What's the Difference Between an MD, DO, ND, NP, and PA?

What's the Difference Between an MD, DO, ND, NP, and PA? - Dr. Centeno and Dr. Deitch discuss the training and expertise of these distinctions.
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[@jeremyjones5140]

Great video. I do want to add more clarifying information on nurse practitioners and one really important type of provider you left out of this discussion: CRNAs. First off there are different types of nurse practitioners whom many now specialize. For example, AGACNPs (adult gerontology acute care nurse practitioners) are now trained to do many complex procedures: thoracentesis, arterial lines, paracentesis, impellas, lumbar punctures, steroid injections, chemotherapy, amongst many other things. PAs also I believe can perform these procedures although they are probably less autonomous then nurse practitioners since traditionally nurse practitioners must be registered nurses with a few years of experience in a certain field before they can go on to become NPs in their particular field.
CRNAs or whom I guess are now called by some organizations "nurse anesthesiologists" can now legally perform close to 95% of ALL DUTIES of a medical anesthesiologist in most if not ALL states in the U.S. Some states have FPA (full practice authority) for midlevel providers. Obviously, CRNA duties will include peripheral, femoral, spinal, and epidural nerve blocks. CRNAs must first be critical care RNs within level 2 or 3 ICUs for at least 2-3yrs before CRNA admission.
Also, most NP and now ALL CRNA programs require a doctorate within their respective fields before they can go and practice. I do not know what the requirements are for naturopathic physicians so cannot speak regarding them.
Now obviously, the MD/DO physician will and should always be the leader of the healthcare team. However, that dose not correlate to meaning other team members cannot do their duties. In the U.S., due to the greed of CEOs and other healthcare organizations/conglomerates, healthcare is now changing right before us. Medicine is now big business profit. Honestly to me, becoming a MD/DO is really no longer a lucrative decision anymore given the times we are in. The few doctors whom I asked if they would recommend going into medical school now have mostly said its not worth it. Med school debt is insanely expensive and increasing on top of the ever increasing inflation happening in this country. Everything is expensive. Not to mention a decade or more of your life is gone with no guarantee you will match into your residency and no guarantee that you will become an attending physician.
According to sdn (student doctor network), ratios of 1:5 students and ratios of 1:16 medical students did not match into residency in 2019/2020. How can someone in today's time honestly tell someone to go to medical school when it is a very possible reality that even if they have the grades AND MONEY to apply to get in that they may not be successful on their first, second, or third attempt? No matter how good they scored on MCAT or STEP 1 (eventhough I think now is pass/fail).
The question that we have to ask is how do we increase the residency spots for unmatched MD/DOs besides SOAPs? Also what about foreign trained doctors who when arriving to the U.S. will have to apply to medical school all over again not even counting the process of becoming a U.S. citizen? Just some food for thought. Thanks for reading this if youve gotten this far.👌👌👍👍

[@jeremytherealtruth8923]

I just graduated with my BSN in nursing and I'm debating on becoming a board certified emergency nurse practitioner. And taking a last shot at medical school. With that being said in the Emergency Room by Percentage wise would you say that a NP or PA does 80 to 90 percent of the ER doctors job or is that completely wrong?

[@marionharris5952]

That is completely wrong.