APN v. MD/DO

     We had this debate at work several days ago.  One of our employee's spouse is a Nurse Practitioner.  This employee was advocating APN's as a subsitute/equivalent of an M.D.  I'd like to know if you guys feel comfortable with an APN as your or your child's primary health care provider, and why or why not.  

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Igor Rabinowitz
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Igor Rabinowitz 05/03/11 - 09:53 am
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APN is fine

Have you seen the process the way a lot of it works anymore?

You have a complaint, they ask questions, the complaint and questions (asked in the proper order) are entered into the Electronic Medical Record ("EMR" in trade terms), a therapy is prescribed, and boom, out.

In the end it's all a lot of doc's do, and here's why: Medicine is a game of statistics. If X occurs Y treatment resolves it Z percent of the time with XX risk of complication (and Y treatment for that complication Z percent of the time) and so forth.

Often, if pressed, they can give you those numbers. (".... and this is why we're treating it this way and this is your risk of complication....")

This frees up the docs to do docs things, like complex "off the charts" things which require the insight which can only come with extended medical training.

I'm have an appointment to see the nurse/p here in about an hour.

i_wonder
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i_wonder 05/03/11 - 10:14 am
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APN
Unpublished

is not an "equivalent" of an M.D. If so, they'd be an M.D.

However, they can prescribe. So, I wouldn't hesitate using one, as needed.

If you have a chronic condition, I'd see an M.D. though.

The choice of PCP has more to do with insurance coverage and contracts..in my experience.

There is a difference between "provider" and "physician", however.

And, if you listen to Igor, just download some EMR software and install it on your computer and you're a doctor.
(That last part was sarcasm).

BuzzBy
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BuzzBy 05/03/11 - 10:20 am
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@I_Wonder
Unpublished

The choice of PCP has more to do with insurance coverage and contracts..in my experience. So you have a lot of experence with PCP usage???

I don't think even and MD can prescribe PCP

Just Saying

Igor Rabinowitz
9135
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Igor Rabinowitz 05/03/11 - 10:20 am
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Well for that matter

Ask any GP how much self-diagnosis is going on any more.

They have to kind of reign 'em in sometimes -- especially when it's about a serious and/or complex condition -- but we live in informational times.

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