Shows
Patients at RiskBONUS EPISODE: Webinar on NP/ PA Unsupervised Practice of Medicine (UPM) Legislative TrendsRebekah Bernard discusses the legislative trends and impacts of allowing non-physician practitioners (NPs and PAs) to practice medicine unsupervised. She highlights the extensive training and hours required for physicians compared to the significantly less training for NPs and PAs. Bernard explains how legislative changes have allowed NPs and PAs to practice independently in many states, often with less experience and training compared to physicians. She delves into the history of physician shortage concerns, influenced by flawed reports from the 1980s that led to restricted physician production and the promotion of NPs and PAs as substitutes. Bernard outlines the growth...2025-06-2738 minPatients 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 Assistant Physician (AP) - A pathway to independent practice?In part 2 of my discussion of the Assistant Physician (AP) role, Dr. Keith Frederick meets Dr. Liz Troilo, who benefited from his legislation. After working as an AP, Dr. Troilo matched into residency and now provides critical access care as a Family physician in Missouri. Dr. Frederick proposes a possible alternate pathway to independent practice for physicians other than formal residency training. Learn more about the importance of physician-led care - https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/PhysiciansForPatientProtection.org2024-02-0518 minPatients at RiskBONUS EPISODE: AZ State Rep and ER physician Dr. Amish Shah discusses his run for U.S. CongressEmergency physician Dr. Amish Shah has served the Arizona State House for the last five years and is now running for U.S. Congress. In this special bonus episode, Dr. Shah explains why he entered into politics, the work he has done to support the practice of medicine, and why physicians should donate to his campaign.Learn more / contribute to Dr. Shah's campaign here: https://www.amishforarizona.com/ Meet Dr. Shah at his fundraiser at the Take Medicine Back meeting February 9, 2024 in Palm Springs https://www.takemedicineback.org/PhysiciansForPatientProtection.org2024-01-2419 minPatients at RiskPhysician legislator and creator of 'assistant physician' role in Missouri discusses steps to improve physician shortagesThere 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. Today we are talking about a proposed solution to this problem—a new professional designation for unmatched medical school graduates called the “Assistant Physician” (AP). I am joined by Dr. Keith Frederick, the originator of the first legislation to create the AP role, and Dr. Liz Troilo, who worked as an AP before becoming a board-certified family physician. Lea...2024-01-2225 minPatients at RiskPhysicians fight to prevent more patient deaths from 'wellness' treatments at medspasIn July 2023, 47 year old Jenifer Cleveland, a mother of four, died after receiving treatments at a Texas medispa. We reported on this tragic story in a podcast with plastic surgeon Alina Sholar (https://www.buzzsprout.com/1475923/13329411-when-wellness-turns-deadly-patient-dies-during-npp-medspa-visit.mp3?download=true). Today, we are discussing the aftermath of this case and efforts by Texas physicians to ensure that no more patients die from ‘wellness’ treatments. Dr. Mary Kelly Green is an ophthalmologist and founding member of Texas 400, and advocacy group protection fighting to protect patients.PatientsAtRisk.comPhysiciansForPatientProtection.org2024-01-1430 minPatients at RiskNP malpractice settlements on the rise, especially for NP-owned practicesMalpractice insurance company CNA, along with Nurses Service Organization (NSO) has been providing malpractice coverage for nurse practitioners across the country in a variety of practice settings for the last 30 years. The organization released its first report on NP malpractice claims in 2005, and recently released its 5th report analyzing data between 2017 and 2022. Dr. Kevin Zhang joins me to discuss the findings of this report including:Increase in average total claims for NPsHighest average claim among NPs covered through an NP-office practiceMost frequent claim: Failure to diagnosehttps://www.nso.com/Learning/Artifacts/Claim-Reports/Nurse-Practitioner-Claim-Report-5th-Edition Ge...2024-01-0136 minPatients at RiskWisconsin NP legislator makes unprofessional comments during testimony on vetoed billNurse practitioner and Wisconsin Senator Rachael Cabral-Guevara jokes about 'missing' lobbyist Mark Grapentine's IV... and using the largest bore needle to try again. Bill co-sponsor Rep. Barbara Dittrich responds by pulling her name off the legislation.Get the books!https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438PhysiciansForPatientProtection.org2023-12-1121 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 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 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