Best Niran Al Agba Md Podcasts (2025)

1
"I have permanent nerve damage after filler by a RN - and the Board of Nursing did nothing about it" 26:14

3d ago26:14

26:14

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," Fran…

1
AAPA survey claims that physicians support PA independent practice 31:39

1M ago31:39

31:39

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 focu…

1
New study: 7.4% of EDs are staffed by NP/PAs with NO physician on-site 35:10

2M ago35:10

35:10

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 …

1
CDC considers allowing NP/PAs to read complex x-rays: Pulmonologist explains the dangers 31:34

3M ago31:34

31:34

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 …

1
Regaining Patient Trust: The Importance of Physician Advocacy 30:30

4M ago30:30

30:30

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 job…

1
What we can learn from legislator questions on scope of practice 26:03

4M ago26:03

26:03

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 pract…

1
Texas Scope of Practice Hearing Part 2: NP testimony 36:43

6M ago36:43

36:43

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 po…

1
Scope of Practice testimony at the Texas Legislature: Part 1 (Economic Impact) 26:26

6M ago26:26

26:26

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 …

1
The blind leading the blind? New NP gets bad advice from other NPs on Facebook 36:33

7M ago36:33

36:33

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.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
Physician training saved my newborn grandbaby's life: I fear future patients won't have this privilege 28:43

9M ago28:43

28:43

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 new…

1
"My newborn baby required a rapid response: The NP that showed up had just rotated with me on the adult heme/onc service." 31:38

9M ago31:38

31:38

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.org patientsatrisk.com PhysiciansForPatien…

1
Bloomberg Report Questions NP Education 24:33

10M ago24:33

24:33

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 Practitioners They don’t merely support doctors—NPs increasingly treat patients independently, including in specialty practices and emergency rooms. When they aren’t well trained, th…

1
Dangers of nonphysician ketamine infusions 40:57

11M ago40:57

40:57

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 …

1
Why Psychiatry Needs Psychiatrists (and not just psych NPs) 42:51

1y ago42:51

42:51

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 …

1
Physician Leadership Through Self-Ownership 22:22

1y ago22:22

22:22

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 c…

1
Small Democratic Groups (SDG): The solution to reclaim medicine from corporate interests? 29:57

1y ago29:57

29:57

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.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
JOURNAL CLUB: Article claims that NPs, PCPs have same rate of inappropriate prescribing to seniors 24:45

1y ago24:45

24:45

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 Physicians The article, which seems to call for an expansion of unsupervised practice for NPs, c…

1
Doctors' Day revisited: What has changed in the last three years? 26:26

1y ago26:26

26:26

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 d…

1
"I didn't know how bad it was:" NP pens report on NP education (Part 3) 20:28

1y ago20:28

20:28

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 th…

1
"I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 2) 29:52

1y ago29:52

29:52

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 th…

1
"I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 1) 30:12

1+ y ago30:12

30:12

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 th…

1
The Assistant Physician (AP) - A pathway to independent practice? 18:27

1+ y ago18:27

18:27

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 …

1
BONUS EPISODE: AZ State Rep and ER physician Dr. Amish Shah discusses his run for U.S. Congress 19:45

1+ y ago19:45

19:45

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. …

1
Physician legislator and creator of 'assistant physician' role in Missouri discusses steps to improve physician shortages 25:54

1+ y ago25:54

25:54

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 g…

1
Physicians fight to prevent more patient deaths from 'wellness' treatments at medspas 30:05

1+ y ago30:05

30:05

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 t…

1
NP malpractice settlements on the rise, especially for NP-owned practices 36:32

1+ y ago36:32

36:32

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 b…

1
Wisconsin NP legislator makes unprofessional comments during testimony on vetoed bill 21:14

1+ y ago21:14

21:14

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/162734…

1
The Medical Ethics of IV hydration ‘bars’ 28:39

1+ y ago28:39

28:39

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 …

1
Esteemed physician organization American College of Cardiology selects nurse as new president 32:48

1+ y ago32:48

32:48

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.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
Louisiana doctors succeed at passing graduate physician bill 23:10

1+ y ago23:10

23:10

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 'a…

1
Louisiana physicians hire lobbyist and defeat NP independence bill 27:20

1+ y ago27:20

27:20

Louisiana physicians discuss their successful effort to block scope of practice expansion in the state. PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
Bioethicist weighs in on use of the term 'doctor' by nonphysicians 30:56

1+ y ago30:56

30:56

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/994536 Get the book Patients at Risk and Imposter Doctors! PhysiciansForPatient…

