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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I am an MD and realize that NP and PA office care will become the wave of the further. I support this and think its great. I do want to point out that NP and PA programs are significantly less education that MD/DO programs.  This is leading to some tension in my industry because sometimes a PA in a busy practice can make almost as much as the physical itself if its a low paying field like peds or family med.  Im a female surgeon so me dealing with pissed off old men because I am making good money doesn't bother me though! Healthcare is changing guys![/quote]

I am in full support of NPs and PAs when used in the model that their training intended, to work under the supervision of a (more highly trained) physician. In that model: yes absolutely, that's medicine of the future. The tension in primary care fields is not about salaries, but rather inappropriate scope of practice. The lower level of training does not prepare NPs and PAs for independent practice, yet they are increasingly used that way by health systems because they are "cheaper", i.e. their salaries are lower than physicians, in contrast to your point. [/quote]

I'm neither an NP, PA, MD but disagree with your statement.  You will only be able to hold on to your "turf" for a while longer.  Keep telling yourself that your "MD" degree entitles you to supervise others who may be trained and licensed to provide front end care.    Many states already permit NPs to practice solo - and more states are coming on board.  I don't believe a PA can practice solo or write prescriptions in ANY state however.    The facts are that PA and NPs are replacing the traditional family doc.     [/quote]

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