Credentialing Nonsense

Credentialing Nonsense

Being credentialed is a necessary pain. I have to document to my hospitals and some insurance companies that I am trained in my speciality and should be competent to practice medicine. It is a lot of paperwork and ithas to be kept up to date. I am, however, credentialed in reality-based medicine.

How do you credential someone in a field that is based in pseudo-medicine, divorced from reality, with a panoply of imagery diseases treated with equally imaginary therapies?  Like natruopathy?

As noted by one author who desperately wants do give his difficult patients to naturopaths:

Unfortunately, a number of serious difficulties can be encountered by internal medicine, family medicine, and pediatric physicians who refer patients to, or attempt to comanage patients with, naturopathic physicians.

and

Yet because of differentials in paradigm and/or clinical experience, naturopaths commonly order laboratory tests that are either unrecognizable or seem inappropriate to internists.

They don't seem inappropriate, they are inappropriate, but to be expected in an education and training dominated by nonsense. I have discussed at length why naturopathic training is useless for the diagnosis and treatment of patients. It is an old joke, but ND really does mean Not a Doctor.

It does not worry my alma mater, Oregon Health Sciences University, who ignores the whole science part of their title and credentials naturopaths. How they do it is detailed in A Framework for Credentialing Naturopathic Physicians in Academic Health Centers: Oregon Health and Science University.

They state

To maintain consistency with the rigorous standards applied to all credentialed healthcare professionals at the institution, the requirements include postdoctoral training (clinical or research) in an AHC to establish cultural competence and the completion of one year in a residency approved by the Council on Naturopathic Medical Education or two years of direct clinical practice in a hospital accredited by the Joint Commission or the Centers for Medicare and MedicaidServices to establish clinical competence.

But pay no attention to the content of the education. Being extensively trained in pseudo-medicine does not mean the practitioner should be allowed to take care of patients, especially at a University.

So what good is

  • Successful graduation from a 4-year accredited, post-baccalaureate, training program with designation as a Doctor of Naturopathic Medicine
  • Successful completion of one year CNME (Council on Naturopathic Medicine Education) accredited residency or evidence of 2 years direct clinical practice in a Joint Commission or CMS accredited hospital or academic medical center
  • Post-Doctoral Training for at least 2 years in an Academic Medical Center
  • Successful completion of NPLEX (Naturopathic Physicians Licensing Examinations) with a current license as an Oregon Licensed Naturopathic Physician
  • Additional Active Clinical Practice for at least 2 years, immediately preceding the request for clinical privileges at OHSU, documentable via reports of specific activities from the locations of practice

when it is all based in nonsense? Playing doctor doesn't make you a doctor.

And OHSU requires far more requirements to practice than most naturopaths have who pretend they can function as primary care physicians. 

Ms. America, Doctor of Chiropractic
Points of Interest 11/08/2014