Pushed around by NCCPA

[LIPPER]

Annoyance.... Really Lipper? Did you know anyone who was affected by the latest scoring error? If so ask them how it felt, and whether they would want it to happen again. I hope you have a liitle more empathy/ sympathy for your patients

Just another annoying opinion or comment.

 

The "annoyance" I was referencing were the trolls and others continuing to drone on and on, not the actual NCCPA glitch. ....that being said, Yes actually I know someone that was directly affected. And I know the relief he felt when the error was corrected. And contrary to some here he didn't go overboard. His job wasn't in jeopardy. Nor was his credentialling. He didn't have to "abandon" his family to study, didn't have to "humiliate" himself telling his boss anything....Yes he spent unnecessary funds on a review course. But hey, he's a PA and makes decent $$.

 

I have plenty of empathy for my patients. Then again, they're my patients. Over-reacting adults on a forum, are not.

 

Anyway.....Can you post a link detailing the policy changes/"reprimands" that have occured as a result of the scoring error?...I must have missed that. Thanks J-ste :)

[LIPPER]

............ Third, Its in the workplace that one shows everyday that they have the knowledge and skills to do their job, if not then they get fired. ....Last to Lipper, we are not not doctors so comparing us to them and being board certified is apples to oranges,..

..

 

Actually it is apples to apples....if doctors have to recertify for their boards, and if they preform properly in the field, then a test theoretically would be superfulous.... it's akin to the argument you make. Doctors could make the arguement that they'd be sued and lose often if they weren't performing to standard....so why should they have to test...

 

There is too much chatter about how PA's are "trained in a medical model similar to doctors, unlike NP's"... and doctor-PA partnerships.....and how we are "Associates"......for your theory of apples-to-oranges to hold water....

[andersenpa]

Thank you Neuro1, I couldnt say it any better.

 

I will add that I thought that recertification with the PANRE was subpar before the Most recent scoring error. To say sh*t happens I agree ( I worked ED and now neurosurg and see spontaneous SAH weekly, not a fun picture, and no I am no better or worse person than you because of what I do or what I have done), but I like to try to minimize risk and crappy outcomes.

 

I don't think being able to keep one's job and not being fired is the answer but I do believe that Modules and CME are a better way. Just my opinion. Maybe they should have pathway 2 again so that there is another option that might be better suited for some PA's.

 

Last to Lipper, we are not not doctors so comparing us to them and being board certified is apples to oranges, I think because we are mid level providers/practitioners comparing us to other mid level providers is more apples to apples. Again about applying my skills and passing the test, not a problem, but there are better ways.

 

"Mid Level" is a terrible term and we should stop using it.

If we should be comparing ourselves to anybody, it is physicians.

 

PAs practice medicine. NPs practice advanced nursing.

PAs are trained in the medical model. NPs are trained in the nursing model.

PAs are under he BOM. NPs are under the BON +/- BOM.

[andersenpa]

But then I also think that our dues for the AAPA as well as the cost of the PANRE are a joke. If we really want to have advocacy power, and better representation, out dues should be more than double what they are now....

 

This is a good idea if you want to push more PAs away from AAPA membership.

[j-ste]

The NP's I work with practice medicine, not nursing, they are managing patients, adjusting med orders, doing procedures,advising patients and families, and 1st assist, in fact they can do everything I can. I also worked with some NP's that leftEM and started their own practice, something you or me could not do, and that is more inline with a MD. That in itself makes me not so sure that it matters whether one is under BOM or BON.

 

I agree with you I don't like the term "mid level", I don't like PA either.

 

Do you think that patients respect you/me or believe in you/me more because we are recertified?

[j-ste]

I do not have a link about those changes, sorry. Your response did have me laughing though. I have retracted my earlier, in bad form, comment questioning your empathy.

 

PA's need to continue to discuss the recertification process the same as doctors are doing. board certification is different in many specialties, it is also evolving. Also, correct me if I'm wrong but some MD's practice a specialty but are not board certified in that specialty and I'm unsure if then as a MD what, if any retesting they have or whether they only have CME.

[andersenpa]

The NP's I work with practice medicine, not nursing, they are managing patients, adjusting med orders, doing procedures,advising patients and families, and 1st assist, in fact they can do everything I can. I also worked with some NP's that leftEM and started their own practice, something you or me could not do, and that is more inline with a MD. That in itself makes me not so sure that it matters whether one is under BOM or BON.

 

I agree with you I don't like the term "mid level", I don't like PA either.

 

Do you think that patients respect you/me or believe in you/me more because we are recertified?

 

 

I have said for years that NPs practice medicine. Yet THEY claim that they practice advanced nursing. As far as the face they put forward to the public goes, that is what they do- advanced nursing. And that is the matter at hand (how our process is seen by the public, physicians, patients).

 

Re independent practice, it certainly matters if you are under the BOM- if you are a PA. It's a big deal.

 

I think patients, physicians, and the systems that employ us (for the most part) have little idea what our cert/recert entails...but they want it. We should determine WHAT our cert process requires. We need to have one. We don't have the have the luxury to rest on a doctorate degree, residency training, or social status. We need a seal of approval for the public- like it or not. You can take a provider w/ 2 yrs of training and highly variable background and tell the public "trust us". There must be SOME standard final step before a PA hits the streets.

[andersenpa]

I do not have a link about those changes, sorry. Your response did have me laughing though. I have retracted my earlier, in bad form, comment questioning your empathy.

 

PA's need to continue to discuss the recertification process the same as doctors are doing. board certification is different in many specialties, it is also evolving. Also, correct me if I'm wrong but some MD's practice a specialty but are not board certified in that specialty and I'm unsure if then as a MD what, if any retesting they have or whether they only have CME.

 

I'm not up to speed on this but I believe this is becoming less common- eg FP/community docs covering the ED, internists covering the ICU, etc. Surgical specialties are becoming more narrowly defined (colorectal, endovascular, advanced laparoscopy). Obviously this is more common in more urban areas where supply of specialists is greater.