PPP Performance & Physical Therapy podcast explores practical solutions to upgrade you health and performance
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PPP Performance Podcasts
Going deep with the world’s best to deconstruct achieving peak paddle performance
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False Claims, Real Consequences is a podcast dedicated to empowering whistleblowers, truth-tellers, and advocates by unpacking the complexities of whistleblower law. The show provides practical insights to help employees understand their rights, protect themselves from retaliation, and navigate high-stakes fraud cases.
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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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Have you ever been confronted with an issue in your company that you weren't sure how to address? Have you ever struggled to find an answer on how to get your company to perform and grow? The "Let's Get Up To Business" podcast works to answer your questions and help you meet the goals you set for yourself and your company. Our interviews with small business owners, service providers, and area experts are meant to help you find the answers to the questions you have on how to build and grow a ...
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Knees - The demands for athletes and how to improve them
9:35
9:35
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9:35Join us as we talk about the demands at the knee for athletes as well as ways to improve the strength at the knee.By PPP Performance & Physical Therapy
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Rural Health Transformation Funding being used to justify NP/PA scope expansion - and PPP response to FTC letter of support
24:10
24:10
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24:10Dr. Phil Shaffer and I are back in SC to testify yet again against a bill that would permit unsupervised NP and PA practice after 2,000 hours of experience. In this episode, I share subcommittee chair Senator Tom Davis's perspectives that SC will lose funding from the Rural Health Transformation project without scope expansion. You'll also hear a l…
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Episode Summary Being “managed out” of a job is one of the most confusing and isolating experiences an employee can face. In this episode of False Claims, Real Consequences, whistleblower and employment attorney Stephen Teller explains what it means to be managed out, how to recognize the warning signs, and what steps employees can take to protect …
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Ankle Strength Why We Need it & How To Improve
9:52
9:52
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9:52In this episode of the PPP Performance & Physical Therapy podcast, Charles Sams discusses the importance of having adequate strength and reactivity at the ankle. Charles breaks down a simple process to identify ankle strength gaps as well as a simple program you can start to today to improve your ankle function.…
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Powerful patient testimony to Senate committee about importance of physician-led care
14:59
14:59
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14:597 year old Betty Wattenbarger died hours after being evaluated by a pediatric nurse practitioner at a pediatric urgent care in Texas. Her father testifies to the Texas Legislature about his experience seeking accountability from the Board of Nursing and why he believes physician-led care matters for patient safety. Patients at risk video interview …
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Beyond the Big Purchase: What Real PPP Fraud Looks Like, and How to Win a Whistleblower Case
16:47
16:47
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16:47Episode Summary In this episode of False Claims, Real Consequences, attorney Stephen Teller dives deep into what truly makes a strong Paycheck Protection Program (PPP) fraud case. While flashy purchases like trucks or equipment might raise eyebrows, Stephen explains why the strongest cases come from eligibility violations, misuse of funds, and insi…
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Is This a Legal Complaint? 9 Common Workplace Issues That Might Be More Serious Than You Think
21:53
21:53
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21:53Summary: In this episode of False Claims, Real Consequences, employment attorney Stephen Teller unpacks one of the most common questions employees face: Is what I’m experiencing at work actually illegal—or just unfair? With over 20 years of experience advocating for workers, Stephen breaks down the difference between toxic management and unlawful w…
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PPP Episode 47: Crossing Lake Michigan with Rob Hartman
1:39:24
1:39:24
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1:39:24Rob joins the Peak Paddle Performance podcast for the second time. But this time, it’s all about an epic 80 mile adventure crossing Lake Michigan this past August. Now in his mid fifties, Rob continues to paddle and race at a very high level. I’m not sure he has ever been beat in the Great Lakes region. In the last two years he held the lead at Cha…
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Drs. Bernard and Shaffer testify before the South Carolina Legislature on scope of practice
33:55
33:55
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33:55The South Carolina Legislature has introduced bills that would allow unsupervised practice to nurse practitioners and physician assistants after 2000 hours of experience, as well as a bill that would expand pharmacist privileges. On the flip side, there's also a bill that would enhance team-based care, ensuring that physicians remain in the lead of…
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25 patients harmed and one dies after nurse permitted to perform ERCPs
26:04
26:04
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26:04One patient died and 25 others were found to have been harmed when a nurse was permitted to perform complex medical procedures in the UK. Gastroenterologist Dr. Kaveh Hoda joins me to discuss the necessary training to perform an endoscopic retrograde cholangiopancreatography (ERCP), a procedure most commonly used to remove gallstones. From the BBC …
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On a Pivot Plan? When Amazon’s Performance Coaching Is Really a Push-Out, Part 2
