Physicians for Patient Protection: Ensuring physician-led care for all patients, and promoting truth and transparency regarding healthcare practitioners.
When the “resident” walks in to take care of you, you should not have to wonder if they went to medical school.
Patients need words to mean things.
Patients need clinical transparency.
Stop shuffling titles to confuse them.
Doctors 👏🏼 do👏🏼not👏🏼get👏🏼paid👏🏼to👏🏼prescribe👏🏼medications! Period. Full stop. We are paid to care for patients, not to prescribe. And our compensation does not depend on what meds we prescribe. STOP THE LIES.
@SeemaCMS
One fact remains – our current system is creating more incentives for manufacturers to increase costs. The more the drug costs, the more the doctor is paid, but it’s the patients who pay more.
What a
#MATCHDAY
! This mom/daughter pair BOTH matched today! Mom was a Nurse Practitioner who wanted a more solid foundation for her patients, so she went to medical school—at the same time as her daughter, whom she raised as a single mom. These women are
#heroes
.
Eliminating physician supervision and allowing nurses to administer anesthesia with no physician oversight results in zero cost savings for patients...It simply lowers the standard of care for patients.
@ASALifeline
@AmCollSurgeons
@RichMcHugh
@NewsNationNow
Thank you for telling the stories of these young lives lost. Every patient deserves physician-led care and truth and transparency regarding healthcare credentials.
Patients win when each member of their health care team plays the role they are educated and trained to play. That includes care led by physicians—the most highly educated, trained and skilled health care professionals.
#StopScopeCreep
Physicians undergo at least 7 years and 10,000 hours of clinical training in medicine. NPs are vital to patient care but engage in a different educational pathway focused on nursing science with the addition of 500-1000 hours of introductory medical training.
“Researchers found that treatment by a nurse practitioner resulted on average in a 7% increase in cost of care and an 11% increase in length of stay, extending patients' time in the ER by minutes for minor visits and hours for longer ones.”
“Today’s physicians see more patients, in less time, with fewer support staff, & are required to use technology that interferes with rather than facilitates care. As a result, our healers feel exhausted, cynical, alienated and ineffective.”
We’re hearing
@APPeddocs
(Emerg Med CMG,owned by private equity) is axing Physician coverage in NW Indiana Emergency Depts. Replacing MD/DOs with NPPs they plan to put through a 6-week crash course. Are patients and legislators aware?
#nochoice
#notransparency
when $ matters > 👨👩👧👦
@MedFitBlondie
Student loans turn medical students into profit centers, allowing us to bail out corporate hospitals that mismanaged a pandemic & exploited residents. Those loans accrue interest whether or not PGY1 spots exist for new med grads.
No one loses…
except docs, patients, & America.
Asking for a clinician’s real credentials should not be regarded as a form of oppression. Non-physicians can be proud of their training & without any need to pose as an MD/DO medical specialist.
Functional Neurology is not a real medical specialty. Transparency matters.
Internists make up the largest specialty in medicine and train 3 yrs past med school to become primary care physicians. Subspecialists train another 2-4 yrs. Today, we salute their commitment to patients.
#happyinternalmedicineday
@ACPinternists
5.5% of CT scans in ED produced findings that were actionable & relevant to the presenting problem.
Clinical competence reduces healthcare spending much more than physician substitutes.
#TrainingMatters
Is removal or replacement of board-certified physicians a problem for medicine? How is this even a question?
Claiming all educational paths to be equivalent & health outcomes to be unaffected by training, seems strangely out of touch with the lived experience of many patients.
If a fully trained physician without critical care certification is considered inadequate to care for intensive care patients, how then can it be considered safe to allow NPs and PAs, with far less training, to fill that role? Read Dr. Bernard’s response:
Why the push for a new title? Was the prior term confusing or ambiguous?
This doesn’t better inform patients, but only obscures the training standards of those administering anesthesia.... which is to say, this new term is really advancing the goals of the AANA.
AANA is planning to rebrand as American Association of Nurse Anesthesiology. This misrepresentation will mislead and confuse patients.
@ASALifeline
is reviewing all options to address this deceptive name change.
Ambiguous titles that facilitate the defrauding of patients are not debatable; they are simply wrong.
Expansion of the title “doctor” to non-physicians serves no purpose aside from boosting billing & egos. Patients deserve transparency.
When non-physicians are permitted to apply for and obtain fellowship within a medical specialty society, it degrades the meaning of achieving the highest level within the given specialty.
Unless US physicians, residents, and students wake up from their slumber, our profession should expect the same bleak future as that of our present UK peers.
