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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I'm an RN and prefer NPs for my PCP. Dh and DS also see NPs. I really do think part of the MD burnout is because of how PCP is set up. Med school is long and expensive and in the grand scheme of the MD world, they don't make much. The system is set up to see as many patients as they can a day in order to make money.   And dealing with the general public burns you out as it is.

Nps who go into a PCP do it because they want to. And while the schooling is hard, its not as expensive and time consuming as MD [/quote]

Yeah and just wait until they miss something important or you get really sick or they screw up your medications. I’m an MD and spend about 1/3 of my time correcting and undoing the mistakes of NPs and PAs who practice without supervision. It’s crazy that this is even allowed. I’ve worked with absolutely wonderful NPs and RNs as part of a team, inpatient. But allowing them to practice independently unsupervised on the theory that 85% of medicine is “routine” is insane. 15% of the time it’s not. And even in that 85%, only the best ones know when they don’t know and are wise enough to say so. So much invested in proving that medical school and residency are somehow superfluous to the practice of being a doctor.[/quote]
I am a RN and I agree with you. I think NPs can be wonderful and a great resource (at least inpatient where I work). But unfortunately so many new nurse grads want to go straight to NP school without a solid bedside background and not to be mean, many should not be anywhere near patients even as RNs. I think the issue is that now there are tons of NP-diploma mills vs. actually solid schools.  It completely undermines the whole profession. 
To address the OP-I think a big issue is that PCPs are extremely overwhelmed. They have to see an obscene amount of patients daily. The general population is getting sicker and older which means the average patient has multiple comorbidities. There is no time for rapport. Plus charting demands on EMR--less time with each patient. [/quote]

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