Patients at Risk

When we think of potentially vulnerable patients, it just doesn't get riskier than those with mental health conditions, especially children. Yet, psychiatric mental health nurse practitioners are seeking the right to care for patients 'across the lifespan'--including those with schizophrenia, bipolar disorder, and addiction--without physician oversight. Listen in on testimony in Florida with commentary on why their argument of promoting 'access' without ensuring patient safety may be dangerous to patients.PhysiciansForPatientProtection.orgPhysiciansForPatientProtection.org

South Carolina Medical Association (SCMA) immediate past president Mayes DuBose, MD and Vice President of Advocacy and Policy Counsel Holly Pisarik discuss efforts that the association has led in fighting bills that would allow unsupervised practice rights to NPs and PAs after just 2,000 hours of clinical hour experience - and let PAs switch specialties after just 1,000 hours.https://www.scmedical.org/Get the books: Patients at Risk https://www.amazon.com/dp/B08M9YJQR3/Imposter Doctors: https://www.amazon.com/dp/1627344438/PhysiciansForPatientProtection.org

Dr. Robert McLean, former President of the American College of Physicians discusses the negative impact of the word provider, and encourages all physicians to take the 'No Provider Pledge.'PhysiciansForPatientProtection.org

Dr. Phil Shaffer and I are back in SC to testify yet again against a bill that would permit unsupervised NP and PA practice after 2,000 hours of experience. In this episode, I share subcommittee chair Senator Tom Davis's perspectives that SC will lose funding from the Rural Health Transformation project without scope expansion. You'll also hear a letter of support from the FTC Office of Policy Planning supporting scope expansion, and PPP's response explaining why the FTC should reconsider it's position in light of newer data.PhysiciansForPatientProtection.org

7 year old Betty Wattenbarger died hours after being evaluated by a pediatric nurse practitioner at a pediatric urgent care in Texas. Her father testifies to the Texas Legislature about his experience seeking accountability from the Board of Nursing and why he believes physician-led care matters for patient safety.Patients at risk video interview with Jeremy Wattenbarger Part 1 - https://youtu.be/Su43DKxNZoYPart 2- https://youtu.be/pNSWr1GSBnUPhysiciansForPatientProtection.org

The South Carolina Legislature has introduced bills that would allow unsupervised practice to nurse practitioners and physician assistants after 2000 hours of experience, as well as a bill that would expand pharmacist privileges. On the flip side, there's also a bill that would enhance team-based care, ensuring that physicians remain in the lead of medical care and strengthening requirements and enforcement of physician oversight. Today, you'll hear just a small part of the very, very long two days of testimony before the South Carolina legislature on these bills. Dr. Phil Schaffer and I were invited by the South Carolina Medical Association and we were asked specifically to focus on data - specifically, the evidence to support unsupervised practice. Take a listen to our testimony and at the end you'll hear a few questions from legislators. IF YOU'RE A SOUTH CAROLINA PHYSICIAN, please join and support the South Carolina Medical Association (SCMA) - they are working hard to fight for physician-led care. https://www.scmedical.org/PhysiciansForPatientProtection.org

One patient died and 25 others were found to have been harmed when a nurse was permitted to perform complex medical procedures in the UK.Gastroenterologist Dr. Kaveh Hoda joins me to discuss the necessary training to perform an endoscopic retrograde cholangiopancreatography (ERCP), a procedure most commonly used to remove gallstones. From the BBC article: 68 patients underwent ERCPs with a 'single consultant nurse', and a review found that 58 received "substandard" care from the service between 2016-21, including 25 who "suffered some degree of harm". https://www.bbc.com/news/articles/clym224qgdyoAs nurses and PAs continue to advocate for more privileges, could this happen in the US?PhysiciansForPatientProtection.org

In this episode of 'Patients at Risk,' Angie Pereira shares the heartbreaking story of losing her father due to a misdiagnosed pulmonary embolism by a nurse practitioner in an after-hours clinic. Despite her father's presenting symptoms of shortness of breath and leg pain, strong family history of blood clots, and normal lung exam, the nurse practitioner diagnosed him with pneumonia, leading to his untimely death the next day. Angie emphasizes the need for proper physician oversight and questions the push for independent practice for nurse practitioners. The discussion extends to issues of legislative accountability, corporate healthcare’s role in potentially compromising patient care, and the necessity for patients to advocate for themselves to ensure high-quality medical care. Angie's story highlights the broader implications of inadequate training and supervision in healthcare, especially affecting rural communities.PhysiciansForPatientProtection.org

