Patients First @HalstedMD Twitter profile

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Patients First

4 years

Is there a profession with educational and training standards as poor as #nurse practitioners? Why does the #AANP continue to protect online diploma mills that will harm innocent patients? #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

Hospital administration forces surgery residents to cover scrub tech call, denies their request for compensation #MedTwitter

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Patients First

@HalstedMD

5 months

PA lists neurologist as supervising physician #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

NP is angry IM physician told her its inappropriate to introduce herself as "doctor" in the ICU, claims no one respects IM physicians and they’re the lowest on the totem pole #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 month

NP misses biliary atresia #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

3 years

'Physician associate', 'nurse anesthesiologist', 'doctor nurse practitioner', 'doctor of medical sciences' These terms are meant to deceive and obfuscate roles in an effort to elevate less rigorous training to the level of a stringently trained physician. Shameful. #MedTwitter

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Patients First

@HalstedMD

3 years

Residents and fellows are physicians. They are doctors. Stop treating them as if they aren't. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

An insult to all the real Yale Emergency Medicine residents #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

NPs and PAs are NOT hospitalists any more than they're surgeons or endocrinologists. Hospitalists are physicians. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

7 months

"some may consider PA school to be even more challenging than medical school" #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

A slap in the face to all our women physician colleagues #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

10 months

“Ortho NP looked at X-ray remotely and suggested outpatient appointment on Monday” #orthotwitter #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

Physician assistant passes herself off as a surgeon, tells patient's family, "I did the surgery." #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

"Dermatology PA" completes her "fellowship" completely online, will be doing Mohs surgery #MedTwitter #StopScopeCreep #dermatology

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Patients First

@HalstedMD

8 months

Florida PAs opposed to physicians practicing medicine #MedTwitter #StopScopeCreep @FloridaMedical

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Patients First

@HalstedMD

1 year

"Im concern of the high potassium" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

12 days

"Unfortunately, we are unable to interpret the results past the narrative details" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

NP student finds it "overwhelming to go out on my own when I haven't even heard of some of these diseases or conditions", is allowed full practice authority in 25+ states and counting. #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

Non-physician practitioner refers patient to neurology clinic for multiple sclerosis, prompted by imaging read #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

"Flight Attendants are much better than pilots. They spend so much more time with the costumer. I only see a pilot for a couple minutes! I trust an attendant over a pilot any day!" #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

"How do I get an actual doctor in this city?" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

"Most of us have way more schooling than an MD." #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 month

. @MassGenBrigham -Salem Hospital seeks to change hospital bylaws to allow NPs independent practice #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

9 months

NP student cancels physician's order for CIWA, patient requires ICU transfer #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

NP that works in ID explains gram stains #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 month

Healthcare in 2024 #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

3 years

CRNAs threaten to quit Jefferson over not being allowed to call themselves ‘anesthesiologists’ Thank you to Dr Mahla for standing up for your physicians! #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

@MidlevelCare Imagine thinking a 4-week PA rotation on surgery, pediatrics, or OBGYN qualifies you to jump around and "autonomously practice medicine" in those fields

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Patients First

@HalstedMD

2 years

A $217 million Malpractice Case Involving a PA - second largest in US History #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

When you're a CRNA that doesn't understand how actual residency works. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

As attendings, it is our duty and mission to train the next generation of physicians. @acgme should be taking immediate action against these programs. Absolute shame on you if you’re contributing to this culture #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

1 year

In an evaluation of 60,000 urologic patients, NP/PAs (who have no formal training in urology) managed to: (a) not follow guidelines (b) do less workup and (c) still cost more #MedTwitter #StopScopeCreep #NPsLead ?

