PODCAST: Nurse Practitioners VS. Physician Associates

Posted on December 15, 2024 by Dr. David Edward Marcinko MBA MEd CMP™

NPs versus PAs

By Eric Bricker MD

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Filed under: "Doctors Only", Career Development, Ethics, Health Economics, Professional Liability, Quality Initiatives, Videos | Tagged: , , , , , , , , , | Leave a comment »

PHYSICIANS: “Aging Out”

Posted on March 22, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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According to HealthcareBrew, thousands of doctors are expected to reach retirement age in the next three years, and their replacements won’t be physicians. Instead, physician assistants (PAs) and nurse practitioners (NPs) will increasingly provide primary care services, according to a report from consulting firm Mercer.

By 2026, 21% of family medicine, pediatric, and obstetrics and gynecology physicians—or about 32,000 doctors—will be 65 or older, and Mercer anticipates about 23,000 physicians will leave the profession permanently. At the same time, demand for primary care physicians is expected to grow 4%, the report found.

PAs and NPs—also called advanced practice providers (APPs) or physician extenders—are highly trained medical professionals. To become a PA, you have to have both a bachelor’s and a master’s, some clinical work experience, pass the Physician Assistant National Certifying Exam, and then apply to get licensed in your state (you know, easy peasy). It takes seven to nine years to go through that process, compared to 11+ years to become an MD.

CITE: https://www.r2library.com/Resource/Title/0826102549

To become an NP, you must have both a bachelor’s and a master’s in nursing, become a registered nurse, and pass a national NP board certification exam. It takes between six to eight years to become an NP.

Compared to physicians, PAs and NPs are “considerably younger professions with less than half the retirement risk,” the Mercer report stated. Roughly 40,000 PAs and NPs join the workforce annually.

“We’re certainly going to see increasing demand for APPs,” David Mitchell, a partner in Mercer’s career consulting business and a specialist in the healthcare industry, told Healthcare Brew.

While most state licensing boards require a physician to oversee APPs, both PAs and NPs have the authority to do many services primary care physicians do, like seeing and diagnosing patients, ordering lab tests, and writing prescriptions, said Mitchell.

READ HERE: https://www.healthcare-brew.com/stories/2023/03/16/non-mds-will-provide-primary-care?cid=30859907.17846&mid=349b552221c994e2540a304649746d7c&utm_campaign=hcb&utm_medium=newsletter&utm_source=morning_brew

MORE: https://www.aamc.org/data-reports/data/2022-physician-specialty-data-report-executive-summary

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ORDER: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Retirement and Benefits | Tagged: , , , , , , , , , , , | Leave a comment »

Myths and Solutions for Healthcare Reform

Posted on February 1, 2009 by Dr. David Edward Marcinko MBA MEd CMP™

Enter the Primary Care Docs, NPs, PAs and DNPs

Staff Reportersidea

According to most Americans, many politicians, members of the Medical Executive-Post, and vocal primary care doctor Monte Uyemura MD, successful healthcare reform is critical to the well-being of our nation and a few myths need to be exploded. 

 

 

Link: https://healthcarefinancials.wordpress.com/2008/08/06/doctor-patient-relationships/

But, who has the Answers?

As a rural physician, he shouts in vain that politicians are:

“backing the trailer up to the wrong barn.”

Furthermore, he feels that:

“reform proposals utilizing creative accounting keep conjuring up healthcare expenditure savings where they don’t exist, and even if the proposed mythological information technology utopia could be achieved, it would be ‘mere cough medicine’ for our healthcare system’s pneumonia.”

Link: https://healthcarefinancials.wordpress.com/2009/01/25/an-open-letter-on-emrs-from-hayward-zwerling-md/#comment-2702

The Myths

According to the ME-P, and Uyemura, these myths include: evidence-based-medicine [EBM], health information technology [HIT] and electronic Medical Records (eMRs), quality improvement initiatives and, of course, universal healthcare coverage.

Link: https://healthcarefinancials.wordpress.com/2008/12/08/eight-fallacies-of-managed-care

The Answer

Uyemura believes the answer is a mass-infusion of family practitioners, or what he calls an:

“army of primary care physicians.”

Link: http://www.thehealthcareblog.com/the_health_care_blog/2009/02/index.html

Assessment

Of course, we could not agree with him more and would include grass-roots level Nurse Practitioners [NPs], Physician Assistants [PAs] and Doctors of Nursing Practice [DNPs].

Link: https://healthcarefinancials.wordpress.com/2008/05/29/stemming-the-primary-care-exodus

Conclusion

And so, your thoughts and comments on this Medical Executive-Post are appreciated. Would more family practitioners, and professional medical care extenders, help or hinder true healthcare reform?  

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com  or Bio: www.stpub.com/pubs/authors/MARCINKO.htm

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Healthcare Organizations: www.HealthcareFinancials.com

Health Administration Terms: www.HealthDictionarySeries.com

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Filed under: Career Development, Health Economics, Health Insurance, Healthcare Finance, Information Technology, Insurance Matters, Practice Management, Quality Initiatives, Research & Development | Tagged: , , , , , , , , , , , , , , | 2 Comments »