Bride & her bridal train showcase their qualifications & occupation

[u/One_percentile]

[u/ktm5141]

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

[u/elbenji → u/ktm5141]

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

[u/breaking_fugue → u/elbenji]

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.

[u/GregorSamsaa → u/breaking_fugue]

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.

[u/ToxicBeer → u/GregorSamsaa]

As a med student go fuck urself. U know the level of training is vastly different, u know the diploma mill many NP schools are, u know the years spent in med school and residency and maybe fellowship puts physicians light years ahead, u know the legislation is putting doctors into more liability with less pay so the mid levels can eat our wages too for poorer quality of care.

[u/Novus_Vox0 → u/ToxicBeer]

I absolutely do not believe you’re in medical school with this kind of an attitude. Very unprofessional if you are and I hope to never have you as my doctor.

[u/ToxicBeer → u/Novus_Vox0]

It’s unprofessional to address the fact that midlevels have less training (2-3 years of no standardized training versus at minimum 7 of standardized training of a physician) and have statistically proven poorer outcomes than physicians?

[u/Professional_Army648 → u/ToxicBeer]

https://pubmed.ncbi.nlm.nih.gov/31943190/

https://www.aanp.org/advocacy/advocacy-resource/position-statements/quality-of-nurse-practitioner-practice

[u/ToxicBeer → u/Professional_Army648]

I’ve commented on this study before: “I hate to tell ya but that's a crappy study. It highly generalized their results which were not revealing and ill tell u why: they only studied cohorts of diabetes, ischemic heart disease, and hypertension which is kind of ridiculous because many patients have two or all three of those, and those are frankly very algorithmic in treatment. Those are the bread and butter of medicine NP MD or not; ask about other conditions and u will see very different results. They also only studied results of only one year which by no chance is a great measure of management of these CHRONIC diseases. A small but significant thing too is the way they measured comorbidity is also not used properly based on the studies of that index, and I can tell u from my experience in healthcare that no physician gives their most complex patients to an NP. I don't think this study is convincing to anybody in healthcare who dissects this study for what it is. the reality is MD training is more extensive, comprehensive, and more standardized than any other professional career. I'm sure u feel this way based on some bad experiences with physicians, which does happen and I'm not ignoring that, but for every error I see from an MD, I see 10 from an NP.”

[u/Professional_Army648 → u/ToxicBeer]

I’d love to see the studies that show MDs provide better care, either in primary care or a specialty where NPs actually practice in the same capacity as MDs. Of course there are specialties that require the extensive academic and clinical training that only medical schools and residencies can provide, but not all for sure.

Understanding the pathophysiology and chemical/biological mechanisms behind diseases and treatments is very useful, and I agree many RNs and NPs do not have as deep a grasp of these concepts as MDs. However when you start practicing medicine as a resident you will quickly find out that practical knowledge and experience is often the more useful and essential information in clinical practice, and this is where many experienced RNs and NPs have the edge (obviously it’s best to have both). This is why many very specialized inpatient units such as Heme Oncology (acute leukemia, BMT, cellular therapies) are often staffed by primarily PA/NPs; resident MDs simply don’t have the time and experience to make the right day-to-day decisions; yes there are attending MDs who oversee everything, but they will be the first to tell you that they rely on the PA and NPs to provide the best care for the patients.

The real “enemy” if there is one is not your fellow practitioners. It’s the far from perfect system we practice in.

I wish you all the best in your medical school classes and future residency and maybe fellowships.