Senator Gary Peters (D-MI)
1st-term Democrat from Michigan.
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All messages are published with permission of the sender. The general topic of this message is Health:
Subject:
Allow non Board eligible/non board certified General Practice Physicians work at least as midlevels in hospitals

To:
Sen. Debbie Stabenow
Sen. Gary Peters

February 2, 2013

Some medical residents who are let go from their residency programs are able to salvage their careers to get licensed by whatever states allow them to. For a MD or DO to get licensed, they must graduate medical school, pass all three USMLE exams as well as a clinical exam, an do anywhere from one to three years of residency, depending upon what a state requires. These medical residents let go from their programs, who have enough qualifications depending on state, are able to work as a general practice doctor, mainly for insurance companies, very few clinics, native american reservations, or prisons. For the most part,they aren't allowed to work in hospitals. On the other hand, physician assistants (PAs) and nurse practitioners (NPs) (collectively known as midlevel providers) are allowed to be employed by hospitals. Their training is much less extensive than medical school and residency that a physician goes through. I do not see why a non board eligible/non board certified general physician isn't allowed to even work at a hospital at least like a PA or NP can. It isn't fair that just because they have an MD or DO after their name, just to avoid confusion, they are not allowed to set foot to work in a hospital. Maybe these GP doctors can get certificates to work at the level of a midlevel and if necessary, even have PA or NP after their name instead of MD or DO after getting that certificate. A foreign medical grad who passed all USMLE tests, (US licensure tests) is allowed to get a medical assistant certificate, so why not a physician assistant certificate? I really hope that this discrepancy can be fixed.I find it unfair that a licensed GP is unable to even get the opportunity to work in a hospital setting while a midlevel can easily do so with much less extensive training than a physician. If anything can be done about this I'm absolutely certain it would be greatly appreciated and make hospitals a better place. It would allow deserving people to get to work in a hospital like they should. I don't think it is fair for PAs and NP's with less training to get more opportunity than a GP. They pass their own tests and it is yet seen to make them more qualified than a GP. Years ago GP's were allowed to work in hospitals (in their clinics and at least the emergency department) but now because they're not board eligible or board certified, they are banished from hospitals. On the same token, why are PA's and NPs allowed to work there then? It really makes no sense and puts GP physicians at a loss. I hope that something can be done about this problem. Maybe it would make the hospital staff a whole lot more qualified as well. The doctor shortage would also be helped by allowing GP's to perform as midlevels and allow for better patient care.

Southfield , MI