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A hint for my Physician friends: Stop telling intelligent nurses they “should have gone to med school”

2010 December 16
by Terri Schmitt

This is a pet peeve of mine that I was reminded of yet again today.  One of the physicians that I admire most in the world, who has mentored me, taught me, supported me in my career and education,  said the following when I ran into him working on my dissertation…. “I told you you should have just gone to med school.  What are you 5 years into this PhD now?  You would have been in your residency if you had just done what I suggested (Paraphrased, because his speech was long).”

I know he meant this as a compliment and so I do want to say “thank you” to him for thinking I have the intelligence to become a physician, but I also had a whole lot of other things I wanted to say, some of them said, some of them not.

I said….

If I had wanted to be a physician I would have done that originally.  Nursing’s view on patient, disease, and health has always been consistent with my personal paradigm on health.  I love my patient contact and now I am equipped to provide evidence to the problems that plague my patients and their family.  Can’t you just say instead… WOW, I love how intelligent you nurses are!  Can you help me research this problem, come up with a plan of care, and then educate me, my staff and my patients on it?

His response – “Chuckling”.  He then promptly turned to go into another patient room.

Physicians…. YOU NEED NURSES…. You need them to help you research, to educate you and your patients, to monitor and care for your patients 24/7 when they are critical, and to provide a different paradigm on health/illness/disease.  Please embrace their intelligence and then encourage the health systems you work for to send the brightest back to school for their MSN, DNP, and PhD degrees!

Stop telling nurses they are  “so smart they should have been a doctor”.  It is condescending to them and their profession.

  • http://thestorygirlbookreviews.blogspot.com Lorren

    Thank you so much for your views on this subject! I am a neuroscience undergrad and I previously planned to attend pharmacy school… however after shadowing a pharmacist and observing the nurses and nurse practitioners in the hospital setting, I realized that more patient contact was what I wanted. Now I am in the process of applying to an accelerated baccalaureate program for nursing and hope to go on to be a nurse practitioner. It drives me crazy when people ask me why I don’t just go to medical school instead. You articulated the answer I have been wanting to give them!

    • http://nursestory.com Terri Schmitt

      Good luck in school! It is difficult, but well worth it. I love my profession and can’t talk it up enough. Thanks for reading.

  • Gabe

    Thank you for speaking your mind to this physician. We as nurses need to have the confidence to speak our opinions on patients healthcare needs. This antiquated view on smart nurses should go to medical school needs to be put to rest.

    • http://nursestory.com Terri Schmitt

      Agree Gabe, time to let that view go. Now if media would only support this view as well. Thanks for reading!

  • http://www.TheIntelligentNurse.com Donald Wood

    As a nurse anesthetist, I have often been asked, what is the difference between an anesthesiologist and a nurse anesthetist? We both administer anesthesia (general and regional), we both care for patients across the spectrum (both age and acuity), we both order the same test and use the same equipment. I often tell people that, while we both perform similar task, we approach these task from different perspectives. I have seen many anesthesiologist who are very task oriented (and very good at what they do) but lack the critical people skills necessary to quickly form a relationship with the patient and family. My preference is to calm the patient with a smile, listen to their concerns and communicate with them in a manner that they understand. The alternative to these people skills is usually two milligrams of midazolam IV.
    Could I have gone to medical school? Probably so, but I would still be thinking like a nurse!

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