Patients at Risk

There are an estimated 500-750 clinics across the U.S. providing infusions of Ketamine for the treatment of a variety of medical conditions. This is big business, estimated to bring in $3.1 billion per year and projected to rise to 6.9 billion by 2030.  But is Ketamine safe and effective? Psychiatrist Kristina Kise, MD discusses the use of ketamine infusions in psychiatry, including the potential dangers to patients when physicians are not directly involved in drug oversight.  PhysiciansForPatientProtection.org

Psychiatrists are increasingly being replaced by non-physician practitioners - psychiatric mental health nurse practitioners (PMHNPs) and physician assistants (PAs). This webinar explains the difference between a psychiatrist and a PMHNP and reviews the evidence regarding unsupervised care of patients with mental illness by non-physicians.Link to webinar video: https://youtu.be/djDos6xbRosContact me: PatientsAtRisk.comPhysiciansForPatientProtection.org

Physicians are encouraged to reclaim their voice in healthcare through self-ownership, countering corporate interests that jeopardize patient care. A powerful personal journey illustrates overcoming fear in medical leadership. The unique struggles of women physicians are highlighted, emphasizing the need for advocacy and support. The discussion also delves into the importance of mental health, advocating for doctors to seek help without stigma. Finally, embracing passions like content creation fosters emotional resilience.

Arthur Smolensky, MD describes his experience creating a Small Democratic Group (SDG) to take over emergency department staffing from corporate contract management groups.https://www.linkedin.com/in/arthur-smolensky-719806/PhysiciansForPatientProtection.org

Teresa Camp-Rogers, an emergency physician from Mississippi, shares her insights on a recent study about prescribing practices among nurse practitioners and primary care physicians for seniors. She emphasizes that despite similarities in inappropriate prescriptions, the variances among NPs raise concerns. Camp-Rogers argues that the existing physician-led care model is effective and questions the safety of unsupervised NP practice. Her critique highlights the need for closer examination of who among NPs practices responsibly and the impact of supervision on prescribing quality.

Three years ago, we aired a podcast criticizing Doctors' Day posts from hospitals and healthcare organizations that included non-physicians and referred to physicians as 'providers.'  Fast-forward to today, and some organizations (but not all!) seem to have gotten the message.Happy Doctors' Day to all physicians - thank you for your sacrifice and dedication to patient care!PhysiciansForPatientProtection.org

John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.Canion suggests:- At least 2 years of RN experience before starting NP school- Increased standards for entry, including minimum GPA requirements - Standardized, rigorous education and program-vetted preceptorship- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."Read the entire report here:https://jcthenp.substack.com/p/2023-report-on-np-education-and-thePhysiciansForPatientProtection.orgPhysiciansForPatientProtection.org

John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.Canion suggests:- At least 2 years of RN experience before starting NP school- Increased standards for entry, including minimum GPA requirements - Standardized, rigorous education and program-vetted preceptorship- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."Read the entire report here:https://jcthenp.substack.com/p/2023-report-on-np-education-and-thePhysiciansForPatientProtection.orgPhysiciansForPatientProtection.org

John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.Canion suggests:- At least 2 years of RN experience before starting NP school- Increased standards for entry, including minimum GPA requirements - Standardized, rigorous education and program-vetted preceptorship- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."Read the entire report here:https://jcthenp.substack.com/p/2023-report-on-np-education-and-thePhysiciansForPatientProtection.org

In part 2 of my discussion of the Assistant Physician (AP) role, Dr. Keith Frederick meets Dr. Liz Troilo, who benefited from his legislation. After working as an AP, Dr. Troilo matched into residency and now provides critical access care as a Family physician in Missouri.  Dr. Frederick proposes a possible alternate pathway to independent practice for physicians other than formal residency training.  Learn more about the importance of physician-led care - https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/PhysiciansForPatientProtection.org