1
Patient asks for OB physician during pregnancy and delivery, told 'no' 22:32

1+ y ago22:32

22:32

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 physi…

1
Noncompete contract restricts rural patient access to physician care 32:29

1+ y ago32:29

32:29

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 c…

1
Physician discusses why she will no longer train or supervise NPPs 35:00

2y ago35:00

35:00

Sara O'Heron, MD discusses changes in the education and training of NPs and PAs over her 35-year career. Learn more at PatientsAtRisk.com Get 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…

1
When 'wellness' turns deadly: Patient dies during NPP medspa visit 31:38

2y ago31:38

31:38

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.org PhysiciansForPatientProtection.org…

1
Ensuring a fair physician employment contract 33:32

2y ago33:32

33:32

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 Agreement https://www.amazon.com/Final-Hurdle-Physicians-Negotiating-Employment-ebook/dp/B07R59…

1
Original study shows impact of NPPs on Emergency physician residents 33:08

2y ago33:08

33:08

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: Int…

1
New Book - IMPOSTER DOCTORS - Now On Sale! 21:29

2y ago21:29

21:29

Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW at Amazon and Barnes and Noble. PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
Opening your own practice 32:35

2y ago32:35

32:35

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.com Join us: P…

1
Innocent EKG findings lead to unnecessary ER visit: Why physician training matters 17:42

2y ago17:42

17:42

Emergency physician Andrew Wilson, MD, discusses a case in which a routine work physical at an Urgent Care resulted in an unnecessary ER visit for a patient. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164 PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
Healing the healers: The Physician Support Line 27:54

2y ago27:54

27:54

Last week was Match week, and while thousands will celebrate matching into residency, 2,500 medical school grads will face an uncertain future due to a shortage of residency positions. If you know someone who might need help through this difficult time, the Physician Support Line is a free, confidential, and anonymous resource. Dr. Mona Masood, psy…

1
Utah physician on hiring unmatched medical graduates (associate physicians) 28:48

2+ y ago28:48

28:48

Nurse practitioner and physician assistant use are often justified because of a shortage of physicians, especially in underserved areas. One major cause of the physician shortage is a lack of residency positions, the required minimum training that must be completed after medical school to be licensed as a physician. Every year, thousands of aspirin…

1
Psychiatrist explains dangers of NP-staffed mental telehealth platforms 27:38

2+ y ago27:38

27:38

The COVID19 pandemic created both challenges and opportunities in the healthcare sector. One major winner: telehealth startup companies offering ‘virtual’ medical care, including psychiatric care. But instead of hiring physicians, these companies hire nurse practitioners to care for some of the most complex and vulnerable patients in our nation. Th…

1
Vicarious liability: Family physicians discuss getting sued due to association with NPs 24:14

2+ y ago24:14

24:14

Nurse practitioner and physician assistant advocates often assure physicians that they face little liability or risk when performing supervision, insisting that NPs and PAs are liable for their own errors. But case law examples demonstrate this to be false. If state law requires physician supervision or collaboration, the physician may be held vica…

1
Lack of informed consent: Patient nearly dies after CRNA mishap 26:24

2+ y ago26:24

26:24

Imagine this scenario: You are rolled into an operating room in a surgical center for an outpatient elective procedure. But when you wake up; you’re in an emergency department, and you learn that you nearly died from anesthesia complications. Even worse, you find out that your anesthesia was provided not by an anesthesiologist, but by a nurse anest…

1
Training matters: small town ER doc makes limb-saving diagnosis missed by urgent care NP 28:38

2+ y ago28:38

28:38

Physicians train for at least 15,000 hours before we are permitted to practice independently, and one of the reasons is that it takes a long time and a lot of patient volume to be exposed to the many different presentations of disease processes to learn how to recognize true emergencies that need immediate interventions. Today’s guest brings us a p…

1
Will an NP/PA perform your next colonoscopy? Part 2 23:42

2+ y ago23:42

23:42

Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. …

1
Will an NP or PA perform your next colonoscopy? 28:12

3y ago28:12

28:12

Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. …

1
Physician, Own Thyself: Taking Back Professional Control 32:32

3y ago32:32

32:32

Tired of being owned by corporations, but don't want to open your own practice? Stephanie Freeman, MD, a critical care physician and entrepreneur, teaches physicians how to become self-employed through contract work and locums. Learn more at DrStephanieICU.com http://www.freelocumstraining.com for free online locums training. National Association o…

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Niran Al Agba Md Podcasts

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