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The AAPA Rotation Crash Course is a popular podcast designed to help you be a star student on the first day of each rotation. Get the free show notes, with bonus tables and study aids, at www.hippoeducation.com/rcc. Hippo Education’s PA faculty have not only been in your shoes, but have decades of experience precepting students. For each rotation, we reveal the common mistakes you must avoid and pro tips you must know to not only impress your preceptors, but more importantly to take exceptio ...
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Patients at Risk

Rebekah Bernard MD and Niran Al-Agba MD

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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 ...
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In February 2025, the AAPA published a press release entitled: 'AAPA Releases Survey Showing Physician Support for Removing Barriers to PA Practice.' According to AAPA President Jason Prevelige (DMSc, MBA, PA-C, DFAAPA), the survey proved that, “Physicians recognize the need for change. It’s time to modernize these laws so healthcare teams can focu…
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Why is advanced care planning so important, and how can PAs make a difference? Tune in to the latest JAAPA podcast episode with guest Christa Cooper to explore the innovative research she and her colleague Jessica Karl conducted on Telemedicine Advanced Care Planning led by Physician Associates. Discover how this approach enhances communication, re…
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Emergency physician Dr. Deborah Fletcher is an author of the first study to evaluate physician presence in Emergency Departments across the country. She discusses the findings, including that 7.4% of all EDs have NO physician on-site, and of those, 3% have no ability for the NP/PA staffing the ED to discuss patient care with a physician. Emergency …
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Recently, a team of researchers at the NCCPA examined the impact of educational debt on PA specialty selection - tune in as we discuss their work as recently published in JAAPA. We know that the decision to specialize is nuanced, involving a PA’s individual goals, experiences in PA school, job availability for each physical location, compensation, …
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Pulmonologist / Intensivist Gary Dudek, MD, joins me to discuss the CDC's call for comments regarding allowing nurse practitioners and physician assistants to become National Institute for Occupational Safety and Health (NIOSH) 'B Readers'. B-Readers are highly trained radiologists (medical school graduates with at least five years of residency as …
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Susan J. Baumgaertel, MD FACP, an internal medicine physician, author, patient advocate, and ally to colleagues discusses how physicians can fight for patients. Trust in physicians has plummeted in the last few years (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821693), making it more and more difficult for doctors to do their job…
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On September 17, 2024, the Texas Senate Health and Human Services Committee held an interim hearing on scope of practice expansion for nurse practitioners and other clinicians. In this third episode related to that hearing, Texas Medical Association (TMA) president Ray Callas MD discusses the importance of physician oversight for nonphysician pract…
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In the last episode, you heard some of my testimony at the Texas Interim Legislature hearing on Scope of Practice. Today you're going to hear from a nurse practitioner, Holly Jeffries, who is practicing in rural Texas. Her testimony was particularly impactful and really quite persuasive to legislators. I think it's important to understand the NP po…
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The American population is aging. In one century, life expectancy in the US rose from 47 to 78. In 2050, 20% of the U.S. population will be older than 65. With this in mind, we must identify ways to improve the quality of the final days of life. In this episode, we explore how the PA profession contributes to palliative care, focusing on symptom ma…
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On September 17, 2024, the Texas Senate Health and Human Services Committee held an interim hearing on scope of practice expansion for nurse practitioners and other clinicians. The Texas Medical Association (TMA) invited Rebekah Bernard, MD to testify regarding the economic impact of NP independence. In part 1 of this series, we hear the NP expert …
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Join our hosts Joe and Kim as they interview three influential leaders in the Physician Associate/Assistant (PA) profession: Jim Cawley, Rick Dehn, and Rod Hooker. These guests have made significant contributions to PA education, research, and workforce development. Join us as we discuss the evolution of the profession since its early days in the 1…
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Christopher Garofolo, MD, unpacks the many errors shared by a more seasoned NP to a brand new NP seeking advice on a Facebook post. Learn more: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/ PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD
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HAPPY PA WEEK! To celebrate, AAPA President Jason Prevelige, DMSc, MBA, PA-C, DFAAPA shares with us strategies to leverage advocacy efforts in the PA profession. Our co-hosts also describe the current crisis in healthcare, and discuss the future of the PA profession in a team-based model, the future of modernized PA practice laws, and modern advoca…
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On the last podcast, I interviewed Dr. Anu Shokla who shared her story of her newborn baby being treated for an emergency rapid response by a nurse practitioner who had just rotated with her on the inpatient adult hematology oncology service. After hearing that podcast, Dr. Carol Nelson reached out to share a story of the alternate version: her new…
