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I love it.  I like the position of us being partnered with Physicians because it is our roots yet at the same time licensing us to practice without collaborative agreements and having our own governing body for discipline etc.  Strong positioning by the governing body.

Partnered with Physicians? How so? PAs are viewed a tools for manipulation to enhance profit. No Physician has ever worked with a PA as a partner or a teammate. The arrogance of Physicians precludes their working in a team environment. I keep insisting that the Physician-PA partnership that people speak of is a myth. Hence, NPs know Physicians never treated them with respect until they obtained independent practice and abandoned retesting. NPs are so far ahead of us in this race that the PA profession will never catch up. Full Practice Authority isn't going to get the job done. We need to abandon PANRE retesting and enable independent practice. 

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Partnered with Physicians? How so? PAs are viewed a tools for manipulation to enhance profit. No Physician has ever worked with a PA as a partner or a teammate. The arrogance of Physicians precludes their working in a team environment. I keep insisting that the Physician-PA partnership that people speak of is a myth. Hence, NPs know Physicians never treated them with respect until they obtained independent practice and abandoned retesting. NPs are so far ahead of us in this race that the PA profession will never catch up. Full Practice Authority isn't going to get the job done. We need to abandon PANRE retesting and enable independent practice. 

I have had great team relationship with Physicians.  I don't perceive them all as arrogant either but there are indeed some.  NPs hijacked a provider level of progress through nursing professions by way of legislatures independent of the State Medical Boards.  Of course that was going to be contentious.  Physicians created our profession.  Some hate us, some are indifferent, and some see the financial benefit of hiring us.  If what you mean by respect, you intend to equate with equal pay then you are mistaken.   MD/DO up front investment of time and money was greater than ours.  That's a discussion for later.  I also don't see NP respect levels any higher than PA levels except in states where the Nursing lobby is so strong the hospitals caved to their demands for better pay.  That is all debatable.  You probably live in a $hitty state.

 

For the love of all things, explain to me... consider it a person to person challenge if you will, how not retesting is linked to respect.  How many physicians did you see look at NPs and say, "you know what, you guys are really doing great things and I'm happy to have you here because you don't retest"?

 

You smuggled that nonsensical piece into your argument for what I don't know.  I know plenty of physicians that are happy to have their PA retest.  Many practices require it in states that don't like Nevada for instance.  Where are you getting this from?

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Dude, your really have to stop being so hyperbolic. I'm the pushiest person I know about advancing the profession and you make me cringe. From hating on individual physicians (who aren't the enemy it's the physician organization, I've worked with lots of great physicians that support PA independence) to comparing our situation to slavery. You really are not helping the cause by kicking open the door to the room and laying your junk on the table.

 

I ask you what does FPAR not have that you want? If it's independence, what does independence mean to you specifically because I bet FPAR has it.

 

NPs don't have anymore respect from physician organizations than we do. It certainly didn't change with retesting because they never had restesting to begin with. At least not in the last 25 years.

 

Partnered with Physicians? How so? PAs are viewed a tools for manipulation to enhance profit. No Physician has ever worked with a PA as a partner or a teammate. The arrogance of Physicians precludes their working in a team environment. I keep insisting that the Physician-PA partnership that people speak of is a myth. Hence, NPs know Physicians never treated them with respect until they obtained independent practice and abandoned retesting. NPs are so far ahead of us in this race that the PA profession will never catch up. Full Practice Authority isn't going to get the job done. We need to abandon PANRE retesting and enable independent practice.

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Partnered with Physicians? How so? PAs are viewed a tools for manipulation to enhance profit. No Physician has ever worked with a PA as a partner or a teammate. The arrogance of Physicians precludes their working in a team environment. I keep insisting that the Physician-PA partnership that people speak of is a myth. Hence, NPs know Physicians never treated them with respect until they obtained independent practice and abandoned retesting. NPs are so far ahead of us in this race that the PA profession will never catch up. Full Practice Authority isn't going to get the job done. We need to abandon PANRE retesting and enable independent practice. 

 

 

Maybe you should look at another career. Your anger and bitterness makes me look seriously sedate. It sounds like you are dangerously angry and probably not going to benefit PA autonomy but rather scar the progress by constantly biting and gnashing. Your own experience may be poor but you simply  have to see here on this forum that there ARE PAs working well with docs, enjoying their careers and still pushing for independence.

 

I HAVE worked with some great docs and still do - I value my partnerships and have worked very hard to forge relationships with PAs, NPs, Docs alike to get my patients what they need. Specialist Docs CALL ME to get a patient a strong PCP - they answer my calls and read my notes and respect my knowledge and intuition. 

 

So, if your experience and outlook is truly as bad as you write it out to be - GO - do something that doesn't make you so angry. Anger is destructive. Ask Yoda - it leads to the dark side.

 

I want to approach the New Year with some sort of better hope and this movement has given me that.

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I'm just trying to figure out how we can't get our name in an article like this one... No mention of PA. Just "team based care." I think coat-tailing this FPAR onto the physician shortage scare is the way we get in the door to the federal and state politicians.

 

http://www.forbes.com/sites/brucejapsen/2016/12/30/u-s-still-faces-doctor-shortage-despite-specialist-growth/#43d6bf7b91cd

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