Press Release: Pennsylvania Medical Society Reacts to Governor Shapiro’s Move to Allow Nurse Practitioners to Practice Independently

Last Updated: Feb 4, 2025

The Pennsylvania Medical Society (PAMED) firmly supports the belief that physicians should be the leaders of health care teams, advocating for a collaborative approach that prioritizes patient safety and high-quality care. As health care providers who undergo extensive education, training, and clinical experience, physicians bring a depth of knowledge and expertise that is essential for effective medical decision-making.

However, the Pennsylvania Medical Society is deeply disappointed by the Governor’s recent position on allowing nurse practitioners to practice independently, without the support or safety of physician supervision. While nurse practitioners play a crucial role in the health care system, it is critical to recognize that patient safety is compromised when they operate outside the scope of collaborative, physician-led care. Independent practice by nurse practitioners, without proper physician oversight, introduces significant risks to patient outcomes.

"Patient safety should always be our top priority," said PAMED President Lynn Lucas-Fehm, MD, JD. "Physicians are uniquely qualified to lead health care teams, as they bring years of comprehensive education and hands-on clinical experience to their decision-making. While nurse practitioners are valuable members of the health care system, their ability to provide care is best enhanced when working alongside physicians in a collaborative, team-based approach. We strongly urge the Governor to reconsider this position and focus on ensuring that patient safety remains the central concern in healthcare policy."

PAMED calls on our legislators to support policies that foster collaboration, ensuring that health care teams are led by physicians who have the depth of training necessary to oversee complex medical decisions. We believe that effective health care is not about reducing the role of physicians but about strengthening the entire team to ensure that patients receive the safest, most effective care possible.

The Pennsylvania Medical Society remains committed to advocating for the health and safety of all Pennsylvanians and will continue to work toward solutions that prioritize patient-centered, physician-led care.

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Media Contact:

Myla Merkel

MediaRelations@pamedsoc.org  

6 comments

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  1. Mark Diehl | Feb 05, 2025
    As a specialist, we are getting overwhelmed with referrals.   Over half of these make no sense, have no explanation, had no prior intelligent evaluation.  They are dumps.   Of those, 85% are from NPs.  Most with little physician oversite to begin with.  This is going to make things worse.  I have an NP working with me currently, she is fantastic!  But needs input and help regularly, can’t handle difficult cases, and should never be independent in our specialty.   Many of her colleagues complain that they don’t know what they are doing and are uncomfortable being pushed into a role thats too complicated for their training.   NPs are great, but their role needs to be within their training abilities.  Also, Stop allowing the constant bouncing from one type of practice to another.   We, as physicians, can’t suddenly perform surgey or practice another specialty tomorrow just because we want to or don’t like our current position.   
  2. Roger Ferguson | Feb 04, 2025

    Roger Ferguson

    History needs to be revisited.  A number of years ago Physical Therapists were granted the privilege

    to treat people who walked into their office off the street without a physician referral.  This lasted until they

    got their first malpractice bill.  I predict Nurse Practitioners will have to deal with the same conundrum.

     

     

     

     

     

     

  3. Peter Casale | Feb 04, 2025

    let them practice witin the restraints if their license.  And lets face it physicians have alowed nurse practitioners to substitute for them for more than a decade.  When requesting consultation from specialists and the NP does the evaluation it would irritate me to no end as a board certified internist and nephrologist.

     

    let them practice and physians do your work

  4. Steven Block | Feb 04, 2025

    To quote a classic line - "Nurse practitioners don't know what they don't know".  But, not that many people will die because nurse practitioners act independently.  So, it's not really that bad an idea.  Look at all the money that will be saved.  Will Gov. Shapiro leave his medical care and that of his family to a nurse practitioner?  Nurse Practitioners are a very valuable part of the medical team but just don't have the training to act independently.

    Steven BlockMD

  5. Karen Roche | Feb 04, 2025
    This is frightening. The only thing that will stop this madness is multiple medical malpractice suits resulting in massive awards to injured parties.
  6. Jettie Hunt | Feb 04, 2025
    What liabilty insurance will these nurse practioners have?!!??

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