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Primary care physician Anu Shukla shares a personal story about the dangers that patients face when physicians are replaced with nonphysician practitioners. Dr. Shukla's comments on this podcast reflect her views and opinions. She does not speak for or represent her employer. Physiciansforpatientprotection.org patientsatrisk.com PhysiciansForPatien…
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In the first of a series 'The Nurse Will See You Now,' Bloomberg reporters investigate concerns about nurse practitioner education. The Miseducation of America’s Nurse Practitioners They don’t merely support doctors—NPs increasingly treat patients independently, including in specialty practices and emergency rooms. When they aren’t well trained, th…
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There are an estimated 500-750 clinics across the U.S. providing infusions of Ketamine for the treatment of a variety of medical conditions. This is big business, estimated to bring in $3.1 billion per year and projected to rise to 6.9 billion by 2030. But is Ketamine safe and effective? Psychiatrist Kristina Kise, MD discusses the use of ketamine …
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We know that many PAs switch specialties during their career; however, little is known about the PA and employer's experience. Tune in to hear what JAAPA authors, Eliana Ward-Lev, Clair Kuriakose, and Jay Navoa discovered through their research on this topic. To learn more, check out their publication “Career flexibility for PAs: What makes switchi…
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Join us as we welcome the newest JAAPA podcast team member, Joe Harrison. Kim and Martine discuss Joe’s background, interests, and why he joined the podcast. They also discuss their “why” of medicine and “why PA”. Finally, they discuss and summarize an important article by PA Daniel Eisner on esophageal cancers from the April 2024 JAAPA issue. Be s…
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Psychiatrists are increasingly being replaced by non-physician practitioners - psychiatric mental health nurse practitioners (PMHNPs) and physician assistants (PAs). This webinar explains the difference between a psychiatrist and a PMHNP and reviews the evidence regarding unsupervised care of patients with mental illness by non-physicians. Link to …
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Over the last decade, as physicians have increasingly turned to employed practice to cope with declining reimbursement and increased administrative requirements, our role in advocacy has diminished. Doctors are afraid to speak out because we fear being fired and losing our livelihoods. But without physician advocacy, corporate interests, academic c…
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Constructive feedback can be a valuable tool to help improve working relationships among colleagues. In this episode, Martine, Kim, and Joe are discussing with PAs Alexandra Gallant and Laura Erdman the results of a peer feedback platform that they were able to develop and initiate in their academic hospital system with their research team, aiming …
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Arthur Smolensky, MD describes his experience creating a Small Democratic Group (SDG) to take over emergency department staffing from corporate contract management groups. https://www.linkedin.com/in/arthur-smolensky-719806/ PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD
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In this episode, PA Lindsay Nourse speaks with us about the challenges faced by breastfeeding mothers who are physician associates (PAs), highlighting the key findings. The podcast explores how these barriers affect breastfeeding duration and practices among PA mothers and discuss potential improvements in healthcare workplace policies to better su…
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In today's episode, Teresa Camp-Rogers, MD, MS analyzes a study published in the Annals of Internal Medicine, the journal of the American College of Physicians, entitled Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care Physicians The article, which seems to call for an expansion of unsupervised practice for NPs, c…
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Three years ago, we aired a podcast criticizing Doctors' Day posts from hospitals and healthcare organizations that included non-physicians and referred to physicians as 'providers.' Fast-forward to today, and some organizations (but not all!) seem to have gotten the message. Happy Doctors' Day to all physicians - thank you for your sacrifice and d…
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John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to th…
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John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to th…
  continue reading
 
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to th…
  continue reading
 
In this episode, PA Angela Meredith speaks with Clay, Kim, and Martine about how clinicians, particularly PAs, can be prepared to handle the issue of human trafficking. Learn valuable information you can use to help patients who may be at risk, important factors to consider implementing at your facility, and useful resources you can utilize today. …
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In this election eve of election "chained raat" episode, we compare the party manifestos of the PPP, PML-N and PTI. We use the great summary of the manifestos prepared by PILAP. Find PILAP's manifesto comparison document: https://pilap.pk/wp-content/uploads/2024/02/PILAP-Primer-Party-Manifestos-for-Election-2024.pdf Find the PML N manifesto: https:…
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In part 2 of my discussion of the Assistant Physician (AP) role, Dr. Keith Frederick meets Dr. Liz Troilo, who benefited from his legislation. After working as an AP, Dr. Troilo matched into residency and now provides critical access care as a Family physician in Missouri. Dr. Frederick proposes a possible alternate pathway to independent practice …