It’s presumptuous & hypocritical for CRNAs to exclude physician leadership/supervision from the HC team, but then disparage AAs as unequipped for full practice.
PPP values All HC workers as part of a robust physician-led team, because we’re all better when we can work together.
Big corporations like Nurse Practitioners who do as they are told, even if it means being complicit in deceit. Illustrated perfectly in this qui tam lawsuit alleging that Cigna used NPs to code fraudulently after physicians refused.
Proud and thrilled to hear that
@UNCEM
will NOT be adding a PA/NP “residency” next year. We support add’l education for NP/PA, but not at expense of MD/DO education. Also applaud their decision to call this eventual training something other than “residency”.
@nikkibinz
After physicians (and some NPs and PAs) cried foul,
@myMemorial
made the right decision, asked
@SoundPhysicians
to take back their
#notsound
practice model & restore physician-led care. Thank you to all those who stood up for best practices and patient welfare.
Employers themselves have no idea what training and credentialing mean for various clinicians.
…Or they know all too well, & hope masking the discrepancies will keep patients from finding out.
@EMSwami
And within days of COVID kicking off in the US, the AANP was in the Oval Office pushing for immediate scope of practice expansion while using the crisis to their full advantage- I didn’t see anyone saying “bad timing” to them
While not all statements made by individual members are officially from our org, when a young, committed grassroots org garners attention of a long-standing national organization, we must be doing something right. Thankful for the wind in our sails and for all our new members.
The New Hampshire Supreme Court agrees that “nurse anesthesiologist” is a term that confuses patients. Anesthesiologists are physicians. Transparency is vital.
@ASALifeline
From military ER MD: Patient came in blind in one eye after trauma. Seen by NP, who had no idea how to evaluate/treat traumatic eye injury. Never heard of traumatic hyphema. Patients shouldn’t be forced to settle for NP care when they need MD/DO care.
#AB890
#keeptheteam
FNP knows she’s doing things she’s not qualified to do, but does them anyway...? How is this not horrifying to anyone reading it?? Ironically, it’s also
#NPWeek2020
, perfect time to educate the public and our colleagues about issues related to NP education today.
#AB890
also allows NPs to order and INTERPRET imaging studies (X-ray, mammogram, U/S..). Guess what NPs don’t learn in NP school?? How to read imaging studies! Radiology is a 5 year residency after med school for a reason.
@CMAdocs
#caleg
The affluent will retain a personal physician through exclusive “concierge medicine” services.
But others will get routine visits with a rotating cast of nurses & physician assistants, with increasingly spare, online checkups with doctors.
"94 percent of Americans agree that the physician should be allowed to overrule the health insurance company and 93 percent believe the physician’s opinion should outweigh the insurance company's opinion when it comes to health care."--
@PhysiciansFound
2019 survey. WE CONCUR.
When you don’t know what you don’t know, patients suffer. Threads: Why Primary Care Physicians Are Critical. PCPs in states where NP’s practice independently share their stories. We begin in Idaho: /thread
#1
Despite 40-year history of FPA in Oregon, only 25% of NPs practice in primary care. Intense corporate lobbying has led California legislators to believe
#AB890
will help close the
#primarycaregap
;
@GavinNewsom
should dispense with the lie.
@aafp
@CMAdocs
Ever wonder why physicians afraid to speak out regarding physician-led care and truth and transparency regarding healthcare credentials?? Employed physicians worry about being labeled “disruptive”. Self-employed physicians get to worry about false reviews.
#slander
#threats
We are inspired by the energy and dedication of medical students, who form 30% of our membership. What our boomer generation helped create, they will rectify.
@mfcannon
Practicing medicine is an earned privilege, not a “right.”
The fact that NPs would feel entitled to practice medicine without medical school, residency, or even supervision, is precisely why Texans have overwhelmingly opposed FPA.
@txp4p
What plastic surgeon is allowing any PA to independently perform abdominoplasty and mastopexy? Name names. Bc this doesn’t happen. PAs are great part of the team, but any name change doesn’t change fact that education is not equivalent to that of physicians.
#PA
#confabulation
I was on a mental health break from Twitter, but the recent PA bullshit made me come back once more.
PAs can be part of the team. But they are not our equals with respect to training or role. And no one in the right mind would let a PA student run a code independently in the ED.
Because the only solution to a physician shortage is to train more physicians….
Let’s stop sidelining medical graduates while so many Americans desperately need access to quality healthcare.
The Texas House passed H.B. 2556, which aims to alleviate the physician shortage by introducing a new medical license that will allow medical school graduates and certain foreign physicians to join the workforce under the guidance of a licensed physician.
