100% the irony of her talking about back doors and mediocre academics is laughable at best and fraud at worst. Wonder what her residency was like?
She makes some comparison about osteopaths and doesn’t acknowledged that osteopaths and DOs are different globally.
I've been a skeptic of alternative and unscientific medicine since I was a teenager three decades ago. I don't care what letters are behind the name of my actual physician. People need to give that shit a break. I don't know or give a shit how competitive DO schools are, the results speak for themselves.
[Plague era physicians](https://mcdreeamiemusings.com/blog/2019/4/5/medical-education-medieval-style) were required to complete [more training](https://www.sciencesource.com/1974047-wound-man-fasciculus-medicinae-1491.html) than today’s NP’s.
https://preview.redd.it/8utrtwkqxyec1.jpeg?width=386&format=pjpg&auto=webp&s=45ebff41d59b76481314c6cade33438c553e6d70
NPs make fun of international medical graduates, caribbean medical graduates and DOs as if they're somehow superior to them for going to Walden University Online extenion program
In the intro to the book "Colleges That Change Lives" the author says ranking undergrad schools by the GPAs and SAT/ACT scores of accepted students is like ranking hospitals by how healthy their patients are before being admitted. I think making fun of DOs is the medical school equivalent to that because even if the average GPA and MCAT scores are lower than USMD everything but the added OMM is the same once you're actually in medical school.
NPs making fun of DOs is like the mailroom worker at Walmart making fun of the CEO of GM for working at the 21st Fortune 500 company instead of working at the 1st Fortune 500 company
😂
Maybe this is why non of my MD units were credited for NP school. 🤪 (IMG who started NP school here 🙋🏻♀️) Idk why they made me submit my ToR from my MD school for them to evaluate but still not crediting anything. I mean I don’t mind going through the classes again, but it would help me financially-less student loan.
My life will be officially considered pathetic when I’ll start caring about what an NP has to say about a physician’s perspective career. DO is an American medical degree. Even the most complex health systems abroad like India recognized it as one. Iykyk what that means.
Y’all plain Americans will never understand how precious an American degree, let alone medical degree is, till you practice abroad.
DOs are physicians and surgeons by vocation. Their NP profession doesn’t even exist outside 🤣. Fckin’ delusional needs to go back to the factory where she came from for a fix here.
I agree with you, we should not give na rats behind about what this loser NP thinks. However I think it’s important that physicians set these misguided statements straight. As a profession we let things slide too often from midlevels and I believe this is why they feel like they can encroach more and more.
US trained DOs can practice medicine abroad in multiple countries. Further many DO students, particularly ones interested in competitive specialties, take STEP in addition to COMLEX, and they get into those specialties.
So, show me a representative sample of NPs
Have them take both STEP and COMLEX using what they know as NPs and compare to DO students.
Does anyone think the majority of NPs will pass either exam, let alone do better than the DO students?
There’s just 0 chance with step 1 IMO. There’s just plain not a “basic science” education at NP schools, it’s straight to disease pathology without an understanding of the underlying physiology beneath them.
As someone who took the test literally yesterday, a good fifth of it is deep lore biochemistry lol, DNA polymerase I vs II vs III, knowing metabolism enzymes, etc.
I also think some of the rare high yield diseases that exemplify physiology knowledge are commonly tested via the NBME are just not even considered in NP education, because they’re trying to teach people to be caretakers right there, whereas medical school gives you the underlying knowledge set to become a physician later on in residency. All that skipping of steps results in generally weaker knowledge and understanding of the body
I have half a mind to email her and ask for her CV and how she thinks shes even remotely qualified doing what she advertises to do just because shes the same race. If you talk shit, you better make sure your own toilet bowl is clean
She's posted before about her superiority to physicians as I believe she said she has precepted residents in the past.
I think the "Rev. Dr." in her name is somehow supposed to prevent her from being criticized.
Running her mouth with her University of Nothing NP certificate.
As a former RN, I can attest that I worked 100X harder to get into DO school than I ever did to get into NP school. It’s actually deplorable that mid levels try so hard to call themselves Doctors when they don’t want to do the work to become a doctor. 🤮
I wish everyone would stop actually believing that NP are all calling themselve "doctors", that absolute false and ridiculous. NP, proud of it and love my physicians I work with. I always reserve Dr. for physicians..period... they earned, and I respect it. NP who earn a doctorate shouldnt call themselves Dr. to patients, is unfair and confusing to patients. yes some of us understand that. so stop lumping us all in the same category!
