Midlevel.WTF (Page 7)

Deranged midlevel goes berserk on PPP physician's Facebook page, starts making veiled threats

21 years into the 21st century, one would think that most people who don't reside under a rock would be familiar with the old adage (warning?) that everything on the internet is permanent. But as with everything in healthcare and medicine, there are exceptions. Consider, for example, an Alabama physician

Stories

Comedy of errors: a medical student's list of midlevel blunders

28 short stories of midlevels messing up, badly.

Social Media Consults

CBC, Hgb, MCV, it's all gibberish to me!

Anyone who can't even read a CBC shouldn't be allowed anywhere near live patients.

Nurse Practitioner

Peak professionalism: TikTok Pediatric NP shows us what's under the scrubs, literally

We're going to need an eyeball cleanse, stat.

Stories

Radiologist saves a patient from midlevel mismanagement

Originally posted on Reddit [https://www.reddit.com/r/Noctor/comments/nrt73s/example_of_why_midlevels_are_dangerous_to_patient/] . Lightly edited for grammar and clarity. Radiologist here with a little anecdote of an interaction I had a while ago with a midlevel in the emergency department. I come into

News

Does the AAPA really think physicians are this dumb?

If the AAPA truly respected its physician colleagues, it wouldn't be calling PAs "physician associates" and assuming all physicians want to associate with them.

News

Nurse Practitioner Sentenced to 20 Years, Ordered to Pay More Than $52 Million in Restitution

Nurse Practitioner Sentenced to 20 Years, Ordered to Pay More Than $52 Million in RestitutionA Waxahachie nurse practitioner was sentenced yesterday to 20 years in federal prison and ordered to repay more than $52 million in restitution for his role in a health care fraud conspiracy, announced Acting U.S.

Stories

Ski town NP unaware of indications for surgical referral for clavicle fracture

Originally posted on Reddit [https://www.reddit.com/r/Noctor/comments/nkshto/ski_town_np_unaware_of_indications_for_surgical/] Long before I ever was aware of the problems with mid-level education and practice, I had my own run-in with a poorly trained NP. This was back about 20 years

News

Physician Assistants are now "Physician Associates"

And physicians shall now be referred to as Supreme Physician Commanders.

News

CVS nurse practitioner allegedly refuses to provide medical care to police officer

CVS nurse allegedly tells officer she “hates cops” and that he needs to leave because he was carrying a firearmA nurse practitioner at a CVS location in New Jersey allegedly told a police officer visiting the MinuteClinic that she essentially hated police officers.Law Enforcement TodayGregory Hoyt Recently, a story

Social Media Consults

The mythical DEA Schedule I license

Your heroin is ready for pickup at the pharmacy.

Social Media Consults

Any ortho NPs here?

This is the kind of basic medical knowledge that gets beat into young doctors' brains with the pointy part of the tibial tuberosity.

Nurse Practitioner

The NP diploma mills are bursting at the seams

Have you ever heard of a US medical school telling an accepted applicant "sorry, you're accepted, but we don't have room for you...good luck reapplying next year?" It's certainly not "common practice" - in fact, it would be virtually unheard of. Apparently, the same can't be said about nurse

Stories

A tale of three midlevel mistakes in the ED

Anonymous emergency physician submission I’ve made it a priority to see every NP/PA patient, even at the expense of picking up new patients of my own. In the past month I’ve caught the following errors: 1. Patient with known posterior compartment injury of the thigh, recently discharged

EMG/NCS cases

Anonymous physician submission This is a series of case that highlight how midlevels can overall increase the cost to the medical system. I work in a large academic center where midlevels are the predominate primary care "provider". I get several orders for EMG/NCS (a test of the muscles and

Stories

My experience as an M1 patient of an NP

Re-shared from Reddit [https://www.reddit.com/r/Residency/comments/my0qtt/my_experience_as_an_m1_patient_of_an_np/] This may be long, so I apologize. I just felt like I needed to tell this story and felt this page was the most appropriate. For about the past year

Social Media Consults

NP is perplexed by patient's question

If anyone knows the answer, please let Shelly know!

Stories

The ED is not an appropriate place for unsupervised midlevels: a patient perspective

A story of a post-op wound check gone wrong, thanks to a PA's mismanagement.

The Midlevel Paradoxes

Compiled from Reddit [https://www.reddit.com/r/Noctor/comments/mvnbj4/midlevel_paradoxes/] 1. The Duality of Practice Paradox NPs: “We can do everything that a doctor does. We can diagnose, prescribe, and treat. We practice medicine!” Also NPs: “Nooo, it wasn’t malpractice I swear! I wasn’t practicing

News

CRNA John McDonough wants "clear and unambiguous" titles, but calls himself a "nurse anesthesiologist"

You're either a nurse, or you're an anesthesiologist. Not both.

Stories

Thanks for nothing, PA

Anonymous patient submission I went to an urgent care clinic to get something cardiovascular checked out. I also had a big lump on my shin so I already had an appointment with an orthopod the next day for that issue. I was seen by a young PA. After the cardiovascular

Social Media Consults

"I was taught in school to never refer to a doctor"

And we were taught in medical school to always put the patient first.

Social Media Consults

Let's put it to a vote

Asking the Facebook peanut gallery to vote on your patient's next medication is not an appropriate way to practice medicine.

Noctor

"Dr." Sylvienash Moma, DNP's sketchy COVID-19 vaccines

Say Nada to DNP Moma's vaccines.

News

MidlevelWTF responds to AAPA's response to AAEM/RSA's Open Letter

An Open Letter to the Specialty of Emergency Medicine | 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 Yesterday, the AAPA (technically AAPA