Saturday, February 14, 2009

My Alter Ego

My Superhero Self!

Thanks to AD at a Day in the Life of an Ambulance Driver...

PA's and NP's in my world

This has been on my mind and Happy Hospitalist's post got me thinking about the whole thing.

I am board certified in my field and I completed a 2 year hospital based residency, but nothing that compares to physician residencies. Because of my training and my interests I see a fair number of medically compromised patients. There are times I need to consult with my patient's primary care physician before embarking on a proposed treatment plan. When I consult with a physician it is not to ask permission to treat the patient, but to see if there are any potential landmines with my choice of meds or procedures. There have been a few times as of late that I have gotten a reply from a PA. I'm sorry, but I will not accept those consult replies.

My treatment plan will be based on my judgement and the input of the patient's physician not a mid level provider. When the patient is in my office, I am wholly responsible for their care and the outcome of any treatment. I could not defend any decision made by one of my colleagues based on input by anyone other than an MD or DO and I don't think it would be defensible in court.