131 episodes
- A 2026 Cochrane review claims "little to no difference between nurse‐physician substitution and physician‐led care" in a hospital setting.
Phil Shaffer, MD reviews all 82 studies to prove the major fallacy: NO study included in the analysis involved true substitution of nurses for physicians to perform physician-level care.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013616.pub2/full
PhysiciansForPatientProtection.org - Most urgent cares are staffed by NPs/PAs, often without physician supervision - can you trust them with your life?
Dr. John Lafferty shares details from a study showing that of 300 referrals from urgent cares to the ER, 55% were unnecessary and 64% resulted in a 'discordant' (different) diagnosis.
"Our data found that 55% of patients referred to EDs from UCCs did not
require ED-specific care or resources and 64% carried a discordant diagnosis between UC and ED diagnosis. We suggest quality remedies, such as educational sessions and engagement with telemedicine sub-specialists as well as a coordinated formalized system for UCC to ED referrals."
Poyorena C, Patel S, Keim A, et al. Evaluating urgent care center referrals to the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):e12838. Published 2022 Dec 7. doi:10.1002/emp2.12838
PhysiciansForPatientProtection.org - When we think of potentially vulnerable patients, it just doesn't get riskier than those with mental health conditions, especially children. Yet, psychiatric mental health nurse practitioners are seeking the right to care for patients 'across the lifespan'--including those with schizophrenia, bipolar disorder, and addiction--without physician oversight.
Listen in on testimony in Florida with commentary on why their argument of promoting 'access' without ensuring patient safety may be dangerous to patients.
PhysiciansForPatientProtection.org
PhysiciansForPatientProtection.org South Carolina Medical Association fights to ensure patient access to physician-led care
18/01/2026 | 34 mins.South Carolina Medical Association (SCMA) immediate past president Mayes DuBose, MD and Vice President of Advocacy and Policy Counsel Holly Pisarik discuss efforts that the association has led in fighting bills that would allow unsupervised practice rights to NPs and PAs after just 2,000 hours of clinical hour experience - and let PAs switch specialties after just 1,000 hours.
https://www.scmedical.org/
Get the books:
Patients at Risk https://www.amazon.com/dp/B08M9YJQR3/
Imposter Doctors: https://www.amazon.com/dp/1627344438/
PhysiciansForPatientProtection.org
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About Patients at Risk
Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.
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