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This is a very polarizing topic in the field of medicine, especially when it comes to independent practice of midlevel providers. I’d just point out that NPs h
by goodells 6y ago
This is a very polarizing topic in the field of medicine, especially when it comes to independent practice of midlevel providers. I’d just point out that NPs have a very aggressive national organization that promotes such studies, and the issue of equivalent patient outcomes is certainly not yet decided. There are significant questions about the study design, namely that midlevel providers are seeing less complex and critical patients, while physicians take on cases where their more advanced and thorough knowledge is needed (and outcomes tend to be poorer due to the patient condition, not the care provided).
This is well and good, aside from potentially misrepresenting the research - midlevels are supposed to handle what they can and escalate what they’re unable to handle to a supervising physician.
There is similar research that shows NPs and PAs order more unnecessary diagnostic tests like labs and imaging, and are more likely to prescribe antibiotics and narcotics when it isn’t indicated.
- mensetmanusman 6y agoIt’s entirely possible that the results/education curve is log/log complex, and that therefore because human biology is so complex and we know relatively so little, it doesn’t matter too much how trained the person working on you is (on average) past some baseline that might be lower than expected.