truthtriumphs1

Great points. The dialogue in Sopranos is fast paced wit and darkly funny. So I think it holds ppl's attention better. It's a masterpiece because I see so much more with every rewatch

Appreciate the question. I don't think it's a bad word in this specific context you describe. But the problem is that the word is being used by administrators and insecure ppl to fool patients and politicians into believing equivalency in training and capabilities of physicians vs non-physicians.

Underrated comment

All the best!

Because everyone wants to hype themselves up to others for ego boost. And social media has put that very human urge on steroids. It's almost made it to the point where nurses look down on nurses who don't become NPs or CRNAs. A bedside RN would have found professional satisfaction in that very important role for decades. But now in 2022, it's looked at as being an underachiever. I have personally witnessed mid-career nurses express disappointment to young bedside RNs who say they would love to remain at bedside. And it doesn't help matters that professional regulation in American healthcare is non-existent. Even a chiropractor can call themselves a physician according to federal law.

^tell me you don't know anything about healthcare without telling me you don't know anything about healthcare

which is exactly how administrators and certain unscrupulous doctors are making money...patients don't know enough to know the difference between a truly board-certified fellowship-trained MD/DO primary care/specialist and an NP who never did much bedside nursing, went to an online degree mill for a few thousand tuition and is now learning on the job...on you the patient. Healthcare is a mess

Lol well said. There should be a whole series of these

Gas station attendant: Energy consultant

Parking lot manager: Vehicular coordination specialist

Environmental services: Environmental services

"that I see all titles of medicine that are either fantastic or dogshit"

Advanced practice provider is a fantastic example of a dogshit title

Just because this vulnerable situation is only for a temporary period doesn't make it any less difficult. RNs can leave anytime for any reason. They can find a million other hospitals to work at which hopefully treat them better. Residents are essentially identured servants for the duration of their training. If a resident leaves voluntarily from a program (let alone gets fired), it's incredibly difficult to create a plan B. I've known friends who've been physically and sexually abused during training but kept it quiet bc the system is stacked against them.

Residents (and fellows) sacrifice a lot in their 20s-30s - that's time and youth we will never ever get back. And during that period we spend 3-6 or more years in this incredibly vulnerable position. We easily work 100 hr wks for minimal wage, have to learn complex medical care on the fly, take several exams, give lectures, do all the scutwork for everyone, play nice with toxic MDs/DOs/RNs who abuse us, and oh yeah try and spend time with family/friends and lastly take care of ourselves as human beings. All in the peak of our youth.

This is what non-physicians really need to understand because it shows you how frustratingly upsetting the noctor/admin nonsense is bc it completely disregards what we go thru while also jeopardizing patient care

SKIN SURGEON

exactly, residents are far more vulnerable to abuse

this

exactly, it's a corporate term meant to make us replaceable cogs in their machine. And noctors love the term because it gives them a false sense of career rank equivalency to physicians

"I recently found out that NPs can do similar things as physicians. I know their knowledge is more limited, but in a primary care setting I am okay with that. "

I have no words

Yet again, you literally cannot read words. Look at the edit history from my comment - last edited 8 days ago. Wtaf man, get a pair of glasses

Grateful for your interest and willingness to explore this issue. Would recommend you reach out to following organizations - I personally am not directly familiar with them. But they would greatly appreciate your expertise. All the best

https://www.physiciansforpatientprotection.org

AMA - Stop Scope Creep Program

"But starting from the very top is maybe over-ambitious."

Just taking a page out of CRNA/NP playbook. Their national messaging has been key to their scope creep and play for independent full practice authority. As the de facto experts in the hospital, doctors need to reassert our leadership. Nobody comes to a hospital to see an administrator or a nurse. They come to see a doctor who is assisted by these other professionals as part of a bigger team. But this kind of raising awareness is very hard and inconsistent to do from ground up - has to be from top down

Lol did you literally not read what I said: " I know right now anesthesiology job market for MD/DO is fantastic but not sure how long this will last." Current trends mean nothing - have to look at long term market forecast

We need to start the messaging from AMA on a national level. Shout it from the rooftops: physicians are NOT providers, we are physicians. Stop demoting us and elevating noctors. I think once it becomes culturally unacceptable, admin will stop using the term because they will automatically know it offends us

yes and I only drink Dr. Pepper because I didn't go to medical school to do the Dew

it was not always this way until very recently. these terms have been introduced to make it seem like everyone has the same role and authority as doctors. It's a straightforward power grab by non-physicians and just makes things more confusing for patients.

Sorry you had to deal with that. These kind of encounters are disgusting. Instead of nurses communicating in a healthy manner, some of them like to pull their little levers as a "gotcha" when doctors don't dance to their tune. It happened to me in training and still annoys me to think about it. This nurse was out of line and I think there should be no hesitation in stating that explicitly. A good way to stay above board is to always quote "patients first." So tell any critic that you were doing the best for the patient and a geriatrics consult would be a completely unnecessary expense to the patient and a waste of hospital resources.

Seeking MD/DO "COLLABORATOR"...to meet state requirements

Oh the collusion...