Talk of The Villages Florida - Rentals, Entertainment & More
Talk of The Villages Florida - Rentals, Entertainment & More
#106
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PAs and Nurse Practitioners are fully licensed medical providers and using them is standard practice in most primary care settings. Given the shortage of family practice physicians, you will see more and more care delivered by these "mid level" medical providers. The good news is there have been many studies publish in medical journals including JAMA that have shown Nurse Practioners deliver equal and often superior quality of care when compared to physicians and their patients have better health outcomes than physicians, especially when it comes to treating chronic diseases like diabetes, heart disease and asthma.
While one can sue any provider, mid-level or physician for malpractice, I seriously doubt anyone would be successful in suing simply because a licensed mid-level provided care, unless of course the mid-level misrepresented themselves as a physician. |
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#107
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I had not heard of PA's until I moved here and I still am not clear what they can or cannot do. Our dermatologist always looked us over himself in Ohio. AND no reputable MD of any kind sold " product" in their office as many dermatologists do here. It really puts me off.
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It is better to laugh than to cry. |
#108
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That's NOT what I was told when I visited the Colony Cottage office. The "greeter" asked what village I lived in and told me that when a VHC facility was built serving my village, I would get a letter inviting me to visit and become a patient.
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Politicians are like diapers--they should be changed frequently, and for the same reason. |
#109
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I googled "Florida physician scope of practice", but most results were written/published by the P.A. lobbying groups that want state-by-state restrictions lifted on what they can and cannot do. Other results were the legalese of state laws regulating/licensing them.
This article helps a bit: Battles Erupt Over Filling Doctors' Shoes - WSJ.com Last edited by ilovetv; 05-23-2013 at 01:16 PM. |
#110
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"I did not get into rock-n-roll just to pick up chicks. However..I was able to adapt". Ted Nugent |
#111
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__________________
"I did not get into rock-n-roll just to pick up chicks. However..I was able to adapt". Ted Nugent |
#112
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Nurse practitioners and physician assistants have a definite place in clinical healthcare. But I think it goes out of bounds to say they are good to take the place of physicians. The education and training are not the same in each profession or para-profession.
It's like saying a paralegal is equal to a lawyer. Would you want a paralegal as your legal defense if prosecuted for a crime? I wouldn't. It would be fine if the paralegal researches and does filings and communicates with me for the lawyer, but not for making my case in trial. There's a reason why state bar exams are strident and difficult to pass. It's also like saying a medical school graduate or first-year intern can take the place of the board-certified physician. After all, the medical school graduate with new diploma in hand has done 2 solid years of clinical experience in the hospital in addition to the classroom courses in the first couple of years. But there are state and national board exams for licensure, and there are strident board-certification exams for each specialty and subspecialty....for good reason. I wouldn't want a med school graduate being in charge of my care.....unless an attending physician were right there observing and available for immediate, in-person consult. That is how P.A.'s are licensed and authorized to work, and I hope it stays that way....under the supervision and malpractice insurance of a physician. I think there's so much wishful thinking about lowering costs of healthcare (and I wish that too), that people are giving in and concluding, "Let's save all that money and get rid of medical school and residency requirements." But I think, as always: You get what you pay for. |
#113
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I observe all things, I just don't give a damn about most! looneycat ![]() |
#114
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first off, was the sample supplied from the appropriate spot, next they are the clinicians, they kept falling back to the old sample rather than submitting a new one when their eyes and measurements showed it was expanding, and finally, as soon as the next dermatologist saw it...before I pointed it out..immediately said "that's a cancer, we need to remove it immediately". Biopsy was positive and the original report was obtained and it was noted that it had been a 'meager' sample. I would have expected more from such an 'advanced' practice.
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I observe all things, I just don't give a damn about most! looneycat ![]() |
#115
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Wow, Having worked for a Derm for 2 years that is really hard to believe. But I will if you say it's true. Not sure what you mean by the appropriate spot. We used to take off the entire area all the way to clean margins (I think that is the standard of care even in areas that are not suspected cancer - just to be sure). Was it that large that they only took an area within?
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#116
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I observe all things, I just don't give a damn about most! looneycat ![]() |
#117
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I have records sent to the dermatologist up north, who during one of my rare visits there (I live in FL most of the year) he commented that some of what was biopsied may never actually become melanomas and that removing them that early was (pardon the expression) overkill, in his opinion. When I brought this up the PA, the response--which seemed pretty sensible to me--is that in FL we have to be that much more cautious than up north because of sun exposure so much more and so much stronger. And frankly, I'd rather err on the side of caution: "Take it off!" |
#118
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Thanks for the info.
Now back to the topic ![]() |
#119
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#120
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Closed Thread |
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