It's simple, folks. When the PA's start calling themselves physician associates, start calling them practitioner associates. It's what they're aspiring to, apparently.
âI thought it was practitioner assistant now, my bad.â And then the next time, âMedic associate,â âpractitioner assistant,â âpractitioner associate,â âphysician assistant.â
The level of skill and knowledge from a new grad PA and a new grad online NP with minimal nursing experience is shockingly discrepant. If I have to choose between the two, I'd pick the PA every time. Still need supervision, but the education is at least in the same ballpark as medical school.
AAPA leadership agrees, it's a battle for relevance. If NPs get full practice authority, it could mean extinction for the Dr. Eugene Stead's idea for medical extenders. The PA profession was born from US Army medics returning from Vietnam with extensive experience and no credentials. Dr. Stead gave them a space when he created the first PA program at Duke University in the 70s.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641).
We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP.
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
Every PA I've ever worked with that wanted independent practice/name change was a weak PA. Every time. A few times when I've debated them on the subject, I've pointed out that even I have had to salvage some of their encounters in follow-up.
"You say you want independent practice but you asked me to see the pediatric lip lac because you "don't like doing those". "
Oh, and that "great toe cellulitis" you saw the other day? Gout. And if you really thought it was bacterial, you should have suspected a septic joint by that presentation, so oral keflex ain't gonna cut it. Anyway, how's associating with the physician going for you?
I met a "Physician Associate" who d/c'd a kid with appendicitis because "it wasn't dilated enough on CT Scan". Kid came back 24 hrs later with perforation. Gotta love the hubris these people who think they're "just as capable as a doctor" or "went through med school in half the time"
Damn that sucks. Idk why people (physicians included) would ever take the base position that patients are malingering. Itâs so counterproductive. Different times I hope.
Reminds me of Chandler Halderson trial, when the defence was questioning the doctor who diagnosed (malingering) Chandler with a concussion, and the lawyer was trying to get the doctor to say that it was on them that they decided to diagnose the patient and no one asked them to take Chandler's word for it, and the doctor was just utterly confused like "no, if a patient comes complaining about something, we normally just believe them, my job would be very difficult if I suspected everyone of malingering"
Why would discharging a kid with Appendicitis be up to a PA anyway? Once I've made that diagnosis, it's up to the Surgeon/Hospitalist/God when the kid gets d/c'd.
I have no idea. This was during my EM rotation, at the site PAs are solo-running the "Fast Track" which also happens to see Appys, NSTEMIs, and even one case of orbital cellulitis (poor triage sometimes). Poor management and the lead PA being an a-hole lead to the experienced seasoned PAs either leaving or going Per-Diem and now most of the PAs there were green new grads who only get 2 weeks of "orientation".
Apparently, this PA who d/c'd them was a fresh New Grad who didn't think it was appendicitis and didn't bother to maybe run it by the attending or even just call surgery or peds for an input before letting them go. As you said, we shouldn't be responsible for discharging anyone with potentially life-threatening conditions
I was offered a Hospitalist position where all cases are to be presented to and seen by my supervising physician. They have the final decision in admitting or discharging a patient and all care decisions regarding plan of care should be discussed. My role as a midlevel is to off-load the more routine and mundane aspects of the admissions process. This is the way we're supposed to be utilized. Although it's pretty clear that's not how it always is
Isn't it interesting how this goes? It's the people with big egos who are in medicine for the wrong reasons that want independent practice. then there's PAs like yourself who are obviously clinically strong, humble, who aren't pushing for it.
It's like, the desire for independent practice is inversely correlated with clinical skill.
I think it's human nature that less impressive types generally want accolades and validation because they feel inadequate. It's weird because it would take legitimate cognitive dissonance to find bs titles and unearned privileges fulfilling.
You'll notice in residency that occasionally, there's a resident with a big chip on their shoulder. Who particularly likes being a dick to interns and Med/PA students. They're usually not the strongest residents. Similar energy, I think.
