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

Patients at Risk

#Fitness #Medicine #Rebekah Bernard MD

39:50

The truth is out West! We’re hopping on the ET Highway and venturing to the most notorious alien hot spots, including Roswell’s infamous crash site, Area 51’s eerie perimeter, and a mysterious desert watchtower. Join us as journalist Laura Krantz, host of the podcast Wild Thing , beams up to share stories from the front lines of UFO reporting—from strange sightings and quirky festivals to a mailbox where people leave letters to extraterrestrials. Maybe you’ll even decide for yourself: Is Earth a tourist stop for spaceships? UFO hot spots you’ll encounter in this episode: - UFO Watchtower (near Great Sand Dunes National Park, Colorado) - Roswell, New Mexico - Area 51, Nevada - Extraterrestrial Highway (aka State Route 375), Nevada - Little A’Le’Inn, ET Highway, Nevada - E.T. Fresh Jerky, ET Highway, Nevada - Alien Research Center, ET Highway, Nevada - The Black Mailbox, ET Highway, Nevada Via Podcast is a production of AAA Mountain West Group .…

about a year ago 31:34

MP3•Episode home

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-2024-0103-0001

PhysiciansForPatientProtection.org

119 episodes

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

Patients at Risk

published about a year ago

MP3•Episode home

Comment by March 17, 2025: https://www.regulations.gov/document/CDC-2024-0103-0001

PhysiciansForPatientProtection.org

119 episodes

#Fitness #Medicine #Rebekah Bernard MD

All episodes

Patients at Risk

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

12 days 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," 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.com PhysiciansForPatientProtection.org…

Patients at Risk

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

7 weeks 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 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.pdf Join us! PhysiciansForPatientProtection.org Learn more: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438 PhysiciansForPatientProtection.org…

Patients at Risk

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

10 weeks 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 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/fulltext https://www.journalofnursingregulation.com/article/S2155-8256(22)00010-2/abstract Send me an email through the contact link www.PatientsAtRisk.com PhysiciansForPatientProtection.org…

Patients at Risk

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

15 weeks 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 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-2024-0103-0001 PhysiciansForPatientProtection.org…

Patients at Risk

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

17 weeks 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 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…

Patients at Risk

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

20 weeks 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 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.org PhysiciansForPatientProtection.org PhysiciansForPatientProtection.org…

Patients at Risk

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

26 weeks 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 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-9fY Supervising physicians sued without ever seeing or being consulted on a patient: https://www.medscape.com/viewarticle/990494?form=fpf https://youtu.be/GlfPSnHgC1A https://www.jucm.com/supervising-doctors-may-be-held-liable-in-malpractice-suits/ https://www.medpagetoday.com/meetingcoverage/acep/106708 Increasing rates of malpractice and adverse reports for NPs: https://youtu.be/EOeGhR2uUSU PhysiciansForPatientProtection.org…

Patients at Risk

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

29 weeks 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 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.org PhysiciansForPatientProtection.org…

Patients at Risk

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

32 weeks 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.org

Patients at Risk

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

38 weeks 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 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…

Patients at Risk

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

42 weeks 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 PhysiciansForPatientProtection.org…

Patients at Risk

1
Bloomberg Report Questions NP Education 24:33

45 weeks 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, the results can be tragic. By Caleb Melby , Polly Mosendz , and Noah Buhayar https://www.bloomberg.com/news/features/2024-07-24/is-the-nurse-practitioner-job-boom-putting-us-health-care-at-risk Patients at Risk podcast episodes with nurses interviewed for the Bloomberg article: Rayne Thoman, RN - Episodes 13, 14 John Canion, NP - Episodes 91-93 PhysiciansForPatientProtection.org…

Patients at Risk

1
Dangers of nonphysician ketamine infusions 40:57

46 weeks 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 infusions in psychiatry, including the potential dangers to patients when physicians are not directly involved in drug oversight. PhysiciansForPatientProtection.org…

Patients at Risk

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

1 year 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 webinar video: https://youtu.be/djDos6xbRos Contact me: PatientsAtRisk.com PhysiciansForPatientProtection.org…

Patients at Risk

1
Physician Leadership Through Self-Ownership 22:22

1 year 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 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…

Patients at Risk

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

1 year 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.org

Patients at Risk

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

1 year 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, 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/m23-0827 Get the books! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/ PhysiciansForPatientProtection.org…

Patients at Risk

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

1 year 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 dedication to patient care! PhysiciansForPatientProtection.org…

Patients at Risk

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

1 year 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 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-the PhysiciansForPatientProtection.org PhysiciansForPatientProtection.org…

Patients at Risk

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

1 year ago29:52

29:52

Patients at Risk

2 years ago23:10