Reply to I do not want to see an NP!

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[quote=Anonymous][quote=Anonymous]It’s funny that everyone is talking about PA/NP in primary care when for the most part most of PA/NP don’t want to be in primary care either! Primary care is awful for all parties involved. The midlevel take over is happening across the board - in specialists and surgery. When I consult a speciality in the hospital I’m often talking to a midlevel. This will absolutely erode the quality of our health care- shouldn’t we want the best and most well trained? Midlevels don’t even exist in a lot of countries. Capitalism will ruin health care and we all deserve it for playing along. [/quote]

This! it's all well and good to love your primary NP at the ambulatory setting because she really listens to you about your UTI symptoms and remembers to order a culture (not just a UA) and is conscientious about calling you with the results and switching your empirical antibiotic (Macrobid!) to a better one that's sensitive to the pathogen that grew on the culture.  That's great, and I do it myself as a veteran RN.

But damn.  You guys had better hope you don't develop something like a small bowel obstruction, a perf, and resulting sepsis.  Because you're going to be treated by allllllll the midlevels during that frantic process while the attending rolls in at the last second to distractedly review the NP's notes and the PA's procedure and closure. Even at Georgetown or Hopkins.  Ask me how I know.

It's the inpatient stealth situation that you guys seem not to know about. And it's just wrong, but a fact of life in post-pandemic 2023.[/quote]

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