Patients First
@HalstedMD
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Following
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Putting patients first. Fighting for physician led care. You have a right to demand an MD/DO
United States
Joined September 2020
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Last Seen Profiles
Pinned Tweet
Is there a profession with educational and training standards as poor as
#nurse
practitioners? Why does the
#AANP
continue to protect online diploma mills that will harm innocent patients?
#MedTwitter
#StopScopeCreep
33
74
258
Hospital administration forces surgery residents to cover scrub tech call, denies their request for compensation
#MedTwitter
80
120
435
NP is angry IM physician told her its inappropriate to introduce herself as "doctor" in the ICU, claims no one respects IM physicians and they’re the lowest on the totem pole
#MedTwitter
#StopScopeCreep
#NPsLead
?
130
35
274
'Physician associate', 'nurse anesthesiologist', 'doctor nurse practitioner', 'doctor of medical sciences'
These terms are meant to deceive and obfuscate roles in an effort to elevate less rigorous training to the level of a stringently trained physician. Shameful.
#MedTwitter
18
60
251
Residents and fellows are physicians. They are doctors. Stop treating them as if they aren't.
#MedTwitter
#StopScopeCreep
17
27
249
NPs and PAs are NOT hospitalists any more than they're surgeons or endocrinologists. Hospitalists are physicians.
#MedTwitter
#StopScopeCreep
34
35
233
"some may consider PA school to be even more challenging than medical school"
#MedTwitter
#StopScopeCreep
30
17
229
42
19
198
“Ortho NP looked at X-ray remotely and suggested outpatient appointment on Monday”
#orthotwitter
#MedTwitter
#StopScopeCreep
#NPsLead
?
73
34
191
Physician assistant passes herself off as a surgeon, tells patient's family, "I did the surgery."
#MedTwitter
#StopScopeCreep
24
14
186
"Dermatology PA" completes her "fellowship" completely online, will be doing Mohs surgery
#MedTwitter
#StopScopeCreep
#dermatology
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27
189
70
11
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29
33
173
NP student finds it "overwhelming to go out on my own when I haven't even heard of some of these diseases or conditions", is allowed full practice authority in 25+ states and counting.
#MedTwitter
#StopScopeCreep
#NPsLead
?
23
34
172
Non-physician practitioner refers patient to neurology clinic for multiple sclerosis, prompted by imaging read
#MedTwitter
#StopScopeCreep
44
18
165
"Flight Attendants are much better than pilots. They spend so much more time with the costumer. I only see a pilot for a couple minutes! I trust an attendant over a pilot any day!"
#MedTwitter
#StopScopeCreep
11
30
162
13
24
159
78
17
157
NP student cancels physician's order for CIWA, patient requires ICU transfer
#MedTwitter
#StopScopeCreep
#NPsLead
?
36
26
157
37
17
151
CRNAs threaten to quit Jefferson over not being allowed to call themselves ‘anesthesiologists’
Thank you to Dr Mahla for standing up for your physicians!
#MedTwitter
#StopScopeCreep
12
23
143
@MidlevelCare
Imagine thinking a 4-week PA rotation on surgery, pediatrics, or OBGYN qualifies you to jump around and "autonomously practice medicine" in those fields
4
14
146
When you're a CRNA that doesn't understand how actual residency works.
#MedTwitter
#StopScopeCreep
17
14
139
A $217 million Malpractice Case Involving a PA - second largest in US History
#MedTwitter
#StopScopeCreep
22
28
136
As attendings, it is our duty and mission to train the next generation of physicians.
@acgme
should be taking immediate action against these programs.
Absolute shame on you if you’re contributing to this culture
#MedTwitter
#StopScopeCreep
26
30
135
In an evaluation of 60,000 urologic patients, NP/PAs (who have no formal training in urology) managed to:
(a) not follow guidelines
(b) do less workup and
(c) still cost more
#MedTwitter
#StopScopeCreep
#NPsLead
?
9
32
137
21
9
136
"This is what happens when you actually report a Noctor; call to action"
#MedTwitter
#StopScopeCreep
#NPsLead
?
18
22
134
"Physician Spotlight"
You know who this affects the most? Women physicians. They work their absolute tails off jumping through every hoop only to have their hard earned title completely ripped off from them for clout and ego.
#MedTwitter
#StopScopeCreep
18
17
126
8
21
121
$240k/year for selling a prescription pad from home.
How did we get here?
#MedTwitter
#StopScopeCreep
#NPsLead
?
