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Patients at Risk

111 episodes - English - Latest episode: 13 days ago - ★★★★ - 242 ratings

Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.

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Episodes

Exposing mistruths in the AANP's rebuttal to PPP - Part 2

January 03, 2022 14:00 - 32 minutes - 15 MB

In part 2 of our discussion, Dr. Alyson Maloy and Dr. Phil Shaffer break down the mistruths  in AANP president April Kapu's article, 'Full practice authority for nurse practitioners needed to address physician shortage.'  Get the book, now available on Audible! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ Watch the video on our YouTube channel:  https://youtu.be/EDXn7RAomTM Article links: Original article - https://www.medicaleconomics.com/view/cov...

Is PPP a 'fringe' group? Responding to the AANP's accusations in Medical Economics

December 20, 2021 14:00 - 23 minutes - 11.1 MB

On September 29, 2021, the journal Medical Economics published an interview with Dr. Alyson Maloy entitled “Covid exacerbates physician shortage.” In the article, Dr. Maloy discussed the effects of covid19 including a push to increase practice authority for nurse practitioners.  A week later, Medical Economics posted a rebuttal written by April Kapu, the president of the AANP, called “Full practice authority for nurse practitioners needed to address physician shortage,” arguing that NPs were...

Is PPP a 'fringe' group? Responding to the AANP's accusations in Medical Economics

December 20, 2021 14:00 - 23 minutes - 11.1 MB

On September 29, 2021, the journal Medical Economics published an interview with Dr. Alyson Maloy entitled “Covid exacerbates physician shortage.” In the article, Dr. Maloy discussed the effects of covid19 including a push to increase practice authority for nurse practitioners.  A week later, Medical Economics posted a rebuttal written by April Kapu, the president of the AANP, called “Full practice authority for nurse practitioners needed to address physician shortage,” arguing that NPs were...

Patients at risk when hospitals replace physicians with NPs: Attorney Travis Dunn Part 2

December 05, 2021 16:00 - 22 minutes - 10.8 MB

In part 2 of this discussion with plaintiff's attorney Travis Dunn, we analyze the tragic case of Alexus Ochoa, who died because a multi-billion dollar corporation elected to replace physician with unprepared NPs. Mr. Dunn discusses the role of the expert witness in NP malpractice cases and what he has learned about the limited scope of practice of nurse practitioners.  Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ Please like and subsc...

Patients at risk when hospitals replace physicians with NPs: Attorney Travis Dunn (Part 1)

November 13, 2021 15:00 - 33 minutes - 15.7 MB

In the book Patients at Risk, we discuss the tragic case of Alexus Ochoa, a 19-year-old woman who died when a nurse practitioner failed to diagnose the blood clot in her lungs. The nurse practitioner was unprepared to treat emergency room patients and there was no physician on-site, even though the hospital advertised that physicians were available 24/7. Today we are joined with attorney Travis Dunn, one of the lead attorneys who helped Alexus’s family win a major financial settlement agains...

What's driving physicians into early retirement?

November 08, 2021 19:00 - 35 minutes - 24.6 MB

There are so many challenges in healthcare today, and it’s becoming ever more difficult to practice medicine. In fact, many physicians that could continue to work well into their golden years are retiring as soon as they can because the struggle of practicing medicine is just no longer worth it to them. Today we are joined by an amazing physician who has experienced his share of heartache within our healthcare system. Dr. Mark Lopatin is a rheumatologist who has written extensively about hi...

What's driving physicians into early retirement?

November 08, 2021 19:00 - 35 minutes - 24.6 MB

There are so many challenges in healthcare today, and it’s becoming ever more difficult to practice medicine. In fact, many physicians that could continue to work well into their golden years are retiring as soon as they can because the struggle of practicing medicine is just no longer worth it to them. Today we are joined by an amazing physician who has experienced his share of heartache within our healthcare system. Dr. Mark Lopatin is a rheumatologist who has written extensively about hi...

Primary care: So easy anyone can do it?

October 17, 2021 05:00 - 32 minutes - 16.4 MB

Today, we discuss a topic that is near and dear to my heart as a family physician: the role of primary care. We’re going to focus especially on the misconception often held by legislators that primary care is somehow ‘easy,’ and can therefore be relegated to allied health professionals, especially nurse practitioners. Today, I am joined by two special guests who are experts in the role of primary care in the healthcare system. Dr. Emily O’Rourke is a Family Physician in Virginia and the own...