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Emergency physician Dr. Amish Shah has served the Arizona State House for the last five years and is now running for U.S. Congress. In this special bonus episode, Dr. Shah explains why he entered into politics, the work he has done to support the practice of medicine, and why physicians should donate to his campaign. Learn more / contribute to Dr. …
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There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. Today we are talking about a proposed solution to this problem—a new professional designation for unmatched medical school g…
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In July 2023, 47 year old Jenifer Cleveland, a mother of four, died after receiving treatments at a Texas medispa. We reported on this tragic story in a podcast with plastic surgeon Alina Sholar (https://www.buzzsprout.com/1475923/13329411-when-wellness-turns-deadly-patient-dies-during-npp-medspa-visit.mp3?download=true). Today, we are discussing t…
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Malpractice insurance company CNA, along with Nurses Service Organization (NSO) has been providing malpractice coverage for nurse practitioners across the country in a variety of practice settings for the last 30 years. The organization released its first report on NP malpractice claims in 2005, and recently released its 5th report analyzing data b…
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Nurse practitioner and Wisconsin Senator Rachael Cabral-Guevara jokes about 'missing' lobbyist Mark Grapentine's IV... and using the largest bore needle to try again. Bill co-sponsor Rep. Barbara Dittrich responds by pulling her name off the legislation. Get the books! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/162734…
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There has been a dramatic rise in the number of clinics offering intravenous infusions of fluids and vitamins to treat an array of conditions and for a supposed wellness benefit. But do these treatments actually work? To discuss the risks and benefits of IV infusions outside of a traditional medical setting I am joined by nephrologist Dr. Christin …
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Summary: We’ve all been asked to explain what a PA is, and then probably received the follow-up question of “do you need to go back to school? Or complete a residency or fellowship?” We all have our spiels ready. But the landscape as it pertains to PA fellowships is changing. For this episode, we were joined by Maura Polansky, Bart Gillum, Jon Mess…
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Interventional cardiologist Dan Sraow, MD, FACC discusses the election of a nurse rather than a physician to lead the American College of Cardiology (ACC), as well as the risks of non-physicians performing cardiac interventions. PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD
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There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. To alleviate this shortage, some states have a new professional designation for unmatched medical school graduates called 'a…
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Onboarding new graduate PAs and NPs has become a hot topic, especially given the provider shortages and financial shortfalls our healthcare system is experiencing. Onboarding is also an emerging area of research, and in this episode, we sit down with PA Nathalie Ortiz and NP Hilary Barnes to discuss what they have learned about the onboarding exper…
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In 2023, three nurse practitioners sued the state of California for the right to call themselves 'doctors' in a clinical setting. Bioethicist Arthur L. Caplan, PhD, discusses the ethics of titles in healthcare. Dr. Caplan's article - https://www.medscape.com/viewarticle/994536 Get the book Patients at Risk and Imposter Doctors! PhysiciansForPatient…
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At 39 years old, Hasina Hafiz wanted a physician to oversee her pregnancy and delivery. However, the only clinic in the area that accepted her insurance refused, allowing only CNM/ WHNP care. Retired OB/GYN John Lafferty, MD discusses complications that can occur during pregnancy and delivery, and why team-based care should always be led by a physi…
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Jacqui O'Kane, DO was fulfilling the promise of Family Medicine, providing expert physician care to rural residents of Georgia. Burned out from overwork and support staff challenges, she decided to leave hospital employment. But instead of allowing her to open her own direct primary care practice, the hospital enforced a 50-mile radius noncompete c…
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For a special release this week, we are jumping back to the AAPA conference in Nashville, where we will hear our mirco session with Randy Danielsen, to discuss PA malpractice claims. You'll also get some incredible insights from WIll Sullivan, co-host of the Let's Cover That podcast as well as the EVP and Chief Underwriting officer at CM&F Group. S…
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Sara O'Heron, MD discusses changes in the education and training of NPs and PAs over her 35-year career. Learn more at PatientsAtRisk.com Get the new book, Imposter Doctors, available in paperback, eBook and Audible: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk-ebook/dp/B0C4J3P3Z1/ PhysiciansForPatientProtection.org…
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In a recent episode of the "Let's Cover That" podcast, we welcome Daniel Hirsch CEO of Risk and Compliance Analytics. Our guest: Daniel Hirsch CEO of Risk and Compliance Analytics In this episode we discuss: Daniel's story of how he got to where he is today Compliance challenges for clinic owners and need to embrace technology What is Risk Complian…
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