Comments on: Doctors fight expanding non-MD roles The Newspaper for the Future of Miami Wed, 25 Nov 2015 17:17:24 +0000 hourly 1 By: Jennifer Thu, 17 Apr 2014 23:35:01 +0000 Dr. D:
It is that very ignorant attitude that pushes patients to seek the care from a more compassionate and knowledgeable source like an NP. I have spent my life in “residency” of 12 hour shifts making pennies caring for critically ill patients and their families, as you breeze through and duck to avoid talking to anyone. I can assure you my student loans are in the six figures and I don’t receive the pay in return. You know nothing of what nurses do and learn. it is appallingly clear from your message. Your message seems like you believe yourself to be very knowledgeable and hard working. if you practice in a hospital, I encourage you to sit and watch, more than a few hours, how much nurses do the entire 12 hour shift (and that is just the first 12 hours of their day. We learn from our patients, families, each other, school, mentors, just name a few….

By: Dr. D Sat, 12 Apr 2014 19:11:49 +0000 I’m all for these nurses expanding their practice. Let them undergo additional years of training, like residency or years of fellowship, and pay the same as physicians do for malpractice coverage.

The argument that nurses make less mistakes with controlled substances, or that doctors make more mistakes is ridiculous since all the scripts these nurses are currently writing had to be cosigned by a physician. And it is the physician who is held responsible when there is a mistake, or medical error, not the nurse who originally wrote the script or made the medical error.

Just because other states are doing it doesn’t make it sound guidance. As previous comments delineate economics play a large role. And nurses, who do not spend years of their life in residency, accumulate hundreds of thousands of dollars in student loan debt, or pay thousands of dollars per year for malpractice protection (even if never having been involved in a suit), clearly do not get it – or are instead trying a back door approach to reap the benefits without all the hard work and commitment doctors have undergone to become what we are – a fully licensed physician with complete practice rights that extend beyond those of health care “extenders”. This is a benefit we experience for years of additional training, extra expense and sacrifice.

So I say let the nurses have this right, allow them better access to medical school, residency programs, and let them become doctors.

By: CARLOS LIZARRAGA Tue, 08 Apr 2014 04:20:24 +0000 Unfortunately it is true for the other professions as well.It is about protecting the pockets of the vested interests.In Florida,if you are a graduate of foreign country’s Dental school-you will never be allowed to practice.And if you are a graduate of a Dental school from another state-the same holds true.You will be required to complete your dental degree all over again at a Florida university.If you want to practice here.Just about each year the Florida legislature considers barring or making it difficult to practice some professions or trades because these professional associations or trade associations lobby the legislature to make laws to keep others out or from expanding their duties.And of course it is all in the name of patient safety or keeping out incompetent trades persons etc.If you graduate from a dental lab school as a dental lab technician-you will not be able to open your own lab unless you join a certain association here in Florida that was responsible for that piece of legislation.And of course-this organization sets out the requirements as to when you can open your own lab.Interestingly,the sponsor of this legislation was supposed to be a consumer advocate.And to a certain extent he was.This legislator is no longer in the Florida legislature as he was defeated.It is like we have returned to the guilded age.

By: Laurie Grissman Thu, 27 Mar 2014 14:03:00 +0000 This is exhausting listening to the pathetic arguments of the FMA… The FMA is the only group against the bill to allow ARNPs to prescribe. The FMA has absolutely no evidence the ARNPs don’t prescribe safely. There is no difference between nurse practitioners in 49 other states who prescribe controlled substances and nurse practitioners in Florida.
I have had over 2000 controlled substances prescribed by 7 nurse practitioners in my company that waited weeks to get “signatures” from the doctor… The doctors who collaborate in my company get paid $60k a year and have never seen one patient in my practice that they have written rx for…

So you tell me….. Are they against this bill because ARNPs are unsafe or because physicians will lose money!

And in primary care…’s time for the board of medicine to change the primary care curriculum!!!!! If ARNPs have evidence that our outcome in primary care is the same or better than physicians then we have demonstrated that it isn’t necessary to go to school for 12 years to practice primary care…..

And I guaranteed the information that a primary care dr learned in school 15 years ago is useless with today’s ever changing research and technology….. You have to educate yourself everyday in this business not just 12 years in school!!!!

It’s all POLITICS!!!!