Rebekah Bernard discusses the legislative trends and impacts of allowing non-physician practitioners (NPs and PAs) to practice medicine unsupervised. She highlights the extensive training and hours required for physicians compared to the significantly less training for NPs and PAs. Bernard explains how legislative changes have allowed NPs and PAs to practice independently in many states, often with less experience and training compared to physicians. She delves into the history of physician shortage concerns, influenced by flawed reports from the 1980s that led to restricted physician production and the promotion of NPs and PAs as substitutes. Bernard outlines the growth of NP and PA roles, the diluted quality of NP education, and the increasing trend of independent practice. The talk also addresses the disparities in healthcare quality and outcomes when care is provided by non-physician practitioners instead of physicians. Bernard advocates for prioritizing the production of properly trained physicians and ensuring physician-led care as well as holding NP leadership accountable for maintaining educational standards.PhysiciansForPatientProtection.org

Dr. Denise Weiss always wanted to be a physician, but circumstances led her into nursing. She earned an associate's degree as a registered nurse, and then became a family nurse practitioner. After several years of practice, she realized that her education had not prepared her for independent practice, and she decided to return to school to become a physician. Now a practicing anesthesiologist, Dr. Weiss explains the differences between nursing and medical education, and why physician-led care matters.PatientsAtRisk.comGet the books, available in paperback, eBook, and Audible: Patients at Risk: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164Imposter Doctors: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/PhysiciansForPatientProtection.org

A patient shares her story of receiving the wrong type of filler into her face by a registered nurse, leading to severe and permanent nerve damage. Francesca explains that the RN, who was in NP school at the time, was not being supervised, and worked in a for-profit clinic owned by a non-physician.While some may argue, "Let the Buyer Beware," Francesca believes that patients are not be in the position to fully understand the qualifications of clinicians being permitted to perform medical procedures, and asks legislators to protect patients like her.Tell us your story: https://www.physiciansforpatientprotection.org/patient-resources/tell-us-your-story/Learn more: PatientsAtRisk.comPhysiciansForPatientProtection.org

In February 2025, the AAPA published a press release entitled: 'AAPA Releases Survey Showing Physician Support for Removing Barriers to PA Practice.'   According to AAPA President Jason Prevelige (DMSc, MBA, PA-C, DFAAPA), the survey proved that, “Physicians recognize the need for change. It’s time to modernize these laws so healthcare teams can focus on what matters most, patient care.” But what did this survey REALLY show? Chandani Patel DeZure, MD, joins me to unpack the details.Links:https://www.aapa.org/news-central/2025/02/aapa-releases-survey-showing-physician-support-for-removing-barriers-to-pa-practice/https://www.aapa.org/wp-content/uploads/2025/02/AAPA_Morning-Consult-Survey.pdfJoin us! PhysiciansForPatientProtection.orgLearn more: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438PhysiciansForPatientProtection.org

Emergency physician Dr. Deborah Fletcher is an author of the first study to evaluate physician presence in Emergency Departments across the country. She discusses the findings, including that 7.4% of all EDs have NO physician on-site, and of those, 3% have no ability for the NP/PA staffing the ED to discuss patient care with a physician.Emergency physician Dr. Mercy Hylton discusses the dangers of this practice, including concerns from nurse researchers regarding variability and lack of standards for nurse practitioners working in EDs, and her effort to help Indiana become the first state to require that all emergency departments must have a physician on-site. https://www.jacepopen.com/article/S2688-1152(25)00008-6/fulltexthttps://www.journalofnursingregulation.com/article/S2155-8256(22)00010-2/abstractSend me an email through the contact link www.PatientsAtRisk.comPhysiciansForPatientProtection.org

