Captain
September has been a month that has seen a difficult change in my practice. One of my nurse practitioners left our practice to go and work in a different area of medicine. She had worked with me for over five years. She had been a constant force in our practice and her leaving was a great disappointment for me. Over the years of my practice, I have always been a great proponent and supporter of the role that nurses play in the world of oncology. I feel that the role of nurses must continue to be expanded as medicine moves forward. Many physicians have been reluctant to allow nurses to perform functions that have been traditionally reserved for physicians. I believe this reluctance is misguided. As we move forward over the next 10 years we will be caring for many more patients. The only way that we are going to be able to take care of all these patients is by using nurses, nurse practitioners and other so called physician extenders to do an adequate job in taking care of these people.
My nurse practitioner that just left was the perfect example of the type of collaborative practice that can occur between a nurse practitioner and physician. I had complete confidence in her ability to take care of our patients. She brought value to every interaction that she had with our patients. She worked tirelessly in order to leave the suffering and pain that she observed in our patients. There were numerous patients that would rather see her than me. Patients were able to tell her about issue and symptoms that they would have maybe never tell me. I wish her all the best. She will be sorely missed.
I am certain this person did not leave you for reasons that were in your control. You have the highest integrity of any Dr. in your field. I would simply say that in Your practice it is felt deeply when one face/care taker is exchanged for another. Due to this human core phenomena, you can be grateful and damn proud.
You create a space of healing for your patients from the moment they enter your doors. Each person..be it nurse practioner or assistant is valued.... And that speaks to everyone.
all good things, C
Thank you for this post. I have contemplated many times going back to clinical care to pursue my MSN and work as an NP. I really appreciated hearing this from a Dr. I enjoy reading your posts in general. You have great perspective & incite!
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