Outcomes of Hematuria Evaluation by Advanced Practice Providers and Urologists - PubMed

There are clinical and financial differences in hematuria care delivered by urologic APPs and urologists. The incorporation of APPs into urologic care warrants further study, and specialty-specific...

pubmed.ncbi.nlm.nih.gov

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Patients First

@HalstedMD

5 months

"Cannot and will not do 700 to 750 hours" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

"This is what happens when you actually report a Noctor; call to action" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

29 days

Meet Dr. Falter! #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

3 years

"Physician Spotlight" You know who this affects the most? Women physicians. They work their absolute tails off jumping through every hoop only to have their hard earned title completely ripped off from them for clout and ego. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

1 year

Doctoral level standards? #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

The truth about NPs in primary care: mismanagement often takes years to manifest. Instead they often tout superior 'outcome' measures, like # of returned phone calls, using shoddy methodology. There's a reason FM is a 3 year residency. #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

3 years

$240k/year for selling a prescription pad from home. How did we get here? #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

7 months

"I think that you just intentionally misrepresent because people don't know the difference" 👏👏 #MedTwitter #StopScopeCreep #NPsLead ? #RHOBH

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Patients First

@HalstedMD

1 year

Shame on @GHCardiology and @NHSuk for promoting this. The patient in all likelihood could not have true informed consent regarding the implications of this procedure. Absurd breach of patient autonomy. #MedTwitter #stopscopecreep

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Patients First

@HalstedMD

1 year

Two male physicians dismiss a “partially collapsed lung”, ARNP ‘jumps right on’ and orders CT for atelectasis #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

3 years

Southern Hills Hospital in Las Vegas reminds resident PHYSICIANS not to go into the physicians lounge despite being open to midlevels and administration #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

1 year

Anesthesiologist equivalent? #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

Wisconsin Governor @GovEvers vetoes Nurse Practitioner Full Practice Authority bill A win for patients! #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

NP that "only needs 80 hours" in an ER is looking for an "easy read" critical care book as she "knows nothing about inpatient critical care" - will be allowed to independently practice in 26+ states! #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

3 years

Some words of wisdom from a PA on r/physicianassistant #MedTwitter

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Patients First

@HalstedMD

1 year

Stop training your replacements #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

10 months

"Pay them more, or pay physicians less" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

St. Joseph Healthcare celebrates Doctors Day by highlighting Kari Whitney, NP #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

10 months

Reading Physician: ARNP #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

“NPs function at the level of an intern” is another hot garbage take from those that have never even been an intern. Newsflash: they don’t get to come in at 8, leave at 2:30, take 7 breaks and never work weekends for $130k either. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

You have a right to demand a physician. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

"Suddenly a Hospitalist. Help!" #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 months

Skip 6 years post-medical school training with this one simple trick! @NorthwesternMed #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

Congratulations to all the new interns starting their journey weekend #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

Note as per NP #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

NP dismisses breast cancer signs as “prior scar tissue” #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

6 months

No longer just "Physician Associate", they now want to be referred to as an "Assistant Physician" #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

Psychiatry is a complex field that requires medical school and residency. NPs in psychiatry are not adequately prepared for independent practice #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

"Plastic Surgeon" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

NP "pretty confident after 8 years in the trenches" they could pass IM boards #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

A few weeks ago @GovWhitmer signed a law removing anesthesiologist supervision of CRNAs. Last week she rescinded the decision pending more info. Please let her know how important it is to have physician led care for our pts! #MedTwitter #StopScopeCreep

American Society of Anesthesiologists

asahq.quorum.us

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Patients First

@HalstedMD

2 years

"they certainly have the same capabilities as a family doctor" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

"We do the exact same job" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

3 years

"In the end we all ultimately do the same thing 99.9% of the time" #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

Imagine if a physician posted this to social media. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

2 years

NP falsifies 500 clinical hour requirement, obtains license anyway #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

"*Clinician parking too" #MedTwitter #StopScopeCreep #PAsGoBeyond ?

