To: LindyBill who wrote (306640 ) 5/24/2009 8:18:43 PM From: skinowski 1 Recommendation Read Replies (1) | Respond to of 793843 An experienced RN today is better trained and able to render simple medical service than Doctors were 20 years ago. And knows when to refer the patient up to someone with more knowledge Don't sell short those old docs. In 1983 I took over several patients from a former war time US Navy surgeon. At the time he was in his mid-70's, practicing as a GP. That guy could take out your gallbladder, take care of your sore throat and your blood pressure, deliver your baby... you name it. In fact, he did deliver a good portion of the baby boomers in the neighborhood. There was a lot to admire about with those old docs. Many of them were giants, with an incredible amount of experience. WRT knowing when to refer - that's a must - both for doctors and nurses. About "Guild" contrived shortage of Doctors.." - maybe. I'm not sure. My guess is that between all the US and foreign grads the bottleneck is probably in the number of residency slots (which are expensive) rather than in the number of medical school openings. I like RN's and PA's, and I think that in the future they quite likely WILL take over the bulk of primary care.... but make no mistake about it - "pre-med" and 4 years of med school followed by 3 to 6 or so years of formal postgraduate hands on training gives a person one hell of a lot of knowledge - which, usually, is followed by a lifetime of additional study and reviews. Nursing schools can't give you that. Not sure if this is a perfect analogy, but a good paralegal can be experienced and smart, but still, a lawyer for the most part will have knowledge which will be deeper and broader.