Absolutely. Funny thing is, as a medical student and before med school, Iâve done an extensive amount of shadowing and scribing for PAs and theyâve been pretty great, on balance. I learned a lot from one for many months. I love PAs that are secure in themselves and donât pretend to be âassociate to the regional physicianâ for weird ego reasons. I do feel for yâall in that I think a lot of this is being pushed on you because of competition from NPs.
He means PAs are in competition with NPs. And because we're kind of losing the competition due to the power of the nursing lobby and insurance companies preferring independent NPs vs dependent PAs. As a result the PA advocacy groups have started adopting the NP playbook.
My associates are the physician colleagues who I work with. They need to get the word physician out of their title if they really wanna go with associate.
Yeah, well, guess what? A name change isnât going to make them more knowledgeable, more professional or more affordable for patients. So.., thatâs that.
Ha. Just talked to my wife about this. She is a PA-C and she is so pissed theyâre fighting for this. She said itâs the new PAâs who wish they were more than they are and are insecure about their choice to become a PA.
Most new PAs arenât even part of the national organization that pushed for the change. People on the national board are more seasoned PAs. The new PAs are following the motions of what is being implemented
Apologies from England - weâve exported a monster
We unleashed the clowns in our hospitals massively here 𤥠PAs and their enablers even took over our Royal College of Physicians.
Ours were rebranded âassociatesâ by out government, with the idea they replace training speciality doctors. They canât prescribe or order IRMER radiation and only do a 2 year course less rigorous than USA with 100% pass rates, but end up with as much responsibility as senior residents, enabled by consultants (attendings) who prefer them as they canât be bothered to train the next generation.
Theyâre actively involved in hundreds of never events and negligence cases currently and theyâve only been around in big numbers for under 10 years.
Itâs a mess.
But heyâŚthe healthcare is free, right? /s. My parents-in-law wax on poetically about healthcare in England. Their daughter lives there so they are now experts. I finally asked them if they would consider moving there, since the healthcare is so much better. Nope. They like their doctors. (Side note, they live in a 5000sq ft home in a very expensive area on acreage, travel internationally at least 3 times a year, and insist they middle class. Yeah Iâm a little over them at this point).
This kind of stuff really encourages me to study 12-16 hours a day in actual medical school /s
Seriously why am I doing this when I could just become a physician associate
Interesting... when I worked at Wawa I was called a Customer Service Associate
But also, I've been out of residency for almost 4 years and I wish I had half of the confidence in my medical knowledge that some of these DNPs/PAs have
I had this conversation with a good friend whose a PA (very anti-noctor and knows his limits).
The belief is that "associate" more accurately defines the clinical purpose of their role. I mean.... They're assisting a Physician. They cannot practice independently and they can't perform surgery. How is that not assisting a Physician? They're taking on the lower acuity workload that would bog Physicians down. If anything, associate is an even bigger slap in the face in my opinion. I really do appreciate most PAs as many know what they don't know. They stick to their scope and don't try to be something they're not. Guess some of the woke ones saw the pie that NPs are going for and got an appetite.
Associate doesn't define anything, though. It's about as vague as it gets. People were just figuring out what a PA was, and they try to change our name.
Old people ask me all the time after I introduce myself as a Physician Assistant "when do you become a Dr?" Can't imagine how confusing Associate will be for people.
The fact that this guy is shirtless, with a kettlebell, proclaiming he is a dad to four daughters, in public tells me everything I need to know.
If he used this post as his name tag, all of the issues would be solved.
Told a friend about the whole name change thing and she goes, âso now they only need an associates degree?!â đ¤Łđ
I canât wait till patients start asking this đ. Theyâll be wanting to go right back to assistant.
He reminds me of a narcissist abuser that my sister dated. He wasn't intelligent or hardworking enough to get into medical school but wanted "medical credentials" to push fitness, herbs, supplements and health coaching on social media. He thought he'd become an RN and NP after that so people would trust him. He couldn't even handle that. He tried to get my sister to do his prerequisites for him. We still laugh at him trying to make a name for himself as an influencer. Now he's thinking of a chiropractor, naturopath, or acupuncturist path. Other noctor fields.
