Article in EP Monthly

[discogenic]

www.epmonthly.com  8/28/14  (I tried to copy/paste the link but couldn't for some reason)

 

Overall a favorable article.  Definitely written from the ED physician perspective and with a business bent.  Interestingly, the author suggests on-the-job training may not suffice in the future and that one-year "internships", as he calls them, will become required to work in an ED. 

[EMEDPA]

www.epmonthly.com  8/28/14  (I tried to copy/paste the link but couldn't for some reason)

  Interestingly, the author suggests on-the-job training may not suffice in the future and that one-year "internships", as he calls them, will become required to work in an ED. 

I have heard that elsewhere before....echo, echo, echo

[whoRyou]

I have heard that elsewhere before....echo, echo, echo

Hmm I wonder who said it and where was it said?

[gbrothers98]

I am not so sure that this is a favorable article.

 

First, the author persists in the midlevel nomenclature. Clear insight that he does not get it.

 

He does make a good point that new PAs need more training in emergency medicine if they will work in that field. I think that is the only good point he makes.  He does not have good knowledge of residency availability and the factors that cause newly graduate PAs to not attend these. He did not touch on the presence of the CAQ. A commenter below the article pointed this out. Thanks E. While he may appear PA friendly, he really is only concerned with the effect PAs have on physician practice in the ED. He may do this under the guise of an administrator or as a study of workforce needs but PAs are just another tool to use in the ED such as nurses, techs, scribes, etc.

 

There is an obvious concern about NPs and the ability to practice on their own. This fact frightens some physicians because they perceive themselves at the head of the food chain rather than in the mix like everyone else. Rather than battle within the food chain, NPs have just removed themselves from it. This is why you will see many clinics and hospitals hiring NPs. They are cost effective, happy to work and dont practice this form of behavior. This author likes PAs because of the supervisory requirement and the ability for physicians to exert their influence on them along with continuing a hierarchy unlike with NPs. I personally find an attitude such as that stifling to PAs whom have multiple years of experience they bring to the table. I have anecdotal experience of the supevision alluded to. It amounts to being told to order a panel of tests instead of relying on experience and judgement due to who and what I am rather than any insight into what I bring to the table. Then conversely being able to state the PA orders too many tests!!

 

I get EP monthly. It has some value as a throwaway EM magazine with some periodic worthwhile articles. It also wears its EM physician bias on its sleeve and its ownership and articles sometimes will carry a bit of political leanings that I could care less to hear about. But that is what you can do when you own a magazine. Read this article between the lines.

 

G Brothers PA-C

[EMEDPA]

Agree with above. not a well-researched article and definitely doc-centric views.