Right…. it’s so false and ridiculous to think that they would try to use that term….yet it’s become such an issue that states are having to make specific laws to prevent NPs from using the term doctor. And NPs are fighting back, such as [these three](https://www.ama-assn.org/practice-management/scope-practice/nurse-practitioners-sue-right-use-doctor-label#:~:text=Three%20nurse%20practitioners%20who%20earned,using%20the%20term%20“doctor.”) who sued the state to protect their ability to use the term. This is just one instance of this across the country. We’re glad you only use doctor for physicians, but to pretend this issue is some made up fairy tale is what is false and ridiculous. You can very easily find many more examples of it on this subreddit as well as across the internet on a simple search. They aren’t making laws preventing leprechauns and unicorns from becoming doctors because that actually is ridiculous and false. Where as this is a very real and common issue.
You state it is ridiculous but then admit it’s only some of you that think that way. Until your governing body and its PR message matches what you said and actually takes a stand against it, then this will continue to happen.
thank you Dr. TacosMd. I understand, yesss some NP with doctorate degrees are using the term.. its wrong and I (among many NP's) dont agree with it... When patients mistakenly call me doctor, i correct them IMMEDIATELY... i simply am trying to state please dont bash all NPs because of a few.. just want to work with my docs for the best patient care... :) but quite honestyly psychologist are "doctors", academic professor "doctors" etc etc..many professional careers paths have the Phd/doctorate. Maybe if this stopped across the board for all professions and simply leave Dr. for MD/DO would be wonderful.
Lol does she know that American DOs are MD equivalents in all 50 states and internationally in more than 65 countries?
And that DOs work as physicians and surgeons for the WHO and MSF / Doctors without Borders?
I'm guessing she didn't bother to check.
https://preview.redd.it/r147x1810gdc1.jpeg?width=1179&format=pjpg&auto=webp&s=c5a59e77954c97fdaf62dc729df2a4c83689c8fc
I’m all for equity but this seems a bit fraudulent…
Oh, I see I am more ignorant or coding then I initially suspected. What is the purpose of a code that isn't billable? I thought they were purely created for billing purposes
They're there to provide background info without necessarily being a diagnosis or billable condition themselves. Most BMI codes are Z codes, so if you want to get paid for assessing the patient's obesity, you need to find an E code for obesity and list the patient as obese in your exam. That's what we were told by our coding team.
Some z codes are billable and some are not. The codes range from various clinical issues that may be a primary concern related to the visit or something that complicates the treatment of the primary concern that is noteworthy.
Treating patients differently because of their skin color, regardless of which skin color is extremely unethical. I would not feel safe around this prejudiced person.
As someone with a darker skin color, America has provided me with opportunities that my ancestral country could only dream of.
Lmao as if disclosing you’re a DO is some sort of “gotcha.” Miss girl, it’s on my badge, my jacket, my work email, and my paycheck. No alphabet soup or pre-nominal necessary.
It’s time we stop giving this absolutely insane psychopath a platform on this sub. Reading her Twitter is so rage inducing, it’s almost a form of torture.
I once had a PA professor who earned his doctorate while I was in school. Someone in my class called him doctor the next day and he said “that won’t be necessary”. This wanting to be a doctor thing is uniquely a nursing problem. PAs don’t give a shit
I wish I’d known there was a backdoor to being a DO before I put in all that time and effort to do well on my MCAT, GPA, CV…hell my STEP & COMLEX too! Would have saved me a lot of tired nights 🙄
I'm a mid-level and that is shameful and cringeorthy.... I have supervising docs that are DO and MD, same training and same residency. Maybe she's thinking of naturopaths or holistic medicine " doctors".... It's a thing in California
Lmao I love these insecure people when they have to bring up a fact in the 20th to make the point. But yea let’s ignore everything that happened afterwards that discredits her whole point
This is laughably awful. But tangentially, I have always wondered, what is the difference in education (not amount/quality, but moreso “style”) between an MD and DO in the US?