Midlevel Malpractice with Attorney Robert Painter

October 10, 2021 05:00 - 33 minutes - 16.3 MB

In our book, we outline the tragic case of Alexus Ochoa, a 19-year-old woman who died when a nurse practitioner failed to properly diagnose and treat the blood clot in her lungs.  The only reason that the details of this case became public was because of a lawsuit filed by the patient’s family. Court records reveal not only a lack of appropriate medical care, but more importantly, the incredible efforts that Mercy Health Systems, a multi-billion-dollar corporation, routinely went through to ...

Truth and Transparency: Reviewing New Jersey's Health Care Transparency Act

October 03, 2021 05:00 - 28 minutes - 14 MB

One of the biggest challenges in healthcare today is a lack of transparency when it comes to the training and licensure of healthcare professionals. As members of the healthcare team have taken an increased role in providing medical care, patients may be treated by physicians, nurse practitioners, physician assistants, and other healthcare practitioners, and understanding who is who can be difficult.  In fact, an AMA study found that only 55%  of respondents thought it was easy to identify w...

Board recertification: A double standard for physicians?

September 26, 2021 05:00 - 36 minutes - 18.6 MB

There is an increasing double standard in the practice of medicine and the practice of advanced nursing, and one of these is the difference in ‘board certification.’  Nurse practitioners take just one board examination in the course of their career, which is 3 hours long and 200 questions. Nurse practitioners never have to take another exam – they just have to submit their work hours, which can even be volunteer hours.  In contrast, physician board exams are most more rigorous, lasting 9-10...

Betty's Story Part 2: A father's plea for NP accountability after the death of his daughter

September 19, 2021 04:00 - 34 minutes - 17.7 MB

Seven-year-old Betty died just 15 hours after she was evaluated by a pediatric nurse practitioner in a pediatric urgent care without any physician on site.  Betty's father, Jeremy Wattenbarger discusses the efforts he has made to seek accountability and ensure that other children receive physician-led care. Get the book: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ PhysiciansForPatientProtection.org

Betty's Story Part 1: 7-yr old dies just hours after evaluation by pediatric NP

September 12, 2021 05:00 - 27 minutes - 14.1 MB

Many of our critics accuse us of exaggerating the risks that patients face when physicians are replaced by lesser trained members of the healthcare team.  We are often told that we are engaging in a ‘turf war’ with nurse practitioners and physician assistants and that we should support these nonphysicians practicing ‘to the full extent of their license and training. ’  Today we are going to explain exactly why we take such a hardline stance against the independent practice by nonphysicians. ...

Betty's Story Part 1: 7-yr old dies just hours after evaluation by pediatric NP

September 12, 2021 05:00 - 27 minutes - 14.1 MB

Many of our critics accuse us of exaggerating the risks that patients face when physicians are replaced by lesser trained members of the healthcare team.  We are often told that we are engaging in a ‘turf war’ with nurse practitioners and physician assistants and that we should support these nonphysicians practicing ‘to the full extent of their license and training. ’  Today we are going to explain exactly why we take such a hardline stance against the independent practice by nonphysicians. ...

Physicians in Politics Part 2: MD-JD explains why doctors must get involved - and announces his run for Congress

September 05, 2021 05:00 - 26 minutes - 13.3 MB

In part 2 of our discussion about healthcare politics,  Dr. Kermit Jones, a California internal medicine physician, attorney, and military veteran discusses his run for California's 4th Congressional District. Learn more about Dr. Jones at his website - https://kermitjonesmdjd.com/ Donate to Dr. Jones' political campaign here - https://secure.actblue.com/donate/kermitjonesforcongress2 Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ Physi...

Physicians in politics: MD-JD discusses why doctors must get involved - Part 1

August 29, 2021 05:00 - 34 minutes - 15.5 MB

More than ever, healthcare and politics are intertwined. Decisions made by politicians and have a major impact on not only healthcare policy, but on the day-to-day practice of medicine by physicians. Today we are excited to be talking about healthcare politics with Dr. Kermit Jones, a California internal medicine physician, attorney, and military veteran who is working to bring his medical expertise into the political arena. Learn more about Dr. Jones at his website - https://kermitjonesmd...

