#but is dnp and md who create it

[merrysithmas]

also clarification for those without the knowledge: DNPs are clinical doctors. A DNP is a clinical doctorate meaning they practice the field of nursing at the doctorate level which includes diagnosing and treating patients, ordering and interpreting imaging and values, and creating a plan of care. They are considered primary and independent providers equal to an MD (and side note: many DNPs have more hard schooling years than MDs, although MDs have longer residencies).

Clinical doctors such as MD, DO, and DNP are 100% referred to as "Doctor" in the clinical setting. Because they are doctors.

[auccam]

#Repost @menofmorehouse ・・・ "I went with Nursing as a means to become a Doctor so that I can be well versed in humanistic clinical care along with policy-level work and interventions. In pursuing a DNP, I hope to create more access to healthcare in both developing countries as well as domestically, while providing clinical care in underserved communities. With that being said, whatever your passion is, pursue it. I've been ridiculed numerous times for not going the MD route, but I feel I can be more effective given my personal interests and experiences in pursuing a track towards a DNP. Create your own path, make your own rules, embrace the experience and take care of self. Live your life and be proud of who and what you are. Serve humanity, love endlessly and find positive purpose in yourself and others. The world and all therein is better this way." #morehouse #morehouseman #doctors #menofmorehouse #hbcugrad #hbcumd #emory #medicine #community @_cross_d (at Emory University School of Medicine)

[kristinsimmons]

The Doctor Squared Movement: An Alternative to Regulatory Burden

By WES FISHER, MD and PAUL TIERSTEIN, MD

The 4th amendment of the U.S. Constitution shields an individual (or business) from unreasonable government intrusion. It is inferred this right extends to ALL people, regardless of profession.  Advanced nurse practitioners are independently practicing medicine in 23 states yet are not subject to onerous Maintenance of Certification (MOC) requirements– physicians are not equally protected under the law.  Physicians must fight, as one group, against the burden of MOC.  We have two choices:  become a Doctor Squared (Dr. ²) or join an alternative certification organization such as the National Board of Physicians and Surgeons (NBPAS.)

A Doctor Squared (Dr. ²) denotes one who obtains both an MD and a DNP (Doctor of Nurse Practitioner) degree.  This allows independent practice and eliminates the power of MOC.  Reviewing a list of affordable DNP programs in the country shows a degree from the University of Massachusetts – Boston DNP program only costs $10,180.  Coursework is online, and will take only 3 years if attending part-time.  Renewal of an MD license in Washington State costs $697 biannually while DNP license costs $125, putting more money in my pocket.  Additionally, the continuing education requirement is different; advanced practice nurses must complete 15 hours annually while physicians need 50 hours annually even though both professions are independently practicing medicine.  According to Medscape, malpractice insurance rates are $12,000 yearly (2012) for a family physician, while a family nurse practitioner pays $1200, one-tenth as high.  Remember, the cost of MOC for internal medicine is $23,600 every 10 years. 

While the American Board of Medical Specialties (ABMS) argues MOC participation makes for better doctors, no credible proof supports this assertion; only initial board certification has been scientifically validated.  Seven states already eliminated MOC compliance to maintain licensure, physician hospital employment, or insurance contracting, however this same freedom must be extended to the other 43.

Until then, an alternative certification pathway through the National Board of Physicians and Surgeons exists.  In 2015, the Washington State Medical Association resolved to allow alternative certification, yet MOC remains a requirement for licensure, hospital employment, and insurance contracting.  Recently, HB 2257 was introduced, precluding MOC as a condition for state licensure, though overlooks the fact hospitals and insurance companies require physicians, but not nurse practitioners, to comply with MOC.

Why are hospitals and insurance companies enforcing MOC compliance?  Conflict of interest (COI) is defined as a person or organization experiencing multiple benefits, financial or otherwise, which can corrupt motivation or decision-making.  ABMS appears full of corruption.  If there is a risk one decision could be unduly influenced by a secondary interest, a COI is present.  Margaret O’Kane serves on the Board of Directors at ABMS, and her secondary interest is her role as Founder and President of the National Committee for Quality Assurance (NCQA), the organization certifying insurance companies.  She has each hand in a different MOC cookie jar. 

NCQA requires that insurers credential only physicians who comply with MOC programs.  It appears Ms. O’Kane is profiting from the NCQA requirement on one hand while forcing physicians to spend millions completing MOC on the other.  While the average internist earns $150,000 annually, Ms. O’Kane appears to be handsomely profiting from this “arrangement.”  Wikipedia defines collusion as “an agreement between two or more parties, sometimes illegal–but always secretive–to limit open competition by deceiving, misleading, or defrauding others” to gain leverage. It is an agreement between individuals or corporations to divide a market or limit choice and opportunity.  Through Ms. O’Kane, ABMS and NCQA have a connection while misrepresenting themselves as being independent. 

ABMS assumed physicians would never contest corruption, however numerous brave physicians are fighting:  Dr. Wes Fisher, Dr. Ron Benbassett, Dr. Meg Edison,  and Dr. Paul Tierstein, who created the National Board of Physicians and Surgeons, (NBPAS).  While NBPAS has made headway with hospitals, not one insurance company will credential physicians who refuse MOC.  Should insurance companies be in charge of our healthcare system?   