24
27
119
"I think that you just intentionally misrepresent because people don't know the difference" 👏👏
#MedTwitter
#StopScopeCreep
#NPsLead
?
#RHOBH
5
13
117
The truth about NPs in primary care: mismanagement often takes years to manifest. Instead they often tout superior 'outcome' measures, like # of returned phone calls, using shoddy methodology.
There's a reason FM is a 3 year residency.
#MedTwitter
#StopScopeCreep
#NPsLead
?
17
13
118
Southern Hills Hospital in Las Vegas reminds resident PHYSICIANS not to go into the physicians lounge despite being open to midlevels and administration
#MedTwitter
#StopScopeCreep
36
18
112
Shame on
@GHCardiology
and
@NHSuk
for promoting this. The patient in all likelihood could not have true informed consent regarding the implications of this procedure. Absurd breach of patient autonomy.
#MedTwitter
#stopscopecreep
7
6
111
Two male physicians dismiss a “partially collapsed lung”, ARNP ‘jumps right on’ and orders CT for atelectasis
#MedTwitter
#StopScopeCreep
#NPsLead
?
20
7
112
22
6
110
Wisconsin Governor
@GovEvers
vetoes Nurse Practitioner Full Practice Authority bill
A win for patients!
#MedTwitter
#StopScopeCreep
0
12
109
NP that "only needs 80 hours" in an ER is looking for an "easy read" critical care book as she "knows nothing about inpatient critical care" - will be allowed to independently practice in 26+ states!
#MedTwitter
#StopScopeCreep
#NPsLead
?
32
33
104
43
17
104
50
10
103
St. Joseph Healthcare celebrates Doctors Day by highlighting Kari Whitney, NP
#MedTwitter
#StopScopeCreep
#NPsLead
?
32
10
101
“NPs function at the level of an intern” is another hot garbage take from those that have never even been an intern. Newsflash: they don’t get to come in at 8, leave at 2:30, take 7 breaks and never work weekends for $130k either.
#MedTwitter
#StopScopeCreep
3
9
98
Congratulations to all the new interns starting their journey weekend
#MedTwitter
#StopScopeCreep
4
20
99
No longer just "Physician Associate", they now want to be referred to as an "Assistant Physician"
#MedTwitter
#StopScopeCreep
14
6
98
18
16
99
A few weeks ago
@GovWhitmer
signed a law removing anesthesiologist supervision of CRNAs. Last week she rescinded the decision pending more info. Please let her know how important it is to have physician led care for our pts!
#MedTwitter
#StopScopeCreep
10
16
97
Psychiatry is a complex field that requires medical school and residency. NPs in psychiatry are not adequately prepared for independent practice
#MedTwitter
#StopScopeCreep
#NPsLead
?
10
12
97
NP "pretty confident after 8 years in the trenches" they could pass IM boards
#MedTwitter
#StopScopeCreep
#NPsLead
?
32
5
98
"they certainly have the same capabilities as a family doctor"
#MedTwitter
#StopScopeCreep
#NPsLead
?
42
5
97
30
10
94
"In the end we all ultimately do the same thing 99.9% of the time"
#MedTwitter
#StopScopeCreep
30
7
94
NP falsifies 500 clinical hour requirement, obtains license anyway
#MedTwitter
#StopScopeCreep
#NPsLead
?
22
27
92
NP sits on potential acute leukemia, goes to brain storm on Facebook instead
#MedTwitter
#StopScopeCreep
#Cancer
29
17
89
Absolutely anything to bamboozle the public other than going to medical school and completing residency.
#MedTwitter
#StopScopeCreep
#NPsLead
?
12
9
93
16
4
91
NP student attempts to report program for scaling grades after entire class fails pharmacology course
#MedTwitter
#StopScopeCreep
#NPsLead
?
11
19
92
NP "fellowship" pays more than an actual fellowship at UW, while working less than 40 hours/wk
Why do we continue to allow our trainees to be treated like this?
#MedTwitter
#StopScopeCreep
10
15
89
One of the plaintiffs graduated from Chamberlain, a for-profit 2 year completely online program
#MedTwitter
#StopScopeCreep
#NPsLead
?
9
11
90
22
12
89
PD asks residents to create a guide for NPPs on taking an H&P; something every MS1 is required to demonstrate proficiently. Why are we paying our residents 1/3 of an NPP salary, making them work 3x the hours, and making them train them?
Stop the absurdity!