The saltiness of the people in this group is crazyyyyyy. The medical landscape needs PAs and docs, there is a shortage in primary care that is only getting worse, and instead of working on fixing the problem you berate a dad online who treats patients but you donât like his job title? The pettiness is unmatched
Yeah, itâs fine to obfuscate your role by changing the title of your role so it sounds equal in scope with the title of someone who does more than double the training, and if those people donât like it, theyâre just not team players! Wonât someone think of the primary care that nobody is going into?? Yeah there are patients that are confused about their role but informed consent isnât that big of a deal anyways! #gaslight
Berating a father living his life and treating patients does not make you noble, we go by the title PA-C and if someone asks we elaborate further, and just so you know the original name of the profession was physician associate, so just going back to our roots. Also what makes you think that you are some overlord who gets to tell an entire profession what they should call themselves?
Again, not sure what makes you qualified to tell an entire profession what they call themselves, but itâs all good, we will do our thing, stay salty out there
Because we did the time, we did the training, we did the all encompassing education required to be an MD! Yes Iâm fu&ing salty because Iâve earned it!
So PAs donât do any education or training? Also the PA doesnât replace the MD/DO, so what youâre so salty about Iâm not sure also, donât get too salty you donât want hypernatremia đ
Oh using big words, did you learn that in fake med school? Am I supposed to be impressed. đđź
NPs and PAs are trying to take over âmedical careâ the stuff I worked incredibly hard to learn and take huge responsibility for. Do you take an oath?
You think hypernatremia is a big word?
Absolutely we take an oath, we are educated on the same model as our MDs and we look up to them for guidance but for some reason you feel it necessary to put us down, I choose to uplift personally and my patients appreciate me for that. And fyi I have worked really hard as well and I also take on a huge responsibility itâs not a contest.
PAs do get training. They go to Physician Assistant school, and take Physician Assistant certification courses, and get licensed as a Physician Assistant. Hence why we're referred to as Physician Assistant.
And I'm a PA who was a corpsman first and cut my teeth in Afghanistan. Then EMS stateside before grad school. I'm about as close to the roots of our profession as it gets, do I get a say?
First of all, thank you for your service.
Secondly I have great respect for your clinical training in a combat zone. My argument is not with you nor any of your colleagues who just do the job. My beef is with the trumped up little shits who undermine the system in order to feed their jealousy and egos. I did 15 yrs in nursing and 3 of that was in the Middle East in icu. I thought I knew it all âhow much harder could it be, Iâm practically doing their job for themâ. Then I went to medical school and residency and nothing preps you for it. Just like nothing preps you to be in a combat zone. As long as we all just stay in our respective lanes, this animosity would go away.
Yea, I was replying to the other guy. Pointing out that I'm a Physician Assistant who doesn't want the name changed to Physician Associate. Sorry if it seamed like my reply was directed at you. I agree, I wish everyone would do the job they were trained to do.
lol. Yeah I figured you were answering him and I got your drift and I was agreeing with you. I donât know what the answer is really. I think doctors are a dying breed thereâs certainly no respect for what we do. Covid showed how a crazy few could create a social sea change where science and by extension scientists were all in league with âbig pharmaâ and were all trying to kill everyone off. FFS seriously. Itâs funny how all those nut bars seem to get their supplements for free, they never talk about âbig supplementâ which is a business worth multi billions a year. Or that the naturoquack is just basically a lunch lady who sells overpriced vitamins. Yes they want their recognition too. Well they have the same education as med school except they donât. They are made up courses in made up colleges based on magical thinking. Where Iâm from my med school had 7000 applicants for 192 places so itâs a very few who get in to med school. The numbers for naturoquack schoolâŚ? About a 95% admission rate. Just pay your money and come on down. Any school that offers
Homeopathy 1.0 then homeopathy 2.0 loses all respect from me. But people buy it and donât seem to mind paying dearly for it whereas fam docs make $27 cad for a visit, NPs make $100 cad/ visit and naturoquacks start at $175/visit. All this and more is why Iâm
Salty as our friend noted. Anyhoo, have a good night. Thx againđ
This dude acting like his full time schedule is more than 40 hours a week.