In an effort to maintain excellent care we provide our patients, any communication regarding patients needs to go through someone with a fraction of the education & training of a physician.
#notasounddecision
Many claim that NPs are “Key to providing better rural care” which is a great goal if true.
If we care about rural patients & agree that access is a desirable goal, it’s worth honestly asking what the data has shown & how much access has improved in the areas of greatest need-
@DrNasrien
You are free to choose whomever you want as your primary care “provider”. Difference is that those credentIals are known to you before you go. No obfuscation, no confusion, no pretend “doctor” in clinical setting. Every patient should be so fortunate to have that transparency.
Physician burnout is a real problem in our healthcare system. The root causes are many and complex, but the system doesn’t care about those, it seems.
#burnout
US Census data confirms that giving nurse practitioners the ability to practice without physician supervision has NOT improved
#AccessToCare
for rural & other underserved communities.
#CAleg
@maxijames3
Patients deserve a choice. AANP assures us that patients can request a real doc, but in practice, it never works out quite that way.
Patients requesting a physician are often met with indignation & presented with roadblocks to direct physician care. This is not enhanced access.
#covid19
in America
EVERYONE: Let’s band together and treat everyone in this pandemic and keep everyone safe.
AANP: Let’s capitalize on a pandemic to push for independent practice authority.
@AmerMedicalAssn
@aafp
@APAPsychiatric
This nurse practitioner needs immediate investigation, and prompt reassessment of all of their patients.
Unfortunately, there is no identifier.
Horrific.
It has become too difficult to parody the AANP’s total disregard for patient-care standards & clinician qualifications.
Easier to just let their own words reveal the absurdity of advanced nursing.
Watch: My latest story — two families sound the alarm on the care their loved ones received and what they feel is a lack of transparency in healthcare.
Before this story aired, there was significant pressured applied by the AANP not to run this story
@txhealthplans
NPs in Texas can already work anywhere in the state to provide primary care. There are no “barriers”. But NPs don’t go rural anyway, and giving them independent practice won’t change that (look at every other state that has already done so). False arguments are being used here
Part of the problem addressing deficits in NPP training, is just acknowledging the problem exists. Defensive deflections & ad-hominem attacks have not served their profession well.
The expansion of for-profit, online NP schools harms nurses, just as the degradation of training standards harms patients. We are witnessing a corporate assault against all of American healthcare.
@dremilyportermd
Wow. You should take this down. 1. Med school isn’t done by semester in 4th yr. Electives mostly done by last 2 months. 2. ALL NP school can be online. Ok with that???
Physicians for Patient Protection was recently referenced by Anderson Cooper on national television. PPP represents you, our colleagues. We are the doctor’s voice when they have been silenced. All to serve our patients. JOIN US!
Here’s what
#AB890
will promote: independent NPs running testosterone clinics in major metropolitan areas. Why? Because AB890 does nothing to make sure NPs work in primary care or in rural/underserved areas.
@GavinNewsom
#CALeg
@CMAdocs
Some Nurse Practitioners are willing to call out the declining educational rigor of NP education. Sadly, it may not matter, as there is big money behind the push for FPA. Corporate greed wins. Patients suffer.
#AB890
@GavinNewsom
How can we
#NursePractitioners
continue to allow educational standards of our predecessors to decline. Our profession is suffering as a whole. We need to open our eyes and stop the diploma mills, stop precepting students w/o experience, and stop seeking FPA until we clean it up.
There SHOULD be a pathway for FM docs to do crit care, endoscopy/colonoscopy, and more. Starting with MD/DO foundation is enough. Let’s help our docs pivot to cover necessary services.
@aafp
@AmerMedicalAssn
It often feels like the groups most likely to use the term “Provider” are those invested in maximal billing & those most eager to hide their credentials.
@bobethyates
@cbs46
Thank you for speaking truth! Patients deserve the highest level of care, and that means anesthesiologists for our Veterans.
@ASALifeline
If you’re part of a group trying to legislate your profession into independent practice without physician involvement, you should have no input regarding the board certification process for physicians.
@ABIMcert
needs to rethink this.
But, but......NPs need to practice medicine independently without physician supervision so they can “fill the gaps” and serve the medically underserved. 🤔 Does this look like someone concerned about the underserved population?
#HB2029NO
Texans deserve better!
Q. What is the greatest political danger in the field of dermatology?
A. The biggest danger facing dermatology is the misuse of physician assistants (PAs) and nurse practitioners (NPs).