20:20
20:20
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20:20Episode Summary Attorney Stephen Teller continues the discussion on Amazon’s Focus and Pivot performance management programs, highlighting their use as tools to push employees out. The episode examines the stress caused by rigid and subjective performance expectations, the benefits of medical leave under the FMLA and ADA, and the importance of docu…
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On a Pivot Plan? When Amazon’s Performance Coaching Is Really a Push-Out, (Part 1)
20:16
20:16
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20:16Episode Summary: In this eye-opening episode, employment attorney Stephen Teller explains how performance management programs like Amazon’s Focus and Pivot are often used not to help employees improve—but to quietly push them out. Teller breaks down the legal nuances between being fired for performance versus laid off, how Amazon’s "unregretted att…
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Exposing Customs Fraud: Hidden Schemes and How to Stop Them
17:44
17:44
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17:44Episode Summary: In this episode of False Claims, Real Consequences, attorney Stephen Teller breaks down the mechanics of customs fraud and how whistleblowers are vital in bringing these deceptive practices to light. Stephen shares stories from real cases involving tariff evasion, misclassification, country-of-origin fraud, and more. From smuggling…
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Meet Your Advocate: Why Whistleblower Law Matters More Than Ever
15:00
15:00
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15:00Episode Summary: In this episode of False Claims, Real Consequences, nationally recognized whistleblower attorney Stephen Teller talks about the critical role whistleblowers play in exposing fraud and misconduct. They discuss what legally qualifies as whistleblowing, the types of workplace misconduct that may be protected under the False Claims Act…
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A daughter's heartbreak: "My father died when an NP missed his pulmonary embolus"
33:17
33:17
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33:17In this episode of 'Patients at Risk,' Angie Pereira shares the heartbreaking story of losing her father due to a misdiagnosed pulmonary embolism by a nurse practitioner in an after-hours clinic. Despite her father's presenting symptoms of shortness of breath and leg pain, strong family history of blood clots, and normal lung exam, the nurse practi…
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BONUS EPISODE: Webinar on NP/ PA Unsupervised Practice of Medicine (UPM) Legislative Trends
38:12
38:12
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38:12Rebekah Bernard discusses the legislative trends and impacts of allowing non-physician practitioners (NPs and PAs) to practice medicine unsupervised. She highlights the extensive training and hours required for physicians compared to the significantly less training for NPs and PAs. Bernard explains how legislative changes have allowed NPs and PAs t…
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"My NP education was not designed for independent practice": From RN to NP to Physician
36:25
36:25
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36:25Dr. Denise Weiss always wanted to be a physician, but circumstances led her into nursing. She earned an associate's degree as a registered nurse, and then became a family nurse practitioner. After several years of practice, she realized that her education had not prepared her for independent practice, and she decided to return to school to become a…
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"I have permanent nerve damage after filler by a RN - and the Board of Nursing did nothing about it"
26:14
26:14
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26:14A patient shares her story of receiving the wrong type of filler into her face by a registered nurse, leading to severe and permanent nerve damage. Francesca explains that the RN, who was in NP school at the time, was not being supervised, and worked in a for-profit clinic owned by a non-physician. While some may argue, "Let the Buyer Beware," Fran…
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PPP Episode 46: Unstoppable with Oscar Chalupsky
49:43
49:43
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49:43It’s been way too long since we had a chance to catch up with Oscar Chalupsky on the Peak Paddle Performance Podcast. Although battling an incurable cancer, Oscar hasn’t slowed down a single bit. He remains a man in perpetual motion. Despite being read his last rights twice in the last two years, Oscar has launched a Motivational Speaking Business …
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AAPA survey claims that physicians support PA independent practice
31:39
31:39
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31:39In 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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New study: 7.4% of EDs are staffed by NP/PAs with NO physician on-site
35:10
35:10
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35:10Emergency 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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CDC considers allowing NP/PAs to read complex x-rays: Pulmonologist explains the dangers
31:34
31:34
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31:34Pulmonologist / 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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Regaining Patient Trust: The Importance of Physician Advocacy
30:30
30:30
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30:30Susan 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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What we can learn from legislator questions on scope of practice
26:03
26:03
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26:03On 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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Texas Scope of Practice Hearing Part 2: NP testimony
36:43
36:43
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36:43In 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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Scope of Practice testimony at the Texas Legislature: Part 1 (Economic Impact)
