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  • #16
    Can provide a link, Vagabond? I do not find that particular flavor of foolishness on Sermo at the moment.

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    • #17




      Can provide a link, Vagabond? I do not find that particular flavor of foolishness on Sermo at the moment.
      Click to expand...


      http://www.ohio.com/news/local/summa-opts-against-renewing-contract-with-critical-care-specialists-1.738357

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      • #18
        I'm only a student, but I've seen enough on rotations that I can't understand why the hospital employed physicians would agree to be the collaborating physician for NP's in an ICU setting? It seems like a lawsuit just waiting to happen.

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        • #19
          Ok, Summa isn't replacing ICU docs with NP's, they're replacing a private practice group with an employed group that uses NP's. It's a model that could work, assuming well-trained NP's (ex ICU RN's most likely) where each NP has a small cadre of patients that they manage and the MD is ultimately in charge, similar to the attending/resident model at academic centers. It stinks for the private practice group but is hardly unheard of.

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          • #20
            @jpa, students tend to underestimate the competency of a well-trained NP. You may also ask why we let residents take care of patients in the ICU. Both are effective when well-trained and well-supervised.

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            • #21
              So what happens to the residents who are half way through their programs?

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              • #22
                They have to scramble to try and find a program who is willing to accomodate them halfway through. If they can't find a spot, their options are to repeat match or try to find a job without board eligibility. A humongous kick in the crotch no matter what.

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