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. Publication Date 2023 DOI 10.5811/westjem.58759

Andrew Phillips MD EdD is the author of  Survey Methods for Medical and Health Professions Education - E-Book: A Six-Step Approach

PhysiciansForPatientProtection.org

Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW at Amazon and Barnes and Noble.

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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

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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

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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.

https://www.physiciansupportline.com/

Psychiatrists helping our US physician and medical student colleagues navigate the many intersections of our personal and professional lives.            
Free, Confidential & Anonymous
No appointment necessary          
Call for any issue, not just a crisis

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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 Congress for more residency funding, some doctors are taking direct action to help medical school graduates to continue their journey toward becoming licensed physicians. Today we are joined by Mary Tipton MD, an internal medicine and pediatric physician, who has created opportunities for unmatched medical school graduates to gain additional training and experience at her medical clinic. 

Contact Dr. Tipton at [email protected]

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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 the COVID19 pandemic. Online mental health companies quickly shifted gears to prescribing medications typically available only through a face-to-face visit, especially stimulant medications for attention deficit hyperactivity disorder (ADHD).

Today we are joined by psychiatrist Ziba Rezaee, MD to help us understand the rise of for-profit online mental health companies and the risks to patients. 

Learn more: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164

Physicians, join us: physiciansforpatientprotection.org

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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 Nancy Berley MD and Shenary Cotter MD,  family physicians who experienced negative repercussions when errors were made by associated nonphysicians.

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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 cautionary tale for patients and physicians involved in the care of surgical patients. 

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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 an urgent care failed to recognize the onset of compartment syndrome. Fortunately, an astute emergency physician immediately recognized the condition and transferred her to a surgical center for treatment.  To help us understand compartment syndrome, we are also joined by trauma surgeon Stephanie Markle DO MPH.

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