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Patients at Risk — Health & Fitness
Patients at Risk

Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.

Copyright: © 2020 Patients at Risk

Latest Episodes:

Equal pay for 'equal' work: Inside the NP fight to be paid the same as physicians Mar 28, 2022

Show notes

One of the strategic goals of the American Association of Nurse Practitioners listed on their website (now behind a paywall) is for nurse practitioners to achieve pay parity: to be paid the same as physicians. Oregon became the first state to require that insurance companies pay nurse practitioners the same as physicians and now proposed legislation would do the same in Washington state. To discuss the implications of pay parity in Washington and elsewhere, we are also joined by the past president of the Washington state radiological society, Dr. Pooja Voria.
Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

PhysiciansForPatientProtection.org

Former PA and author of 'Hospital Confidential' discusses midlevel malpractice risk Mar 14, 2022

Show notes

As nonphysician practitioners increasingly provide more patient care, experts note a commensurate increase in medical malpractice claims. Today we welcome medicolegal adviser Bob Pegritz, the co-author of ‘Hospital Confidential,’ an expose of medical malpractice cases. As Bob wrote me, "I have worked in the medical/legal community for 32 years. Before that, I was a surgical PA. As a medical/legal consultant, I have seen a trend over the past 5 years of more PAs crossing my desk for merit review in potential medical malpractice cases. And I think that the number of mid-level healthcare practitioners will do nothing but increase if things don't change."

Get Bob's book! https://www.amazon.com/Hospital-Confidential-Bob-Pegritz/dp/B09LGTSXFV/
For more information, visit PatientsatRisk.com
Get the book: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

PhysiciansForPatientProtection.org

Is this the end of the full-spectrum Family Physician? Discussing proposed ACGME changes to Family Medicine residency training Feb 28, 2022

Show notes

As our listeners already know by now, to be licensed to practice medicine, physicians in most states must complete a minimum of three years of postgraduate medical education, called residency training. Each specialty offers its own residency program, but all must follow specific, standardized criteria created by the ACGME—the American College of Graduate Medical Education. If programs fail to meet these criteria, they will not be credentialed by the ACGME, and graduates will not be licensed to practice medicine.

Recently, the ACGME announced revisions to residency training for Family Physicians, and I’m privileged to be joined today by two family physicians to discuss the proposed changes. Dr. Mark Huntington is the director of the Center for Family Medicine at the South Dakota Sanford School of Medicine, and Dr. Rishi Patel is a family physician and a relatively recent graduate of residency training.
Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164

PhysiciansForPatientProtection.org

Who will read your next x-ray? The replacement of Radiologists (Part 2) Feb 14, 2022

Show notes

Almost every field of medicine today involves some type of nonphysician practitioner, whose role was originally created to help physicians see patients more efficiently. The specialty of radiology is no exception, and radiologists often work with NPs, PAs, and another type of extender called a radiology assistant (RA). In part 2, I am joined by two radiologists to discuss the use of nonphysicians in radiology and concerns that an increased push for these extenders may negatively impact patient care.

Phil Shaffer MD is a recently retired radiologist and frequent guest of our show. He is also a board member of PPP. Sharon D’Souza MD MPH is a radiologist in private practice.

PhysiciansForPatientProtection.org

Who will be reading your next x-ray? The replacement of radiologists by 'radiology assistants' (Part 1) Jan 28, 2022

Show notes

Almost every field of medicine today involves some type of nonphysician practitioner, whose role was originally created to help physicians see patients more efficiently. The specialty of radiology is no exception, and radiologists often work with NPs, PAs, and another type of extender called a radiology assistant (RA). Today I am joined by two radiologists to discuss the use of nonphysicians in radiology and concerns that an increased push for these extenders may negatively impact patient care.

Phil Shaffer MD is a recently retired radiologist and frequent guest of our show. He is also a board member of PPP. Sharon D’Souza MD MPH is a radiologist in private practice.

