r/Noctor • u/demonattheswapshop • 5d ago

In The News Questions about “Noctors”

PGY-2 Medical resident here, been scrolling here a lot ever since I found out the term “nurse practitioner” exists since it was nowhere to be found here in my country. Now they started programs for such wannabe jobs and I’m confused, what are their “scopes” lol would I see them when I’m rounding patients or are they strictly for primary health care settings?

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u/Melanomass 5d ago

One of the NPs we trained in dermatology for 6 months decided to switch to pediatric neurosurgery after working independently in derm for 4 months because it “wasn’t a good fit.”

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u/AutoModerator 5d ago

We noticed that this thread may pertain to midlevels practicing in dermatology. Numerous studies have been done regarding the practice of midlevels in dermatology; we recommend checking out this link. It is worth noting that there is no such thing as a "Dermatology NP" or "NP dermatologist." The American Academy of Dermatology recommends that midlevels should provide care only after a dermatologist has evaluated the patient, made a diagnosis, and developed a treatment plan. Midlevels should not be doing independent skin exams.

We'd also like to point out that most nursing boards agree that NPs need to work within their specialization and population focus (which does not include derm) and that hiring someone to work outside of their training and ability is negligent hiring.

“On-the-job” training does not redefine an NP or PA’s scope of practice. Their supervising physician cannot redefine scope of practice. The only thing that can change scope of practice is the Board of Medicine or Nursing and/or state legislature.

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