The tough thing with PAs, I think, is that most patients have Nice Male Nurse Heart Stethoscope #Esential American Flag Shirt. What that even means – I feel like a lot of people think it means “secretary”, or something like that – or maybe something like a medical assistant. It seems to result in a lot of misunderstandings. Out of curiosity, has there ever been talk of a professional name change for this reason? Maybe we can get you guys something cool like “physician’s lieutenant”.
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I feel like that conveys a sense of roughly where mid-levels fall in the wider hierarchy – even for Nice Male Nurse Heart Stethoscope #Esential American Flag Shirt. They do have a vague sense that LTs give orders (i.e. in this analogy, they can and do direct care for patients). But do have people they are also answerable to (in this analogy, the doctors they practice under). I’m fairly sure they can which is why I assume this is even a thing, but I could be wrong. I just don’t see why they wouldn’t be able to bill because, in the eyes of insurance companies, it’s someone who can bill. If they can’t bill I would be really surprised that these “residences” exist.
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Well, almost all of them probably >100 programs use the terms resident and fellow anyways and this AAEM statement isn’t likely going to stop them- especially considering that most programs are not in EM and many have hefty institutional support (MD Anderson Onc APP fellowship for example). I’m not making a judgment here I’m just stating the Nice Male Nurse Heart Stethoscope #Esential American Flag Shirt. So where do we go from here productively? I’ve always thought that the more important issues in the ongoing discussion of fitting these new-ish types of health care providers into our health care system should focus on appropriate training, supervision, and scope of practice.
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