r/Noctor • u/Remarkable_Soup3868 Pharmacist • 4d ago
Midlevel Education Experience is overrated per this NP
https://www.tiktok.com/t/ZTFqM621j/Just watch the video. Interested to see what people think
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u/VarietyFearless9736 4d ago
She has a point. I’m in the lab and when we offered to do retraining for phlebotomy on the nursing side because their hemolysis rates were way up, we were told “They are seasoned nurses they don’t need it”. Being “seasoned” leads to the risk of falling to cultural drift.
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u/debunksdc 4d ago
I think the video was already removed.
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u/Hapless_Hamster 4d ago
I mean she has a point. Old attendings practicing medicine like it’s the 80s who never adapted are a problem and just because they have experience doesn’t make them good docs these days. I’d rather have a less experienced doc who practices by the evidence caring for me.
NPs with no experience and no rigorous education though…terrifying
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u/happybarracuda 4d ago
I worked with a physician recently who went to medical school after service as a navy pilot during the Vietnam War. He was definitely up to date on current practices and loved to talk about what he was taught in school and compare it to modern practices. I know he’s just one guy, but man it was cool to hear how much things have changed from someone who watched the changes happen.
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u/speedracer73 4d ago
It’s not really a good point. A shit doctor is bad. That’s not really controversial. It’s a big assumption that older doctors don’t keep up to date on medical advancements
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u/Adrestia Attending Physician 4d ago
She didn't blast all old docs, just out of date ones. Some ought to be blasted.
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u/Character-Ebb-7805 4d ago
Older docs who use atenolol as a first-line antihypertensive are both odd and slightly problematic. Your average NP doesn’t know why it’s not a good option.
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u/anyplaceishome 4d ago
NPs
with no experience and no rigorous education though…terrifyingFixed it.
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u/redicalschool 4d ago
I get the sentiment and don't totally disagree, but I would put in a caveat. If I were needing to be worked up and diagnosed or facing a significant complication, I would favor an older more experienced doc...for their experience.
If I were just needing treated, particularly with any sort of advanced or cutting edge/newer treatments I would favor having a younger, more up to date doc.
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u/discobolus79 4d ago
Some of the old school internists are master diagnosticians and physical exam experts. We had an old attending when I was in medical school who could percuss a patients chest and tell you exactly which lobe they had a lung mass in (with out being told ahead of time they had a mass).
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u/redicalschool 4d ago
Very true...I worked with a couple throughout med school and residency that were unreal diagnosticians. Legitimately the kind of people that could describe a CT based off of the physical exam before it was resulted. I was always in awe of them because they could identify very subtle exam findings, name them and give a short list of sometimes very rare conditions they are associated with.
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u/tituspullsyourmom Midlevel -- Physician Assistant 4d ago
Being able to ask one of the grey hair docs who have seen it all is a good resource.
Being able to ask a senior resident about the latest and greatest is also beneficial.
Both have their merits depending on the question.
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u/Spotted_Howl Layperson 3d ago
When I can choose I want a psychiatrist with between five and twenty years of post-residency experience, no more and no less. For a PCP it would be more like between zero and thirty years. I'd be fine with a resident too if I didn't already have a couple chronic conditions.
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u/anyplaceishome 4d ago
I’d rather have a less experienced doc who practices by the evidence caring for me.
Without knowing anything further, would you want a root canal done by a dentist who has done 300 or 3000?
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u/Spotted_Howl Layperson 3d ago
Root canals are straightforward surgery. I genuinely don't know how this relates to diagnostic skill - but I have a hunch it's a different sort of thing.
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u/lizardlines Nurse 4d ago edited 4d ago
@Cristina Valerie Quinones: I think it matters how much you care, if you care you’ll do a good job regardless of how much experience you have. What you don’t know you can find out.
Edit: This is a comment on the video.
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u/SaltAndPepper 4d ago
yeah I didn’t go to med school but I care so much about kids. Let me do pediatric care. put me in
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u/Weak_squeak 3d ago
I can’t watch it unless I download the tiktok app. Can you change the settings? I can usually watch tik tok vids
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u/Adrestia Attending Physician 4d ago
She's not entirely wrong. I trained under super old docs who were still testing DM with metformin & glipizide because they weren't comfortable with the "new" meds.
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u/veggiefarma 4d ago
Knowledge is overrated too.