
Patients at Risk
Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.
Episodes
118 episodes
AAPA survey claims that physicians support PA independent practice
In February 2025, the AAPA published a press release entitled: 'AAPA Releases Survey Showing Physician Support for Removing Barriers to PA Practice.' According to AAPA President Jason Prevelige (DMSc, MBA, PA-C, DFAAPA), the survey prove...
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Season 1
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Episode 110
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31:39

New study: 7.4% of EDs are staffed by NP/PAs with NO physician on-site
Emergency physician Dr. Deborah Fletcher is an author of the first study to evaluate physician presence in Emergency Departments across the country. She discusses the findings, including that 7.4% of all EDs have NO physician on-site, and of th...
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Season 1
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Episode 109
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35:10

CDC considers allowing NP/PAs to read complex x-rays: Pulmonologist explains the dangers
Pulmonologist / Intensivist Gary Dudek, MD, joins me to discuss the CDC's call for comments regarding allowing nurse practitioners and physician assistants to become National Institute for Occupational Safety and Health (NIOSH) 'B Readers'.&nbs...
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Season 1
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Episode 108
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31:34

Regaining Patient Trust: The Importance of Physician Advocacy
Susan J. Baumgaertel, MD FACP, an internal medicine physician, author, patient advocate, and ally to colleagues discusses how physicians can fight for patients.Trust in physicians has plummeted in the last few years (https://jamanetwork....
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Season 1
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Episode 107
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30:30

What we can learn from legislator questions on scope of practice
On September 17, 2024, the Texas Senate Health and Human Services Committee held an interim hearing on scope of practice expansion for nurse practitioners and other clinicians. In this third episode related to that hearing, Texas Medical Associ...
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Season 1
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Episode 106
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26:03

Texas Scope of Practice Hearing Part 2: NP testimony
In the last episode, you heard some of my testimony at the Texas Interim Legislature hearing on Scope of Practice. Today you're going to hear from a nurse practitioner, Holly Jeffries, who is practicing in rural Texas.Her testimon...
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Season 1
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Episode 105
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36:43

Scope of Practice testimony at the Texas Legislature: Part 1 (Economic Impact)
On September 17, 2024, the Texas Senate Health and Human Services Committee held an interim hearing on scope of practice expansion for nurse practitioners and other clinicians. The Texas Medical Association (TMA) invited Rebekah Bernard, MD to ...
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Season 1
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Episode 104
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26:26

The blind leading the blind? New NP gets bad advice from other NPs on Facebook
Christopher Garofolo, MD, unpacks the many errors shared by a more seasoned NP to a brand new NP seeking advice on a Facebook post.Learn more: https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438/
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Season 1
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Episode 103
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36:33

Physician training saved my newborn grandbaby's life: I fear future patients won't have this privilege
On the last podcast, I interviewed Dr. Anu Shokla who shared her story of her newborn baby being treated for an emergency rapid response by a nurse practitioner who had just rotated with her on the inpatient adult hematology oncology service.
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Season 1
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Episode 102
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28:43

"My newborn baby required a rapid response: The NP that showed up had just rotated with me on the adult heme/onc service."
Primary care physician Anu Shukla shares a personal story about the dangers that patients face when physicians are replaced with nonphysician practitioners.Dr. Shukla's comments on this podcast reflect her views and opinions. She does n...
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Season 1
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Episode 101
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31:38

Bloomberg Report Questions NP Education
In the first of a series 'The Nurse Will See You Now,' Bloomberg reporters investigate concerns about nurse practitioner education.The Miseducation of America’s Nurse PractitionersThey don’t merely support doctors—NPs increasing...
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Season 1
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Episode 100
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24:33

Dangers of nonphysician ketamine infusions
There are an estimated 500-750 clinics across the U.S. providing infusions of Ketamine for the treatment of a variety of medical conditions. This is big business, estimated to bring in $3.1 billion per year and projected to rise to 6.9 billion ...
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Season 1
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Episode 99
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40:57

Why Psychiatry Needs Psychiatrists (and not just psych NPs)
Psychiatrists are increasingly being replaced by non-physician practitioners - psychiatric mental health nurse practitioners (PMHNPs) and physician assistants (PAs). This webinar explains the difference between a psychiatrist and a PMHNP and re...
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Season 1
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Episode 98
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42:51

Physician Leadership Through Self-Ownership
Over the last decade, as physicians have increasingly turned to employed practice to cope with declining reimbursement and increased administrative requirements, our role in advocacy has diminished. Doctors are afraid to speak out because we fe...
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Season 1
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Episode 97
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22:22

Small Democratic Groups (SDG): The solution to reclaim medicine from corporate interests?
Arthur Smolensky, MD describes his experience creating a Small Democratic Group (SDG) to take over emergency department staffing from corporate contract management groups.https://www.linkedin.com/in/arthur-smolensky-719806/
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Season 1
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Episode 96
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29:57

JOURNAL CLUB: Article claims that NPs, PCPs have same rate of inappropriate prescribing to seniors
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 Practiti...
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Season 1
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Episode 95
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24:45

Doctors' Day revisited: What has changed in the last three years?
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 ...
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Season 1
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Episode 94
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26:26

"I didn't know how bad it was:" NP pens report on NP education (Part 3)
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 f...
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Season 1
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Episode 93
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20:28

"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)
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 f...
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Season 1
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Episode 92
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29:52

"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)
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 f...
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Season 1
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Episode 91
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30:12

The Assistant Physician (AP) - A pathway to independent practice?
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 ...
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Season 1
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Episode 90
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18:27

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

Physician legislator and creator of 'assistant physician' role in Missouri discusses steps to improve physician shortages
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 talki...
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Season 1
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Episode 90
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25:54

Physicians fight to prevent more patient deaths from 'wellness' treatments at medspas
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...
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Season 1
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Episode 89
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30:05

NP malpractice settlements on the rise, especially for NP-owned practices
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 release...
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Season 1
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Episode 88
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36:32
