Best Niran Al Agba Md Podcasts (2024)

1
JOURNAL CLUB: Article claims that NPs, PCPs have same rate of inappropriate prescribing to seniors 24:45

4d ago24:45

24:45

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…

1
Doctors' Day revisited: What has changed in the last three years? 26:26

18d ago26:26

26:26

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…

1
"I didn't know how bad it was:" NP pens report on NP education (Part 3) 20:28

1M ago20:28

20:28

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…

1
"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

2M ago29:52

29:52

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…

1
"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

2M ago30:12

30:12

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…

1
The Assistant Physician (AP) - A pathway to independent practice? 18:27

3M ago18:27

18:27

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 …

1
BONUS EPISODE: AZ State Rep and ER physician Dr. Amish Shah discusses his run for U.S. Congress 19:45

3M ago19:45

19:45

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. …

1
Physician legislator and creator of 'assistant physician' role in Missouri discusses steps to improve physician shortages 25:54

3M ago25:54

25:54

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…

1
Physicians fight to prevent more patient deaths from 'wellness' treatments at medspas 30:05

3M ago30:05

30:05

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…

1
NP malpractice settlements on the rise, especially for NP-owned practices 36:32

4M ago36:32

36:32

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…

1
Wisconsin NP legislator makes unprofessional comments during testimony on vetoed bill 21:14

5M ago21:14

21:14

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…

1
The Medical Ethics of IV hydration ‘bars’ 28:39

5M ago28:39

28:39

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 …

1
Esteemed physician organization American College of Cardiology selects nurse as new president 32:48

5M ago32:48

32:48

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

1
Louisiana doctors succeed at passing graduate physician bill 23:10

6M ago23:10

23:10

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…

1
Louisiana physicians hire lobbyist and defeat NP independence bill 27:20

6M ago27:20

27:20

Louisiana physicians discuss their successful effort to block scope of practice expansion in the state. PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
Bioethicist weighs in on use of the term 'doctor' by nonphysicians 30:56

7M ago30:56

30:56

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…

1
Patient asks for OB physician during pregnancy and delivery, told 'no' 22:32

7M ago22:32

22:32

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…

1
Noncompete contract restricts rural patient access to physician care 32:29

8M ago32:29

32:29

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…

1
Physician discusses why she will no longer train or supervise NPPs 35:00

8M ago35:00

35:00

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…

1
When 'wellness' turns deadly: Patient dies during NPP medspa visit 31:38

9M ago31:38

31:38

Plastic surgeon Alina Sholar, MD discusses the risks and dangers associated with non-physician supervised medspa medical procedures. Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/ Join PPP: PhysiciansForPatientProtection.org PhysiciansForPatientProtection.org…

1
Ensuring a fair physician employment contract 33:32

9M ago33:32

33:32

Employment attorney Dennis Hursh, Esq advises physicians on best practices for a fair employment contract. Mr. Hursh is the owner of Physicians Agreements Health Law and the author of The Final Hurdle: A Physician's Guide to Negotiating a Fair Employment Agreement https://www.amazon.com/Final-Hurdle-Physicians-Negotiating-Employment-ebook/dp/B07R59…

1
Original study shows impact of NPPs on Emergency physician residents 33:08

11M ago33:08

33:08

Lead author Andrew W. Phillips, MD, MEd, joins me to discuss the brand new study 'Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education,' the first study to evaluate the impact of NPPs on EM resident physicians. Permalink https://escholarship.org/uc/item/9g14r2jx Journal Western Journal of Emergency Medicine: Int…

1
New Book - IMPOSTER DOCTORS - Now On Sale! 21:29

11M ago21:29

21:29

Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW at Amazon and Barnes and Noble. PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
Opening your own practice 32:35

12M ago32:35

32:35

Can't find a job that doesn't require you to supervise non-physician practitioners? It's time to consider a return to self-ownership! Psychiatrist Dr. Rashida Gray discusses her journey and encourages physicians to take back control of medicine by opening their own practices. Learn more about Dr. Gray at her website: GrayMDPsychiatry.com Join us: P…

1
Innocent EKG findings lead to unnecessary ER visit: Why physician training matters 17:42

1y ago17:42

17:42

Emergency physician Andrew Wilson, MD, discusses a case in which a routine work physical at an Urgent Care resulted in an unnecessary ER visit for a patient. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164 PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
Healing the healers: The Physician Support Line 27:54