26:26
26:26
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26:26On 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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The blind leading the blind? New NP gets bad advice from other NPs on Facebook
36:33
36:33
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36:33Christopher 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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Physician training saved my newborn grandbaby's life: I fear future patients won't have this privilege
28:43
28:43
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28:43On 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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"My newborn baby required a rapid response: The NP that showed up had just rotated with me on the adult heme/onc service."
31:38
31:38
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31:38Primary 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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Dangers of nonphysician ketamine infusions
40:57
40:57
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40:57There 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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Why Psychiatry Needs Psychiatrists (and not just psych NPs)
42:51
42:51
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42:51Psychiatrists 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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Physician Leadership Through Self-Ownership
22:22
22:22
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22:22Over 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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Small Democratic Groups (SDG): The solution to reclaim medicine from corporate interests?
29:57
29:57
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29:57Arthur 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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PPP Episode 45: Growing Surfski through Competition with Matt Drayer
1:31:09
1:31:09
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1:31:09In this podcast I sit down with Matt Drayer who is part of a small team including Greg Barton, Jesse Lishchuk, and Geoff Pearson who are dedicated to promoting surfski development in the US via the Ocean Racing Committee (ORC) which is part of the competition arm of the American Canoe Association (ACA). Matt and the team have been hard at work over…
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JOURNAL CLUB: Article claims that NPs, PCPs have same rate of inappropriate prescribing to seniors
24:45
24:45
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24:45In 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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Doctors' Day revisited: What has changed in the last three years?
26:26
26:26
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26:26Three 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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"I didn't know how bad it was:" NP pens report on NP education (Part 3)
20:28
20:28
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20:28John 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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"I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 2)
29:52
29:52
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29:52John 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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"I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 1)
30:12
30:12
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30:12John 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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The Assistant Physician (AP) - A pathway to independent practice?
18:27
18:27
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18:27In 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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BONUS EPISODE: AZ State Rep and ER physician Dr. Amish Shah discusses his run for U.S. Congress
19:45
19:45
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19:45Emergency 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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Physician legislator and creator of 'assistant physician' role in Missouri discusses steps to improve physician shortages
25:54
25:54
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25:54There 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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Physicians fight to prevent more patient deaths from 'wellness' treatments at medspas
30:05
30:05
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30:05In 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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NP malpractice settlements on the rise, especially for NP-owned practices
36:32
36:32
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36:32Malpractice 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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Wisconsin NP legislator makes unprofessional comments during testimony on vetoed bill
21:14
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21:14Nurse 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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The Medical Ethics of IV hydration ‘bars’
28:39
28:39
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28:39There 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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Esteemed physician organization American College of Cardiology selects nurse as new president
32:48
32:48
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32:48Interventional 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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Louisiana doctors succeed at passing graduate physician bill
23:10
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23:10There 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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Louisiana physicians hire lobbyist and defeat NP independence bill
27:20
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27:20Louisiana physicians discuss their successful effort to block scope of practice expansion in the state. PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD
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