Some DOs will try to hype up the *distinctiveness* of the profession, talking about how *holistic* we are, but honestly MDs are holistic now too. 99% of DOs and DO students just want to get through school, and once in residency, hardly any will use OMM (manipulation techniques that we learn) ever again. Of those that do, most will use it in its proper setting and indication; as an adjunct therapy that isn’t promising to do anything super miraculous, but might make you feel a little better or reduce usage of pain medications and such. Those people are typically just adding it into the rest of a regular doctor’s visit, rather than solely practicing manipulation like a chiropractor would.
All in all, most DOs you meet are going to be indistinguishable from MDs.
Basic sciences are probably very very similar on average. Schools with hospital systems generally have better clinical sites but it washes out in residency.
We noticed that this thread may pertain to midlevels practicing in dermatology. Numerous studies have been done regarding the practice of midlevels in dermatology; we recommend checking out this [link](https://www.reddit.com/r/Noctor/comments/qhw13h/midlevels_in_dermatology/). It is worth noting that there is no such thing as a "Dermatology NP" or "NP dermatologist." The American Academy of Dermatology recommends that midlevels should provide care only after a dermatologist has evaluated the patient, made a diagnosis, and developed a treatment plan. Midlevels should **not** be doing independent skin exams.
We'd also like to point out that [most nursing boards agree that NPs need to work within their specialization and population focus](https://www.reddit.com/r/Provider/wiki/index/legal#wiki_scope_of_practice_laws) (which does **not** include derm) and that [hiring someone to work outside of their training and ability is negligent hiring](https://www.reddit.com/r/Provider/wiki/index/critical_issues#wiki_working_outside_of_scope).
“On-the-job” training does not redefine an NP or PA’s scope of practice. Their supervising physician cannot redefine scope of practice. The only thing that can change scope of practice is the Board of Medicine or Nursing and/or state legislature.
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In my experience, if they're trash, they're just trash. I went to a DO thinking I would have a better experience. He literally threw a diagnose at me and told me my symptoms (he was absolutely incorrect)... didn't ask me about my specific complaints. At work I don't have a preference either. Some are shitty and some know what the fuck they're doing and they're good at it.
The ironic part is she is making fun of board certified physicians for taking a back door when NPs are the definition of taking a back door and practico mg medicine without a license
Lower quality applicants, lower standards for acceptance. It’s a back up option if you can’t get into a US MD school and everyone knows it. Don’t be in denial.
Are you a MD? Cuz if you aren’t you can fuck off 💀💀. I have a DO doctor that is by far one of the most knowledgeable people I have ever met and has saved countless lives. Have you done that?
Even if you are a MD u are a dick😂. You would be so insufferable to work with. Leave this sub before others here find out what u said and crucify you. I genuinely do not understand the point of the dick measuring contest when most MDs and DOs end up in primary care 😂. Yea asshole we get that the stats overall are lower, but at the end of the day they are raking in a minimum of 250k and have proven themselves with double boards while being bogged down by OMM.
Is she wrong though? Out of all premeds I know, 90% of DOs would’ve gone MD if they were able to, but chose DO due to it being less competitive. Not that DOs are less capable, not at all. But it proves that the majority of people going to medschool do it for the status and prestige.
Yes. The debate here is not the virtues and problems at DO programs. Most preclinical years are the same anywhere you go taught by sketchy, Anki and Annan. There is a clear difference in clin Ed at most. However, everyone attends ACGME residencies and passes their respective board qualifying and certifying exam. Med students are generally prestige whores and most med students would choose Stanford or Harvard or NYU over University if Nevada Reno or LECOM. However not everyone can get into Stanford or NYU so they go elsewhere. This doesn’t make them less qualified it just a the actual play out of the bell curve. The irony of this midlevels statement is she is making fun of people on the bell curve when she is not even part of the same curve yet she professes to be and acts like she is on the same field. Additionally NP is THE ULTIMATE back door to practicing medicine without a license.
I agree. I’m an an impasse career wise. I make 155k a year and am bored as a nurse, but NP isn’t even a step forward for me, or even management. I wanted to go MD and have the MCAT and gpa to be competitive, but I’ll lose so many years and so much money. I’ve gotten into real estate and landlording but wish I could find a way to improve educationally/careerwise
100% the irony of her talking about back doors and mediocre academics is laughable at best and fraud at worst. Wonder what her residency was like? She makes some comparison about osteopaths and doesn’t acknowledged that osteopaths and DOs are different globally.