PhysiciansForPatientProtection.org

Responding to EM:RAP and the use of NPPs in the ER Jan 16, 2022

Show notes

A few months ago, EM:RAP, a well-known and respected EM CME provider hosted a discussion about nonphysician practitioners in the emergency room. Many physicians who listened felt was one-sided and glossed over concerns about independent practice by NPs and PAs. Dr. Steve Carroll, an EM physician and the host of the podcast EM Basics, was so concerned that he reached out to the program to ask for a more even discussion. To their credit, the program allowed him come on to discuss some of the nuances that the initial episode missed. Today we will discuss the initial EM RAP episode that caused so much controversy and Dr Carroll’s response.
Catch Dr. Carroll at his website http://embasic.org/
Get the book Patients at Risk: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

PhysiciansForPatientProtection.org

Exposing mistruths in the AANP's rebuttal to PPP - Part 2 Jan 03, 2022

Show notes

In part 2 of our discussion, Dr. Alyson Maloy and Dr. Phil Shaffer break down the mistruths in AANP president April Kapu's article, 'Full practice authority for nurse practitioners needed to address physician shortage.'

Get the book, now available on Audible! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/
Watch the video on our YouTube channel: https://youtu.be/EDXn7RAomTM
Article links:
Original article - https://www.medicaleconomics.com/view/covid-exacerbates-physician-shortage
AANP rebuttal - https://www.medicaleconomics.com/view/response-full-practice-authority-for-nurse-practitioners-needed-to-address-shortage
PPP response - https://www.medicaleconomics.com/view/rebuttal-congress-not-the-aanp-can-resolve-the-physician-shortage

PhysiciansForPatientProtection.org

Is PPP a 'fringe' group? Responding to the AANP's accusations in Medical Economics Dec 20, 2021

Show notes

On September 29, 2021, the journal Medical Economics published an interview with Dr. Alyson Maloy entitled “Covid exacerbates physician shortage.” In the article, Dr. Maloy discussed the effects of covid19 including a push to increase practice authority for nurse practitioners. A week later, Medical Economics posted a rebuttal written by April Kapu, the president of the AANP, called “Full practice authority for nurse practitioners needed to address physician shortage,” arguing that NPs were ready and willing to fill the physician gap. Because the article included many mistruths, Dr Maloy and her colleague Dr Phil Shaffer, board members of Physicians for Patient Protection (PPP) wrote a rebuttal to the rebuttal, pointing out all the flaws in Kapu’s argument.
In part 1, we discuss Kapu's accusations that PPP is a 'fringe' organization out to destroy team-based care, and explain why she and the AANP are dead wrong.

Get the book, now available on Audible! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/
Watch the video on our YouTube channel: https://youtu.be/EDXn7RAomTM
Article links:
Original article - https://www.medicaleconomics.com/view/covid-exacerbates-physician-shortage
AANP rebuttal - https://www.medicaleconomics.com/view/response-full-practice-authority-for-nurse-practitioners-needed-to-address-shortage
PPP response - https://www.medicaleconomics.com/view/rebuttal-congress-not-the-aanp-can-resolve-the-physician-shortage

PhysiciansForPatientProtection.org

Patients at risk when hospitals replace physicians with NPs: Attorney Travis Dunn Part 2 Dec 05, 2021

Show notes

In part 2 of this discussion with plaintiff's attorney Travis Dunn, we analyze the tragic case of Alexus Ochoa, who died because a multi-billion dollar corporation elected to replace physician with unprepared NPs. Mr. Dunn discusses the role of the expert witness in NP malpractice cases and what he has learned about the limited scope of practice of nurse practitioners.
Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/
Please like and subscribe to our channel Patients at Risk: https://www.youtube.com/channel/UCLLDpz_f6u7EuW-BKnar-AA

PhysiciansForPatientProtection.org

Patients at risk when hospitals replace physicians with NPs: Attorney Travis Dunn (Part 1) Nov 13, 2021

Show notes

In the book Patients at Risk, we discuss the tragic case of Alexus Ochoa, a 19-year-old woman who died when a nurse practitioner failed to diagnose the blood clot in her lungs. The nurse practitioner was unprepared to treat emergency room patients and there was no physician on-site, even though the hospital advertised that physicians were available 24/7. Today we are joined with attorney Travis Dunn, one of the lead attorneys who helped Alexus’s family win a major financial settlement against Mercy Health Systems for replacing physicians with nurse practitioners.
Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/
Watch the video on our YouTube channel, Patients at Risk: https://www.youtube.com/channel/UCLLDpz_f6u7EuW-BKnar-AA

PhysiciansForPatientProtection.org

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