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Patients First

@HalstedMD

2 years

Absolutely anything to bamboozle the public other than going to medical school and completing residency. #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

Absurd. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

1 year

NPs lead? #StopScopeCreep #NPsLead ? #MedTwitter

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Patients First

@HalstedMD

3 years

NP sits on potential acute leukemia, goes to brain storm on Facebook instead #MedTwitter #StopScopeCreep #Cancer

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Patients First

@HalstedMD

3 years

NP "fellowship" pays more than an actual fellowship at UW, while working less than 40 hours/wk Why do we continue to allow our trainees to be treated like this? #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

1 year

One of the plaintiffs graduated from Chamberlain, a for-profit 2 year completely online program #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

"Board certified in Sleep Medicine and Pulmonary Disease" 🤡 #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

NPs for thee, not for me #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

"It's a waste of time and money for anyone to go to medical school to provide primary care" Same NP: fails rudimentary FNP exam #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 month

NP switches jobs from cardiology to neurology with no formal training in either #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

NP student attempts to report program for scaling grades after entire class fails pharmacology course #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

3 years

PD asks residents to create a guide for NPPs on taking an H&P; something every MS1 is required to demonstrate proficiently. Why are we paying our residents 1/3 of an NPP salary, making them work 3x the hours, and making them train them? Stop the absurdity! #MedTwitter

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Patients First

@HalstedMD

2 years

"Psych" NP has patient on five different antidepressants at the same time #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

The replacement of physicians in leadership is no accident President of Hopkins: MSN President/CEO of NMRP: RN President of ACC: MSN Protest with your dues and membership withdrawal #MedTwitter #StopScopeCreep

American College of Cardiology

@ACCinTouch

1 year

Statement from ACC Presidents on 2024-2025 Presidential Selection: "Ms. Biga is the right ACC leader at the right time to elevate & support the work of the ACC BOT and membership in developing & implementing the College's 2024-2029 Strategic Plan..."

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Patients First

@HalstedMD

2 years

NPs increase length of stay by 11% NPs raise 30-day preventable hospitalizations by 20% NPs increase the cost of ED care by 7% #StopScopeCreep #MedTwitter #NPsLead ?

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Patients First

@HalstedMD

7 months

"Dr Google to the rescue today" #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

Brand new NP files complaint with HR after PGY2 EM resident takes multi-system trauma, tells her they "can all do the same stuff" The future of EM and medicine in general? #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

"I am the doctor hun" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

Happy July 1st week to everyone that celebrates #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

AtHome MD, based in Galax, VA is run by newly graduated FNP, Torilyn Quesenberry. She refers to herself as the "Clinical Director/Physician" on marketing materials. #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

8 months

This is what CRNA organizations actually think of your profession. Stop training your replacements. #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

3 years

New Hampshire PA group opposes legislation allowing graduate physicians to work because it's disrespectful to PAs, despite those MDs having twice the schooling as them with even more depth. How's that for teamwork? #MedTwitter #AAPA #StopScopeCreep

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Patients First

@HalstedMD

2 years

Torilyn Quesenberry, MSN, FNP-C, starts "At Home MD", a business devoid of any actual MDs, is referred to as a "physician still making house calls" #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

2 years

Chiropractor saves suspected MI patient's life by "removing the interference in his nervous system" on a flight, as "5 MDs, 2 EMTs, and 1 nurse" stand around #MedTwitter #StopScopeCreep

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Patients First

@HalstedMD

7 months

Complete lack of self awareness #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

1 year

"You can pick one and it'll likely work decently well." Human experimentation? #MedTwitter #StopScopeCreep #NPsLead ?

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Patients First

@HalstedMD

7 months

NP’s had 57% increase in nationwide stimulant prescriptions in the 2 years pre vs post Covid pandemic compared to ~1% for psychiatrists over the same time period. Most of the change was in young adults. #MedTwitter #StopScopeCreep #NPsLead ?

Trends in Incident Prescriptions for Behavioral Health Medications in the US, 2018-2022

This cross-sectional study investigates the association between the COVID-19 pandemic and trends in medication treatment initiation across various behavioral health conditions.

jamanetwork.com

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Patients First

@HalstedMD

2 years

"Yes, I am a pediatrician" #MedTwitter #StopScopeCreep #PAsGoBeyond ?