missing anything?" Yes, yes you are.

Social Media Consults Featured

Nurse practitioner asks Facebook about PrEP for HIV prevention

I'm sorry, is this supposed to be an actual question?

Social Media Consults

Gastroenterology NP asks Facebook how to do her job

Quick, someone tell me!

News

Support physician-led care in Mississippi: vote no to HB 1303

> Physician-led, team-based care matters to Mississippians. Every Mississippian deserves the highest and safest level of healthcare possible. Vote NO to HB 1303. #MedicalSchoolMatters [https://twitter.com/hashtag/MedicalSchoolMatters?src=hash&ref_src=twsrc%5Etfw] #PhysicianLedTeamCare [https://twitter.com/hashtag/PhysicianLedTeamCare?src=hash&ref_src=twsrc%5Etfw] pic.twitter.com/kcKudpXYIx

News

Biased Medscape article attempts to paint false equivalency between physicians and nurse practitioners using cherry-picked studies

Independent NPs: What’s the Evidence?As more states change scope-of-practice laws to allow nurse practitioners to practice independently, what does the evidence on health outcomes show?MedscapeChristina Bennett "...the quality of care is largely equivalent [between patients seen by NPs and physicians]!" the article exhorts. Let's take a closer

Social Media Consults

Psychiatric-Mental Health NP consults Facebook for help with antidepressants

There's a reason why physicians specializing in psychiatry complete a four-year residency. In addition to learning how to diagnose, work up, and manage psychiatric diseases, psychiatrists (as with any other physician in any other specialty) gain the awareness to differentiate between what they know and don't know, and how to

News

Ask Arizona Legislators to support unmatched physicians with SB 1271!

Ask AZ Legislators to SUPPORT SB 1271!Help speak out to increase access to primary care in Arizona. YES to SB 1271.Association of American Physicians and Surgeons With 1,831 new graduates of US MD and DO medical schools going unmatched (and thousands more from international medical schools) in

Noctor

"Dr." Seth Osgood

GrassRoots Functional Medicine - VT, NH, TX, OR, FLDr. Seth Osgood treats the underlying causes of chronic disease at Functional Medicine clinics in New Hampshire, Vermont, Texas, Oregon, and Florida.GrassRoots Functional MedicineTyler T. With a spiffy sweater and a stethoscope around his neck, if you were a layperson checking

Social Media Consults

Kill patients first, learn medicine later

675 clinical hours and it's off to work in the cardiovascular ICU.

News

AAEM/RSA Releases Statement of Concern about the imploding EM physician job market due to proliferation of midlevel NPs and PAs

AAEM/RSA Statement of Concern for Graduating EM Residents and the Current Job Market | AAEM Resident and Student AssociationThe American Academy of Emergency Medicine Resident and Student Association (AAEM/RSA) is a non-profit professional association for emergency medicine residents and medical students.AAEM/RSA - AAEM Resident and Student Association

CRNA

There is no such a thing as a nurse anesthesiologist

> Same reason we say: “Nurse Anesthesiologist” Except we must work 100% harder for 70% of the credit and 50% of the pay https://t.co/nu09atdc2x — Dr. J.DeLoz, DNAP🇺🇸 (@JoshDeloz) January 28, 2021 [https://twitter.com/JoshDeloz/status/1354749600549187588?ref_src=twsrc%5Etfw] Anyone who feels the need to

News Featured

The casualties of cost-cutting: rookie CRNA midlevel in charge of colonoscopy case that went horribly wrong

Beaumont Health and NorthStar (DeathStar?) Anesthesia clearly have their priorities straight.

"The best NP preceptor is one you can find"

> NPs recommend to just get clinical hours; quality education doesn’t seem to matter. 😢 #NurseTwitter [https://twitter.com/hashtag/NurseTwitter?src=hash&ref_src=twsrc%5Etfw] #MedTwitter [https://twitter.com/hashtag/MedTwitter?src=hash&ref_src=twsrc%5Etfw] #NPsLead [https://twitter.com/hashtag/NPsLead?src=hash&ref_src=twsrc%5Etfw]

News

AAFP objects to VA's interim rule permitting midlevels to practice unsupervised

AAFP Sees Harms to Team-based Care in VA Interim Final RuleThe AAFP and other medical societies this month urged the Department of Veterans Affairs to rescind an interim final rule that would decrease the standard of care for U.S. veterans. https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/

Noctor

"Dr." Monica Roundtree

Another example of a NP "noctor", this time in Florida, taking full advantage of the state's recently-passed "full practice authority" statue. Just because you have a DNP doesn't mean that you can present yourself as a doctor to patients, a term that refers exclusively to medical doctors (who actually went