The High Cost of Healthcare with Marion Mass: Part 2

August 22, 2021 05:00 - 35 minutes - 17.3 MB

In part 2 of this discussion with Dr. Marion Mass, a pediatrician and the co-founder of Practicing Physicians of America, we learn about the impact of group purchasing organizations (GPOs) on the high cost of healthcare.  In 1987, the federal legislature granted GPOs safe harbor from anti-kickback statutes, allowing them to reap millions of dollars. Dr Mass also explains how these GPOs have created artificial shortages in essential medical supplies, leading to patient and clinician harm. Pr...

The High Cost of Health Care with Marion Mass: Part 1

August 15, 2021 05:00 - 34 minutes - 16.5 MB

We all know that the health care system in the United States is expensive, with the U.S. spending more than any other developed nation. Although it’s convenient to scapegoat doctors as the reason for high medical costs, the truth is that physician compensation makes up just 20% of total health spending.  So, who is really responsible for the astronomical cost of health care today? To get some answers, we are joined by Dr. Marion Mass, a pediatrician and the co-founder of Practicing Physician...

Physician Advocacy Part 2: Lessons from the nursing profession

August 08, 2021 05:00 - 34 minutes - 16.6 MB

On our last podcast, advocacy experts Dr. Purvi Parikh and Linda Lambert discussed steps that physicians can take to advocate for their patients and for the profession of medicine. In part 2, we learn from the legislative successes of the nursing profession.   We discuss how to write a resolution for your medical society to help influence policy, and how advocacy can be a solution to burnout. Get the book: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/...

Physician Advocacy Part 1: Making a difference for patients and the profession

August 01, 2021 05:00 - 35 minutes - 17 MB

Physicians are usually so busy taking care of patients that we sometimes ignore the political aspects of healthcare, leaving the decisions to legislators and policymakers, many of whom do not truly understand what it is like to deliver medical trenches in the trenches. Unfortunately, the old adage, “if you’re not at the table, you’re on the table,” is nowhere truer than in the healthcare legislative process. Today, I am joined by two experts to help us understand how physicians can be effec...

Physician assistant and former-PA-turned-physician discuss the state of the profession

July 25, 2021 04:00 - 37 minutes - 18.4 MB

When it comes to discussing the differences between physician assistants (PAs) and physicians, there is no one better to address the issues than someone who has trained and worked in both professions.  Christin Giordano MD was a PA before deciding to return to medical school to become a physician. She has since completed residency training and a fellowship to become a nephrologist.  We are also joined by Elizabeth Ennis, PA-C, a former classmate of Dr. Giordano, who is currently practicing i...

The impact of corporate medicine on physician moral injury

July 18, 2021 04:00 - 37 minutes - 18.1 MB

One of the biggest issues in medicine today is physician burnout, with almost 50% of all physicians reporting making active plans to leave the practice of medicine. We are joined by an expert on the subject of physician wellness, psychiatrist Wendy Dean. Dr. Dean and her co-author have singlehandedly changed the dialogue away from ‘burnout’ and towards the concept of ‘moral injury.’  We asked Dr. Dean for her perspective on the impact of corporatization and the replacement of physicians by n...

Investigative journalist Eric Starkman discusses the dangers of 'MD Lites'

July 12, 2021 11:00 - 31 minutes - 15.2 MB

We are joined by Eric Starkman, an investigative journalist who works to shed light on dangerous corporate practices in healthcare. Mr. Starkman is relentless in exposing the work of bad actors in the medical-industrial complex and discusses how the replacement of physicians by nonphysician practitioners is contributing to the decline of the U.S. healthcare system. Read Eric Starkman's article about the book 'Patients at Risk' here. An excerpt:  "The deceit are the studies purportedly show...

Psychiatry tips for physician wellness: preventing and treating burnout and addiction

July 04, 2021 04:00 - 31 minutes - 15.9 MB

About 42% of physicians report feeling burned out, and about half of all doctors are making active plans to leave the practice of medicine. Unfortunately, some doctors turn to drugs and alcohol to cope with the stressors of medicine, which may result in the loss of their professional licenses. Today, we are talking with Dr. Daniel Hochman, a psychiatrist, and an online professional recovery program creator to discuss physician well-being.   Get the book!  https://www.amazon.com/Patients-Ris...

