Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Why I rely on non-physician providers

Don S. Dizon, MD
Physician
May 29, 2013
Share
Tweet
Share

asco-logoI still recall my first rotation as an inpatient attending at Memorial Sloan-Kettering Cancer Center (MSKCC). Perhaps it was the anxiety that I remembered most; that I was “in charge” of a service. Fortunately, having done fellowship at MSKCC, the system was not a foreign one, and I knew exactly where to go to get oriented—I went to Jane and Dorothy, our nurse practitioners whose full-time job was to help care for the women on our inpatient gynecologic oncology medicine service.

During that time, I admitted “Linda.” She was young, married only recently, and had been urgently transferred to our hospital with a rare cancer—metastatic gestational trophoblastic disease. As her stay went on, I would visit her and her husband after rounds, and it became routine for me to stop by her room to chat with them both before I left for the day.

After four weeks as the inpatient rounder, I rotated off service. Swept up in outpatient responsibilities, I never did get back to the floor. Yet even while I was back in my “regular” job, I found myself wondering how Linda was doing. One afternoon, Jane paged me to the floor.

“Hey, Jane, what’s up?” I asked.

“Hi Don; just an FYI—Linda is doing great and will be going home today. She wanted me to make sure you knew.”

“That’s great,” I replied, smiling. “Please tell her and her husband I wish them well,” I said.

 “I already did,” she said.

Even today, I find it reassuring that Jane was able to close this loop (and many others) for me.

No matter how much time goes by, I always have a certain sense of anxiety when my turn as inpatient attending comes up. In my current role at Massachusetts General Hospital (MGH), I am only required to do this for a few weeks a year; however, it is still daunting to care for patients admitted with little knowledge of “who” is in house, let alone “why.” Fortunately, like MSKCC, MGH has a group of exceptional nurse practitioners to help us take care of patients on the inpatient service.

In my career thus far, I consider myself fortunate to have worked with non-physician providers who, like Jane and Dorothy, have participated in the care of my own patients. In the inpatient setting, it meant helping me to get acclimated to the service, patients, and their loved ones. More than that, I have also come to rely on them as a way to ensure my patients (both inpatient and in clinic) get the highest level of care we are capable of providing.

Ultimately, despite the demands on time, duties of outpatient practice, and objectives to be met in academics and beyond, physicians have an obligation to meet the needs of their patients. That job is easier thanks to the men and women who, like us, have devoted their own professional career to the care of patients with cancer. Working in partnership, we can achieve most of what all of us aim to accomplish, without sacrificing the quality care that our patients deserve. It is a model of health care delivery I have learned not only to embrace, but to rely upon.

Don S. Dizon is an oncologist who blogs at ASCO Connection, where this post originally appeared.

Prev

Visiting my family member: A tale of two facilities

May 29, 2013 Kevin 109
…
Next

Please don't call me a hospitalist

May 29, 2013 Kevin 8
…

ADVERTISEMENT

Tagged as: Hospital-Based Medicine, Oncology/Hematology

Post navigation

< Previous Post
Visiting my family member: A tale of two facilities
Next Post >
Please don't call me a hospitalist

ADVERTISEMENT

More by Don S. Dizon, MD

  • As an oncologist, this is the hardest role I play

    Don S. Dizon, MD
  • Why physicians should acknowledge the validity of second opinions

    Don S. Dizon, MD
  • A patient who taught an important lesson in doctoring

    Don S. Dizon, MD

More in Physician

  • A lesson in empathy from a young patient

    Dr. Arshad Ashraf
  • How online physician reviews impact your medical career

    Timothy Lesaca, MD
  • Why midlife men feel unanchored and exhausted

    Kenneth Ro, MD
  • How medicine reflects women’s silence

    Priya Panneerselvam, DO
  • Language doulas bridge care gaps

    Deepak Gupta, MD, Kaya Chakrabortty, and Yara Ismaeil
  • The myth of no frivolous medical lawsuits

    Howard Smith, MD
  • Most Popular

  • Past Week

    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • How immigrant physicians solved a U.S. crisis

      Eram Alam, PhD | Conditions
    • Transforming patient fear into understanding through clear communication [PODCAST]

      The Podcast by KevinMD | Podcast
    • Pediatric leadership silence on FDA ADHD recall

      Ronald L. Lindsay, MD | Conditions
    • Understanding the deadly gaps in pediatric dental safety [PODCAST]

      The Podcast by KevinMD | Podcast
    • How relationships predict physician burnout risk

      Tomi Mitchell, MD | Physician
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Systematic neglect of mental health

      Ronke Lawal | Tech
    • Stop doing peer reviews for free

      Vijay Rajput, MD | Education
  • Recent Posts

    • Understanding the deadly gaps in pediatric dental safety [PODCAST]

      The Podcast by KevinMD | Podcast
    • A lesson in empathy from a young patient

      Dr. Arshad Ashraf | Physician
    • wRVU threshold risks in physician contracts

      Dennis Hursh, Esq | Finance
    • My late ADHD diagnosis in med school

      Suji Choi | Education
    • How online physician reviews impact your medical career

      Timothy Lesaca, MD | Physician
    • Why is compression stocking compliance low?

      Monzur Morshed, MD and Kaysan Morshed | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 138 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • How immigrant physicians solved a U.S. crisis

      Eram Alam, PhD | Conditions
    • Transforming patient fear into understanding through clear communication [PODCAST]

      The Podcast by KevinMD | Podcast
    • Pediatric leadership silence on FDA ADHD recall

      Ronald L. Lindsay, MD | Conditions
    • Understanding the deadly gaps in pediatric dental safety [PODCAST]

      The Podcast by KevinMD | Podcast
    • How relationships predict physician burnout risk

      Tomi Mitchell, MD | Physician
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Systematic neglect of mental health

      Ronke Lawal | Tech
    • Stop doing peer reviews for free

      Vijay Rajput, MD | Education
  • Recent Posts

    • Understanding the deadly gaps in pediatric dental safety [PODCAST]

      The Podcast by KevinMD | Podcast
    • A lesson in empathy from a young patient

      Dr. Arshad Ashraf | Physician
    • wRVU threshold risks in physician contracts

      Dennis Hursh, Esq | Finance
    • My late ADHD diagnosis in med school

      Suji Choi | Education
    • How online physician reviews impact your medical career

      Timothy Lesaca, MD | Physician
    • Why is compression stocking compliance low?

      Monzur Morshed, MD and Kaysan Morshed | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Why I rely on non-physician providers
138 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...