my opinion: mid-levels who have direct supervision by an MD do fine. mid-levels who have no supervision are often lost

Mar 6, 2021
7:25:08pm

SaturdaySpecialDay Q Hall 5th floor

The key difference is the former are taught to recognize what they don't know, and get help. The latter do not understand what they don't know, and they waste a lot of resources as a result (and occasionally harm patients).

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SaturdaySpecialDay

Bio page: SaturdaySpecialDay
Joined: Aug 21, 2013
Last login: May 24, 2024
Total posts: 5,706 (2,251 FO)

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Messages

Author

Time

Question for the older docs (I'm mid-40s)

5150man All-American

3/6/21 11:52am

I'm not a doc but that is scary to hear

Parker Schnabel

3/6/21 11:58am

I don’t want to risk getting into a bashing session over mid levels. I think

Idahofallsblue

3/6/21 11:59am

I agree. Funny thing is I never got trained on how to manage a mid level.

5150man

3/6/21 12:09pm

I took my kid to urgent care a couple years ago because he had snorted a marble

LiveCoug

3/6/21 12:00pm

You should be pissed. Nasal foreign body is something any urgent care should be able to handle.

Virginia Ute

3/6/21 12:11pm

I usually had parents mad they brought them to me in the UC when I just had them blow in the mouth and it popped out.

5150man

3/6/21 12:16pm

Urgent cares are the worst. They are good for strep that’s about it.

Fargo

3/6/21 12:13pm

They’re antibiotic dispensaries. That’s all.

doktorpfeffer

3/6/21 1:01pm

That's one I struggle over.

5150man

3/6/21 1:33pm

My urgent care has been spectacular. Worth every Penny. They are no hospital,

RealityCheck

3/6/21 4:47pm

So your vacuum cleaner was broken?

CougarThug

3/6/21 3:22pm

Maybe what you’re seeing is that NPs are trending younger, as it is an

valleus

3/6/21 12:05pm

They’re just churning out so many and so many of them are new and have no experience and they get put in roles that they

Virginia Ute

3/6/21 12:10pm

Sometimes the NP students come "observe" me in the ER

WorfoSAUR

3/6/21 12:16pm

Yeah. Last year I finally said no more.

5150man

3/6/21 12:20pm

NP student here

redraidercoug

3/6/21 12:35pm

I didn't mean to be offensive. Just wondering if others see what I'm seeing

5150man

3/6/21 1:23pm

RE: I didn't mean to be offensive. Just wondering if others see what I'm seeing

redraidercoug

3/6/21 2:24pm

I work in a hospital with some very good NP’s and PA’s. I get the

OmahaThunderCoug

3/6/21 1:30pm

Urgent Cares are the joke.

claw

3/6/21 1:32pm

Several reasons: less financial incentive for quality personnel...

BringYourUltimate

3/6/21 1:40pm

In a different field, that sounds like seasonal tax preparer franchises

dratax

3/6/21 2:42pm

As an Urgent Care physician

hunkahunka

3/6/21 4:19pm

I'm only about 5 years older than you, but I have seen the same trend. I am in

BYU28_Miami21

3/6/21 4:27pm

I'll just say thank you for seeing initial consults. My referrals initially seeing a mid level frustrates me to no end.

5150man

3/6/21 4:57pm

I’ve had a similar experience.

Shovel jockey

3/6/21 5:22pm

I do think the rapid growth in programs is problematic. I was fortunate to train

Nakedbootleg

3/6/21 8:00pm

I’ve never shamed anyone in my career. And I have always answered any question

Shovel jockey

3/6/21 10:20pm

I should mention that I was fortunate as well to train with PA side by side

Shovel jockey

3/6/21 10:32pm

Thanks. You’ll have to forgive me if I get to defensive, but it is frustrating

Nakedbootleg

3/7/21 8:26am

One of the harder things for me

5150man

3/7/21 8:43am

Btw, Cochrane review found no significant decrease in quality of care when

valleus

3/6/21 6:53pm

Seriously though. How did they grade quality or what is defined as a worse outcome?

5150man

3/6/21 7:13pm

I hear what your saying. However in a field in which you

Shovel jockey

3/6/21 7:27pm

my opinion: mid-levels who have direct supervision by an MD do fine. mid-levels who have no supervision are often lost

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