Monday, October 4, 2010

Funny and Sad

I recently ordered an ECG along with routine blood work for a patient who needed a pre-op workup. I received the ECG results today with the interpretation by the cardiologist. I thought it was funny and sad that he felt the need to cross out the default "Dr." preceding my name on the report. Of course, I am not a "doctor" as in physician, nor do I ever purport to be. I will soon have my doctorate in nursing practice (7 months to go!) but that will have no impact on how I interact with my patients or colleagues. I wish reports, and even prescription bottles for that matter, correctly referred to the credentials of the ordering clinician. Our patients should be able to identify their clinician without further confusion. But until then, I guess providers will self enforce who gets to be called "Dr." I can't help but to imagine a rogue pharmacist crossing out the "Dr." on every prescription label for prescriptions that are written by non-physicians. Surely, we have better things to do with our limited time and resources....right?

7 comments:

Lynda Halliger-Otvos said...

Unbelievable that a radiologist, cardiologist or anyone else feels so insecure in their own position that they need to take down others. Jerks, I say. (tact is not my strong suit)

hang in there Stephen, you could stand on your head for seven months if you had to !~!

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NP Odyssey said...

Sad that someone is that insecure. In reality anyone with a PhD can be called a doctor even in a field that is non medical.
I think when you finish you may have to talk to this guy if he does that same thing again, you earned it.

Stephen Ferrara, NP said...

Thanks all for the supportive comments!

Stephen

jaisy said...

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FNP siren said...

I work at a recognized oncology center where we have 250+\- NPs. I find more and more that there is a degree of animosity towards us as providers. On one level there is recognition that we provide follow through for patients. However the collaborative level of respect fails somehow . I act find this more an issue w newer Attendings. I have a very respectful relationship with my own direct supervising MDs. in general I think they see us as a means to an end. Volume is too high to handle- they don't want to deal with the day to day issues yet they want the control. Crossing out the initials to me says more about his ignorance. He is signing his dictation MD so stop worrying about the title of who ordered it.
I would tell him quickly but that is my nature Stephen.
I have witnessed multiple episodes where nurses told me if not for your pleasant yet assertive measures-pt would have had an adverse outcome.
- NP -former employee of Stephen Ferrara
for any one reading Stephen is an especially talented NP who started and ran successfully NP clinics which are under CVS.

FNP siren said...

Pathetic that he did that
For all of you that may not be familiar Stephen started a successful model of NP run clinics that are now under CVS. I was his employee for a short while. he is incredibly smart very and talented.

If that happened to me I 'd call him/ her on it.
I usually ignore those ignorant offences but legally that is a doc that is a means of communication and it's up to you to correct it. He can also let medical records know or QA but ...

E. Murray FNP