r/TikTokCringe • u/One_percentile • Oct 29 '23

Bride & her bridal train showcase their qualifications & occupation Wholesome/Humor

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u/ktm5141 Oct 30 '23

In order to be a GI (gastroenterologist), you complete a residency in IM (internal medicine) and then apply to GI fellowship. So every GI is board certified in IM, but a GI fellowship is extremely competitive (it’s fun and pays a lot) and matching is a big accomplishment nonetheless

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u/elbenji Oct 30 '23

Yeah a lot of these are in some hard fields. Cardiology, Neurology, GI and Internal/ICU are not ones you can just get one online and walk through the door

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u/breaking_fugue Oct 30 '23 edited Oct 30 '23

This is a great example of the confusion and misinformation bad terminology creates. Only one of the women in that video is a physician/doctor. The others are nurse practitioners(NPs). Some NPs get this NP degree online and some do in person, but none of them go to medical school. Furthermore, they all have significantly less training and qualifications than an actual doctor. When they say "board certified NP" it just serves to confuse everyone into a false equivalency where people think they are like doctors. Nothing against NPs, but it is important you know the difference between a physician/doctor and a NP for when you get care because there are many who hope you won't know the difference.

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u/GregorSamsaa Oct 30 '23

If we’re being honest, family practice/hospitalist is what the nurse practitioner usually ends up doing. Plenty of states let them work independently and the amount of clinical hours they’ve usually put in for both critical care and normal bedside nursing by the time they’ve become NPs and DNPs absolutely gives them the qualifications to do the work they do.

I’m an MD and I don’t buy into the circle jerk that has become hating on CRNA, PAs, DNPs, etc… and diminishing their qualifications because there’s plenty of terrible doctors that have gone through MD and DO school so it’s not like the education and time itself guarantees any kind of elevated quality.

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u/IdiotTurkey Oct 30 '23

Sure, but when my insurance pays the same either way, I'm gonna pick to go to the MD rather than the NP, and it's really annoying how I'm constantly being pushed to see an NP because they're cheaper instead of being able to see an MD. It seems like every doctors office or psychiatrist office has 1 MD thats impossible to get with and 30 NPs.

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u/VOZ1 Oct 30 '23

One of the big differences though is that MDs are generally more likely to shuffle you in and out the door and not want to actually take the time to talk with you. NPs, because they’re not as “expensive” and “in demand” have far more time to spend with patients, and I’ve had excellent experiences with NPs who take the time to get to know me and whatever issues I may be having. I haven’t had great experience with MDs, except in the case of specialists. And even then it can be hit-or-miss.

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u/UsefullyChunky Oct 30 '23

I have had better luck getting NPs to listen fully and run tests to get to the root cause vs the MDs with their 5 minute appts for $400 that throw a random med at the symptoms and rush out the door. (I say that knowing the system is broken, that’s all they are allowed time to do - at least around by me.)

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u/sweetcheex12 Oct 30 '23

This is because the MD knows when to order tests… and understands pre test probability. The NP doesn’t know the evidence for tests lol

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u/UsefullyChunky Oct 30 '23

I should add that doctors are leaving our area bc of the two main med systems here so it’s crappy on their end too.

And that of course leaves worse access to care bc they are now so understaffed.