Louisiana physicians hire lobbyist and defeat NP independence bill
Louisiana physicians discuss their successful effort to block scope of practice expansion in the state. PhysiciansForPatientProtection.org
Oct 16, 2023•27 min•Season 1Ep. 85
Patients at Risk
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.
Episodes
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. Dr. Caplan's article - https://www.medscape.com/viewarticle/994536 Get the book Patients at Risk and Imposter Doctors ! PhysiciansForPatientProtection.org...
Oct 02, 2023•31 min•Season 1Ep. 84
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. Retired OB/GYN John Lafferty, MD discusses complications that can occur during pregnancy and delivery, and why team-based care should always be led by a physician. PhysiciansForPatientProtection.org
Sep 18, 2023•23 min•Season 1Ep. 83
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. But instead of allowing her to open her own direct primary care practice, the hospital enforced a 50-mile radius noncompete contract, limiting patient access to care. Listen in on our discussion of noncompete contracts and why some physicians are leaving employed practi...
Sep 04, 2023•32 min•Season 1Ep. 82
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. Learn more at PatientsAtRisk.com Get the new book, Imposter Doctors, available in paperback, eBook and Audible: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk-ebook/dp/B0C4J3P3Z1/ PhysiciansForPatientProtection.org
Aug 21, 2023•35 min•Season 1Ep. 81
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. Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/ Join PPP: PhysiciansForPatientProtection.org PhysiciansForPatientProtection.org
Aug 03, 2023•32 min•Season 1Ep. 80
Ensuring a fair physician employment contract
Employment attorney Dennis Hursh, Esq advises physicians on best practices for a fair employment contract. Mr. Hursh is the owner of Physicians Agreements Health Law and the author of The Final Hurdle: A Physician's Guide to Negotiating a Fair Employment Agreement https://www.amazon.com/Final-Hurdle-Physicians-Negotiating-Employment-ebook/dp/B07R596D28/ Contact him at https://pahealthlaw.com/ Get the new book, Imposter Doctors, a sequel to Patients at Risk. https://www.amazon.com/Imposter-D...
Jul 17, 2023•34 min•Season 1Ep. 79
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. Permalink https://escholarship.org/uc/item/9g14r2jx Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(3) ISSN 1936-900X Authors Phillips, Andrew W Sites, Jeremy P Quenzer, Faith C et al. Publ...
Jun 14, 2023•33 min•Season 1Ep. 78
New Book - IMPOSTER DOCTORS - Now On Sale!
Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW at Amazon and Barnes and Noble . PhysiciansForPatientProtection.org
Jun 01, 2023•21 min•Season 1Ep. 77
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! Psychiatrist Dr. Rashida Gray discusses her journey and encourages physicians to take back control of medicine by opening their own practices. Learn more about Dr. Gray at her website: GrayMDPsychiatry.com Join us: PhysiciansforPatientProtection.org PhysiciansForPatientProtection.org
May 07, 2023•33 min•Season 1Ep. 76
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. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164 PhysiciansForPatientProtection.org
Apr 17, 2023•18 min•Season 1Ep. 75
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. If you know someone who might need help through this difficult time, the Physician Support Line is a free, confidential, and anonymous resource. Dr. Mona Masood, psychiatrist and founder of the Physician Support Line, discusses the importance of help for doctors. Physician Support Line - 1 (888) 409-0141 https://w...
Mar 20, 2023•28 min•Season 1Ep. 75
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. One major cause of the physician shortage is a lack of residency positions, the required minimum training that must be completed after medical school to be licensed as a physician. Every year, thousands of aspiring physicians cannot complete that training because of a lack of funding for more residency positions. While physician advocacy groups are lobbying Con...
Feb 11, 2023•29 min•Season 1Ep. 74
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. But instead of hiring physicians, these companies hire nurse practitioners to care for some of the most complex and vulnerable patients in our nation. These companies got an even bigger boost when the U.S. Drug Enforcement Agency relaxed requirements for the prescribing of controlled substances due to ...
Jan 16, 2023•28 min•Season 1Ep. 73
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. But case law examples demonstrate this to be false. If state law requires physician supervision or collaboration, the physician may be held vicariously liable in the event of negligence, even if they were not consulted by the nonphysician about the patient’s care. Today we are talking with Nan...
Dec 19, 2022•24 min•Season 1Ep. 72
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. Even worse, you find out that your anesthesia was provided not by an anesthesiologist, but by a nurse anesthetist. Paul Ambruster discusses his near-death experience after receiving anesthesia from a CRNA without anesthesiologist supervision. This is a caut...
Nov 28, 2022•26 min•Season 1Ep. 71
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. Today’s guest brings us a perfect example of the importance of this training. Karen Wilson Saintsing DVM is a veterinarian who nearly lost her arm after a nurse practitioner in ...
Oct 24, 2022•29 min•Season 1Ep. 70
Will an NP/PA perform your next colonoscopy? Part 2
Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. Colorectal surgeon Amer Alame MD discusses the flaws in a study that claims to show that PAs can safely perform colonoscopies. Fejleh MP, Shen C, Chen...
Sep 06, 2022•24 min•Season 1Ep. 69
Will an NP or PA perform your next colonoscopy?
Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. Colorectal surgeon Amer Alame MD discusses the flaws in a 2020 Johns Hopkins study advocating for the use of NPs to perform colonoscopies. Riegert M, ...
Aug 22, 2022•28 min•Season 1Ep. 68
Physician, Own Thyself: Taking Back Professional Control
Tired of being owned by corporations, but don't want to open your own practice? Stephanie Freeman, MD, a critical care physician and entrepreneur, teaches physicians how to become self-employed through contract work and locums. Learn more at DrStephanieICU.com http://www.freelocumstraining.com for free online locums training. National Association of Locums and Independent Physicians http://www.na-lip.com PhysiciansForPatientProtection.org
Jul 18, 2022•33 min•Season 1Ep. 67
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 Practice in U.S. Emergency Departments The summary: “Due to the variability in educational preparation, NPs should not perform independent unsupervised care in the ED regardless of state law or hospital regulations.” This unequivocal statement contradicts the rhetoric of NP leadership which insists that NPs should be allowed to practi...
Jul 05, 2022•29 min•Season 1Ep. 66
Point of view: Let NPs and PAs practice independently - but hold them to the same standard as a physician
Attorney and emergency medicine physician William P. Sullivan believes that nonphysician practitioners should practice independently, but be held to the same medical standard as physicians since NP/PA leaders argue that there is "no difference in the practices and outcomes between physicians and advanced practice providers." Dr. Sullivan joins us to discuss his article on this issue - https://sullivanlegal.us/nurse-practitioner-and-physician-assistant-standard-of-care/ Get the book! ht...
Jun 20, 2022•34 min•Season 1Ep. 65
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 as good or better than that provided by physicians. We’ve shown that in many of these cases, the study authors are using flawed methodology or failing to disclose important information, like nurse practitioners working under physician supervision. Today we invite you to attend Patients at Risk ’s first “Journal Club” session as we dissect a study that claims to show t...
Jun 06, 2022•34 min•Season 1Ep. 64
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 A Physician-Friendly Environment Is Critical For Your Organization’s Success . Dr. Farrago has been fighting to improve the state of medicine for decades, authoring books on direct care and pointing out the fallacies in health care at his blog, AuthenticMedicine.com . His newest book, The Hospital Guide to Physician Retention is focused on ...
May 23, 2022•36 min•Season 1Ep. 63
Women physicians on scope of practice (part 2)
Sonal Patel MD and Jou Jou Hanna MD discuss the difficult choices that women make to become physicians, and why that training matters. PhysiciansForPatientProtection.org
May 09, 2022•20 min•Season 1Ep. 62
No shortcuts in medicine: why women physicians are fired up about scope of practice (Part 1)
One topic that gets women physicians fired up like no other is a discussion of gender issues in medicine. While medical school classes are currently made up of about 50% women, women physicians are still a significant minority in medical practice today, and women doctors face serious inequities due to their gender. One of the biggest challenges that women must face is the decision of if or when to have children, because of the intense and lengthy educational training process that doctors must co...
Apr 25, 2022•33 min•Season 1Ep. 62
Is it time for an NP/PA 'Flexner Report?' Part 2
Part 2 of our discussion with John Lafferty MD regarding the need for Flexner-style reform for NP and PA programs. Dr. Lafferty describes his experiences training PA students. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ Thanks to our sponsor: Old Pueblo Anesthesia (OPA) is a physician-owned and operated practice that has served the southern Arizona community for over 40 years. They are committed to delivering anesthetic care exclusively by ...
Apr 11, 2022•20 min•Season 1Ep. 61
Is it time for an NP/PA Flexner Report? Part 1
Many of our podcasts have focused on concerns about the deterioration of nurse practitioner training, with an increase in for-profit schools that compete fiercely for student tuition dollars. These programs often boast 100% acceptance rates -in other words, anyone who applies is accepted. Students who attend programs like these complain about sub-par education including open-book tests that leave graduates inadequately prepared to care for patients. The rise of these diploma mills has led many t...
Apr 04, 2022•23 min•Season 1Ep. 60
Equal pay for 'equal' work: Inside the NP fight to be paid the same as physicians
One of the strategic goals of the American Association of Nurse Practitioners listed on their website (now behind a paywall) is for nurse practitioners to achieve pay parity: to be paid the same as physicians. Oregon became the first state to require that insurance companies pay nurse practitioners the same as physicians and now proposed legislation would do the same in Washington state. To discuss the implications of pay parity in Washington and elsewhere, we are also joined by the past preside...
Mar 28, 2022•33 min•Season 1Ep. 59
Former PA and author of 'Hospital Confidential' discusses midlevel malpractice risk
As nonphysician practitioners increasingly provide more patient care, experts note a commensurate increase in medical malpractice claims. Today we welcome medicolegal adviser Bob Pegritz, the co-author of ‘Hospital Confidential,’ an expose of medical malpractice cases. As Bob wrote me, "I have worked in the medical/legal community for 32 years. Before that, I was a surgical PA. As a medical/legal consultant, I have seen a trend over the past 5 years of more PAs crossing my desk for merit re...
Mar 14, 2022•35 min•Season 1Ep. 58
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