JAMA Neurology's solution to neurologist shortage: Just substitute NPs/ PAs

June 27, 2021 04:00 - 34 minutes - 24.1 MB

On May 24, 2021, JAMA, or the Journal of the American Medical Association, published a viewpoint entitled:  “Advanced Practice Clinicians—Neurology’s Underused Resource.” The article was authored by nurse practitioner Calli Cook and Dr Heidi Schwarz, a neurologist with the University of Rochester and argued that due to a shortage of neurologists across the country, non-physician practitioners should be used more widely to provide neurology care to patients.  Physicians for Patient Protectio...

Health system hijacking of 'Doctors' Day' another step towards false equivalence among clinicians

June 20, 2021 04:00 - 31 minutes - 14.9 MB

One of the ways that corporations have been successful in replacing physicians with lesser-trained medical practitioners is by creating a sense of equivalence so that patients think that the care they will receive is “the same.” For example, both physicians and nurse practitioners and physician assistants wear white coats, have similar-appearing badges, and may be referred to as “doctor” even if that doctorate is not a medical degree.   Not only do these corporations elevate the role of non...

Board of Nursing vs Board of Medicine: A case study of nurse practitioner 'Rock Doc' Jeffrey Young

June 13, 2021 04:00 - 30 minutes - 14.6 MB

One of the differences between physicians and nurse practitioners is that physicians are regulated by a state Board of Medicine, while in most states, nurse practitioners are regulated by a state Board of Nursing.  This distinction is important, because while nurse practitioners are functioning in the same capacity as physicians—ordering and interpreting tests, making medical diagnoses, and writing prescriptions for medications—they are overseen by a regulatory body that includes nurses with...

Board of Nursing vs Board of Medicine: A case study of nurse practitioner 'Rock Doc' Jeffrey Young

June 13, 2021 04:00 - 30 minutes - 14.6 MB

One of the differences between physicians and nurse practitioners is that physicians are regulated by a state Board of Medicine, while in most states, nurse practitioners are regulated by a state Board of Nursing.  This distinction is important, because while nurse practitioners are functioning in the same capacity as physicians—ordering and interpreting tests, making medical diagnoses, and writing prescriptions for medications—they are overseen by a regulatory body that includes nurses with...

Physician training: the "differential diagnosis" and why it matters to your health

June 06, 2021 04:00 - 31 minutes - 14.6 MB

In our book, we dedicate several chapters to discussing the differences in training between physicians and non-physician practitioners. One of the most important elements of physician training is learning how to create a differential diagnosis, which is a list of all the possible causes of a patient’s symptoms.  Today we are joined by Dr. Mercy Hylton, a pediatric emergency medicine physician and who is also an author and a patient advocate, to discuss why physician training - including lear...

Patients at risk from private equity takeover of emergency departments - part 2

May 30, 2021 04:00 - 34 minutes - 23.4 MB

In part 2 of this discussion with emergency physicians Dr. Robert McNamara and Dr. Mitch Li, we learn about the dangers that patients face due to the takeover of private equity in healthcare. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ PhysiciansForPatientProtection.org

Patients at risk from private equity takeover in the emergency department

May 23, 2021 04:00 - 30 minutes - 21.2 MB

When you are taken by ambulance to the nearest emergency department, you are completely vulnerable. This is not the time when you can research or negotiate prices. With the corporate takeover of hospitals, bills for emergency services have skyrocketed. Patients often receive enormous bills that can sometimes even bankrupt them. These corporate systems are also taking advantage of physicians, and in many cases, replacing them with non-physician practitioners. We are joined by two experts on ...

Hormone pellet therapy: Is it worth the risk?

May 16, 2021 04:00 - 33 minutes - 23 MB

In recent years, there has been a massive increase in medical practitioners offering hormone therapy to patients. Since insurance doesn’t cover these treatments other than for very specific medical conditions, most patients end up paying cash, leading to big profits.  These treatments are usually promoted as “wellness” products, intended to make patients feel younger, stronger, thinner, and just all-around better. But the truth is that there is no clear evidence hormones cause these benefits...

If you are hospitalized, will your care be overseen by a physician?

May 09, 2021 04:00 - 32 minutes - 22.2 MB

Hospital organizations are increasingly replacing physicians with nurse practitioners and physician assistants who act as "hospitalists." John Chamberlain, the board chairman of Citizen Health and a former hospital CEO, discusses his wife's hospital stay, during which her care was supervised by a nurse practitioner. We also discuss the increasing corportization of health care and the importance in transparency among health care practitioners and hospital pricing.  Citizen Health aims to re...