Pulmonologist / Intensivist Gary Dudek, MD, joins me to discuss the CDC's call for comments regarding allowing nurse practitioners and physician assistants to become National Institute for Occupational Safety and Health (NIOSH) 'B Readers'. B-Readers are highly trained radiologists (medical school graduates with at least five years of residency as well as additional training in this particular type of x-ray) that read and interpret annual screening chest x-rays done on coal, silica, and asbestos workers to look for early signs of a lung condition called pneumoconiosis. According to radiologists, these x-rays are notoriously difficult to read, and a misread can be a matter of life or death.  Dr. Dudek discusses why allowing NPPs to read these x-rays is the wrong decision.Comment by March 17, 2025: https://www.regulations.gov/document/CDC-2024-0103-0001PhysiciansForPatientProtection.org

Susan J. Baumgaertel, MD FACP, an internal medicine physician, author, patient advocate, and ally to colleagues discusses how physicians can fight for patients.Trust in physicians has plummeted in the last few years (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821693), making it more and more difficult for doctors to do their jobs, and potentially leading to a negative impact on patient care. While many point to handling of the COVID pandemic as the cause of growing distrust, a larger part of the problem may be that ordinary physicians virtually no control over the healthcare system or even the day-to-day practice of medicine.Dr Baumgaertal (myMDadvocate) discusses her fight to help physicians regain the trust of our patients by making sure that they get the best care. PhysiciansForPatientProtection.org

On September 17, 2024, the Texas Senate Health and Human Services Committee held an interim hearing on scope of practice expansion for nurse practitioners and other clinicians. In this third episode related to that hearing, Texas Medical Association (TMA) president Ray Callas MD discusses the importance of physician oversight for nonphysician practitioners and answers questions from legislators.Importantly, Dr. Callas notes that in the past, TMA was asked by legislators to 'come to the table' to collaborate with nurse practitioners and to loosen supervision as a compromise to independent practice. But complying with this request is now being used as rationale for removing oversight completely, with legislators arguing, "Well, if you don't need to be on site / can supervise multiple NPs, then are you even necessary?" Learn more! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/Support our vision of physician-led care and truth and transparency for all medical practitioners: physiciansforpatientprotection.orgPhysiciansForPatientProtection.orgPhysiciansForPatientProtection.org

 In the last episode, you heard some of my testimony at the Texas Interim Legislature hearing on Scope of Practice. Today you're going to hear from a nurse practitioner, Holly Jeffries, who is practicing in rural Texas.Her testimony was particularly impactful and really quite persuasive to legislators. I think it's important to understand the NP point of view and also learn the concerns of legislators by listening to their line of questioning.Referenced in the podcast:Facts about NP primary care numbers (HRSA shows much fewer doing primary care than AANP represents): https://youtu.be/AqyUdQZ-9fYSupervising physicians sued without ever seeing or being consulted on a patient: https://www.medscape.com/viewarticle/990494?form=fpfhttps://youtu.be/GlfPSnHgC1Ahttps://www.jucm.com/supervising-doctors-may-be-held-liable-in-malpractice-suits/https://www.medpagetoday.com/meetingcoverage/acep/106708Increasing rates of malpractice and adverse reports for NPs: https://youtu.be/EOeGhR2uUSUPhysiciansForPatientProtection.org

On September 17, 2024, the Texas Senate Health and Human Services Committee held an interim hearing on scope of practice expansion for nurse practitioners and other clinicians. The Texas Medical Association (TMA) invited Rebekah Bernard, MD to testify regarding the economic impact of NP independence.In part 1 of this series, we hear the NP expert witness, economist Alicia Plemons, followed by Dr. Bernard's testimony, along with questioning from the committee.Learn more! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/Support our vision of physician-led care and truth and transparency for all medical practitioners: physiciansforpatientprotection.orgPhysiciansForPatientProtection.org

Christopher Garofolo, MD, unpacks the many errors shared by a more seasoned NP to a brand new NP seeking advice on a Facebook post.Learn more: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/PhysiciansForPatientProtection.org

On the last podcast, I interviewed Dr. Anu Shokla who shared her story of her newborn baby being treated for an emergency rapid response by a nurse practitioner who had just rotated with her on the inpatient adult hematology oncology service.After hearing that podcast, Dr. Carol Nelson reached out to share a story of the alternate version: her newborn granddaughter was saved because of the outstanding care from well-trained physicians and non-physicians working together in a physician-led care team.Please enjoy this inspiring and uplifting story of why physician training matters.PhysiciansForPatientProtection.org