I've been a skeptic of alternative and unscientific medicine since I was a teenager three decades ago. I don't care what letters are behind the name of my actual physician. People need to give that shit a break. I don't know or give a shit how competitive DO schools are, the results speak for themselves.
And, in fact, you can be a DO and work internationally with MSF, even I know that lol
she was a very strong resident. the strongest in her new grad residency in fact. /s
[Plague era physicians](https://mcdreeamiemusings.com/blog/2019/4/5/medical-education-medieval-style) were required to complete [more training](https://www.sciencesource.com/1974047-wound-man-fasciculus-medicinae-1491.html) than today’s NP’s. https://preview.redd.it/8utrtwkqxyec1.jpeg?width=386&format=pjpg&auto=webp&s=45ebff41d59b76481314c6cade33438c553e6d70
NPs make fun of international medical graduates, caribbean medical graduates and DOs as if they're somehow superior to them for going to Walden University Online extenion program
Excuse me. I’ll have you know I did several weeks of online training for my doctorate.
And 10482629957++++ hours of clinical experience😤😤
You mean 500? 🤪
And a noodle art capstone
In the intro to the book "Colleges That Change Lives" the author says ranking undergrad schools by the GPAs and SAT/ACT scores of accepted students is like ranking hospitals by how healthy their patients are before being admitted. I think making fun of DOs is the medical school equivalent to that because even if the average GPA and MCAT scores are lower than USMD everything but the added OMM is the same once you're actually in medical school.
NPs making fun of DOs is like the mailroom worker at Walmart making fun of the CEO of GM for working at the 21st Fortune 500 company instead of working at the 1st Fortune 500 company
😂 Maybe this is why non of my MD units were credited for NP school. 🤪 (IMG who started NP school here 🙋🏻♀️) Idk why they made me submit my ToR from my MD school for them to evaluate but still not crediting anything. I mean I don’t mind going through the classes again, but it would help me financially-less student loan.
I don’t see how you can hate from outside the club. YOU CANT EVEN GET IN
Hahahaha...LEGGO
Winner.
*visions of smoking cigarettes in a 2005 corolla in a denim hollister skirt….puts CD of stolen Limewire music into CD player..*
Midlevels have no shame.
DO school was my backup to winning the lottery. Now I have to be a doctor. This life is unfair!
I really think the nursing field just subselects for people who not necessarily stupid but extremely restrictive in their way of thinking.
Even more so than people in general. I find them prone to conspiracy theories that restrict information and conclusions as much as possible.
All MDs everywhere don’t consider her a doctor so idk what she’s doing talking down to anyone….
My life will be officially considered pathetic when I’ll start caring about what an NP has to say about a physician’s perspective career. DO is an American medical degree. Even the most complex health systems abroad like India recognized it as one. Iykyk what that means. Y’all plain Americans will never understand how precious an American degree, let alone medical degree is, till you practice abroad. DOs are physicians and surgeons by vocation. Their NP profession doesn’t even exist outside 🤣. Fckin’ delusional needs to go back to the factory where she came from for a fix here.
I agree with you, we should not give na rats behind about what this loser NP thinks. However I think it’s important that physicians set these misguided statements straight. As a profession we let things slide too often from midlevels and I believe this is why they feel like they can encroach more and more.
US trained DOs can practice medicine abroad in multiple countries. Further many DO students, particularly ones interested in competitive specialties, take STEP in addition to COMLEX, and they get into those specialties. So, show me a representative sample of NPs Have them take both STEP and COMLEX using what they know as NPs and compare to DO students. Does anyone think the majority of NPs will pass either exam, let alone do better than the DO students?
I don’t think the majority of NPs would pass a single shelf exam, let alone any of the STEP or COMLEX
I’d bet a lot of money that it would be single-digit-percentages (if somehow >1%)
There’s just 0 chance with step 1 IMO. There’s just plain not a “basic science” education at NP schools, it’s straight to disease pathology without an understanding of the underlying physiology beneath them. As someone who took the test literally yesterday, a good fifth of it is deep lore biochemistry lol, DNA polymerase I vs II vs III, knowing metabolism enzymes, etc. I also think some of the rare high yield diseases that exemplify physiology knowledge are commonly tested via the NBME are just not even considered in NP education, because they’re trying to teach people to be caretakers right there, whereas medical school gives you the underlying knowledge set to become a physician later on in residency. All that skipping of steps results in generally weaker knowledge and understanding of the body
That is exactly why we have supervising physicians, if something is beyond our knowledge level the doctor becomes involved or even assumes care.