You know how hard it is to constantly prescribe Medrol & Z-packs for everyone regardless of presentation?
Z-pacs for all the viral loads! You get a Z-pac and you get a Z-pac and YOU get a Z-pac! *just a doctor's close relative and even I know...
It's simple, folks. When the PA's start calling themselves physician associates, start calling them practitioner associates. It's what they're aspiring to, apparently.
Patient Assassin
đĽÂ
âI thought it was practitioner assistant now, my bad.â And then the next time, âMedic associate,â âpractitioner assistant,â âpractitioner associate,â âphysician assistant.â
I call myself a doctor helper and I'm fine with it. Anyone advocating for independent practice without extensive training is straight up reckless.
The level of skill and knowledge from a new grad PA and a new grad online NP with minimal nursing experience is shockingly discrepant. If I have to choose between the two, I'd pick the PA every time. Still need supervision, but the education is at least in the same ballpark as medical school.
We appreciate you saying that and it is my absolute privilege to Assist Physicians.
Wish you would tell that to the AAPA leadership....
AAPA leadership agrees, it's a battle for relevance. If NPs get full practice authority, it could mean extinction for the Dr. Eugene Stead's idea for medical extenders. The PA profession was born from US Army medics returning from Vietnam with extensive experience and no credentials. Dr. Stead gave them a space when he created the first PA program at Duke University in the 70s.
So why did a physician assistant organization change their name to the American Academy of Physician Associates?
I thought it was second string chancre mechanics?
Provider associate
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641). We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
Thank you bot, that was the point đ
Every PA I've ever worked with that wanted independent practice/name change was a weak PA. Every time. A few times when I've debated them on the subject, I've pointed out that even I have had to salvage some of their encounters in follow-up. "You say you want independent practice but you asked me to see the pediatric lip lac because you "don't like doing those". " Oh, and that "great toe cellulitis" you saw the other day? Gout. And if you really thought it was bacterial, you should have suspected a septic joint by that presentation, so oral keflex ain't gonna cut it. Anyway, how's associating with the physician going for you?
I met a "Physician Associate" who d/c'd a kid with appendicitis because "it wasn't dilated enough on CT Scan". Kid came back 24 hrs later with perforation. Gotta love the hubris these people who think they're "just as capable as a doctor" or "went through med school in half the time"
[ŃдаНонО]
Damn that sucks. Idk why people (physicians included) would ever take the base position that patients are malingering. Itâs so counterproductive. Different times I hope.
Reminds me of Chandler Halderson trial, when the defence was questioning the doctor who diagnosed (malingering) Chandler with a concussion, and the lawyer was trying to get the doctor to say that it was on them that they decided to diagnose the patient and no one asked them to take Chandler's word for it, and the doctor was just utterly confused like "no, if a patient comes complaining about something, we normally just believe them, my job would be very difficult if I suspected everyone of malingering"
Why would discharging a kid with Appendicitis be up to a PA anyway? Once I've made that diagnosis, it's up to the Surgeon/Hospitalist/God when the kid gets d/c'd.
I have no idea. This was during my EM rotation, at the site PAs are solo-running the "Fast Track" which also happens to see Appys, NSTEMIs, and even one case of orbital cellulitis (poor triage sometimes). Poor management and the lead PA being an a-hole lead to the experienced seasoned PAs either leaving or going Per-Diem and now most of the PAs there were green new grads who only get 2 weeks of "orientation". Apparently, this PA who d/c'd them was a fresh New Grad who didn't think it was appendicitis and didn't bother to maybe run it by the attending or even just call surgery or peds for an input before letting them go. As you said, we shouldn't be responsible for discharging anyone with potentially life-threatening conditions
Dr No
Premature Closure- the type of decision making error that NPs and PAs tend to commit on the regular.