Friend of YouTube sensation Stevie Ryan speaks out about her care by psych NP

May 02, 2021 14:00 - 27 minutes - 18.8 MB

In December, Patients at Risk aired two podcasts in which we discussed the case of Gerald “Jay” Baltz, a psychiatric nurse practitioner who was under investigation by the California board of nursing for engaging in an inappropriate sexual relationship and providing questionable treatment to a patient who subsequently took her own life.  While we did not provide any identifying details at that time other than what was included in public documents, since the time of that recording, friends an...

If you need emergency medical care, will you be treated by a physician?

April 25, 2021 04:00 - 28 minutes - 19.7 MB

 In our book, we discuss the case of Alexus Ochoa, a healthy 19 yr old woman who died when a nurse practitioner failed to properly diagnose her. What is particularly worrisome about this case is that when Alexus was taken to the emergency room by ambulance, the only medical practitioner working there was a nurse practitioner.  Unfortunately, this situation is occurring in hospitals across the country. Physicians are being replaced by non-physician practitioners, and patients often have no id...

Fighting the replacement of physicians in Texas

April 18, 2021 04:00 - 29 minutes - 20.4 MB

Nearly half the states in the Union have legislated the unsupervised practice of medicine by nurse practitioners and currently, one state allows physician assistants to practice without physician supervision. This legislative season we are seeing bills to allow independent practice for nurse practitioners and physician assistants in multiple states that do not currently allow the practice. Today we are joined by two Texas physicians who are working to educate patients and legislators about t...

Chiropractor-owned "neuropathy" clinic scams patient for $8000

April 11, 2021 04:00 - 24 minutes - 16.8 MB

 In our previous podcasts, we have focused on the differences in scope of practice between physicians and nurse practitioners. But other medical practitioners are also wading into the diagnosis and treatment of conditions that have previously been the domain of physicians.  Today we are going to discuss care provided by chiropractors, specifically when chiropractors step outside of their traditional role in providing spinal adjustments and into medical treatment for neurological conditions. ...

Should you let an optometrist operate on your eyes? The difference between ophthalmologists and optometrists

April 04, 2021 04:00 - 33 minutes - 22.7 MB

After the brain, the human eye is the most complicated organ in the body.  It is for this reason that a graduating doctor must spend at least another four more years after medical school to become an ophthalmologist. Unfortunately, some states are passing laws that allow optometrists to provide eye treatments that they aren’t qualified to do, and this can put patients at risk. Today, we are joined by Laurie Barber MD, an ophthalmologist and the chair of Safe Surgery Arkansas, to explain the...

A nurse's journey to becoming a physician: From RN, BSN, MSN, CNS, CCNP to MD-MBA

March 28, 2021 04:00 - 30 minutes - 20.6 MB

Dr. Toni Manougian has done it all.  Starting as an RN diploma graduate, Dr. Manougian obtained her bachelor's in nursing, followed by a master's degree as a clinical nurse specialist and then a degree as a critical care nurse practitioner, become deciding to become a physician.   Dr. Manougian explains the differences in training between the professions and tells aspiring physicians that it's never too late to become a physician if that is your dream. PhysiciansForPatientProtection.org

Success story: How Mississippi physicians stopped NP scope expansion

March 21, 2021 09:00 - 35 minutes - 24.3 MB

Jennifer Bryan, MD, a family physician and the chair of the Board of Trustees of the Mississippi State Medical Association,  discusses how her state created a coalition to block nurse practitioner scope expansion.

Success story: How Mississippi physicians stopped NP scope expansion

March 21, 2021 09:00 - 35 minutes - 24.3 MB

Jennifer Bryan, MD, a family physician and the chair of the Board of Trustees of the Mississippi State Medical Association,  discusses how her state created a coalition to block nurse practitioner scope expansion. PhysiciansForPatientProtection.org

Nurse practitioner describes gaps in education: "I wasn't fully equipped like I thought I was"

March 14, 2021 05:00 - 35 minutes - 24.1 MB

Patrice Little DNP discusses limitations in nurse practitioner education and explains why she created a platform to better prepare NP students.  Doctor of Nurse Practice Little shares that while she wrote her scholarly project on "full practice authority" for NPs, she realized that many NPs who prioritize patient safety - herself included - don't want independent practice. Patrice Little DNP's site: https://www.npstudentmagazine.com/ PhysiciansForPatientProtection.org