Primary care physician Anu Shukla shares a personal story about the dangers that patients face when physicians are replaced with nonphysician practitioners.Dr. Shukla's comments on this podcast reflect her views and opinions. She does not speak for or represent her employer.Physiciansforpatientprotection.orgpatientsatrisk.comPhysiciansForPatientProtection.org

In the first of a series 'The Nurse Will See You Now,' Bloomberg reporters investigate concerns about nurse practitioner education.The Miseducation of America’s Nurse PractitionersThey don’t merely support doctors—NPs increasingly treat patients independently, including in specialty practices and emergency rooms. When they aren’t well trained, the results can be tragic. By Caleb Melby, Polly Mosendz, and Noah Buhayarhttps://www.bloomberg.com/news/features/2024-07-24/is-the-nurse-practitioner-job-boom-putting-us-health-care-at-riskPatients at Risk podcast episodes with nurses interviewed for the Bloomberg article:Rayne Thoman, RN - Episodes 13, 14John Canion, NP - Episodes 91-93PhysiciansForPatientProtection.org

There are an estimated 500-750 clinics across the U.S. providing infusions of Ketamine for the treatment of a variety of medical conditions. This is big business, estimated to bring in $3.1 billion per year and projected to rise to 6.9 billion by 2030.  But is Ketamine safe and effective? Psychiatrist Kristina Kise, MD discusses the use of ketamine infusions in psychiatry, including the potential dangers to patients when physicians are not directly involved in drug oversight.  PhysiciansForPatientProtection.org

Psychiatrists are increasingly being replaced by non-physician practitioners - psychiatric mental health nurse practitioners (PMHNPs) and physician assistants (PAs). This webinar explains the difference between a psychiatrist and a PMHNP and reviews the evidence regarding unsupervised care of patients with mental illness by non-physicians.Link to webinar video: https://youtu.be/djDos6xbRosContact me: PatientsAtRisk.comPhysiciansForPatientProtection.org

Over the last decade, as physicians have increasingly turned to employed practice to cope with declining reimbursement and increased administrative requirements, our role in advocacy has diminished. Doctors are afraid to speak out because we fear being fired and losing our livelihoods.  But without physician advocacy, corporate interests, academic centers, and government agencies are increasingly making decisions contrary to the best interests of patients, including replacing physicians with nonphysician practitioners. It is time for physicians to step up and take back control of healthcare decisions, and one of the best ways to do this is through self-ownership. PhysiciansForPatientProtection.org

Arthur Smolensky, MD describes his experience creating a Small Democratic Group (SDG) to take over emergency department staffing from corporate contract management groups.https://www.linkedin.com/in/arthur-smolensky-719806/PhysiciansForPatientProtection.org

In today's episode, Teresa Camp-Rogers, MD, MS analyzes a study published in the Annals of Internal Medicine, the journal of the American College of Physicians, entitled Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care PhysiciansThe article, which seems to call for an expansion of unsupervised practice for NPs, contends that NPs and physicians showed no differences in inappropriate prescribing to seniors based on Beers criteria, however, notes that NPs were overrepresented among clinicians with the highest and lowest rates of inappropriate prescribing. Dr. Camp-Rogers points out that since most NPs are practicing under physician supervision, with an estimated 2-6% of NPs practicing without physician supervision, this study may simply prove what other studies have established: the physician-led care model works - NOT that unsupervised practice is safe.  Further, she argues that this study begs a follow-up question: with such variation in potentially inappropriate prescribing by NPs, what do we know about which NPs were in the top and which were in the bottom?  https://www.acpjournals.org/doi/10.7326/m23-0827Get the books! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/PhysiciansForPatientProtection.org

Three years ago, we aired a podcast criticizing Doctors' Day posts from hospitals and healthcare organizations that included non-physicians and referred to physicians as 'providers.'  Fast-forward to today, and some organizations (but not all!) seem to have gotten the message.Happy Doctors' Day to all physicians - thank you for your sacrifice and dedication to patient care!PhysiciansForPatientProtection.org

John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.Canion suggests:- At least 2 years of RN experience before starting NP school- Increased standards for entry, including minimum GPA requirements - Standardized, rigorous education and program-vetted preceptorship- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."Read the entire report here:https://jcthenp.substack.com/p/2023-report-on-np-education-and-thePhysiciansForPatientProtection.orgPhysiciansForPatientProtection.org

