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Medical Alphabet Soup - Part II

(Link here for part I of this discussion.)

My last column described some of the initials you’ll find after a doctor’s name and what they mean.  As a prudent patient, knowing the distinctions among all those initials will help you choose the provider with the most appropriate education and credentials to help you.

But doctors’ initials are only a start!  When you visit your provider’s office you’ll find people who aren’t doctors who have initials after their names, too.

Here are a few you may find:

A PA is a Physician’s Assistant.  PAs are licensed to practice medicine under the supervision of private practice physicians or hospitals.  They may diagnose and treat patients, prescribe medicine and some may be surgical assistants.

Perhaps the most recognizable designation is RN.  RNs are Registered Nurses, and you’ll find them in almost any health care setting. While doctors and others may do the diagnosing and prescribing, nurses are found in every support role there is, mostly providing treatment and monitoring to carry out other provider’s orders.

Some RNs have a two-year, associates degree, but additional designations and initials may indicate additional education and training.  For example, a BSN is a nurse with a four-year, bachelor’s degree. CRNAs are Certified Registered Nurse Anesthetists who provide anesthesia to patients prior to surgery, baby deliveries, dental procedures and other situations.

Sometimes, however, more than two initials may mean less training, and different responsibilities.  A CNA is a Certified Nursing Assistant and an LPN is a Licensed Practical Nurse.  Neither of these credentials requires a post-high school degree, but they do require special skills training. 

In some cases, fewer initials mean more education.  An NP is a Nurse Practitioner.  Nurse practitioners have completed a registered nursing degree, plus an additional degree, usually a masters.  An NP must be certified in a specific specialty area, such as family health, oncology, or pediatrics. An NP can serve as a patient’s regular health care provider, and may diagnose, order tests, develop treatment plans and write prescriptions.

There are dozens more designations for providers of varying backgrounds.  For a master list of designations, check out MedHunters Directory.

What’s the bottom line for us patients?  Understanding basic designations can help us make the right provider choice, setting the stage for a good partnership, and a better medical outcome.

©  2006 Trisha Torrey

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