Comments on: PediaCast 112 * Induced Labor, Dog Allergy, Nurse Practitioners * 347-404-5437 http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/ with Dr. Mike Tue, 02 Dec 2008 19:33:38 +0000 http://wordpress.org/?v=2.2.1 By: Carolyn I. PhD, FNP http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/#comment-6039 Carolyn I. PhD, FNP Fri, 16 May 2008 00:10:55 +0000 http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/#comment-6039 Granted, you have the right to your opinion, however, you certainly do not have the market cornered on critical thinking skills, because if you had any, you would have done better research into the educational background of NPs - the core of which is science, evidence based practice and research utilization. That, in addition, to many studies in the literature supporting the fact that NPs provide high quality, cost effective health care equal to and sometimes better than the care provided by physicians. Because I see children in my practice, I had always enjoyed your podcasts, however, I was appalled by your implication that parents are putting their children at risk if they see an NP for their health care, among your other negative statements. It is unfortunate that you found it necessary to denigrate another profession when we should be working collaboratively to address the many health care needs of this country. NPs, by virtue of their nursing background, bring unique skills to health care - our focus is prevention, education, listening and looking at the entire family system with our scientific background - instead of focusing solely on physical symptoms or writing a prescription as is the prevailing practice of the medical model of many physicians. I have been fortunate in that I have worked with very supportive MDs in an environment where we consult one another, respect each other's opinions and knowledge, and use these skills to help our patients - realizing that one person can never know everything. Do the NPs at the hospital where you are credentialed know your opinion of them as health care providers? Your negative statements far outweigh any of the positives. I can only hope that someone as opinionated as yourself, will take a minute to reassess what you have said about a group of highly skilled professionals and the disservice you have done to them and to the listening parents. Thank you. Carolyn PhD, FNP Granted, you have the right to your opinion, however, you certainly do not have the market cornered on critical thinking skills, because if you had any, you would have done better research into the educational background of NPs - the core of which is science, evidence based practice and research utilization. That, in addition, to many studies in the literature supporting the fact that NPs provide high quality, cost effective health care equal to and sometimes better than the care provided by physicians. Because I see children in my practice, I had always enjoyed your podcasts, however, I was appalled by your implication that parents are putting their children at risk if they see an NP for their health care, among your other negative statements. It is unfortunate that you found it necessary to denigrate another profession when we should be working collaboratively to address the many health care needs of this country. NPs, by virtue of their nursing background, bring unique skills to health care - our focus is prevention, education, listening and looking at the entire family system with our scientific background - instead of focusing solely on physical symptoms or writing a prescription as is the prevailing practice of the medical model of many physicians. I have been fortunate in that I have worked with very supportive MDs in an environment where we consult one another, respect each other’s opinions and knowledge, and use these skills to help our patients - realizing that one person can never know everything. Do the NPs at the hospital where you are credentialed know your opinion of them as health care providers? Your negative statements far outweigh any of the positives. I can only hope that someone as opinionated as yourself, will take a minute to reassess what you have said about a group of highly skilled professionals and the disservice you have done to them and to the listening parents. Thank you.
Carolyn PhD, FNP