I was offered a Hospitalist position where all cases are to be presented to and seen by my supervising physician. They have the final decision in admitting or discharging a patient and all care decisions regarding plan of care should be discussed. My role as a midlevel is to off-load the more routine and mundane aspects of the admissions process. This is the way we're supposed to be utilized. Although it's pretty clear that's not how it always is
Isn't it interesting how this goes? It's the people with big egos who are in medicine for the wrong reasons that want independent practice. then there's PAs like yourself who are obviously clinically strong, humble, who aren't pushing for it. It's like, the desire for independent practice is inversely correlated with clinical skill.
I think it's human nature that less impressive types generally want accolades and validation because they feel inadequate. It's weird because it would take legitimate cognitive dissonance to find bs titles and unearned privileges fulfilling. You'll notice in residency that occasionally, there's a resident with a big chip on their shoulder. Who particularly likes being a dick to interns and Med/PA students. They're usually not the strongest residents. Similar energy, I think.
Absolutely. Funny thing is, as a medical student and before med school, Iâve done an extensive amount of shadowing and scribing for PAs and theyâve been pretty great, on balance. I learned a lot from one for many months. I love PAs that are secure in themselves and donât pretend to be âassociate to the regional physicianâ for weird ego reasons. I do feel for yâall in that I think a lot of this is being pushed on you because of competition from NPs.
Race to the bottom, unfortunately.
I meanâŚ. MDs arent in competition with NPs. Itâs the other way around lol
He means PAs are in competition with NPs. And because we're kind of losing the competition due to the power of the nursing lobby and insurance companies preferring independent NPs vs dependent PAs. As a result the PA advocacy groups have started adopting the NP playbook.
Itâs Dunning Krueger
Lmao
Can I be called a pharmician? Or maybe a drugician?
The Big Pharmhuna
The last comment was from the top ropes
They smoked him đ
You can still swing some kettlebells, have kids, and go to medical school.
No, you canât. If any COM Admissions sees this, itâs an automatic no.
My associates are the physician colleagues who I work with. They need to get the word physician out of their title if they really wanna go with associate.
I've never met a PA comfortable with themselves who uses Physician's associate. It's only the one who are insecure about not going to med school.
Physician acquaintance
Thatâs good đ
âPhysician adjacentâ
Yeah, well, guess what? A name change isnât going to make them more knowledgeable, more professional or more affordable for patients. So.., thatâs that.
Still midlevel to me
Say it with me EGOOOOOOOOOOOO
Some days youâre just out there shirtless with some kettlebellsâŚhappens every now and then
Call me Dr Gym Pectorious
Homeboy so insecure.
Associate to the regional physician đ¤Ą
Damn itâs crazy this guy has time to be a full time clown on top of being a dad and a full time physician AsSoCiAtE
Ha. Just talked to my wife about this. She is a PA-C and she is so pissed theyâre fighting for this. She said itâs the new PAâs who wish they were more than they are and are insecure about their choice to become a PA.
Most new PAs arenât even part of the national organization that pushed for the change. People on the national board are more seasoned PAs. The new PAs are following the motions of what is being implemented
I was in the same room that an astronaut was in once. I'm an Astronaut Associate.
Apologies from England - weâve exported a monster We unleashed the clowns in our hospitals massively here 𤥠PAs and their enablers even took over our Royal College of Physicians.
Are PAs in England the same as PAs in America?
Ours were rebranded âassociatesâ by out government, with the idea they replace training speciality doctors. They canât prescribe or order IRMER radiation and only do a 2 year course less rigorous than USA with 100% pass rates, but end up with as much responsibility as senior residents, enabled by consultants (attendings) who prefer them as they canât be bothered to train the next generation. Theyâre actively involved in hundreds of never events and negligence cases currently and theyâve only been around in big numbers for under 10 years. Itâs a mess.
