@brianglenntv Question for @brianglenntv: Would you have asked Ben Franklin the same question back in the day when he was seeking funding from the French? See @dieworkwear for more:
I'm medically adjacent (partner is in FM) and I follow a bunch of folks on #MedTwitter
Last year on Match Day I had no clue what was going on but now I know how huge it is. Congrats to all the folks that matched.
And to those that didn't dont be discouraged. 1/2
@tlynettepowell@GovNL While we cannot provide care to same pts, for same condition if they/we are out of province - phone call to our well-known pts, 20-yrs providing continous & in-depth care to an entire family: @GovNL prefers stranger who knows nothing about the same person and will pay them extra.
@bevie_anne@emellesierra FP can do pretty much everything a Dermatologist, Neurologist or Rheumatologist can - indeed many NL FP function at resident level in *multiple* specialties every day. With 3-4yrs of specialized training in their fields, FP respect these specialists & would never assume equality.
@bevie_anne@emellesierra https://t.co/j2ylvTCWhj
Family Physicians (FP) are a recognized speciality in Canada - CFPC. The term GP (though still preferred by some in FM) is not used exclusively by family docs. Using GP to compare NP & FP blurs the different training, quals & experience even further.
@bevie_anne@emellesierra ...Nurse practitioner clinical training, in contrast, is largely observational, +students are not rigorously evaluated..." Dr R Feldman Feb 2023. Again, I am very pro working beside RN and NP in primary care, but we have unique non-equivalent roles. 2/2
@bevie_anne@emellesierra "The qualitative difference in training for a physician ... involves intensive experiences, depth of responsibility + intervention.... years of direct shoulder-to-shoulder, on-site supervision +oversight by faculty through the clinical years of medical school + residency... 1/2
@bevie_anne@emellesierra Except that it cannot. FP spend 12000+ hours of clinical training vs less than 1000 hours in most NP programs; FP also trained to "know what you don't know". I am pro-NP, but firmly against promoting equivalency - even in primary care.
@CFPCNL@HCS_GovNL@_nlma@GovNL@FamMemorial@MUNMed It would be great if RHAs could recruit them to stay, but currently dozens of other docs wanting to work/stay here have been waiting weeks/months for return emails from @tomosbornernMHA's “world class recruitment complement”. @MUNFamMed@_nlma
@TerribleLuh@_nlma@CFPCNL Sure. Just delete MCP and we'll all work for Eastern Health (or other RHAs). But once FP are employees, you have to pay us benefits like everyone else, and that will cost Gov a lot more in the long run. Pension, sick leave, vacation, education, medical... it would break the bank.
NL Family Docs get nickel & dimed for legit work already done, refused payment & so simply submit bills for *less* than we deserve just to avoid MCP aduit. For a $33 visit. 811 gets $82 call with a stranger. This is a punch in the guts for RETENTION.
@_nlma@CFPCNL@MUNFamMed
@TerribleLuh@_nlma@CFPCNL FFS physicians are not paid for anything except time in the room with pt. (Few exceptions within Family Practice Renewal Program budget).
If not phone, collaborate how? You don't identify yourself in any way - what is your understanding of the usual FP clinic?