]]> By: Scott Owitz, NP http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/#comment-5977 Scott Owitz, NP Tue, 13 May 2008 23:49:25 +0000 http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/#comment-5977 Dr Mike, As you eluded to on your pod cast, there was bound to be some negative responses to your piece on Nurse Practitioners(NP's). Please, let me jump on the bandwagon. As a Family Nurse Practitioner, board certified, I agree fully with your pod cast on NP's right up to the part where you identified an error by the office staff member. After that we must agree to disagree. While you discussed many aspects of your interpretation of the role of NP's in pediatrics, It essentially boiled down to the impression that Physicians, and only Physicians, are taught the highly skilled ability to think critically. So put on your critical thinking cap and review what you wrote. There is plenty of evidence out in the academic world talking about the role of NP's and their ability to provide care that is as good and sometimes exceeding the care of physicians. While I have not met an NP yet that thinks we are the replacements for MD's, we do believe that we provide high quality care with the special touch of a nursing background and there is a role and need for this care. The caring, the attention to the family and the scientific education to care for many medical ill's are all skills NP's possess. Critical thinking is typically a learned skill and nursing has learned this skill. As well as most educated professional across the working spectrum. It has been my experience that there are good and caring providers in all levels of health care, from Nursing Assistants to Physicians. It has also become very clear to me that there are providers at all levels that are dangerous at best, and deadly at worst. If any person gets the impression from their providers that they "know it all", they should run, not walk, to another provider. So while a retraction is not going to be soon forthcoming. I think it would behoove you to address your views on NP's and at least regain some of your credibility. Scott, FNP, BC Dr Mike, As you eluded to on your pod cast, there was bound to be some negative responses to your piece on Nurse Practitioners(NP’s). Please, let me jump on the bandwagon. As a Family Nurse Practitioner, board certified, I agree fully with your pod cast on NP’s right up to the part where you identified an error by the office staff member. After that we must agree to disagree.

While you discussed many aspects of your interpretation of the role of NP’s in pediatrics, It essentially boiled down to the impression that Physicians, and only Physicians, are taught the highly skilled ability to think critically. So put on your critical thinking cap and review what you wrote. There is plenty of evidence out in the academic world talking about the role of NP’s and their ability to provide care that is as good and sometimes exceeding the care of physicians. While I have not met an NP yet that thinks we are the replacements for MD’s, we do believe that we provide high quality care with the special touch of a nursing background and there is a role and need for this care. The caring, the attention to the family and the scientific education to care for many medical ill’s are all skills NP’s possess. Critical thinking is typically a learned skill and nursing has learned this skill. As well as most educated professional across the working spectrum.

It has been my experience that there are good and caring providers in all levels of health care, from Nursing Assistants to Physicians. It has also become very clear to me that there are providers at all levels that are dangerous at best, and deadly at worst.

If any person gets the impression from their providers that they “know it all”, they should run, not walk, to another provider. So while a retraction is not going to be soon forthcoming. I think it would behoove you to address your views on NP’s and at least regain some of your credibility. Scott, FNP, BC

]]> By: Nicole http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/#comment-5009 Nicole Sun, 20 Apr 2008 15:45:49 +0000 http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/#comment-5009 Healthcare professionals should never bash another healthcare professional. The next time you are going to glorify medical school science requirements, you should know what the nurse practitioners schooling requirements are. Most programs for the BSN RN programs have a science based core revolving around biochemistry and pathophysiology. Graduate school builds on to this foundation and go into the advanced details. This is one nurse listening that will be unsubscribing to your pompus opinionated show. Healthcare professionals should never bash another healthcare professional. The next time you are going to glorify medical school science requirements, you should know what the nurse practitioners schooling requirements are. Most programs for the BSN RN programs have a science based core revolving around biochemistry and pathophysiology. Graduate school builds on to this foundation and go into the advanced details. This is one nurse listening that will be unsubscribing to your pompus opinionated show.

]]> By: DJ http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/#comment-3657 DJ Thu, 28 Feb 2008 02:50:52 +0000 http://www.pediascribe.com/podcast/20080226/pediacast-112-induced-labor-dog-allergy-nurse-practitioners-347-404-5437/#comment-3657 Although perhaps not directly on point as to allergies/pets, the Infant Immune Study at the University of Arizona is attempting to determine if there is a link between allergies/asthma and early exposure to microbes (some of which may come from pets). See http://www.medicine.arizona.edu/news/story.cfm?ID=379. Although perhaps not directly on point as to allergies/pets, the Infant Immune Study at the University of Arizona is attempting to determine if there is a link between allergies/asthma and early exposure to microbes (some of which may come from pets). See http://www.medicine.arizona.edu/news/story.cfm?ID=379.

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