Critical Care Time 44. Critical Partners: The Vital Roles of NPs and PAs in Critical Care
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Mar 10, 2025 In this discussion, Gary Macy, a seasoned Critical Care Nurse Practitioner at Duke University, delves into the vital roles of Nurse Practitioners (NPs) and Physician Assistants (PAs) in the ICU. He sheds light on the educational pathways for these professionals and addresses the confusion surrounding their titles. The conversation emphasizes the necessity of collaboration over competition, promoting better patient care through teamwork. Macy also reflects on how experience matters more than certifications in evaluating healthcare qualifications, advocating for clear communication within the medical field.
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Origin Story
- Gary Macy's interest in becoming an NP was sparked in nursing school.
- A faculty member, Mona Counts, inspired him by explaining the NP role.
Nomenclature
- Advanced Practice Provider (APP), physician extender, and mid-level are ambiguous terms.
- Use precise terms like Nurse Practitioner (NP) or Physician Assistant (PA).
Doctor or Not?
- Avoid using "Doctor" in a hospital setting if you're an NP with a DNP, as it can confuse patients.
- Reserve the title for academic settings like teaching.