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One comment about training of physicians is that it's a very different set of skills that we are discussing when referring to the care of chronic or moderately healthy pts, which is mostly what NP's deal with. Understanding the complexity of of issues which occur in an acute care setting is a skill set NP's are not exposed to. Pts who arrive at the ER for motor vehicle accidents, have acute medical crisis such as drug overdoses, and complications from GI and other system diseases are not attended to by NP's. This is an important distiction in training and experience. Ask an ER doc if he/she's ever consulted an NP when treating a heart attack.

posted 4 years ago
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