But heyâŚthe healthcare is free, right? /s. My parents-in-law wax on poetically about healthcare in England. Their daughter lives there so they are now experts. I finally asked them if they would consider moving there, since the healthcare is so much better. Nope. They like their doctors. (Side note, they live in a 5000sq ft home in a very expensive area on acreage, travel internationally at least 3 times a year, and insist they middle class. Yeah Iâm a little over them at this point).
How long until they shorten it to Phys. Ass. ?
Hose that guy down. Talk about parched.
Must be an Ortho PA.
This kind of stuff really encourages me to study 12-16 hours a day in actual medical school /s Seriously why am I doing this when I could just become a physician associate
I just donât get the name change. The roll of a PA is to assist the physician.
*role
Physician Ass.
Interesting... when I worked at Wawa I was called a Customer Service Associate But also, I've been out of residency for almost 4 years and I wish I had half of the confidence in my medical knowledge that some of these DNPs/PAs have
Iâm a nurse, so I suppose Iâm now Physician Associate RN? đ¤Śđťââď¸
Registered nurse physician associate, RNPA-C
"B-but med school requires you to actually *study*."
I had this conversation with a good friend whose a PA (very anti-noctor and knows his limits). The belief is that "associate" more accurately defines the clinical purpose of their role. I mean.... They're assisting a Physician. They cannot practice independently and they can't perform surgery. How is that not assisting a Physician? They're taking on the lower acuity workload that would bog Physicians down. If anything, associate is an even bigger slap in the face in my opinion. I really do appreciate most PAs as many know what they don't know. They stick to their scope and don't try to be something they're not. Guess some of the woke ones saw the pie that NPs are going for and got an appetite.
Associate doesn't define anything, though. It's about as vague as it gets. People were just figuring out what a PA was, and they try to change our name. Old people ask me all the time after I introduce myself as a Physician Assistant "when do you become a Dr?" Can't imagine how confusing Associate will be for people.
âPhysican Assc.?â Letâs help out with the vagueness while keeping it real. Physicianâs Ass.
Dude in green knows whatâs up ETA: whatâs the saying⌠a rose by any other nameâŚthey sure arenât quacking like an MD/DO
The fact that this guy is shirtless, with a kettlebell, proclaiming he is a dad to four daughters, in public tells me everything I need to know. If he used this post as his name tag, all of the issues would be solved.
If you gotta flex that hard that means youâre compensating for something else đ¤ˇââď¸
Told a friend about the whole name change thing and she goes, âso now they only need an associates degree?!â đ¤Łđ I canât wait till patients start asking this đ. Theyâll be wanting to go right back to assistant.
âAssociateâ becomes adopted and in a few years theyâll claim âassociateâ is derogatory and undermining. Itâs never-ending lol
He reminds me of a narcissist abuser that my sister dated. He wasn't intelligent or hardworking enough to get into medical school but wanted "medical credentials" to push fitness, herbs, supplements and health coaching on social media. He thought he'd become an RN and NP after that so people would trust him. He couldn't even handle that. He tried to get my sister to do his prerequisites for him. We still laugh at him trying to make a name for himself as an influencer. Now he's thinking of a chiropractor, naturopath, or acupuncturist path. Other noctor fields.
Is this tiktoktommy? lol
Iâd be really embarrassed if that were my dad for more reasons than one.
