PCP in NYC

[Guest]

Sorry I have to continue my prior post with this post. In addition to the 6 years, they require 500 hours of supervised practice before becoming licensed, a bit like an outpatient mini-residency. Yes, NP's do lack the breadth of education of physicians, especially when it comes to various specialties. However, NP's are definitely not just trained technicians with 2 years of education. That's simply not the case. I worked with several FNP's who worked as PCP's for years. The better ones were as good as your average physician, although none matched the better physicians. If anything, NP's tend to be excessively cautious, and tend to order more tests, especially radiological exams. This is similar to the average ER physician. They also tend to have less understanding of scientific studies and biostatistics, such as the difference between statistical significance and clinical significance. 

A Comparison of Diagnostic Imaging Ordering Patterns Between Advanced Practice Clinicians and Primary Care Physicians Following Office-Based Evaluation and Management Visits | Nursing | JAMA Internal Medicine | JAMA Network

JAMANETWORK.COM

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Examining the ordering patterns for diagnostic imaging, Hughes et al found that advanced practice clinicians were associated with more imaging services than pri

In this study, NP's were referred to as "advanced practice clinicians" and physicians as "PCP's":

"Advanced practice clinicians and PCPs ordered imaging in 2.8% and 1.9% episodes of care, respectively. In adjusted estimates and across all patient groups and imaging services, APCs were associated with more imaging than PCPs (odds ratio [OR], 1.34 [95% CI, 1.27-1.42]), ordering 0.3% more images per episode. Advanced practice clinicians were associated with increased radiography orders on both new (OR, 1.36 [95% CI, 1.13-1.66]) and established (OR, 1.33 [95% CI, 1.24-1.43]) patients, ordering 0.3% and 0.2% more images per episode of care, respectively. For advanced imaging, APCs were associated with increased imaging on established patients (OR, 1.28 [95% CI, 1.14-1.44]), ordering 0.1% more images, but were not significantly different from PCPs ordering imaging on new patients...."

[Pouqie2]

Gotham Medical on 14th St and 8th Ave has a lot of Dr’s, PA’s, NP’s and all are great. They take a lot of diff insurance.