Noctor
From EverybodyWiki Bios & Wiki
A noctor is a healthcare professional who did not attend medical school and is therefore not a physician, despite attempting to mislead patients into believing otherwise.[1][2] The subreddit /r/noctor is focused on chronicling the various ways in which they mislead and harm patients.[3] The website midlevel.wtf also documents these incidents.[4]
Nurse anesthetists in the United States claiming to be anesthesiologists[edit]
In the United States, the definition of an anesthesiologist has been canonized into law as a physician who has specialized in anesthesiology.[5] However, in 2021 the American Association of Nurse Anesthetists changed its name to the American Association of Nurse Anesthesiology in a move that many medical organizations felt was misleading to patients.
Below, a table that summarizes the stances of various organizations.
| Organization | Stance on "physician optional" anesthesia care? | Stance on "nurse anesthesiologist" title? | Excerpt |
|---|---|---|---|
| American Association of Nurse Anesthesiology | Supports | Supports | |
| American Nursing Association | Supports | Has not yet commented | |
| World Health Organization | Rejects | Has not yet commented | Anesthesia is inherently complex and potentially very hazardous, and its safe provision requires a high level of expertise in medical diagnosis, pharmacology, physiology, and anatomy, as well as considerable practical skill. Therefore, the WFSA views anesthesiology as a medical practice. Wherever and whenever possible, anesthesia should be provided, led, or overseen by an anesthesiologist (HIGHLY RECOMMENDED).[6] |
| American Medical Association | Rejects | Misleads patients | An anesthesiologist has been educated, trained, tested and retested countless times, with years and years of classroom and clinical experience to ensure the development and maintenance of the medical expertise and split-second critical decision-making skills required to address immediate and long-term patient care needs. CRNAs, on the other hand, are trained to work within the physician-led care team, under physician supervision. Through an amicus AANA [American Association of Nurse Anesthetists] argues the CRNAs should be viewed as an ‘independent anesthesiology practitioner,’ …. That is simply false.[7] |
| American Osteopathic Association | Rejects | Misleads patients | A Certified Registered Nurse Anesthetist’s (CRNA) training requires a minimum of a two-year master’s degree following their bachelor’s degree. In stark contrast to physicians, no postgraduate training is required. Anesthesiologists complete a four-year medical school curriculum, followed by four years of supervised residency training. Anesthesiologists also sit for rigorous board certification examinations to demonstrate their knowledge and competence in this complex medical specialty. These steps confirm the physician commitment to the public interest and patient safety. Over the past several years, individual CRNAs and their state chapters have begun a push to re-brand themselves as anesthesiologists through title misappropriation rather than through education and training.[8] |
| American Society of Anesthesiologists | Rejects | Misleads patients |
Physician's assistant name change to "physician associate" in the United States[edit]
| Organization | Stance on "physician associate" name | Excerpt |
|---|---|---|
| American Association of Nurse Anesthesiology | Supports | At the root of title change discussions was the fact that the title “physician assistant” does not accurately describe to patients what the profession does, nor does it convey the value of PAs within the healthcare team and healthcare delivery system.[9] |
| American Medical Association | Misleads patients | About one-quarter of patients wrongly believe that physician assistants are physicians or are unsure, according to AMA survey research on truth in advertising. Meanwhile, 45% of patients say it’s hard to identify who’s a licensed physician or that they don’t know.[10] |
| American Osteopathic Association | Misleads patients | Professional credentials, titles and how we convey such information to patients is of great import and not a matter of marketing. This title change could easily create confusion for patients and put their safety at risk.[11] |
See also[edit]
- Confidence trick
- Health care fraud
- List of topics characterized as pseudoscience
- Medical ethics
- Medical error
- Medicines and Healthcare products Regulatory Agency
- Quackery, persons accused of quackery
References[edit]
- ↑ "Noctor", The Free Dictionary, retrieved 2021-09-15
- ↑ "The Rise of "Noctors" and What It Means for Radiologists". Diagnostic Imaging. Retrieved 2021-09-15.
- ↑ "r/Noctor". reddit. Retrieved 2021-09-15.
- ↑ "Noctor". MidlevelWTF. Retrieved 2021-09-16.
- ↑ "Anesthesiologist Definition: 114 Samples". Law Insider. Retrieved 2021-09-15.
- ↑ Gelb, Adrian W.; Morriss, Wayne W.; Johnson, Walter; Merry, Alan F.; Abayadeera, Anuja; Belîi, Natalia; Brull, Sorin J.; Chibana, Aline; Evans, Faye; Goddia, Cyril; Haylock-Loor, Carolina (June 2018). "World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia". Anesthesia and Analgesia. 126 (6): 2047–2055. doi:10.1213/ANE.0000000000002927. ISSN 1526-7598. PMID 29734240.
- ↑ "How calling CRNAs "nurse anesthesiologists" misleads patients". American Medical Association. Retrieved 2021-09-15.
- ↑ "AOA statement on American Association of Nurse Anesthetists name change, title misappropriation and the importance of physician-led care". American Osteopathic Association. 2021-09-14. Retrieved 2021-09-15.
- ↑ "General FAQs". AAPA. Retrieved 2021-09-16.
- ↑ "PA rebrand as "physician associates" will deepen patient confusion". American Medical Association. Retrieved 2021-09-16.
- ↑ "AOA statement on physician-led care, Physician Assistant title change and non-physician clinician use of the title 'Doctor'". American Osteopathic Association. 2021-05-28. Retrieved 2021-09-16.
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