OB-GYN-L Messages for May, 1999: Re: IUD and PID

Re: IUD and PID

From: Steven Crawford

scrawfmd@zoomnet.net

Sat May 29 13:57:37 1999

You obviously have your reasons for liberally defending NP's, etc. Maybe you use them to see patients, etc--as I also do! But, again I believe they should not be independent of physicians in the scope of practicing medicine.

I certainly am not feeling belittled or threatened by your "bets" or statements. Again, to answer your question directly, NP's, etc., certainly CAN "master" IUD placement. But, the practice of medicine, as a whole, is best mastered by a physician, who has been trained by countless hours of medical school and especially Residency. No non physician training program even closely matches the hours and training physicians experience during an OB/GYN residency. Practicing medicine is what physicians are trained to do. A monkey can master a task. I believe that the use of IUD's must take into account the entire person--their history, current practices, etc. NP's, etc., (non physicians) are certainly capable of eliciting a history from a patient. As I have stated, though, I believe that if it is not a straightforward case, a physician should be consulted. If you are of the opinion that NP's and other non physicians are capable of practicing medicine INDEPENDENT of physicians, then you will definitely see a drop in the overall quality of delivering medical care to patients. That is my opinion. I wish you would accept my opinion as simply being MY opinion, and not the law. I will never allow you or anyone to push your beliefs down my throat as law, as I would never think of pushing my beliefs onto others. 1st amendment........

Thanks Robert J. Woolley, for listening....Steve Crawford, MD

"Robert J. Woolley" wrote:

> In message <374F77E6.1F237F7C@zoomnet.net> writes:
> > Wow, slamming me with righteous rhetoric takes away from what we were
> > discussing.
> > I'll stop for now, as this is now going nowhere fast...Steve
> >
>
> Predictable response.
>
> > >
> > > Please explain what it is, exactly, about IUDs that a nurse practitioner is
> > > intrinsically incapable of learning to the same level of mastery as a
> > > physician.
> > > If you cannot do this, then obviously your entire argument is about as
> > > substantial as wet toilet paper.
>
> The obvious conclusion is that you were not able to think of anything that an NP
> could not master about IUDs, and therefore didn't want to answer this question
> directly. Of course, if that inference is incorrect, you can easily correct it
> by telling us precisely what an NP is incapable of learning about IUDs. But I'll
> bet you won't.
>
> The honorable thing to do would be to admit that you're wrong, rather than
> concocting excuses not to respond to people who challenge your ill-thought-out
> opinions.
>
> ---------------------------------------------------------------------------
>
> ---------------------------------------------------------------------------
> Bob Woolley
> ---------------------------------------------------------------------------
> St. Paul, Minnesota
>
> "A free society is most threatened not by uses of government
> that are obviously bad, but by uses of government that seem
> obviously good."
>
> -- Charles Murray

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