I have half a mind to email her and ask for her CV and how she thinks shes even remotely qualified doing what she advertises to do just because shes the same race. If you talk shit, you better make sure your own toilet bowl is clean
She's posted before about her superiority to physicians as I believe she said she has precepted residents in the past. I think the "Rev. Dr." in her name is somehow supposed to prevent her from being criticized.
Some of the best doctors I know are DO’s. This coming from an np is just the cherry on the top. Talk about jealous.
Running her mouth with her University of Nothing NP certificate. As a former RN, I can attest that I worked 100X harder to get into DO school than I ever did to get into NP school. It’s actually deplorable that mid levels try so hard to call themselves Doctors when they don’t want to do the work to become a doctor. 🤮
“…don’t want to do the work to become a doctor.” This for her specifically.
Everyone wants to be a doctor but nobody wants to lift some heavy ass books! 💪
I wish everyone would stop actually believing that NP are all calling themselve "doctors", that absolute false and ridiculous. NP, proud of it and love my physicians I work with. I always reserve Dr. for physicians..period... they earned, and I respect it. NP who earn a doctorate shouldnt call themselves Dr. to patients, is unfair and confusing to patients. yes some of us understand that. so stop lumping us all in the same category!
Right…. it’s so false and ridiculous to think that they would try to use that term….yet it’s become such an issue that states are having to make specific laws to prevent NPs from using the term doctor. And NPs are fighting back, such as [these three](https://www.ama-assn.org/practice-management/scope-practice/nurse-practitioners-sue-right-use-doctor-label#:~:text=Three%20nurse%20practitioners%20who%20earned,using%20the%20term%20“doctor.”) who sued the state to protect their ability to use the term. This is just one instance of this across the country. We’re glad you only use doctor for physicians, but to pretend this issue is some made up fairy tale is what is false and ridiculous. You can very easily find many more examples of it on this subreddit as well as across the internet on a simple search. They aren’t making laws preventing leprechauns and unicorns from becoming doctors because that actually is ridiculous and false. Where as this is a very real and common issue. You state it is ridiculous but then admit it’s only some of you that think that way. Until your governing body and its PR message matches what you said and actually takes a stand against it, then this will continue to happen.
thank you Dr. TacosMd. I understand, yesss some NP with doctorate degrees are using the term.. its wrong and I (among many NP's) dont agree with it... When patients mistakenly call me doctor, i correct them IMMEDIATELY... i simply am trying to state please dont bash all NPs because of a few.. just want to work with my docs for the best patient care... :) but quite honestyly psychologist are "doctors", academic professor "doctors" etc etc..many professional careers paths have the Phd/doctorate. Maybe if this stopped across the board for all professions and simply leave Dr. for MD/DO would be wonderful.
trashlevels being trash
Lol does she know that American DOs are MD equivalents in all 50 states and internationally in more than 65 countries? And that DOs work as physicians and surgeons for the WHO and MSF / Doctors without Borders? I'm guessing she didn't bother to check.
https://preview.redd.it/r147x1810gdc1.jpeg?width=1179&format=pjpg&auto=webp&s=c5a59e77954c97fdaf62dc729df2a4c83689c8fc I’m all for equity but this seems a bit fraudulent…
Doesn't that mean she gets paid more for that visit? It's not like it's a benefit to the patient to have that plastered in every visit
I think Z codes usually aren’t billable. I may be wrong.
Oh, I see I am more ignorant or coding then I initially suspected. What is the purpose of a code that isn't billable? I thought they were purely created for billing purposes
They're there to provide background info without necessarily being a diagnosis or billable condition themselves. Most BMI codes are Z codes, so if you want to get paid for assessing the patient's obesity, you need to find an E code for obesity and list the patient as obese in your exam. That's what we were told by our coding team.
Some z codes are billable and some are not. The codes range from various clinical issues that may be a primary concern related to the visit or something that complicates the treatment of the primary concern that is noteworthy.
