Patients at Risk

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

Emergency physician Dr. Amish Shah has served the Arizona State House for the last five years and is now running for U.S. Congress. In this special bonus episode, Dr. Shah explains why he entered into politics, the work he has done to support the practice of medicine, and why physicians should donate to his campaign.Learn more / contribute to Dr. Shah's campaign here: https://www.amishforarizona.com/ Meet Dr. Shah at his fundraiser at the Take Medicine Back meeting February 9, 2024 in Palm Springs https://www.takemedicineback.org/PhysiciansForPatientProtection.org

There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. Today we are talking about a proposed solution to this problem—a new professional designation for unmatched medical school graduates called the “Assistant Physician” (AP). I am joined by Dr. Keith Frederick, the originator of the first legislation to create the AP role, and Dr. Liz Troilo, who worked as an AP before becoming a board-certified family physician. Learn more about physician-led care - get the book IMPOSTER DOCTORS.PhysiciansForPatientProtection.org

In July 2023, 47 year old Jenifer Cleveland, a mother of four, died after receiving treatments at a Texas medispa. We reported on this tragic story in a podcast with plastic surgeon Alina Sholar (https://www.buzzsprout.com/1475923/13329411-when-wellness-turns-deadly-patient-dies-during-npp-medspa-visit.mp3?download=true). Today, we are discussing the aftermath of this case and efforts by Texas physicians to ensure that no more patients die from ‘wellness’ treatments. Dr. Mary Kelly Green is an ophthalmologist and founding member of Texas 400, and advocacy group protection fighting to protect patients.PatientsAtRisk.comPhysiciansForPatientProtection.org

Malpractice insurance company CNA, along with Nurses Service Organization (NSO) has been providing malpractice coverage for nurse practitioners across the country in a variety of practice settings for the last 30 years. The organization released its first report on NP malpractice claims in 2005, and recently released its 5th report analyzing data between 2017 and 2022.  Dr. Kevin Zhang joins me to discuss the findings of this report including:Increase in average total claims for NPsHighest average claim among NPs covered through an NP-office practiceMost frequent claim: Failure to diagnosehttps://www.nso.com/Learning/Artifacts/Claim-Reports/Nurse-Practitioner-Claim-Report-5th-Edition Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438PhysiciansForPatientProtection.org