Doctors, why are Non-MD's ordering imaging examinations?

NPs and PAs can order diagnostic testing and or meds only if they are working under a MDs license and guidance. pedal edema, for example is by itself not a indication of possible DVT. but if its only in one foot, there is cooliness, numbess, pain, color difference, a doppler to r/o out dvt is very appropriate. Dvts can be dangerous.

The level of indepedence that a NP or PA have depends on the overseeing MDs confidence in their decision making. Most doctors not have enough time in day to completely see and assess all pts. Be assure that any test results are reviewed with MDs. Most testing done is usually negative. This is because generally to least expensive, most obvious and common problems most be rules out first. If you do not think that these health professionals are not looking attending to your health needs appropriately...you have a right to see the MD. I have worked with NPs for years..and feeling confident to trust my health and my family's to them..however they should take the time to explain tesing, possible diagnosis, and meds to you..they are there for you..and you need to ask questions. Be inforned. That said, rememnber like MDs, there are some better than others. Generally, if you trust your MD, you can trust their NP, PA,

I work in a practice with several MD's, NP's and PA's. All midlevel providers are well supervised and ordering of imaging (we are neurology!) must be justified in today's medical climate or the insurace company just denies it.

NP's and PA's receive a master's level science and medical education similar to what doctor's get in medical school. PA's especially must pass medical board exams every six years to remain in practice.

Of note: podiatrists are not supposed to practice medcine above the ankle so if orders are given for tests on the leg then this is inappropriate.

What about chiropractors? They assert themselves as "doctors" and yet have NO formal training in medicine or pharmacology or physiology. Just a thought,

While I agree with you on the point that these less educated Allied health care givers waste a ton of money ordering unnecessary diagnostics, they are a crucial element in allowing physicians the ability to tend to more acute patients and to see more patients on a daily basis. Also, in a lot of instances, they see patients that would have to wait hours or days before seeing a physician.

Just my opinion, but NP's are the worst. As a former laboratorian, I have seen them simply check every box on an order sheet because they are clueless. When questioned they respond with "because I said so" and that they NEED it to diagnose the patient. I guess those online NP degrees are making a fortune for someone.