The Maintenance of Certification (MOC) program was initially voluntary; however when billions in potential revenue were realized, participation became mandatory.  My brave friend and colleague, Meg Edison, MD refused to re-certify for the third time, yet was forced to bend to the insurer demands.  We have two choices:  1) Become a Dr² –having all the knowledge and experience of a medical doctor without the regulatory capture or 2) Credential with NBPAS and leave ABMS and NCQA in the dust.  Regulations will not disappear until physicians realize there is no healthcare without our blood, sweat, and tears.  May we all find our way once more. 

If you are struggling under the weight of MOC requirements, please consider taking this survey developed by a Dr. Wes Fisher, who is leading a crusade against forced MOC compliance.  Choice.  Transparency.  Autonomy.  https://www.surveymonkey.com/r/PPA_MOCSurvey.

The Doctor Squared Movement: An Alternative to Regulatory Burden published first on https://wittooth.tumblr.com/

[isaacscrawford]

The Doctor Squared Movement: An Alternative to Regulatory Burden

By WES FISHER and PAUL TIERSTEIN

The 4th amendment of the U.S. Constitution shields an individual (or business) from unreasonable government intrusion. It is inferred this right extends to ALL people, regardless of profession.  Advanced nurse practitioners are independently practicing medicine in 23 states yet are not subject to onerous Maintenance of Certification (MOC) requirements– physicians are not equally protected under the law.  Physicians must fight, as one group, against the burden of MOC.  We have two choices:  become a Doctor Squared (Dr. ²) or join an alternative certification organization such as the National Board of Physicians and Surgeons (NBPAS.)

A Doctor Squared (Dr. ²) denotes one who obtains both an MD and a DNP (Doctor of Nurse Practitioner) degree.  This allows independent practice and eliminates the power of MOC.  Reviewing a list of affordable DNP programs in the country shows a degree from the University of Massachusetts – Boston DNP program only costs $10,180.  Coursework is online, and will take only 3 years if attending part-time.  Renewal of an MD license in Washington State costs $697 biannually while DNP license costs $125, putting more money in my pocket.  Additionally, the continuing education requirement is different; advanced practice nurses must complete 15 hours annually while physicians need 50 hours annually even though both professions are independently practicing medicine.  According to Medscape, malpractice insurance rates are $12,000 yearly (2012) for a family physician, while a family nurse practitioner pays $1200, one-tenth as high.  Remember, the cost of MOC for internal medicine is $23,600 every 10 years. 

While the American Board of Medical Specialties (ABMS) argues MOC participation makes for better doctors, no credible proof supports this assertion; only initial board certification has been scientifically validated.  Seven states already eliminated MOC compliance to maintain licensure, physician hospital employment, or insurance contracting, however this same freedom must be extended to the other 43.

Until then, an alternative certification pathway through the National Board of Physicians and Surgeons exists.  In 2015, the Washington State Medical Association resolved to allow alternative certification, yet MOC remains a requirement for licensure, hospital employment, and insurance contracting.  Recently, HB 2257 was introduced, precluding MOC as a condition for state licensure, though overlooks the fact hospitals and insurance companies require physicians, but not nurse practitioners, to comply with MOC.

Why are hospitals and insurance companies enforcing MOC compliance?  Conflict of interest (COI) is defined as a person or organization experiencing multiple benefits, financial or otherwise, which can corrupt motivation or decision-making.  ABMS appears full of corruption.  If there is a risk one decision could be unduly influenced by a secondary interest, a COI is present.  Margaret O’Kane serves on the Board of Directors at ABMS, and her secondary interest is her role as Founder and President of the National Committee for Quality Assurance (NCQA), the organization certifying insurance companies.  She has each hand in a different MOC cookie jar. 

NCQA requires that insurers credential only physicians who comply with MOC programs.  It appears Ms. O’Kane is profiting from the NCQA requirement on one hand while forcing physicians to spend millions completing MOC on the other.  While the average internist earns $150,000 annually, Ms. O’Kane appears to be handsomely profiting from this “arrangement.”  Wikipedia defines collusion as “an agreement between two or more parties, sometimes illegal–but always secretive–to limit open competition by deceiving, misleading, or defrauding others” to gain leverage. It is an agreement between individuals or corporations to divide a market or limit choice and opportunity.  Through Ms. O’Kane, ABMS and NCQA have a connection while misrepresenting themselves as being independent. 

ABMS assumed physicians would never contest corruption, however numerous brave physicians are fighting:  Dr. Wes Fisher, Dr. Ron Benbassett, Dr. Meg Edison,  and Dr. Paul Tierstein, who created the National Board of Physicians and Surgeons, (NBPAS).  While NBPAS has made headway with hospitals, not one insurance company will credential physicians who refuse MOC.  Should insurance companies be in charge of our healthcare system?   

