Physicians and Nurse Practitioners Week6

Physicians and Nurse Practitioners Week6

Physicians and Nurse Practitioners Week6

Week 6 discussion Discussion Part One You are attending a large continuing education conference for primary care providers. In the audience are physicians, nurse practitioners, and physician assistants from all over the country. Seated at your table are physicians and nurse practitioners. Following the lecture on teamwork and interdisciplinary collaboration, a debate ensues at your table. One physician stated: I am against nurse practitioners who want to take my job. There is a huge difference in the two professions. Primary-care physicians receive extensive and diverse medical education and clinical experience. The nurse practitioner should not function as an independent healthcare provider…they should only function in an integrated practice arrangement under the direction and responsible supervision of a practicing, licensed physician. Discussion Question: How would you respond to the physician’s statements? Use logical reasoning and evidence from the literature to support your response. Discussion Part Two A fellow NP at the table responded: An increasing number of practices are scrapping the traditional one-on-one doctor-patient relationship. Instead, patients are receiving care from a group of health professionals who divide up responsibilities that once would have largely been handled by the doctor in charge. While the supervising physician still directly oversees patient care, other medical professionals—nurse practitioners, physician assistants and clinical pharmacists—are performing more functions. These include adjusting medication dosage, ensuring that patients receive tests and helping them to manage chronic diseases. Discussion Question: What are your thoughts on interprofessional collaboration? Provide evidence to support your response. Discussion Part Three The Federal Trade Commission has weighed in on several state battles over scope of practice, arguing that physician groups have no valid reason for blocking such laws other than to thwart competition. Discussion Question: How does “restraint of trade” apply to NP practice limitations? Provide evidence for your response. Week 7 discussion Discussion Part One You have completed your nurse practitioner education, likely one of the most challenging tasks you have ever undertaken. Several of your graduated colleagues live in different states, including California, Washington, and Illinois. After a year of primary care practice in your respective states, you get together for a reunion and share your practice perspectives. It is apparent that your experiences are not equal. Discussion Question: How do licensure, accreditation, certification, and education (LACE) considerations differ for APN clinical roles for these three states: California, Washington and Illinois? Provide evidence for your response. Discussion Part Two Inconsistent regulation of APN role and scope prevent a seamless healthcare system in which APN can practice. Discussion Question: What evidence-based strategies should be implemented to achieve continuity between state regulatory boards? Provide evidence for your response. Discussion Part Three Once a seamless entry into practice is achieved, it will become more likely that independent practice will follow. Discussion Question: Is independent NP practice allowed in your state? Discuss your opinion regarding independent NP practice. Provide evidence for your response.