Contrast this to PA education which is 8 hours per day, 5 days per week for the majority of the program (maybe 1-2 week breaks during the first year). Physician practices no longer have the independence they had in former days. Just because a state law grants NPs independence does not mean that you SHOULD have independence. By the time a PA graduates, they are well versed in medicine and have accumulated an abundance of experience at the patient’s bedside. Because each advanced-practice provider and every situation varies, pointing out minute differences may help patients understand the idiosyncrasies of these positions. This is CLEARLY a PA problem as there has never been an unscrupulous or fraudulent physician. It seems like Christie Kidd was intentionally trying to mislead the public as to her degree and qualifications. I hope you will agree with me that most NPs do not want to be physicians, if we did we would go to med school. How Much Revenue Does a Primary Care Nurse Practitioner Generate? Google Business modified the Kidd Dermatology listing from “Dermatologist” to “Medical Spa.” The unsinkable Christie Kidd struck a compromise, settling on the designation as a “skin care clinic.” Carpe Diem, Ms. Kidd, Carpe Diem. During several years of “Blogging,” I have never seen such a fuss. It’s about integrity and honesty. Regardless, admission to PA school, subsequent training, clinical rotations, and certification are extremely rigorous. Especially for new graduates. Dr. Al-Agba, you should not throw stones in a glass house. To have professionals misrepresent who they are and professional policing organizations lack understanding erodes the trust of the public and makes it harder for anyone who treats patients. For someone who writes carefully and thoughtfully, did you expect such an outcry? It may well not be a doctor: ... what type of medical provider would they want to see. In general PA’s are a stronger bunch and much less likely to advocate for independence. You are touchy and defensive to anyone that questions anything about your profession. As the number of PAs is growing rapidly and lines of roles and responsibilities are being blurred, it is not only important for PAs to represent themselves correctly but I also ask that Physicians be more proactive in defining the PA role. Now, it’s 2-3 years for NP programs compared to the minimum 2 years for PA programs (many programs are increasing the length of programs to 28 months to allow to more clinical experience). Its a licensure issue and not a payor quality of care problem, right? They are not … Well, maybe not. I’m a former PA. I’ve been a physician for 12 years. Yet, plenty of their physicians desire to come to the U.S. to practice medicine, despite the prolonged path they must complete to practice in America. Mid level providers have a role, but given the more limited training that they have, that role should be supervised by board certified physicians. Required fields are marked *. Okay let’s reel that one in a little bit. While PAs are a valuable member of a treatment team, their training does not approach that of a board certified dermatologist (8 versus 2 years of post college training). See the above. The average length of a PA program is two years; the first year is similar to the first half of physician training, while the second year is comparable to a physician residency. Biometric Data Privacy Problems, https://www.kevinmd.com/blog/2017/10/physicians-deserve-mercy-silentnomore.html, https://thehealthcareblog.com/blog/2017/05/29/md-vs-dnp-why-20000-hours-of-training-and-experience-matters/, https://medicine.uiowa.edu/pa/education/prospective-students/course-requirements, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730953/, http://www.kitsapsun.com/story/news/2017/10/29/kitsap-loses-irreplaceable-doctor/808645001/, The Tapeworms are Coming for Direct Primary Care, The NFL is Not Big Tobacco: Overdiagnosis and Chronic Traumatic Encephalopathy (CTE). Nurses and PAs unfortunately do often have an inferiority complex for whatever reason and i myself have seen mid levels not correcting patients or peers who call them doctors. Even if Ms. Kidd is doing the misrepresenting, you wrote something that has several statements inferring that PAs are simply inferior to MDs, when in every category we might judge a provider, knowledge, bedside manner, emotional intelligence, competence, clinical outcomes etc this is simply untrue. Ad coms will want to know that you have considered what these other professions have to offer, and they want to see if you know what medicine is all about. I have taught, worked with and supervised these providers during my entire career. Ms. Kidd lacked both when she failed to ensure that the public is aware of her true credentials. However, “I am sorry for the loss of your father” would be appropriate at this time: http://www.kitsapsun.com/story/news/2017/10/29/kitsap-loses-irreplaceable-doctor/808645001/. By Lisa Esposito, Staff Writer Aug. 1, 2014, at 9:55 a.m. Mor Pitches for healthcare-focused startups and business.Write-ups of original research. Perhaps she doesn’t misrepresent herself but rather others have done so. As a practicing PA, I find this article disheartening. I would love to have read a piece talking about the dangers of misrepresentation but you used that idea as a front for your opinion about PAs. Glad you saw the point I was trying to make that this is a piece about misrepresentation, not a commentary on the physician assistant profession as a whole. Please do not lump us together the education and practice are not the same; As I said, I’m happy with my PA, and apparently are most other people. One doesn’t like to think about such problems occurring in their home so I doubt one would like to think about that when their health is involved. I have no knowledge of your father or his death. Any example that undermines the trust of these folks in a notable way should be identified and examined in an effort to do better. Mid levels I know agree with this sentiment wholeheartedly. I’m sorry you feel that way. My intent was to show that the senior Dr. Al-Agba, as a foreign trained doctor, was likely a competent clinician…just like a PA, can be a good clinician, yet there is a vocal group of people that exclaim that US trained physicians are superior. And you think it is a good idea to go backwards? Even in my state of South Carolina, I do not need physisn on site just available within 45 miles, I believe some think it is an attack article due to the fact that the first paragraph talks of unsupervised PAs and NPs, I personally do not know any NPs who do not correct pts when they are referred to as “doc”. Why would one want to perpetrate a fraud? Depending on the study, Doctors rank #1 to #6 in best paying jobs in the the US. Lets break it down: When a patient asks a physician assistant for a “real doctor,” an argument similar to that of an NP can be put forward. Thanks. I don’t understand why we can’t just call her Ms. Kidd, PA-C? “Vitriol” is a very strong word to use when I’m simply asking for you to advocate supporting an open dialogue, and understand how your article title, while not your own, may shut that down. Right or wrong our nation took a path to provide the best education and assumedly provide the best care. He who pays the piper calls the tune and the patient isn’t the one paying. Physician Assistant vs. Family Practice Physician (updated ) *Programs vary and the following represents averages for each vocation. I've started to think about how I could pull myself out of this slump. So yes, it’s a problem. Raylen04. Again, why would someone who chose a career path refer to themselves as an MD when they are not? After graduation, NPs do not just run out and start a clinic on some street corner. That is why the MD supervises the PA and not the opposite. YES, PA’ s should make sure that their patients know that they are seeing a PA, just like they should be informed that they are seeing a MD, DO, NP, RN, RT, PsyD, etc. 10 Reasons to See a Physician Assistant PAs are nearly everywhere you go for health care. Thank you for your service, Adam. Has she changed her misrepresentation? Yes our field has evolved tremendously since that time, but there is still an enormous number of second career folks, many from the medical field. If you do this well then the collaboration can dramatically improve the quality of care patients receive, if you demean the role as this article did then the collaboration suffers.