Nursing is an honorable profession, neither superior nor inferior to medicine, but distinct from it. I learned this from nurses! Then last night I saw a commercial on TV for “Nurse Practitioners,” who are:
…leading the charge and growing the nation’s access to patient-centered, accessible, high-quality health care.
They’ve also got a chip on their collective shoulder over the term “Mid-level” provider. Can’t call them “Physician extenders” or “non-physicians” either. Fine. I’ll just call them “arrogant doctor-wannabes”. I was just being polite with the “mid-level” thing anyway.
Apparently their issue with the term “Mid-level” is the implication that the “mid” means “middling,” or somehow less than “high”, and that it refers to either the quality of their care, or their education, or whatever. I’m not really sure; it seems like such a stretch, trying desperately to find offense where none was ever intended.
It’s as silly as if I were to get all bent out of shape about “Primary” care being somehow inferior to “Tertiary” care, as provided in large downtown institutions, because “Tertiary” means “three”, which is more than “one”, which is “Primary.”
At issue is what kind of care is provided to what kind of patients for what kind of problems. First aid kits are the first line of defense most of the time. Hopefully even Nurse Practitioners can agree that not every little cut and scrape needs professional medical attention. “Mid-level providers,” individuals with approximately 1/3 to 1/2 of the training of a physician, are used in ERs and busy offices to “extend” services to more people than can be covered by physicians. Their care is not inferior to that provided by physicians. It’s just properly provided to care for problems requiring their levels of expertise, which is not the same as that of a physician.
I think that non-physician providers should care for healthy people and doctors should take care of sick people. Let the NPs do well baby and preventive care til the cows come home. Most of it is education anyway, which is their alleged forte. (Spoiler alert: It’s mainly because they have more time to spend with patients.) [plagiarized from myself]
Patients need all of us: Moms and Dads to bandage cuts and kiss skinned knees; mid-levels to stitch up simple lacerations and care for people who didn’t really need to come in, and doctors to figure out whether you’re tired because you have sleep apnea, depression, anemia from colon cancer, or something else.
Don’t try inundating me with stories about noble NPs who rush in to save the day from arrogant doctors. On the one hand, I can match you incident for incident with ignorant NPs and PAs doing harm practicing beyond their abilities. Then again, the plural of “anecdote” is not “data.” Get off your high horse about the term “Mid-level” and let’s join forces against the truly demeaning moniker of “Provider.”