NURSE PRACTITIONER vs DOCTOR | Should NPs have FULL PRACTICE AUTHORITY?

[@crookedlines]

Great video! I am graduating as a PMHNP in August, and I’m very interested in this topic. Before educating my on the topic, I was against full practice authority for NPs, but I was able to speak directly to the president of NJ’s psychiatric NP association, and she explained to me that the bill NJ is reviewing has the stipulation of “x” amount of hours (I think 5000) under a physician before being eligible. I agree with you that NPs, regardless of speciality, should have to pass an additional licensure exam if wanting to practice independently. I think changing DNPs research/education type role to PhD and making DNP a role of independent practice (with additional schooling/licensing/prerequisites of “x” amount of hours in real world practice) would be interesting! I have no idea how that would work logistically though lol. I worked (mostly) in ICU prior, and I looked up to the intensivists so much. I keep in contact with them and have learned SO much from them. There is not a doubt in my mind that they are on a different playing field. However, I have been fortunate to have cultivated relationships with doctors that are willing to teach me. I have also worked with incredible NPs and PAs in ICU. In that setting, I tended to see the more “bold” moves take place on shifts when the attendings were present. PAs & NPs *tended* to be a bit more timid- but never, in my experience, to the detriment of the patient nor increasing their length of stay. I, personally, don’t see independent practice as a psych NP in my own future. For me, I enjoy, too much, bouncing ideas off of someone with incredible knowledge. I don’t have the desire to deal with the business side. But with many polarizing topics, power to those who want to make that leap! Especially in areas of the country that so desperately need more access to providers- let’s play nice and figure out a middle ground ♥️

[@crookedlines]

I also see NPs and PAs for my own care (my PCP is an MD, but not because I refused an alternative). However, my asthma is hard to manage- my PA referred me to the MD of the practice. That is good practice. Just being honest with yourself and your patient 😊

[@OmarAbdulMalikDHEdMPASPACPAPro]

Hi. New subscriber, fellow KZbinr and experienced PA here. I really appreciate your words. I have been a hospitalist PA for several years and work with NP, PAs and MD/DOs. I am focusing on just trying to be the BEST PA that I can. There is SO MUCH work that needs to be done in the inner-city (violence, drugs, homelessness, mental health, etc.). NPs and PAs are a big part of meeting these challenges. I look forward to watching more of your videos. You certainly don't SOUND like someone with a "low IQ"!😒🧑🏻‍🦳😅 Take care! 😊👋🏽👨🏽‍⚕️

[@myradeleon8618]

I loved this video. Thank you for sharing!

[@BrittaniNP]

You are so welcome!

[@zhadaray]

In response to the IG post in the beginning of the video, people are so concerned about NP vs MD regarding "less quality of care", but they aren't concerned about the corporations taking over healthcare systems. They increase the number of patients that providers have to see thus reducing the quality of care. And I agree with you with a standardized process of being able to run your own clinic.

[@BrittaniNP]

This!

[@JustineLeussa]

Thanks for the video. I am not sure why some MDs are so worried about the existence of PAs, PNs in particular professions outside of (MD) title. Some even go as far as calling Nurse P mid levels providers. Lol. Nps are not mid level providers, mid- levels to who? Is a million dollars questions. These professions are governed by credible entities with specific scope and guidelines of practice. There is what is called collaboration of care in the healthcare system. Each profession on its own has an individual role in collaborative patient care for better outcomes. It is very important for these MDs to understand that. Some of them need education on this topic So they can have a peace of mind. Nps already have enough education granted that qualifies them to practice within their scope of practice. With the right setting and, the right level of care an NP can provide effective and efficient patient care to patients without the need for physician supervision. I don't think they need extra supervision. Extra extra Exams, all the extras. Will all the extras change your title? Why trying so hard to satisfy them, when you have been training just to do this much and now you want that much with no title? Education is ongoing, it happens every day. Some adjustment could be done to NP or AP schools. Maybe a year of residency added to the curriculum if that will make the MDs happy 😂, or just go to medical school and make them happy. The world is moving at a fast pace, with an increased need for health access. With all due respect. Here are my thoughts. NPs spend so much time, energy, and years in school to get to where they are, and because of criticism, some are looking forward to accepting more exams, and more supervision. There is a continuing education and learning platform to empower oneself. Please trust the process, you work so hard for it. I do enjoy all your videos.