The Maintenance of Certification (MOC) program was initially voluntary; however when billions in potential revenue were realized, participation became mandatory.  My brave friend and colleague, Meg Edison, MD refused to re-certify for the third time, yet was forced to bend to the insurer demands.  We have two choices:  1) Become a Dr² –having all the knowledge and experience of a medical doctor without the regulatory capture or 2) Credential with NBPAS and leave ABMS and NCQA in the dust.  Regulations will not disappear until physicians realize there is no healthcare without our blood, sweat, and tears.  May we all find our way once more. 

If you are struggling under the weight of MOC requirements, please consider taking this survey developed by a Dr. Wes Fisher, who is leading a crusade against forced MOC compliance.  Choice.  Transparency.  Autonomy.  https://www.surveymonkey.com/r/PPA_MOCSurvey.

Article source:The Health Care Blog

[mrlongkgraves]

Why a PhD in nursing may be the perfect goal for you

The Institute of Medicine’s Report, “The Future of Nursing: Leading Change, Advancing Health” states nurses should be encouraged to pursue doctoral degrees early in their careers to maximize the potential value of their additional education. I finished my PhD in nursing when I was 30 years old. Several people told me I didn’t have enough nursing experience. Several people told me I didn’t have enough clinical nursing experience to continue with my education. Why some nurses feel the need to hold others back from continuing their education is beyond me.

The fact is, some of the most respected contributors to our profession obtained their PhDs early in their careers. Here is only a partial list of these amazing nurses: Jacqueline Fawcett, PhD, RN, FAAN, of the University of Massachusetts, received her PhD 12 years after completing her BSN. She is internationally known for her metatheoretical work in nursing. Jean Watson, PHD, RN, AHN-BC, FAAN, earned her PhD 12 years after earning her initial nursing degree. She is the founder of the Watson Caring Science Institute and is an American Academy of Nursing Living Legend. Afaf I. Meleis, PhD, RN, FAAN, of the University of Pennsylvania School of Nursing, earned her PhD seven years after obtaining her BS in 1961. She is an internationally renowned nurse-researcher and an AAN Living Legend. And Margaret Newman, PhD, RN, FAAN, obtained her BSN in 1962 and her PhD in 1971. She is the creator of the Theory of Health as Expanding Consciousness and an AAN Living Legend.

Are you thinking about going back to school? Has someone encouraged you to consider it? The Future of Nursing report notes that major changes in the U.S. healthcare system and practice environment will require profound changes in the education of nurses. But the report also notes that the primary goal of nursing education remains the same, which is to educate nurses to meet diverse patient needs, function as leaders and advance science from the associate’s degree to the doctorate degree.

One of the recommendations of the Future of Nursing report was to double the number of nurses with doctoral degrees by 2020, and by 2016 that recommendation had been met mainly due to the creation of the DNP or doctor of nursing practice degree. Knowing this, the IOM’s Assessing Progress on the IOM Report the Future of Nursing updated their recommendations in 2015 stating that more emphasis should be placed on increasing the number of PhD-prepared nurses. The DNP has been regarded as the degree for those who want to get a terminal degree in nursing practice while the PhD has been regarded as the degree for those wanting to do research. But the difference is not the simple.

Several people told me I didn’t have enough clinical nursing experience to continue with my education. Why some nurses feel the need to hold others back from continuing their education is beyond me.”

According to the American Association of Colleges of Nursing, “rather than a knowledge-generating research effort, the student in a practice-focused program generally carries out a practice application-oriented final DNP project.” The AACN further notes key differences between the DNP and PhD programs. PhD programs prepare RNs to contribute to healthcare improvements via the development of new knowledge and scholarly products that provide a foundation for the advancement of nursing science. A richer more reflective understanding of the PhD in nursing is that it is heavily grounded in the science and philosophy of knowledge. DNP programs, on the other hand, prepare nurses at the highest level of nursing practice to improve patient outcomes and translate research into practice. A PhD-prepared nurse can contribute to the profession through research, creating new nursing theories, or through a focus on national, global system level change and public policy.

I have had many conversations with nurses looking to go back to school who say they don’t want to do research. However, in further discussion on what they really want to do and the problems they want to solve, it becomes clear that the PhD is the best track for them. Also, you don’t need to be a nurse practitioner to get a PhD, there are many PhD-prepared RNs like myself. For those who want to become a nurse practitioner, or other advance practice registered nurse, there are dual DNP/PhD programs just like there are MD/PhD programs for individuals looking for both the practice and research education.

As you can guess, I didn’t listen to the naysayers. I knew as a nurse I could make the largest impact for patients and nurses by getting my PhD in nursing (majoring in health systems and minoring in public administration). Does having a PhD make me a better nurse than anyone else? No. I am a different type of a nurse who knew what I needed to do to make my unique contribution to our profession. I started as an LPN and then became an associate’s degree RN. I worked full time while going to school full time. I also completed a BSN-PhD program, which I started at age 25, after having been an RN for four years. I have now been an RN for 20 years — PhD-prepared for almost 11 years. Earning my PhD has been the best decision in my professional career.

What will your next educational goal be? Share in the comments section below. 

The post Why a PhD in nursing may be the perfect goal for you appeared first on Nursing News, Stories & Articles.

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