jmj11 Posted January 26, 2012 Share Posted January 26, 2012 APCoPhobia (pronounced ap-co-phobia) This post is in response to a conversation I had recently with a malpractice insurer. The malpractice insurer (whom I've dealt with before and are very anti-PA) is the insurer of a neurologist whom has agreed to be my alternate supervision physician. I will need him about 1 week per year. The malpractice insurer's underwriters put a premium increase of $3,000/year on this physician (which I would have to pay for if I took it) for that one week of supervision or about 75 patient encounters. So I figured it this way. I've had 100.000 patient encounters during my 30-year career. I've never been sued or threatened to be sued. The worse outcome in my career was a medication side effect (mirtazepine causing severe bone marrow suppression) and that patient is still one of my most loyal, and a dear friend. So, based on the underwriters thoughts, if the typical settlement is for $3,000,000 and they want to make $500,000 profit (so 3,500,000 potential expense) for 75 patient encounters (during that one week per year), means that they would anticipate a successful suit every 17,500 patient encounters. Now if I was sued successfully tomorrow (worse case scenario) that would be, in reality, that I'm sued every 100,000 patient encounters. So this means that the underwriters have over-estimated the risk by a factor of 5.7 (or 570%). This is so far out of the realm of reality that it warrants to be classified as a from of an anxiety disorder (in the insurer's underwriters). This same attitude is reflected by other bodies which discriminate against NPs and PAs, such as the Kentucky Medical Association, AMA . . . maybe others. Because this is a definable mental illness or irrational fear, it would be appropriate to name it. Now, I'm dead serious about this. What brought this to mind was the fact that I was at a recent international headache meeting where the term "cephalgiaphobia" was coined (meaning the fear of having a headache). That term already has a Wikipedia site ( http://en.wikipedia.org/wiki/Cephalgiaphobia ), which, btw, was created by my first SP Joel Saper, MD. I've chose APC for "Advanced Practice Clinician" to cover both PAs and NPs. Again, I am dead serious about this. I think we should use this term and in the coming weeks I hope to create a Wikipedia site for it. Now if you have a better name, feel free to share it. I think this will shine a light on the rhetoric which we hear all the time that has nothing to do with reality. Mike Link to comment Share on other sites More sharing options...
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