Comments on: Degree Creep, Indeed http://gruntdoc.com/2009/02/degree-creep-indeed.html Ramblings of an Emergency Physician in Texas Sat, 12 May 2012 12:36:18 +0000 hourly 1 http://wordpress.org/?v=3.3.2 By: Domd http://gruntdoc.com/2009/02/degree-creep-indeed.html/comment-page-1#comment-20312 Domd Thu, 03 Dec 2009 01:58:24 +0000 http://gruntdoc.com/2009/02/degree-creep-indeed.html#comment-20312 If these DNPS (Doctors of Nursing Practice) and DScPAs (Doctors of Science Physician Assistant) want these doctorates, then so be it and please let these midlevels share same burden of malpractice and pay as much as physicians have to pay and not fall under the umbrella of physicians anymore! Go for it midlevels, but ergo, be careful of what you midlevels wish for... If these DNPS (Doctors of Nursing Practice) and DScPAs (Doctors of Science Physician Assistant) want these doctorates, then so be it and please let these midlevels share same burden of malpractice and pay as much as physicians have to pay and not fall under the umbrella of physicians anymore! Go for it midlevels, but ergo, be careful of what you midlevels wish for…

]]> By: Disability insurance for Physician http://gruntdoc.com/2009/02/degree-creep-indeed.html/comment-page-1#comment-16492 Disability insurance for Physician Mon, 23 Feb 2009 23:13:33 +0000 http://gruntdoc.com/2009/02/degree-creep-indeed.html#comment-16492 Interesting article, we could all use more PA's, they are important to the medical field. Protecting a PA's income should be just as important. Interesting article, we could all use more PA’s, they are important to the medical field. Protecting a PA’s income should be just as important.

]]> By: PA http://gruntdoc.com/2009/02/degree-creep-indeed.html/comment-page-1#comment-16491 PA Mon, 23 Feb 2009 21:19:21 +0000 http://gruntdoc.com/2009/02/degree-creep-indeed.html#comment-16491 The upside? The universities will be able to get more $$$. Who do you think make these degree creep decisions? Academia intellectuals. Upside for clinicians? Not much IMO. The upside? The universities will be able to get more $$$. Who do you think make these degree creep decisions? Academia intellectuals. Upside for clinicians? Not much IMO.

]]> By: albatross http://gruntdoc.com/2009/02/degree-creep-indeed.html/comment-page-1#comment-16490 albatross Mon, 23 Feb 2009 21:10:08 +0000 http://gruntdoc.com/2009/02/degree-creep-indeed.html#comment-16490 The only reason it makes sense to have PAs or NPs treat patients instead of physicians, as far as I can tell, is cost (equivalently, supply of doctors). (Is that right?) The cost of getting a doctor to treat patients ultimately comes down to the difficulty of becoming a doctor (which limits how many doctors are in the market for jobs, which determines the price), and to how much you spend to become a doctor--that is, how much tuition you end up spending, and how many years you're making either nothing or a pittance. Given those two, why does it make sense to increase the educational requirements on NPs and PAs? It seems like this inevitably means they will cost more to employ, because they'll now have a harder process to become NPs/PAs, and will have to spend more on tuition/defer making a living longer before beginning to make money. What's the upside? If we need less expensive medical professionals to treat the simple cases, it seems like making those professionals more expensive defeats the purpose. The only reason it makes sense to have PAs or NPs treat patients instead of physicians, as far as I can tell, is cost (equivalently, supply of doctors). (Is that right?)

The cost of getting a doctor to treat patients ultimately comes down to the difficulty of becoming a doctor (which limits how many doctors are in the market for jobs, which determines the price), and to how much you spend to become a doctor–that is, how much tuition you end up spending, and how many years you’re making either nothing or a pittance.

Given those two, why does it make sense to increase the educational requirements on NPs and PAs? It seems like this inevitably means they will cost more to employ, because they’ll now have a harder process to become NPs/PAs, and will have to spend more on tuition/defer making a living longer before beginning to make money.

What’s the upside? If we need less expensive medical professionals to treat the simple cases, it seems like making those professionals more expensive defeats the purpose.

]]> By: PA http://gruntdoc.com/2009/02/degree-creep-indeed.html/comment-page-1#comment-16365 PA Wed, 11 Feb 2009 21:03:39 +0000 http://gruntdoc.com/2009/02/degree-creep-indeed.html#comment-16365 Gruntdoc I am a PA and do not necessarily agree with this program. In a sense it will force the PA out of the role in which we were created and that was to be physician extenders! We are NOTHING without the Physician relationship nor would I want to be. I didn't want to go to more academia. If I did it would have been MED SCHOOL! Why all the extra expense and time if we cannot be more than we are? I love being a midlevel provider and love the relationship I have with my ER (ED, whatever) docs. Thanks for doing what you do and you will have to visit my site once its up. J Gruntdoc
I am a PA and do not necessarily agree with this program. In a sense it will force the PA out of the role in which we were created and that was to be physician extenders! We are NOTHING without the Physician relationship nor would I want to be. I didn’t want to go to more academia. If I did it would have been MED SCHOOL! Why all the extra expense and time if we cannot be more than we are? I love being a midlevel provider and love the relationship I have with my ER (ED, whatever) docs. Thanks for doing what you do and you will have to visit my site once its up.
J

]]> By: david http://gruntdoc.com/2009/02/degree-creep-indeed.html/comment-page-1#comment-16350 david Tue, 10 Feb 2009 04:08:28 +0000 http://gruntdoc.com/2009/02/degree-creep-indeed.html#comment-16350 I'm not entirely sure why this is considered necessary -- PAs are amazing assets & people, in general, and they are extremely capable in their primary role. Won't this sort of pit them against their physician preceptors, in a way? I’m not entirely sure why this is considered necessary — PAs are amazing assets & people, in general, and they are extremely capable in their primary role. Won’t this sort of pit them against their physician preceptors, in a way?

]]> By: mikemd http://gruntdoc.com/2009/02/degree-creep-indeed.html/comment-page-1#comment-16346 mikemd Mon, 09 Feb 2009 22:30:42 +0000 http://gruntdoc.com/2009/02/degree-creep-indeed.html#comment-16346 Interesting article. Very curious as to how a PA doctorate program would work out considering their dependence on physicians. Interesting article. Very curious as to how a PA doctorate program would work out considering their dependence on physicians.

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