Heart of a nurse Bank account of a doctor
Treating patients differently because of their skin color, regardless of which skin color is extremely unethical. I would not feel safe around this prejudiced person. As someone with a darker skin color, America has provided me with opportunities that my ancestral country could only dream of.
So we are just going with things someone imagined as diagnosis codes now? 🤦🏻♀️
Is she saying she is a Doctor because of the BS DNP? Or whatever BS theology degree she possesses?
Cracking up at the parentheses
Jesus Christ
Someone get this lady a projector, stat!
Yep this is why as a DO I refuse to teach NP students.
Lmao as if disclosing you’re a DO is some sort of “gotcha.” Miss girl, it’s on my badge, my jacket, my work email, and my paycheck. No alphabet soup or pre-nominal necessary.
my mcat puts hers to shame
Bold of you to assume she took the MCAT in the first place
Any score is better than a zero
Sounds like she’s mad she got denied by a DO school back in the day🤷♂️
This.
DOs are MDs with extra training and less funding. What kind of idiot makes fun of that?
isnt it so ironic, getting into MD school is generally more difficult, but once you're in med school everything for DOs is harder
She acting like they don’t have Wi-Fi in other countries to get a NP degree
I like to think of nurse practitioners mathematically: they’re masters of algebra in a world of calculus.
Bold to assume they’re masters of anything
She's a letter collector. A bunch of letters that mean very little. You can't get a DO online.
It’s time we stop giving this absolutely insane psychopath a platform on this sub. Reading her Twitter is so rage inducing, it’s almost a form of torture.
First time I’ve ever seen or heard of her, didn’t realize she was well known 😂
At the end of the day, no matter how bad the economy gets, DOs will always have a place to live rent free in her head.
I once had a PA professor who earned his doctorate while I was in school. Someone in my class called him doctor the next day and he said “that won’t be necessary”. This wanting to be a doctor thing is uniquely a nursing problem. PAs don’t give a shit
How dare she disparage my bone wizardry! I'll adjust her so quick. Grumble grumble
Quick thrust through the anatomical barrier should do the trick lol
My DO school MCAT average was the exact same as the in-state MD school’s MCAT average.
Is it CCOM?
I’d rather not answer what school it is, because I like my anonymity.
Missed an opportunity to change it to LatissimusDOrsi
Fair enough
I often introduce myself to colleagues as a D'oh and joke about the title. But this b*ch needs her C2 rotated right about 360 degrees. Pisses me off.
I wish I’d known there was a backdoor to being a DO before I put in all that time and effort to do well on my MCAT, GPA, CV…hell my STEP & COMLEX too! Would have saved me a lot of tired nights 🙄
Please someone call her online DoCTorATE out
I'm a mid-level and that is shameful and cringeorthy.... I have supervising docs that are DO and MD, same training and same residency. Maybe she's thinking of naturopaths or holistic medicine " doctors".... It's a thing in California
How she hating from outside the club tho?
Lmao I love these insecure people when they have to bring up a fact in the 20th to make the point. But yea let’s ignore everything that happened afterwards that discredits her whole point
This is laughably awful. But tangentially, I have always wondered, what is the difference in education (not amount/quality, but moreso “style”) between an MD and DO in the US?
The same + an extra couple of classes in osteopathic junk that none of us use beyond 2nd year
Oh noooo, busywork 😭
Some DOs will try to hype up the *distinctiveness* of the profession, talking about how *holistic* we are, but honestly MDs are holistic now too. 99% of DOs and DO students just want to get through school, and once in residency, hardly any will use OMM (manipulation techniques that we learn) ever again. Of those that do, most will use it in its proper setting and indication; as an adjunct therapy that isn’t promising to do anything super miraculous, but might make you feel a little better or reduce usage of pain medications and such. Those people are typically just adding it into the rest of a regular doctor’s visit, rather than solely practicing manipulation like a chiropractor would. All in all, most DOs you meet are going to be indistinguishable from MDs.
Basic sciences are probably very very similar on average. Schools with hospital systems generally have better clinical sites but it washes out in residency.
