Guest ral Posted June 10, 2017 Share Posted June 10, 2017 I have a great rapport with a majority of physicians, both present and past. They understand the value of PAs and NPs augmenting their practice, and in medicine in general. Then, I read shitty responses to articles online, like this particular one from Dr. Daniel Di Lorio: "Policy makers and public health guru's have dessimated a generation of physicians while foisting inferiorly trained "mid-level" providers who know only "cookie cutter" medicine on patients, and act surprised when outcomes are inferior, requiring more testing and referral to subspecialties who are incentivized to "do more" procedures, etc." from the comments section at: http://www.medscape.com/viewarticle/881173?src=wnl_mdplsnews_170609_mscpedit_wir&uac=340SN&impID=1364957&faf=1 Tired of these scared little underachievers determining that my ability to do a significant degree of their job, somehow means that I am the inferior one. I could just as easily surmise that their choosing family medicine was due to the fact that they couldn't get accepted into a specialty residency, such as ortho or cards. These guys are so blind to what we can do, and the benefits of our contributions. I have actually laid it out for some previously uninformed docs in the past. Conversation typically went something like this: Me: How would you like to increase your yearly income by more than $50k? Get your wife a new Lexus every year. You don't have to see any more patients than you are currently treating daily. You could also take a few more week long vacations over the course of the year, keeping your office open and making money, while you are rolling dice in Vegas. Nothing illegal or even shady. Doctor: Yeah right. How, genius? Me: Hire me. Doctor: Whaaaaaaaat? Link to comment Share on other sites More sharing options...
LKPAC Posted June 10, 2017 Share Posted June 10, 2017 There will always be inferior types who try to build themselves us by knocking others down. I suggest this doctor may be overcompensating for his own shortcomings. Link to comment Share on other sites More sharing options...
Zach Posted June 10, 2017 Share Posted June 10, 2017 Thankfully this stuff is isolated. I recently had surgery and the anesthesiologist came in to do all of her pre-op stuff and she (unprompted and without knowing I was a PA student) mentioned how impressed she was with PAs and NPs and CRNAs (the hospital had only switched over to fully incorporating advanced practice clinicians about two years ago). In her words, "I'm far more nervous supervising residents. I'm always looking over their shoulders." I played dumb for a bit and she elaborated saying "mid-levels" are just "so so good at what they do". Link to comment Share on other sites More sharing options...
SHU-CH Posted June 10, 2017 Share Posted June 10, 2017 I run into docs like this every once in a while, and I always ask them where they got their outcomes data. If they have a shred of honesty, it always comes down to them admitting that it is just their opinion. There is no reason why I would hold their opinion in higher regard than my own. Link to comment Share on other sites More sharing options...
sk732 Posted June 11, 2017 Share Posted June 11, 2017 There will always be inferior types who try to build themselves us by knocking others down. I suggest this doctor may be overcompensating for his own shortness. Fixed that for you... SK Link to comment Share on other sites More sharing options...
boli Posted June 11, 2017 Share Posted June 11, 2017 His verbiage indicates a personal beef with the "midlevel" position (a term I despise). Typical burned out FP doc that's trying desperately to cling to the crumbling pillars of his omnipotence to justify to himself why he chose a career that has an approx. 40% satisfaction rating and a specialty that barely makes 180k. It's interesting that he commends the virtues of science and evidence based care while perpetuating the opposite. Maybe he should listen to the conclusions of his esteemed peers like: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3903046/ https://www.ncbi.nlm.nih.gov/books/NBK384613/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361027/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3903046/ Then again, what do I know....I want to be a lowly "midlevel provider". Link to comment Share on other sites More sharing options...
CAAdmission Posted June 12, 2017 Share Posted June 12, 2017 If you want to see the most miserable collection of physician aholes on the interwebs, visit: www.authenticmedicine.com It's like SDN's ugly graduate school. Link to comment Share on other sites More sharing options...
Zach Posted June 12, 2017 Share Posted June 12, 2017 If you want to see the most miserable collection of physician aholes on the interwebs, visit: www.authenticmedicine.com It's like SDN's ugly graduate school. "King of Medicine"... "Patient Centered Nonsense Needs to Go Away"... "Why do we need a gender balance in medicine???"... I couldn't get out of there fast enough. Link to comment Share on other sites More sharing options...
stellahead Posted June 14, 2017 Share Posted June 14, 2017 If you want to see the most miserable collection of physician aholes on the interwebs, visit: www.authenticmedicine.com It's like SDN's ugly graduate school. Forest, VA?!? Literally where I grew up. No deep rivers run through there. I wonder what his patients think of his rantings on their obese children. Tempted to share with my broader social network sites. Oh, he's concierge care. Hahaha! In Forest, VA. Link to comment Share on other sites More sharing options...
CAAdmission Posted June 14, 2017 Share Posted June 14, 2017 Forest, VA?!? Literally where I grew up. No deep rivers run through there. I wonder what his patients think of his rantings on their obese children. Tempted to share with my broader social network sites. Oh, he's concierge care. Hahaha! In Forest, VA. I'm sure that the cosmos would thank you for anything you can do to make his miserable life a little worse. Link to comment Share on other sites More sharing options...
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