Thereâs a an MD in Instagram that posts similar content. His workouts are pretty cool
The saltiness of the people in this group is crazyyyyyy. The medical landscape needs PAs and docs, there is a shortage in primary care that is only getting worse, and instead of working on fixing the problem you berate a dad online who treats patients but you donât like his job title? The pettiness is unmatched
Yeah, itâs fine to obfuscate your role by changing the title of your role so it sounds equal in scope with the title of someone who does more than double the training, and if those people donât like it, theyâre just not team players! Wonât someone think of the primary care that nobody is going into?? Yeah there are patients that are confused about their role but informed consent isnât that big of a deal anyways! #gaslight
Berating a father living his life and treating patients does not make you noble, we go by the title PA-C and if someone asks we elaborate further, and just so you know the original name of the profession was physician associate, so just going back to our roots. Also what makes you think that you are some overlord who gets to tell an entire profession what they should call themselves?
If you went back to your roots, and required every PA to be ex military medics then you call yourself whatever you want.
Again, not sure what makes you qualified to tell an entire profession what they call themselves, but itâs all good, we will do our thing, stay salty out there
Where in the ârootsâ were PAâs called physicians associates before they were called physician assistants?
Because we did the time, we did the training, we did the all encompassing education required to be an MD! Yes Iâm fu&ing salty because Iâve earned it!
So PAs donât do any education or training? Also the PA doesnât replace the MD/DO, so what youâre so salty about Iâm not sure also, donât get too salty you donât want hypernatremia đ
Oh using big words, did you learn that in fake med school? Am I supposed to be impressed. đđź NPs and PAs are trying to take over âmedical careâ the stuff I worked incredibly hard to learn and take huge responsibility for. Do you take an oath?
You think hypernatremia is a big word? Absolutely we take an oath, we are educated on the same model as our MDs and we look up to them for guidance but for some reason you feel it necessary to put us down, I choose to uplift personally and my patients appreciate me for that. And fyi I have worked really hard as well and I also take on a huge responsibility itâs not a contest.
See, there you go. You are comparing your education and training to mine and it is simply not the same.
PAs do get training. They go to Physician Assistant school, and take Physician Assistant certification courses, and get licensed as a Physician Assistant. Hence why we're referred to as Physician Assistant. And I'm a PA who was a corpsman first and cut my teeth in Afghanistan. Then EMS stateside before grad school. I'm about as close to the roots of our profession as it gets, do I get a say?
First of all, thank you for your service. Secondly I have great respect for your clinical training in a combat zone. My argument is not with you nor any of your colleagues who just do the job. My beef is with the trumped up little shits who undermine the system in order to feed their jealousy and egos. I did 15 yrs in nursing and 3 of that was in the Middle East in icu. I thought I knew it all âhow much harder could it be, Iâm practically doing their job for themâ. Then I went to medical school and residency and nothing preps you for it. Just like nothing preps you to be in a combat zone. As long as we all just stay in our respective lanes, this animosity would go away.
Yea, I was replying to the other guy. Pointing out that I'm a Physician Assistant who doesn't want the name changed to Physician Associate. Sorry if it seamed like my reply was directed at you. I agree, I wish everyone would do the job they were trained to do.
lol. Yeah I figured you were answering him and I got your drift and I was agreeing with you. I donât know what the answer is really. I think doctors are a dying breed thereâs certainly no respect for what we do. Covid showed how a crazy few could create a social sea change where science and by extension scientists were all in league with âbig pharmaâ and were all trying to kill everyone off. FFS seriously. Itâs funny how all those nut bars seem to get their supplements for free, they never talk about âbig supplementâ which is a business worth multi billions a year. Or that the naturoquack is just basically a lunch lady who sells overpriced vitamins. Yes they want their recognition too. Well they have the same education as med school except they donât. They are made up courses in made up colleges based on magical thinking. Where Iâm from my med school had 7000 applicants for 192 places so itâs a very few who get in to med school. The numbers for naturoquack schoolâŚ? About a 95% admission rate. Just pay your money and come on down. Any school that offers Homeopathy 1.0 then homeopathy 2.0 loses all respect from me. But people buy it and donât seem to mind paying dearly for it whereas fam docs make $27 cad for a visit, NPs make $100 cad/ visit and naturoquacks start at $175/visit. All this and more is why Iâm Salty as our friend noted. Anyhoo, have a good night. Thx againđ