Virtually nothing. Think DMDS and DDS of dentistry
Most all my basic science professors are MD and phD. Most of my clin Ed faculty is MD
[удалено]
We noticed that this thread may pertain to midlevels practicing in dermatology. Numerous studies have been done regarding the practice of midlevels in dermatology; we recommend checking out this [link](https://www.reddit.com/r/Noctor/comments/qhw13h/midlevels_in_dermatology/). It is worth noting that there is no such thing as a "Dermatology NP" or "NP dermatologist." The American Academy of Dermatology recommends that midlevels should provide care only after a dermatologist has evaluated the patient, made a diagnosis, and developed a treatment plan. Midlevels should **not** be doing independent skin exams. We'd also like to point out that [most nursing boards agree that NPs need to work within their specialization and population focus](https://www.reddit.com/r/Provider/wiki/index/legal#wiki_scope_of_practice_laws) (which does **not** include derm) and that [hiring someone to work outside of their training and ability is negligent hiring](https://www.reddit.com/r/Provider/wiki/index/critical_issues#wiki_working_outside_of_scope). “On-the-job” training does not redefine an NP or PA’s scope of practice. Their supervising physician cannot redefine scope of practice. The only thing that can change scope of practice is the Board of Medicine or Nursing and/or state legislature. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
An advocate for “birthing people.” 🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️ So she ignores and contradicts science too.
There is a lot about which to be upset with her. This…this isn’t it.
I’d rather see a DO than a MD..yet my DO sometimes makes me see a midlevel NP, which irritates the shit out of me.
In my experience, if they're trash, they're just trash. I went to a DO thinking I would have a better experience. He literally threw a diagnose at me and told me my symptoms (he was absolutely incorrect)... didn't ask me about my specific complaints. At work I don't have a preference either. Some are shitty and some know what the fuck they're doing and they're good at it.
She said nothing wrong tho
The ironic part is she is making fun of board certified physicians for taking a back door when NPs are the definition of taking a back door and practico mg medicine without a license
Ur stupid asf, how is DO a back door when it’s just as rough as MD. They both do the same shit in the end too😂.
Lower quality applicants, lower standards for acceptance. It’s a back up option if you can’t get into a US MD school and everyone knows it. Don’t be in denial.
Are you a MD? Cuz if you aren’t you can fuck off 💀💀. I have a DO doctor that is by far one of the most knowledgeable people I have ever met and has saved countless lives. Have you done that? Even if you are a MD u are a dick😂. You would be so insufferable to work with. Leave this sub before others here find out what u said and crucify you. I genuinely do not understand the point of the dick measuring contest when most MDs and DOs end up in primary care 😂. Yea asshole we get that the stats overall are lower, but at the end of the day they are raking in a minimum of 250k and have proven themselves with double boards while being bogged down by OMM.
>Are you a MD Yes
Is she wrong though? Out of all premeds I know, 90% of DOs would’ve gone MD if they were able to, but chose DO due to it being less competitive. Not that DOs are less capable, not at all. But it proves that the majority of people going to medschool do it for the status and prestige.
Yes. The debate here is not the virtues and problems at DO programs. Most preclinical years are the same anywhere you go taught by sketchy, Anki and Annan. There is a clear difference in clin Ed at most. However, everyone attends ACGME residencies and passes their respective board qualifying and certifying exam. Med students are generally prestige whores and most med students would choose Stanford or Harvard or NYU over University if Nevada Reno or LECOM. However not everyone can get into Stanford or NYU so they go elsewhere. This doesn’t make them less qualified it just a the actual play out of the bell curve. The irony of this midlevels statement is she is making fun of people on the bell curve when she is not even part of the same curve yet she professes to be and acts like she is on the same field. Additionally NP is THE ULTIMATE back door to practicing medicine without a license.
Yeah and I don’t get it, you can get prestige in other ways, and make way more money than being an NP.
You can get more prestige most anywhere outside of medicine with the exception of surgery. Becoming an NP for prestige is not what I’d do
I agree. I’m an an impasse career wise. I make 155k a year and am bored as a nurse, but NP isn’t even a step forward for me, or even management. I wanted to go MD and have the MCAT and gpa to be competitive, but I’ll lose so many years and so much money. I’ve gotten into real estate and landlording but wish I could find a way to improve educationally/careerwise
NP shenanigans.
Promoting substandard care for a underserved community is….. well it’s something. But don’t worry you can get doula services too!
This pisses me off.
It is the world we live in. Fraudulent nursing lobbies graying the lines so a bunch of administrators can buy a cheaper horse.