John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.Canion suggests:- At least 2 years of RN experience before starting NP school- Increased standards for entry, including minimum GPA requirements - Standardized, rigorous education and program-vetted preceptorship- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."Read the entire report here:https://jcthenp.substack.com/p/2023-report-on-np-education-and-thePhysiciansForPatientProtection.orgPhysiciansForPatientProtection.org

John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.Canion suggests:- At least 2 years of RN experience before starting NP school- Increased standards for entry, including minimum GPA requirements - Standardized, rigorous education and program-vetted preceptorship- An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).He writes, "We need a pause on independent practice or 'full practice authority' for NPs until our education has been fully reviewed."Read the entire report here:https://jcthenp.substack.com/p/2023-report-on-np-education-and-thePhysiciansForPatientProtection.org

In part 2 of my discussion of the Assistant Physician (AP) role, Dr. Keith Frederick meets Dr. Liz Troilo, who benefited from his legislation. After working as an AP, Dr. Troilo matched into residency and now provides critical access care as a Family physician in Missouri.  Dr. Frederick proposes a possible alternate pathway to independent practice for physicians other than formal residency training.  Learn more about the importance of physician-led care - https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/PhysiciansForPatientProtection.org

Emergency physician Dr. Amish Shah has served the Arizona State House for the last five years and is now running for U.S. Congress. In this special bonus episode, Dr. Shah explains why he entered into politics, the work he has done to support the practice of medicine, and why physicians should donate to his campaign.Learn more / contribute to Dr. Shah's campaign here: https://www.amishforarizona.com/ Meet Dr. Shah at his fundraiser at the Take Medicine Back meeting February 9, 2024 in Palm Springs https://www.takemedicineback.org/PhysiciansForPatientProtection.org

There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. Today we are talking about a proposed solution to this problem—a new professional designation for unmatched medical school graduates called the “Assistant Physician” (AP). I am joined by Dr. Keith Frederick, the originator of the first legislation to create the AP role, and Dr. Liz Troilo, who worked as an AP before becoming a board-certified family physician. Learn more about physician-led care - get the book IMPOSTER DOCTORS.PhysiciansForPatientProtection.org

In July 2023, 47 year old Jenifer Cleveland, a mother of four, died after receiving treatments at a Texas medispa. We reported on this tragic story in a podcast with plastic surgeon Alina Sholar (https://www.buzzsprout.com/1475923/13329411-when-wellness-turns-deadly-patient-dies-during-npp-medspa-visit.mp3?download=true). Today, we are discussing the aftermath of this case and efforts by Texas physicians to ensure that no more patients die from ‘wellness’ treatments. Dr. Mary Kelly Green is an ophthalmologist and founding member of Texas 400, and advocacy group protection fighting to protect patients.PatientsAtRisk.comPhysiciansForPatientProtection.org

Malpractice insurance company CNA, along with Nurses Service Organization (NSO) has been providing malpractice coverage for nurse practitioners across the country in a variety of practice settings for the last 30 years. The organization released its first report on NP malpractice claims in 2005, and recently released its 5th report analyzing data between 2017 and 2022.  Dr. Kevin Zhang joins me to discuss the findings of this report including:Increase in average total claims for NPsHighest average claim among NPs covered through an NP-office practiceMost frequent claim: Failure to diagnosehttps://www.nso.com/Learning/Artifacts/Claim-Reports/Nurse-Practitioner-Claim-Report-5th-Edition Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438PhysiciansForPatientProtection.org

Nurse practitioner and Wisconsin Senator Rachael Cabral-Guevara jokes about 'missing' lobbyist Mark Grapentine's IV... and using the largest bore needle to try again. Bill co-sponsor Rep. Barbara Dittrich responds by pulling her name off the legislation.Get the books!https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438PhysiciansForPatientProtection.org

There has been a dramatic rise in the number of clinics offering intravenous infusions of fluids and vitamins to treat an array of conditions and for a supposed wellness benefit. But do these treatments actually work? To discuss the risks and benefits of IV infusions outside of a traditional medical setting I am joined by nephrologist Dr. Christin Giordano. Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438PhysiciansForPatientProtection.org

