@bedevilled ben If these physicians won't be more qualified than a new minted NP; I guess med school curriculum has some serious issues then... NP spend only a year doing 'basic science' while these MD/DO spend 2 years... NP needs only 700 hours of clinical preceptorship while MD/DO spend a lot more than 700 hours of clinical rotations... Therefore, if NP can practice independently in 20 states with online classes and 700 hours of clinical preceptorship, I think it makes sense to give these MD/DO a chance to practice in a limited capacity after spending at least a year working under the supervision of a licensed MD/DO...
'While some residency programs might look favorably on that extra year of practice, in general the only physicians going to this AP program will be those with poor scores that were unable to match in the first place. It seems likely to me that this program will become a sinkhole for physicians that don't have other options for securing residencies.'
I had the experience of working as a RN before going on to med school. I have a few friends who I went to school with that are NP and I believe and 'low ranked' student from medical school who has problem to match is 'better' than most NP in term medical knowledge.... In fact, a watered down step3 was given to NP students from one of the best NP programs in the country (Columbia University), only 50% passed it... So for me it makes sense to let some of these MD/DO practice where there is shortage of 'providers'.
I also worked with a couple of these MD with no residency in county clinic in FL, which was designated 'area of critical needs' and the more complicated cases were given to them instead of some NP who were working at the clinic...
I understand it's not a perfect situation, but if we are truly concerned about shortage in rural areas, I think this a good way to start tackling that because we all know most NP won't go to these areas even if they use that as way to gain practice parity with physician...
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Practice without residency
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