[@KingKong-ww1px]

But nps are mid level providers lol. The definition of a mid level provider is one that's education surpasses a nurse but doesn't go as far as a physician. Hence "mid-level", it doesn't mean quality of care at all. No matter how you feel about it there is always going to be a name for it, whether that be mid level providers or advanced practice practicioners. But that doesn't change what it is.

[@LifestyleArmyWife]

I agreed with her 100%. I went to the urgent care and this NP identified herself as Dr -- and this entire time, I thought I was speaking to a physician just to find out on the discharge paperwork that it was a NP. This is wrong on so many levels. It’s so misleading… They should not be allowed to have the title doctor in clinical settings when they are indeed not. I am also considered a mid-level in healthcare, but I never identify myself as that when going to urgent care or emergency. But as a healthcare professional, she knew that she was wrong… They need to do something about this scope creep now. It’s misleading.

[@LifestyleArmyWife]

Also, I agree with her about saying to ask for your physician next time. Because even I now tell my family members and everyone I know to do the same… I cannot believe mid levels are getting away with this. 😢

[@BrittaniNP]

I’d be curious to know what your title is… you say “mid level,” care to clarify? And I agree NPs should not address themselves as doctors in practice, because it is confusing to the patients, regardless of their level of education. If you watched the video, you’d see I say that. But to encourage people to avoid NPs is outrageous and does a disservice to the health care system and the patient. I have a hard time believing you’re a NP or PA!

[@LifestyleArmyWife]

@@BrittaniNP I’ve been a Derm PA-C for 2 years to be precise but hung it up for osteopathic med school. Best decision ever. My husband is also military physician. Trust me it isn’t so hard to believe that many medical professionals agree with her. You even admitted that in your video by pointing out the fact that she had many likes. We can agree to disagree. But even AMA agrees that scope creep is getting out of hand with midlevels. It’s true.

[@BrittaniNP]

@@LifestyleArmyWife it's ironic that "so many medical professionals" agree with the sentiment of "scope creep getting out of hand", but it's also the physicians pushing and exploiting NPs and PAs to perform outside of their scope. I'm quite happy to perform at the top of my scope and chose my role as a NP purposefully. Anytime I have felt pushed to perform outside of my scope it's been by an MD or DO. But, as long as it's making them more money... You're right about one thing though, we can agree to disagree.

[@Rangerphillips]

Well said, Brittani!!

[@BrittaniNP]

Thank you!

[@CurvyCurlyCorporate]

Removing "collaborative agreements* DOES NOT REMOVE the MD. They act like no one will work with them if we have professional freedom. Its wild. NP is not an MD, we function differently to achieve the same goal of improved health.

[@socallmenothing]

These disrespectful docs referenced here get me so hot about things. Maybe they should take another tour around the hospital on July 1st to watch the experienced RNs help teach the baby docs and help give them the tools to be successful. But as you touched on at the end, healthcare in this country is wild; a good chunk of rural America is starting to see issues with healthcare deserts. For anyone to say that NPs/PAs don't have a role in delivering high-quality care as primary providers is either willfully ignorant or woefully naive. With less doctors going into family medicine, someone has to fill the gaps to ensure that people continue to have access to healthcare.

[@jrg6284]

Great video

[@ReneeKM]

I’m an NP. I never let anyone call me doctor.

[@BrittaniNP]

Same! As mentioned!

[@MrTruerythmn]

Out of curiosity, if you attained your DNP, would you then want to be called Doctor, for Doctor of Nursing Practice?

[@calliebrown9867]

The post must have not been too well received bc I looked at her page and can’t find it

[@BrittaniNP]

Yea she received a lot of backlash, so she deleted it lol.

[@ShavonCastella]

IQ? Excuse me? It is clear to me that the inability to address a topic with passion by degrading other professionals that the IQ in question is that of this doctor.

[@praashida1]

No, nurse practitioners aren't "Medical" doctors or physicians, but i do believe the term "doctor" is an umbrella word. Nurse practitioners can be doctors of nursing practice. As long as they reveal their nurse practitioners.