This is happening in a Canadian province where I thankfully no longer practice but I worry it will become a national trend. How do we stop the creep? And since this is a multidisciplined subreddit… should we stop the creep?
Quoted from FB:
A colleague recently pointed out that NPs under the new contracts are getting paid better than the MD equivalent.
Nurse Practitioner (1.0 FTE, pay your own overhead)
Year 1: $235,000 for a minimum panel of 500 ($470 per patient)
Year 3: $245,000 for a minimum panel of 1000 ($245 per patient)
Family Physician (1.0 FTE, pay your own overhead)
Year 1: $250,000 for a minimum panel of 800 ($312.50 per patient)
Year 3: $265,000 for a minimum panel of 1250 ($212 per patient)
So, the current state of matters is:
Naturopaths have a legal scope nearly identical to MDs to prescribe drugs, order tests and perform minor surgery (albeit not publically funded but they do sneaky stuff like bill botox through extended health under "naturopath services")
Midwives get paid more to do maternity care than I do (per patient: $1060.01 for prenatal care, $1,060.01 for labour and delivery, $1,060.01 for postpartum care)
Now nurse practitioners who have less training are being paid more than MDs to provide care to patients of lower complexity
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