1y ago27:54

27:54

Last week was Match week, and while thousands will celebrate matching into residency, 2,500 medical school grads will face an uncertain future due to a shortage of residency positions. If you know someone who might need help through this difficult time, the Physician Support Line is a free, confidential, and anonymous resource. Dr. Mona Masood, psy…

1
Utah physician on hiring unmatched medical graduates (associate physicians) 28:48

1y ago28:48

28:48

Nurse practitioner and physician assistant use are often justified because of a shortage of physicians, especially in underserved areas. One major cause of the physician shortage is a lack of residency positions, the required minimum training that must be completed after medical school to be licensed as a physician. Every year, thousands of aspirin…

1
Psychiatrist explains dangers of NP-staffed mental telehealth platforms 27:38

1+ y ago27:38

27:38

The COVID19 pandemic created both challenges and opportunities in the healthcare sector. One major winner: telehealth startup companies offering ‘virtual’ medical care, including psychiatric care. But instead of hiring physicians, these companies hire nurse practitioners to care for some of the most complex and vulnerable patients in our nation. Th…

1
Vicarious liability: Family physicians discuss getting sued due to association with NPs 24:14

1+ y ago24:14

24:14

Nurse practitioner and physician assistant advocates often assure physicians that they face little liability or risk when performing supervision, insisting that NPs and PAs are liable for their own errors. But case law examples demonstrate this to be false. If state law requires physician supervision or collaboration, the physician may be held vica…

1
Lack of informed consent: Patient nearly dies after CRNA mishap 26:24

1+ y ago26:24

26:24

Imagine this scenario: You are rolled into an operating room in a surgical center for an outpatient elective procedure. But when you wake up; you’re in an emergency department, and you learn that you nearly died from anesthesia complications. Even worse, you find out that your anesthesia was provided not by an anesthesiologist, but by a nurse anest…

1
Training matters: small town ER doc makes limb-saving diagnosis missed by urgent care NP 28:38

1+ y ago28:38

28:38

Physicians train for at least 15,000 hours before we are permitted to practice independently, and one of the reasons is that it takes a long time and a lot of patient volume to be exposed to the many different presentations of disease processes to learn how to recognize true emergencies that need immediate interventions. Today’s guest brings us a p…

1
Will an NP/PA perform your next colonoscopy? Part 2 23:42

1+ y ago23:42

23:42

Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. …

1
Will an NP or PA perform your next colonoscopy? 28:12

1+ y ago28:12

28:12

Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. …

1
Physician, Own Thyself: Taking Back Professional Control 32:32

2y ago32:32

32:32

Tired of being owned by corporations, but don't want to open your own practice? Stephanie Freeman, MD, a critical care physician and entrepreneur, teaches physicians how to become self-employed through contract work and locums. Learn more at DrStephanieICU.com http://www.freelocumstraining.com for free online locums training. National Association o…

1
Nursing research leaders: NPs should not work alone in the ER 28:53

2y ago28:53

28:53

In Jan 2022, the Journal of Nursing Regulation published an article entitled: Analysis of Nurse Practitioners’ Educational Preparation, Credentialing, and Scope of Practice in U.S. Emergency Departments The summary: “Due to the variability in educational preparation, NPs should not perform independent unsupervised care in the ED regardless of state…

1
Point of view: Let NPs and PAs practice independently - but hold them to the same standard as a physician 34:02

2y ago34:02

34:02

Attorney and emergency medicine physician William P. Sullivan believes that nonphysician practitioners should practice independently, but be held to the same medical standard as physicians since NP/PA leaders argue that there is "no difference in the practices and outcomes between physicians and advanced practice providers." Dr. Sullivan joins us t…

1
The headlines don't always match the data: an example of egregious methodology in NP literature 33:46

2y ago33:46

33:46

In several previous podcasts, you have heard us refer to research studies that claim to show that nurse practitioner care is just as good or better than that provided by physicians. We’ve shown that in many of these cases, the study authors are using flawed methodology or failing to disclose important information, like nurse practitioners working u…

1
The secret to hiring and retaining good doctors (and why hospital administrators don't want to hear it) 35:43

2y ago35:43

35:43

Douglas Farrago MD discusses why '9 out of 10 administrators' absolutely hate his new book, The Hospital Guide to Physician Retention: Why Creating A Physician-Friendly Environment Is Critical For Your Organization’s Success. Dr. Farrago has been fighting to improve the state of medicine for decades, authoring books on direct care and pointing out …

1
Women physicians on scope of practice (part 2) 19:37

2y ago19:37

19:37

Sonal Patel MD and Jou Jou Hanna MD discuss the difficult choices that women make to become physicians, and why that training matters. PhysiciansForPatientProtection.orgBy Rebekah Bernard MD and Niran Al-Agba MD

