OrangeBlossomBaby |
05-09-2022 11:46 AM |
Quote:
Originally Posted by Golfer222
(Post 2092954)
As a physician, I have worked with many PAs and NPs. Some are very good and some are very bad. But even the best are not even close to a physician. They lack the rigorous training ( both didactic and clinical) required to be a doctor. I did 4 years of medical school, 3 years of residency and 4 years of fellowship to subspecialize.
Even the most simple symptoms requires a differential diagnosis to exclude rare diseases. This is where I see the most difference. Most Pas and NPs will think of the top couple of diagnoses ( which are usually correct) but fail to exclude more rare causes, which can be fatal if not recognized. Essentially, they do not know what they do not know. Most URIs leave the office with a z-pack and a medrol dose pack , even though it is a viral illness. For any medical appointment I have, I always request a physician. If the office says I have to see a PA/NP, I politely decline and look elsewhere. Just my 2 cents from being in the trenches
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If I come in with an angry wound on my arm from a cut that is taking too long to heal and looks to have a bit of pus forming on one end, I'm going to trust the PA to a) assess that yes, it's an angry wound, b) it should/shouldn't need stitches, and c) it's definitely infected.
Other than the stitches, it's something even I, with no medical school at all, can figure out.
I'll trust the PA to a) clean the wound, b) stitch or not, depending on what it needs, c) dress the wound, and d) send me home with an rx for antibiotics OR give me an antibiotic shot if he/she thinks it's necessary OR recommend I redress with antibiotic ointment a few times a day for the next few days.
I'll trust that the PA is sufficiently trained in basic first aid and non-emergency wound care.
I'll also trust that if I insisted that only an MD could possibly handle this, the MD would likely be really annoyed that I wasted his/her time with a cut when the PA was perfectly capable of handling it.
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