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Unfortunately, that mentality is not going to go away. I don't like it either, but it's a battle I would rather participate in through good practice. I feel I should not have to justify myself and let my behavior dictate whether or not being your provider is worthwhile.
This is a very sad statement of current affairs. One of the major tenets of the IOM goals concerns collaboration and multidisciplinary cooperation. Sadly, the medical community is becoming more anti-collaborative by the day. As a CRNA, we are constantly under attack by the ASA. It makes no sense as there is more need than practitioners. It is an economic issue with physicians rather than a patient safety issue. I am transitioning into chronic pain management and palliative care with an emphasis on rural areas. Instead of acceptance, I am getting friction. While there are no pain or palliative care practitioners in these rural areas, the anesthesia MD's are fighting my presence. Their fellowship trained comrades will not practice in these areas in either anesthesia or pain management because the pay is not acceptable. Still, they do not want or encourage my services. They would rather the communities go without rather than be served by a mid-level provider. It is very frustrating. I am not sure how APN's and MD's can work these problems but something needs to be done if we have any hope of improving the provision of health services especially in the underserved areas of the country.
After watching that video, all I can say is: Thank God DNPs are not doctors! It made both professionals look ridiculous. Why does being a NP, PA or DNP have to be considered a competition with physicians? We have all selected our career paths for person reasons (and preferences). We all bring different skills to the table. Working as a team, with each member doing what they are best at, gives the patient the best possible outcomes.
I'm still figuring out my presonal view on the title issue. In the past I've introduced myself as the nurse practitioner. When the staff hear me, they correct it with the patient, stating, "She is a doctor. She earned her DNP." After watching the video, and remembering one of my NP instructor's heated passion, starting tomorrow, I will introduce myself as: "Good morning. I'm Dr. White, the nurse practitioner. Your physician today is XXXX. He will be joining us shortly, but we will get started with your history and physical now."
That video is just plain DUMB. I call myself Dr Miley (in the hospital setting) and then I state "I"m the nurse practitioner" The title comes with degree. The difference is easily separated if physicians would used their role "physician" after their title of doctor, just like I use my position "nurse practitioner" after my title of doctor.
I posted a response on YouTube but had to cut some of it to stay within the word limit. The video is condescending at best. I noticed the first time the MD asks if she is a MD--Then he asks if she is a an MD or DO.
I smell fear and they should be afraid of the competition. Hopefully, the availability of more practitioners will improve health care if patients have a choice of who they would like to see. I mean, who wants to wait up to two hours or more for a routine med refill or a sore throat.
We should be working together-not bashing as I interpret that particular video. I guess the contributors of the video are just mean and/or unsatisfied people or very afraid of the competition!
unfortunately, I had had the displeasure of seeing this video more than once!! how stupid and ignorant! why don't MD's just stop worrying about what it is us Nurses do and get on with seeing patients and forming partnerships with other health care professionals.
I've been communicating with the chief administrator of a medical school that operates in Florida. He stated, the Florida Attorney General will be initiating a mandate preventing DNP's to be addressed as "Doctor" in Florida clinical settings.
Although I agree that this is disgusting and just bullying, there are some videos on youtube made by some NPs that are not professional as well. Here is one I found after watching the video.
It would benefit those physicians who seek to undermine DNP practice to read The American College of Physicians Ethical Manual (Annals of Internal Medicine, January 3,2012, Volume 156, p. 93) which states, "The best patient care is often a team effort, and mutual respect, cooperation, and communication should govern this effort. Each member of the patient care team has equal moral status."
This video is another good example of the apparent bullying attempts to control the practice of nursing. It is imperative that advance practice nurses, in particular DNPs, find a way to educate the prospective communities on the various roles and functions of the DNP.
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