1
No shortcuts in medicine: why women physicians are fired up about scope of practice (Part 1) 33:05

2y ago33:05

33:05

One topic that gets women physicians fired up like no other is a discussion of gender issues in medicine. While medical school classes are currently made up of about 50% women, women physicians are still a significant minority in medical practice today, and women doctors face serious inequities due to their gender. One of the biggest challenges tha…

1
Is it time for an NP/PA 'Flexner Report?' Part 2 20:25

2y ago20:25

20:25

Part 2 of our discussion with John Lafferty MD regarding the need for Flexner-style reform for NP and PA programs. Dr. Lafferty describes his experiences training PA students. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ Thanks to our sponsor: Old Pueblo Anesthesia (OPA) is a physician-owned an…

1
Is it time for an NP/PA Flexner Report? Part 1 23:02

2y ago23:02

23:02

Many of our podcasts have focused on concerns about the deterioration of nurse practitioner training, with an increase in for-profit schools that compete fiercely for student tuition dollars. These programs often boast 100% acceptance rates -in other words, anyone who applies is accepted. Students who attend programs like these complain about sub-p…

1
Equal pay for 'equal' work: Inside the NP fight to be paid the same as physicians 32:43

2y ago32:43

32:43

One of the strategic goals of the American Association of Nurse Practitioners listed on their website (now behind a paywall) is for nurse practitioners to achieve pay parity: to be paid the same as physicians. Oregon became the first state to require that insurance companies pay nurse practitioners the same as physicians and now proposed legislatio…

1
Former PA and author of 'Hospital Confidential' discusses midlevel malpractice risk 35:05

2y ago35:05

35:05

As nonphysician practitioners increasingly provide more patient care, experts note a commensurate increase in medical malpractice claims. Today we welcome medicolegal adviser Bob Pegritz, the co-author of ‘Hospital Confidential,’ an expose of medical malpractice cases. As Bob wrote me, "I have worked in the medical/legal community for 32 years. Bef…

1
Is this the end of the full-spectrum Family Physician? Discussing proposed ACGME changes to Family Medicine residency training 35:22

2y ago35:22

35:22

As our listeners already know by now, to be licensed to practice medicine, physicians in most states must complete a minimum of three years of postgraduate medical education, called residency training. Each specialty offers its own residency program, but all must follow specific, standardized criteria created by the ACGME—the American College of Gr…

1
Who will read your next x-ray? The replacement of Radiologists (Part 2) 33:43

2y ago33:43

33:43

Almost every field of medicine today involves some type of nonphysician practitioner, whose role was originally created to help physicians see patients more efficiently. The specialty of radiology is no exception, and radiologists often work with NPs, PAs, and another type of extender called a radiology assistant (RA). In part 2, I am joined by two…

1
Who will be reading your next x-ray? The replacement of radiologists by 'radiology assistants' (Part 1) 33:37

2y ago33:37

33:37

Almost every field of medicine today involves some type of nonphysician practitioner, whose role was originally created to help physicians see patients more efficiently. The specialty of radiology is no exception, and radiologists often work with NPs, PAs, and another type of extender called a radiology assistant (RA). Today I am joined by two radi…

1
Responding to EM:RAP and the use of NPPs in the ER 39:23

2+ y ago39:23

39:23

A few months ago, EM:RAP, a well-known and respected EM CME provider hosted a discussion about nonphysician practitioners in the emergency room. Many physicians who listened felt was one-sided and glossed over concerns about independent practice by NPs and PAs. Dr. Steve Carroll, an EM physician and the host of the podcast EM Basics, was so concern…

1
Exposing mistruths in the AANP's rebuttal to PPP - Part 2 32:01

2+ y ago32:01

32:01

In part 2 of our discussion, Dr. Alyson Maloy and Dr. Phil Shaffer break down the mistruths in AANP president April Kapu's article, 'Full practice authority for nurse practitioners needed to address physician shortage.' Get the book, now available on Audible! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ Watc…

1
Is PPP a 'fringe' group? Responding to the AANP's accusations in Medical Economics 23:10

2+ y ago23:10

23:10

On September 29, 2021, the journal Medical Economics published an interview with Dr. Alyson Maloy entitled “Covid exacerbates physician shortage.” In the article, Dr. Maloy discussed the effects of covid19 including a push to increase practice authority for nurse practitioners. A week later, Medical Economics posted a rebuttal written by April Kapu…

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Niran Al Agba Md Podcasts

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