Louisiana doctors succeed at passing graduate physician bill
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.
Louisiana physicians hire lobbyist and defeat NP independence bill
Louisiana physicians discuss their successful effort to block scope of practice expansion in the state.
Bioethicist weighs in on use of the term ‘doctor’ by nonphysicians
In 2023, three nurse practitioners sued the state of California for the right to call themselves 'doctors' in a clinical setting. Bioethicist Arthur L. Caplan, PhD, discusses the ethics of titles in healthcare.
Patient asks for OB physician during pregnancy and delivery, told ‘no’
At 39 years old, Hasina Hafiz wanted a physician to oversee her pregnancy and delivery. However, the only clinic in the area that accepted her insurance refused, allowing only CNM/ WHNP care.
Noncompete contract restricts rural patient access to physician care
Jacqui O'Kane, DO was fulfilling the promise of Family Medicine, providing expert physician care to rural residents of Georgia. Burned out from overwork and support staff challenges, she decided to leave hospital employment.
Physician discusses why she will no longer train or supervise NPPs
Sara O'Heron, MD discusses changes in the education and training of NPs and PAs over her 35-year career.
When ‘wellness’ turns deadly: Patient dies during NPP medspa visit
Plastic surgeon Alina Sholar, MD discusses the risks and dangers associated with non-physician supervised medspa medical procedures.
Ensuring a fair physician employment contract
Employment attorney Dennis Hursh, Esq advises physicians on best practices for a fair employment contract.
Original study shows impact of NPPs on Emergency physician residents
Lead author Andrew W. Phillips, MD, MEd, joins me to discuss the brand new study 'Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education,' the first study to evaluate the impact of NPPs on EM resident physicians.
New Book – IMPOSTER DOCTORS – Now On Sale!
Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW.
Opening your own practice
Can't find a job that doesn't require you to supervise non-physician practitioners? It's time to consider a return to self-ownership!
Innocent EKG findings lead to unnecessary ER visit: Why physician training matters
Emergency physician Andrew Wilson, MD, discusses a case in which a routine work physical at an Urgent Care resulted in an unnecessary ER visit for a patient.
Healing the healers: The Physician Support Line
Last week was Match week, and while thousands will celebrate matching into residency, 2,500 medical school grads will face an uncertain future due to a shortage of residency positions.
Utah physician on hiring unmatched medical graduates (associate physicians)
Nurse practitioner and physician assistant use are often justified because of a shortage of physicians, especially in underserved areas.
Psychiatrist explains dangers of NP-staffed mental telehealth platforms
The COVID19 pandemic created both challenges and opportunities in the healthcare sector. One major winner: telehealth startup companies offering ‘virtual’ medical care, including psychiatric care.
Vicarious liability: Family physicians discuss getting sued due to association with NPs
Nurse practitioner and physician assistant advocates often assure physicians that they face little liability or risk when performing supervision, insisting that NPs and PAs are liable for their own errors.
Lack of informed consent: Patient nearly dies after CRNA mishap
Imagine this scenario: You are rolled into an operating room in a surgical center for an outpatient elective procedure. But when you wake up; you’re in an emergency department, and you learn that you nearly died from anesthesia complications.
Training matters: small town ER doc makes limb-saving diagnosis missed by urgent care NP
Physicians train for at least 15,000 hours before we are permitted to practice independently, and one of the reasons is that it takes a long time and a lot of patient volume to be exposed to the many different presentations of disease processes to learn how to recognize true emergencies that need immediate interventions.
Will an NP/PA perform your next colonoscopy? Part 2
Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies
Will an NP or PA perform your next colonoscopy? Part 1
Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians.
Physician, Own Thyself: Taking Back Professional Control
Tired of being owned by corporations, but don't want to open your own practice?
Nursing research leaders: NPs should not work alone in the ER
In Jan 2022, the Journal of Nursing Regulation published an article entitled: Analysis of Nurse Practitioners’ Educational Preparation, Credentialing, and Scope of [...]
Point of view: Let NPs and PAs practice independently – but hold them to the same standard as physicians
Attorney and emergency medicine physician William P. Sullivan believes that nonphysician practitioners should practice independently, but be held to the same medical [...]
The headlines don’t always match the data: An example of egregious methodology in NP literature
In several previous podcasts, you have heard us refer to research studies that claim to show that nurse practitioner care is just [...]
The secret to hiring and retaining good doctors and why hospital administrators don’t want to hear it
Douglas Farrago MD discusses why '9 out of 10 administrators' absolutely hate his new book, The Hospital Guide to Physician Retention: Why Creating [...]