Sunday, April 16, 20065
The future of primary care? Dr. Crippen takes aim at mid-level providers:
Medical judgment is acquired gradually over a long period of time. A bedrock of two to three years scientific training, supplemented by three years clinical experience, followed by many more years of medical apprenticeship before you become an independent doctor working as a GP or consultant.
This process of acquiring medical judgment is also known as training to be a doctor.
It cannot be taught in a two-week "skills acquisition course" with flip-charts and a plate of bourbon biscuits.
Comments
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WilliamManginoMD
Doctor:
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Kevin
Thanks for your comment. Perhaps you should re-direct your concerns over to Dr. Crippen at NHS Blog Doctor (http://nhsblogdoc.blogspot.com/) who actually wrote the aforementioned opinion on nurse practioners.
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WilliamManginoMD
Dear Kevin:
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Anonymous
mangino, how do you like the mangoes of the nurses.Seems like they gave you enough of that. Just tongue in cheek or elsewhere!!!!!
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Anonymous
Just 2 questions:
Post a Comment »You should know better than to openly be critical of any member of the nursing profession.
An experienced physician you are. How can you stoop so low as to insult a nurse. You should have learned by now that this nurse was one of many who describe themselves as "Patient advocates."
Shame on you for invading her "turf."
As a pain specialist I can assure you that my experience has taught me that nurses are never wrong.
They can spot a drug abuser a mile away. As a young surgical intern, in 1977, they made sure that no patient ever left the ER with anything stronger than 4 tylenol #3 tablets - to get the patient pain relief until he or she reached the confines of their GP`s office; with lack of medical insurance notwithstanding.
At the end of my internship I actually was starting to believe that everyone in north Philadelphia was a drug addict - and that The Albert Einstein Medical Center was the main diverter of opioids in that neighborhood.
So be careful what you say, doc. These people are never wrong.Besides that they are always friendly to patients and never speak badly about us doctors.
You`ll be in my prayers.
WilliamManginoMD at Blogger.com
9:47 AM
Thanks,
Kevin
10:18 AM
I can understand his frustration.However, in the spirit of truth and kindness - without detracting from my 'tongue in cheek' comments; neither all nurses nor all doctors are perfect.
As long as we keep trying there is hope.
I have had the privilege of meeting and working with a lot of great nurses over the years.
We`re all human.
Best wishes
Bill Mangino
10:26 AM
12:58 PM
What is a burboun biscuit?
Why am I not eating one right now?
9:08 AM