Shows
Working HealthcareEp. 38 - Who Should Lead Your Care? Dr. Rebekah Bernard Makes the Case for Physician-Led HealthcareIn this eye-opening episode of Working Healthcare, Meredith Hirsh sits down with Dr. Rebekah Bernard, a passionate advocate for physician-led care, to challenge the growing trend of nurse practitioners and physician assistants taking the reins in primary care. Rebekah, author of Imposter Doctors and Patients at Risk, argues that the increasing reliance on these providers, driven by cost-saving motives, is putting patient safety at serious risk. She makes a bold case for why healthcare should remain in the hands of highly trained physicians, warning that cutting corners on training could have dangerous consequences for patients. With powerful insights into...2025-02-1159 min
Patients at RiskScope of Practice testimony at the Texas Legislature: Part 1 (Economic Impact)On September 17, 2024, the Texas Senate Health and Human Services Committee held an interim hearing on scope of practice expansion for nurse practitioners and other clinicians. The Texas Medical Association (TMA) invited Rebekah Bernard, MD to testify regarding the economic impact of NP independence.In part 1 of this series, we hear the NP expert witness, economist Alicia Plemons, followed by Dr. Bernard's testimony, along with questioning from the committee.Learn more! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/Support our vision of physician-led care and truth and transparency for all medical practitioners: physiciansforpatientprotection.org2024-11-1726 minPatients at RiskThe Medical Ethics of IV hydration ‘bars’There has been a dramatic rise in the number of clinics offering intravenous infusions of fluids and vitamins to treat an array of conditions and for a supposed wellness benefit. But do these treatments actually work? To discuss the risks and benefits of IV infusions outside of a traditional medical setting I am joined by nephrologist Dr. Christin Giordano. Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438PhysiciansForPatientProtection.org2023-11-2728 minPatients at RiskEsteemed physician organization American College of Cardiology selects nurse as new presidentInterventional cardiologist Dan Sraow, MD, FACC discusses the election of a nurse rather than a physician to lead the American College of Cardiology (ACC), as well as the risks of non-physicians performing cardiac interventions.PhysiciansForPatientProtection.org2023-11-1332 minPatients at RiskLouisiana doctors succeed at passing graduate physician billThere is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. To alleviate this shortage, some states have a new professional designation for unmatched medical school graduates called 'assistant physician' or 'graduate physician.' Representatives for Louisiana Physicians for Patients discuss their role in passing legislation to allow graduate physicians the opportunity to work under the supervision of a licensed physician in the state.PhysiciansForPatientProtection.org2023-10-3023 minPatients at RiskLouisiana physicians hire lobbyist and defeat NP independence billLouisiana physicians discuss their successful effort to block scope of practice expansion in the state.PhysiciansForPatientProtection.org2023-10-1627 min
Financial ResidencyGrand Rounds: Exploring Direct Care Model with Dr. Rebekah BernardBeing an employed physician who accepts insurance can be overwhelming with all of the administrative tasks we must go through to get paid. Have you ever thought of opening a clinic where you didn't take insurance? What would that look like? Dr. Rebekah Bernard joins us to talk about her experience as a Direct Primary Care physician. She also states other specialties are starting to follow suit and open practices around the US. We explore how she got started, how she helps her patients get the tests and procedures they need, how she doc...2023-10-0239 minPatients at RiskBioethicist weighs in on use of the term 'doctor' by nonphysiciansIn 2023, three nurse practitioners sued the state of California for the right to call themselves 'doctors' in a clinical setting. Bioethicist Arthur L. Caplan, PhD, discusses the ethics of titles in healthcare.Dr. Caplan's article - https://www.medscape.com/viewarticle/994536Get the book Patients at Risk and Imposter Doctors!PhysiciansForPatientProtection.org2023-10-0230 minPatients at RiskPatient asks for OB physician during pregnancy and delivery, told 'no'At 39 years old, Hasina Hafiz wanted a physician to oversee her pregnancy and delivery. However, the only clinic in the area that accepted her insurance refused, allowing only CNM/ WHNP care. Retired OB/GYN John Lafferty, MD discusses complications that can occur during pregnancy and delivery, and why team-based care should always be led by a physician.PhysiciansForPatientProtection.org2023-09-1822 minPatients at RiskNoncompete contract restricts rural patient access to physician careJacqui O'Kane, DO was fulfilling the promise of Family Medicine, providing expert physician care to rural residents of Georgia. Burned out from overwork and support staff challenges, she decided to leave hospital employment. But instead of allowing her to open her own direct primary care practice, the hospital enforced a 50-mile radius noncompete contract, limiting patient access to care. Listen in on our discussion of noncompete contracts and why some physicians are leaving employed practice in favor of self-ownership.For tips and tricks on surviving the fee-for-service world, check out my book, How To Be a Rock St...2023-09-0432 minPatients at RiskPhysician discusses why she will no longer train or supervise NPPsSara O'Heron, MD discusses changes in the education and training of NPs and PAs over her 35-year career.Learn more at PatientsAtRisk.comGet the new book, Imposter Doctors, available in paperback, eBook and Audible: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk-ebook/dp/B0C4J3P3Z1/PhysiciansForPatientProtection.org2023-08-2135 minPatients at RiskWhen 'wellness' turns deadly: Patient dies during NPP medspa visitPlastic surgeon Alina Sholar, MD discusses the risks and dangers associated with non-physician supervised medspa medical procedures. Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/Join PPP: PhysiciansForPatientProtection.orgPhysiciansForPatientProtection.org2023-08-0331 minPatients at RiskEnsuring a fair physician employment contractEmployment attorney Dennis Hursh, Esq advises physicians on best practices for a fair employment contract.Mr. Hursh is the owner of Physicians Agreements Health Law and the author of The Final Hurdle: A Physician's Guide to Negotiating a Fair Employment Agreementhttps://www.amazon.com/Final-Hurdle-Physicians-Negotiating-Employment-ebook/dp/B07R596D28/Contact him at https://pahealthlaw.com/Get the new book, Imposter Doctors, a sequel to Patients at Risk. https://www.amazon.com/Imposter-Doctors-Patients-at-Risk-ebook/dp/B0C4J3P3Z1/PhysiciansForPatientProtection.org2023-07-1733 minPatients at RiskOriginal study shows impact of NPPs on Emergency physician residentsLead author Andrew W. Phillips, MD, MEd, joins me to discuss the brand new study 'Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education,' the first study to evaluate the impact of NPPs on EM resident physicians.Permalink https://escholarship.org/uc/item/9g14r2jx Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(3) ISSN 1936-900X Authors Phillips, Andrew W Sites, Jeremy P Quenzer, Faith C et al. Publication Date 2023 DOI 10.5811/westjem.58759 Andrew Phillips MD EdD is the author of Survey Methods for Medical and Health P...2023-06-1433 minPatients at RiskNew Book - IMPOSTER DOCTORS - Now On Sale!Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW at Amazon and Barnes and Noble.PhysiciansForPatientProtection.org2023-06-0121 minPatients at RiskOpening your own practiceCan't find a job that doesn't require you to supervise non-physician practitioners? It's time to consider a return to self-ownership! Psychiatrist Dr. Rashida Gray discusses her journey and encourages physicians to take back control of medicine by opening their own practices. Learn more about Dr. Gray at her website: GrayMDPsychiatry.comJoin us: PhysiciansforPatientProtection.orgPhysiciansForPatientProtection.org2023-05-0732 min
FlexMedStaffFlexMedStaff Podcast with Dr. Rebekah BernardDuring this podcast, we had a wide-ranging discussion with Dr. Rebekah Bernard on developing a DPC clinic as a family medicine physician and how it improved her work-life balance. We also discuss her passion for educating the general public about patient safety. 2023-05-0238 minPatients at RiskInnocent EKG findings lead to unnecessary ER visit: Why physician training mattersEmergency physician Andrew Wilson, MD, discusses a case in which a routine work physical at an Urgent Care resulted in an unnecessary ER visit for a patient.Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164PhysiciansForPatientProtection.org2023-04-1717 minPatients at RiskHealing the healers: The Physician Support LineLast week was Match week, and while thousands will celebrate matching into residency, 2,500 medical school grads will face an uncertain future due to a shortage of residency positions. If you know someone who might need help through this difficult time, the Physician Support Line is a free, confidential, and anonymous resource. Dr. Mona Masood, psychiatrist and founder of the Physician Support Line, discusses the importance of help for doctors.Physician Support Line - 1 (888) 409-0141 https://www.physiciansupportline.com/Psychiatrists helping our US physician and medical student colleagues navigate the many intersections of our...2023-03-2127 minPatients at RiskUtah physician on hiring unmatched medical graduates (associate physicians)Nurse practitioner and physician assistant use are often justified because of a shortage of physicians, especially in underserved areas. One major cause of the physician shortage is a lack of residency positions, the required minimum training that must be completed after medical school to be licensed as a physician. Every year, thousands of aspiring physicians cannot complete that training because of a lack of funding for more residency positions. While physician advocacy groups are lobbying Congress for more residency funding, some doctors are taking direct action to help medical school graduates to continue their journey toward becoming l...2023-02-1128 minPatients at RiskPsychiatrist explains dangers of NP-staffed mental telehealth platformsThe COVID19 pandemic created both challenges and opportunities in the healthcare sector. One major winner: telehealth startup companies offering ‘virtual’ medical care, including psychiatric care. But instead of hiring physicians, these companies hire nurse practitioners to care for some of the most complex and vulnerable patients in our nation. These companies got an even bigger boost when the U.S. Drug Enforcement Agency relaxed requirements for the prescribing of controlled substances due to the COVID19 pandemic. Online mental health companies quickly shifted gears to prescribing medications typically available only through a face-to-face visit, especially stimulant medications for atten...2023-01-1627 minPatients at RiskVicarious liability: Family physicians discuss getting sued due to association with NPsNurse practitioner and physician assistant advocates often assure physicians that they face little liability or risk when performing supervision, insisting that NPs and PAs are liable for their own errors. But case law examples demonstrate this to be false. If state law requires physician supervision or collaboration, the physician may be held vicariously liable in the event of negligence, even if they were not consulted by the nonphysician about the patient’s care.Today we are talking with Nancy Berley MD and Shenary Cotter MD, family physicians who experienced negative repercussions when errors were made by associated non...2022-12-1924 minPatients at RiskLack of informed consent: Patient nearly dies after CRNA mishapImagine this scenario: You are rolled into an operating room in a surgical center for an outpatient elective procedure. But when you wake up; you’re in an emergency department, and you learn that you nearly died from anesthesia complications. Even worse, you find out that your anesthesia was provided not by an anesthesiologist, but by a nurse anesthetist.Paul Ambruster discusses his near-death experience after receiving anesthesia from a CRNA without anesthesiologist supervision. This is a cautionary tale for patients and physicians involved in the care of surgical patients. PhysiciansForPatientProtection.org2022-11-2826 min