#MedTwitter
9
21
89
"It's a waste of time and money for anyone to go to medical school to provide primary care"
Same NP: fails rudimentary FNP exam
#MedTwitter
#StopScopeCreep
#NPsLead
?
11
3
89
NPs increase length of stay by 11%
NPs raise 30-day preventable hospitalizations by 20%
NPs increase the cost of ED care by 7%
#StopScopeCreep
#MedTwitter
#NPsLead
?
5
21
87
"Psych" NP has patient on five different antidepressants at the same time
#MedTwitter
#StopScopeCreep
#NPsLead
?
34
12
83
The replacement of physicians in leadership is no accident
President of Hopkins: MSN
President/CEO of NMRP: RN
President of ACC: MSN
Protest with your dues and membership withdrawal
#MedTwitter
#StopScopeCreep
Statement from ACC Presidents on 2024-2025 Presidential Selection:
"Ms. Biga is the right ACC leader at the right time to elevate & support the work of the ACC BOT and membership in developing & implementing the College's 2024-2029 Strategic Plan..."
56
27
107
5
24
86
Brand new NP files complaint with HR after PGY2 EM resident takes multi-system trauma, tells her they "can all do the same stuff"
The future of EM and medicine in general?
#MedTwitter
#StopScopeCreep
15
14
85
12
9
84
3
13
85
34
8
83
AtHome MD, based in Galax, VA is run by newly graduated FNP, Torilyn Quesenberry. She refers to herself as the "Clinical Director/Physician" on marketing materials.
#MedTwitter
#StopScopeCreep
#NPsLead
?
20
12
82
New Hampshire PA group opposes legislation allowing graduate physicians to work because it's disrespectful to PAs, despite those MDs having twice the schooling as them with even more depth.
How's that for teamwork?
#MedTwitter
#AAPA
#StopScopeCreep
18
23
80
"You can pick one and it'll likely work decently well."
Human experimentation?
#MedTwitter
#StopScopeCreep
#NPsLead
?
18
13
83
This is what CRNA organizations actually think of your profession. Stop training your replacements.
#MedTwitter
#StopScopeCreep
5
11
81
9
5
81
Chiropractor saves suspected MI patient's life by "removing the interference in his nervous system" on a flight, as "5 MDs, 2 EMTs, and 1 nurse" stand around
#MedTwitter
#StopScopeCreep
23
9
81
Torilyn Quesenberry, MSN, FNP-C, starts "At Home MD", a business devoid of any actual MDs, is referred to as a "physician still making house calls"
#MedTwitter
#StopScopeCreep
#NPsLead
?
10
9
80
Medical school seeks student volunteers for positions that are regularly paid, despite them spending $50k+/year in tuition
#MedTwitter
18
24
80
Chiropractor starts new job "as a physician" to have more time to study for NP school
#MedTwitter
#StopScopeCreep
26
7
80
"Starting my first job as a doctor in my dream specialty of neurosurgery"
- newly graduated NP
#MedTwitter
#StopScopeCreep
26
11
77
7
4
79
Bypass medical school and EM residency, straight into POCUS fellowship
@UPennEM
#MedTwitter
#StopScopeCreep
#NPsLead
?
21
9
78
Skagit Radiology, Inc., seeks "NP or PA with experience reading radiographs independently"
#MedTwitter
#StopScopeCreep
#NPsLead
?
@RadiologyACR
24
18
79
Nurse with “4 years of experience” claims to be an autonomic specialist after completing a 1 year adult gerontology NP degree, is working independently.
#MedTwitter
#StopScopeCreep
#NeuroTwitter
9
8
78
.
@aanacrna
plans to unveil misleading infographic at VA meeting next week in DC, in latest attempt to exile anesthesiologists from the VA
#MedTwitter
#StopScopeCreep
#NPsLead
?
#CRNA
20
20
78
Leaked:
@StanfordMed
admissions committee issues interview question promoting NP/PAs and penalizing patients for asking for physician led care
#MedTwitter
#StopScopeCreep
@pppforpatients
@Rebekah_Bernard
19
27
77
NP’s had 57% increase in nationwide stimulant prescriptions in the 2 years pre vs post Covid pandemic compared to ~1% for psychiatrists over the same time period.
Most of the change was in young adults.
#MedTwitter
#StopScopeCreep
#NPsLead
?
3
22
79
"I went to Walden for FNP and was not at all qualified to work as a hospitalist"
#MedTwitter
#StopScopeCreep
#NPsLead
?
16
10
76