Nurse practitioner vs Medical Doctor - What is the difference? Does the title matter ?

There are clear distinctions between a medical doctor and a nurse practitioner. There are also clear similarities between the two professions as well. In this video, i dissect the nuances between the two professions. Also given the fact that both professions can work as individual PCPs for patients, the video discusses what truly sets each profession apart, if any.
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Thanks again for watching and have a blessed day!

[jeremyjones]

Hello Dr. Michelle,
Thank you for this video. While I do agree with some of the things you pointed out, I also want to bring some other points that was not touched on in your video as well.

There are a plethora of nurse practitioners who absolutely have superb medical knowledge whom I would trust my family with as their main provider anytime. However as a majority, nurse practitioners should NEVER be looked at as physician replacements or even approached as such. I don't think that was your message from this video. However with the way cooperate healthcare is expanding, NPs vs MDs has unfortunately become the common denominator.


Most people also do not truly know how long, arduously hard and outrageously expensive it is to train someone to become a physician in the U.S. which takes at least 12 years to become the attending physician. I think one of the main reasons why there is some intense disdain between the disciplines is because job security and level of education. It's honestly a big insult to anyone who thinks they can do the exact same job of a board certified physician who has not gone through all the rigors a physician must go through to become one. You literally have to be quite borderline insanity to become and practice as a U.S. physician.

Who I despise the most are those greedy hospital CEOs and administrators who literally are making millions of dollars off the doctors and nurse's backs which has done nothing but contributed to this downward spiral of disdain between doctors and midlevels. Patient care is not their priority and it shows.

Sorry for the long rant. However, the public must be informed that physicians and nurse practitioners are not interchangeable. In 2021, over 14, 000 medical students graduated. Guess how many successfully matched into their residency? About 1700. So that means all of those students who paid all of that money to get through and pass USMLE step 1, 2, and 3 in medical school graduated. But they are not able to apply for jobs eventhough technically speaking they are a doctor. Can you imagine that? That has to be soul crushing especially because now they have to apply to match into a residency all over again and they may or may not be successful. When they do get accepted into a residency, guess how much their pay? After taking out taxes and student loan debt, THEY MAKE ABOUT $15 AN HOUR!!! Yes, you heard me right. That is about how much residents make an hour in the U.S. Basically, they make less than or around the same pay as CNAs/PCTs throughout their residency on top of having to have their clerkships marked as passing. Very soul crushing indeed. Could not imagine that level of sacrifice. Very very disrespectful.

If you made this far into reading this, I thank you. I will leave my soap box now. Congratulations on finishing DNP school Dr. Michelle.

[graceakinlolu]

This was very informative! If NPs are doing so much already, including possibly working as individual PCPs, what sets DNPs apart? Maybe a video on this too :)

[eib]

The people hurt by the lack of training of NPs will be minorities and people in poverty. Even the "superior" NP programs produce "providers" with a fraction of the training of physicians (average 6%). If you want to practice medicine, go get an MD/DO. Patients need to advocate for themselves and get the care they deserve.

[owene.ahearn]

But the problem with the statement “can provide the same quality of care”, is that on average, the knowledge gap is huge between the two professions. Doctors are usually not opposed to np scope expansion (they didn’t fight when it was DOs), when an increased education and training volume is in question… but, NP is FAR from providing the skills and knowledge equivalent to that attained in med school.