Why "access" to poor healthcare can be more dangerous than no healthcare at all

March 07, 2021 05:00 - 31 minutes - 21.8 MB

Many advocates of nonphysician practice argue that we need to allow nurse practitioners and physician assistants to practice independently because of a “provider” shortage.  The mantra “access” seems to supersede all other arguments – including concerns over patient safety.  But is ‘access’ really all it’s cracked up to be?  The answer is no, and here is why. A 2018 Lancet study analyzing 137 countries found that more people die worldwide due to POOR QUALITY care than die due to a lack of ac...

Addressing the shortage of bedside nurses

February 28, 2021 05:00 - 33 minutes - 23.2 MB

Health policy experts note that there is a shortage of registered nurses across the nation and that 11 million nurses are needed to avoid a future shortage.[i] A lack of nurses puts patients at risk, with a 2002 report by the Joint Commission on Accreditation of Healthcare Organizations noting that “inadequate nurse staffing has been a factor in 24 percent of the 1,609 cases involving patient death, injury or permanent loss of function reported since 1997.”[ii]  One of the reasons for the b...

Independent nurse practice in California - what patients and physicians should know

February 21, 2021 05:00 - 33 minutes - 22.7 MB

On September 29, 2020, the state of California passed AB 890, a bill allowing nurse practitioners the right to practice without physician supervision. The bill received widespread support from groups that benefit from the use of non-physician practitioners, including hospitals and community health centers. Despite opposition from physicians and other patient advocates, the bill was passed with large margins and was signed into law by Governor Gavin Newsome. Today emergency medicine physicia...

Patient dies during routine colonoscopy after cost-cutting 'private equity' anesthesia takeover

February 14, 2021 22:00 - 31 minutes - 22 MB

In April 2020, Beaumont Health, Michigan’s largest healthcare system, made the decision to terminate its established anesthesia group in favor of Texas-based NorthStar Anesthesia, a private equity firm that promised the health system lower staffing costs.  According to reports, more than a dozen physicians and surgeons resigned from the hospital system due to concerns over NorthStar’s reputation. NorthStar’s contract began on January 1 of this year, and on January 25, Eric Starkman, a repor...

RN exposes deficiencies in NP education – and the growth of the NP ‘cash’ practice

February 07, 2021 22:00 - 35 minutes - 24.2 MB

In our last episode we discussed the rapid growth of nurse practitioner training programs and some of the challenges this has caused in ensuring that nurse practitioner graduates receive adequate clinical training to care for patients. Today we continue to explore concerns about nurse practitioner quality of education, as well as a new trend for nurse practitioners to seek work in cash-pay type practices, including opening medi-spas, infusion centers, medical marijuana clinics, and so on. T...

RN exposes deficiencies in NP education – and the growth of the NP ‘cash’ practice

February 07, 2021 22:00 - 35 minutes - 24.2 MB

In our last episode we discussed the rapid growth of nurse practitioner training programs and some of the challenges this has caused in ensuring that nurse practitioner graduates receive adequate clinical training to care for patients. Today we continue to explore concerns about nurse practitioner quality of education, as well as a new trend for nurse practitioners to seek work in cash-pay type practices, including opening medi-spas, infusion centers, medical marijuana clinics, and so on. T...

RN and former NP student exposes deficiencies in nurse practitioner education

January 31, 2021 22:00 - 33 minutes - 22.7 MB

There are over 400 nurse practitioner schools in the United States, with nearly HALF of these programs promoting online training—ranging from 50-100% of required academic training sessions. Some of these programs offer accelerated training, allowing students to become an NP in as little as 2 years, others offer flexible schedules with part-time programs allowing students to work full-time while they attend school. In contrast, there are just 179 medical schools producing physicians in the Un...

Standardized exams: what it takes to become a physician - and the failure of the DNP USMLE experiment

January 25, 2021 13:00 - 30 minutes - 21.3 MB

The pathway to becoming a licensed physician in the United States requires nine to eleven years of formal education, and all physicians are required to pass a series of three high stakes standardized examinations called the United States Medical Licensing Examination (USMLE) before they can be licensed as to practice medicine. Most physicians also go on to become board-certified in their specialty field, which requires an additional examination following their residency or fellowship trainin...

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