Interventional cardiologist Dan Sraow, MD, FACC discusses the election of a nurse rather than a physician to lead the American College of Cardiology (ACC), as well as the risks of non-physicians performing cardiac interventions.PhysiciansForPatientProtection.org

There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. To alleviate this shortage, some states have a new professional designation for unmatched medical school graduates called 'assistant physician' or 'graduate physician.'  Representatives for Louisiana Physicians for Patients discuss their role in passing legislation to allow graduate physicians the opportunity to work under the supervision of a licensed physician in the state.PhysiciansForPatientProtection.org

Louisiana physicians discuss their successful effort to block scope of practice expansion in the state.PhysiciansForPatientProtection.org

In 2023, three nurse practitioners sued the state of California for the right to call themselves 'doctors' in a clinical setting. Bioethicist Arthur L. Caplan, PhD, discusses the ethics of titles in healthcare.Dr. Caplan's article -  https://www.medscape.com/viewarticle/994536Get the book Patients at Risk and Imposter Doctors!PhysiciansForPatientProtection.org

At 39 years old, Hasina Hafiz wanted a physician to oversee her pregnancy and delivery. However, the only clinic in the area that accepted her insurance refused, allowing only CNM/ WHNP care.  Retired OB/GYN John Lafferty, MD discusses complications that can occur during pregnancy and delivery, and why team-based care should always be led by a physician.PhysiciansForPatientProtection.org

Jacqui O'Kane, DO was fulfilling the promise of Family Medicine, providing expert physician care to rural residents of Georgia.  Burned out from overwork and support staff challenges, she decided to leave hospital employment. But instead of allowing her to open her own direct primary care practice, the hospital enforced a 50-mile radius noncompete contract, limiting patient access to care. Listen in on our discussion of noncompete contracts and why some physicians are leaving employed practice in favor of self-ownership.For tips and tricks on surviving the fee-for-service world, check out my book,  How To Be a Rock Star Doctor.Docs, join our fight for physician-led care and truth and transparency among healthcare practitioners - Physicians for Patient Protection.PhysiciansForPatientProtection.org

Sara O'Heron, MD discusses changes in the education and training of NPs and PAs over her 35-year career.Learn more at PatientsAtRisk.comGet the new book, Imposter Doctors, available in paperback, eBook and Audible: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk-ebook/dp/B0C4J3P3Z1/PhysiciansForPatientProtection.org

Plastic surgeon Alina Sholar, MD discusses the risks and dangers associated with non-physician supervised medspa medical procedures. Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/Join PPP: PhysiciansForPatientProtection.orgPhysiciansForPatientProtection.org

Employment attorney Dennis Hursh, Esq advises physicians on best practices for a fair employment contract.Mr. Hursh is the owner of Physicians Agreements Health Law and the author of The Final Hurdle: A Physician's Guide to Negotiating a Fair Employment Agreementhttps://www.amazon.com/Final-Hurdle-Physicians-Negotiating-Employment-ebook/dp/B07R596D28/Contact him at https://pahealthlaw.com/Get the new book, Imposter Doctors, a sequel to Patients at Risk. https://www.amazon.com/Imposter-Doctors-Patients-at-Risk-ebook/dp/B0C4J3P3Z1/PhysiciansForPatientProtection.org

Lead author Andrew W. Phillips, MD, MEd, joins me to discuss the brand new study 'Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education,' the first study to evaluate the impact of NPPs on EM resident physicians.Permalink https://escholarship.org/uc/item/9g14r2jx Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(3) ISSN 1936-900X Authors Phillips, Andrew W Sites, Jeremy P Quenzer, Faith C et al. Publication Date 2023 DOI 10.5811/westjem.58759 Andrew Phillips MD EdD is the author of  Survey Methods for Medical and Health Professions Education - E-Book: A Six-Step ApproachPhysiciansForPatientProtection.org

Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW at Amazon and Barnes and Noble.PhysiciansForPatientProtection.org

Can't find a job that doesn't require you to supervise non-physician practitioners?  It's time to consider a return to self-ownership!  Psychiatrist Dr. Rashida Gray discusses her journey and encourages physicians to take back control of medicine by opening their own practices. Learn more about Dr. Gray at her website: GrayMDPsychiatry.comJoin us: PhysiciansforPatientProtection.orgPhysiciansForPatientProtection.org