GP Martin Esser: On GP and NP role disputations

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GP Martin Esser: On GP and NP role disputations

Martin Esser

Wednesday 5 April 2023, 02:57 PM

It would be very rare for a doctor to enter into general practice after just eight years, including medical school, specialist GP Martin Esser says

Two letters were sent to New Zealand Doctor Rata Aotearoa on the topic of how NPs and GPs fit into general practice. Here is the first, written by Whangārei specialist GP, Martin Esser

Kia ora. Lucy O’Hagan’s article (“Nothing to gain by being anti-NP”, nzdoctor.co.nz, 10 March) in response to the role of NPs is unnecessarily inflamm

RNZCGP

References

Darlow B, Brown M, McKinlay E, et al. Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes. BMJ Open 2022;12(7):e060066.

Darlow B, Coleman K, McKinlay E, et al. The positive impact of interprofessional education: a controlled trial to evaluate a programme for health professional students. BMC Med Educ 2015;15(1):98.

Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ 2002;324(7341):819-823.

Laurant M, van der Biezen M, Wijers N, et al. Nurses as substitutes for doctors in primary care. Cochrane Database Syst Rev 2018(7).

Goodyear-Smith F, Ashton T. New Zealand health system: universalism struggles with persisting inequities. The Lancet 2019;394(10196):432-442.

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How to Treat

+How to treat

For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews

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