Hey Bill. Is anyone surprised that the AMA would protect their turf and the status quo? This from the organization that still supports the RVS Update Committee (RUC) and "Relative Value Units" - an instrument of the devil. In my joint replacement practice, I had the pleasure of working with an APRN one-on-one for 23 years. In terms of patient care and decision-making, she could do 85% of what I could do as well if not better. I have not been a member of the AMA since medical school and given this entrenched stance on Nurse Practitioners, likely never will. Nice post...
Thank you for your perspective. I have been a a Family Nurse Practitioner working with an endocrinologist in private practice for 22 years. My education taught me to be a caring scholar and clinician, then my career choice gave me a long apprenticeship. A year ago we made the difficult decision to become a total concierge practice due to the diminishing reimbursement and increase in business costs. Nearly 200 people signed up for my practice, and another 200 for the MD practice. It is such a relief to be able to relax while spending time with my patients. They appreciate that I know them personally and everything I do for them. When I am asked why I didn’t “go on to be a medical doctor”, I respond that I preferred to be a nurse. We have a collaborative relationship, not a competitive one.
Understand your point completely and I share it. Nurse practitioners and physicians should collaborate on teams like yours. We have been working for four years to standardize and automate best practice care to the extent possible. If you hire more nurse practitioners and support them properly you could dramatically increase the impact of your practice. You provide the high touch and we can provide support in the form of high tech. I would love to be in touch with you. Please provide your contact information on a Subsack message.
The AMA only represents themselves. A very small minority of physicians are members. They say things like this to try and make believe they are relevant. It’s almost like click bait to get in the news. Just ignore them whether u agree or disagree with them.
Hey Bill. Is anyone surprised that the AMA would protect their turf and the status quo? This from the organization that still supports the RVS Update Committee (RUC) and "Relative Value Units" - an instrument of the devil. In my joint replacement practice, I had the pleasure of working with an APRN one-on-one for 23 years. In terms of patient care and decision-making, she could do 85% of what I could do as well if not better. I have not been a member of the AMA since medical school and given this entrenched stance on Nurse Practitioners, likely never will. Nice post...
Thanks so much. You made my week
Thank you for your perspective. I have been a a Family Nurse Practitioner working with an endocrinologist in private practice for 22 years. My education taught me to be a caring scholar and clinician, then my career choice gave me a long apprenticeship. A year ago we made the difficult decision to become a total concierge practice due to the diminishing reimbursement and increase in business costs. Nearly 200 people signed up for my practice, and another 200 for the MD practice. It is such a relief to be able to relax while spending time with my patients. They appreciate that I know them personally and everything I do for them. When I am asked why I didn’t “go on to be a medical doctor”, I respond that I preferred to be a nurse. We have a collaborative relationship, not a competitive one.
Understand your point completely and I share it. Nurse practitioners and physicians should collaborate on teams like yours. We have been working for four years to standardize and automate best practice care to the extent possible. If you hire more nurse practitioners and support them properly you could dramatically increase the impact of your practice. You provide the high touch and we can provide support in the form of high tech. I would love to be in touch with you. Please provide your contact information on a Subsack message.
Thank you Bill for this excellent column. Happy New Year to you and yours!
It is great to hear from you and Happy New Year!
Good article Dad!!!
Thanks Bill
I’ve also dealt, VERY POSITIVELY, with nurse practitioners! I find they seem to care and they listen! Two reasons why I don’t go to a doctors offices!
They are a great resource and could help solve many of our healthcare problems
Not all of them. Just like ppl, politicians. Some are good and some just don’t give a damn!
The AMA only represents themselves. A very small minority of physicians are members. They say things like this to try and make believe they are relevant. It’s almost like click bait to get in the news. Just ignore them whether u agree or disagree with them.