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Physicians start fighting back


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On 8/7/2019 at 11:51 AM, TexasPA28 said:

I don't agree with this.

New Mexico is a complete 100% independent state for NPs, they can literally do anything an MD can do except for brain surgery.  No cosignatures, no chart review, complete 100% autonomy.  NPs can own their clinics with no MD oversight whatsoever.

 Yet I see recruiting all the time for MDs.  So I don't think the MDs really have anything to worry about in terms of NPs or PAs.

One thing about this I haven't understood is how are there no restrictions on other areas of practice? I'm an NP, so I can just start practicing cardiology independently? Can I do surgery and critical care? I get the argument for primary care, but any specialty should have some barriers in place.

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There are barriers: it's called credentialing.  It's performed by hospitals and payers.  That's why it's a fallacious argument to say that "independence" will lead to a PA or NP doing something they're grossly unqualified for.  It's the same thing that keeps physicians from performing things they're not qualified for.  No hospital will credential a surgeon to do a procedure they're not trained for, much less credentialing any medicine specialist to do a procedure they're not trained for.  Neither will insurance co's or other payers.

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