NPs & PAs Are Talking – July 23, 2012
Last week, New
Grad NP blogger Samantha Damren posted the struggle she encounters working
with multiple physicians: memorizing the preferences and practices of each. On Facebook,
reader Amber said, "20 in my emergency physician
group ... can get frustrating!" On our blog, more readers weighed in. Here
are some of their comments:
have the same problem in my practice! Starting an job in ER medicine
for the first time was anxiety provoking enough. Then, on top of
learning the ins and outs of a new specialty I had to learn the personal
preferences of the nine different physicians who take turns signing my
charts. The good news- it didn't take me very long to start to
identify and adapt to the personal preferences of the physicians I work
with. I feel lie working with multiple physicians has actually
allowed me to become a better provider. I can take the best advice
and practices from each physician, combine them into my own practice style
making me a much better NP."
too had the same experience recently with six MDs and me. I did decided to
leave the practice after a year b/c I was the first NP in the practice and
I was tired of defending my position and education to staff (...sigh).
However while working in the practice I did decided to take pieces of
clinical knowledge from each physician and make it work for my practice,
so I did what I thought was best for the patient and didn't let their
personal preferences guide my practice. Often I had to defend my
rationale, but I figured I am a provider too and can make sound medical
decisions. In the end I had great outcomes by mixing their preferences and
all was good for the patients."
Have you encountered
the same problems as an NP or PA? How did you deal? Let us know in the comments
or offer your advice to Sam on our blog
we shared a tweet from @healthythinker: "Nice to see NPR covering #mhealth mobile #health app regulation by FDA http://www.npr.org/blogs/health/2012/07/10/155977692/when-does-an-app-need-fdas-blessing?sc=tw ... Mainstream media covering #healthcare tech #hcsm." Healthcare apps were a huge highlight for us this week
as we introduced the ADVANCE
for NPs & PAs app! It is available now for free for iPad and Android
tablets. We would love your feedback on our newest venture! If you've already
downloaded the app, let us know what you think!
Apps were also a hot
topic on LinkedIn
this week. Group member Leslie asked
"Does anyone know of a good medical/patient app for small parttime business
that is portable, can take pictures, store patient info and not cost a fortune?"
If you have any advice for this clinician, join our LinkedIn group and share!
Over at advanceweb.com
practice settings were a hot issue discussed by NPs and PAs. Reader Tracy
commented on the importance of orthopedic
. "Orthopedics is and
has been my first love in my short but significant healthcare/nursing career. I
was an ortho tech for two and a half years and haven't been able to find
another position in nursing strictly for orthopedics. I am applying to schools
to begin a masters to DNP program for next fall with a focus on orthopedics. I
am excited to see that there are definitely opportunities out there for Nurse
Practitioners who want to focus on Ortho!" Are you an NP specializing in a
less-populated field? Have you struggled to find a position? Let Tracy know how
you fared in the job search by visiting our article
and leaving a comment!
Adding to the
practice setting discussion, reader Mary voiced her thoughts
on retail health clinics:
"Retail Healthcare or 'convenience
care' isn't healthcare at all. In fact, if a Physician Assistant or Nurse
Practitioner is interested in ruining their career, work in that field. I
lasted there only for a few months. Retail healthcare is only about one thing, 'profit margins' for the retail pharmacy chains. They are not about
patients. As an example, at the urgent care centers and hospitals in the
charlotte area, we as providers are bombarded and literally screamed at by
multiple patients who have been told the '______clinic' cannot treat
my pneumonia only to find out that the NP or PA misdiagnosed the patient and
sent them to urgent care. The fact that they have CLINIC and "medical
clinic" inside pharmacy is a huge problem because it implies that the
clinic is able to deal with medical problems. If I had a dime for every mother
that brought a child in with a runny nose who demanded the 'z-pack'
or an antibiotic, I'd be in business. The worst part is that if you deny the
mother of the patient antibiotics, you will be disciplined by a Nurse
Practitioner Manager of Operations since they will never put Physician
Assistants in those roles. The customer is always right in this situation
because the clinic sits under the umbrella of the store. This isn't healthcare.
This is a disgraceful means to charge the public extra money to be seen for
often times things that they cannot treat. By the time the patient gets to the
ER, he/she would already paid hundreds in co-pays. What kind of patient care is
In a survey
conducted by ADVANCE for NPs & PAs
Medicine, we found that many NPs & PAs appreciate convenient care and its
opportunities for community healthcare. What is your opinion?
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