This is why medicine is going into the toilet. FNP takes a liposuction course provided by two Ob/Gyns specializing in cosmetic gynecology. NP is from AZ, a state where NPs can practice "independently". Course is in NJ. FNP "specialty" is an O/P curriculum in primary care-the SOP

2)DOES NOT include surgery. There is no NP program or curriculum that exists for liposuction and fat transfer. This is basically a 2-day course/seminar. But since these docs teaching the course most likely don't know or care about NP SOP and the FNP has no oversight in Arizona,

3)what's to prevent her from practicing surgery w/o a license at her own medspa( https://renewedmedicalhealth.com/ )? Not a damn thing. She may claim she is "certified" because of the form she receives for the course/seminar. Who is the certification body? The International Society of

4)Cosmetogynecology(ISCG), a legitimate association ( http://www.iscgyn.com/en/aboutus ) founded by the same docs who run the course/seminar. FNP's med spa in AZ performs a lot of functions that fall under the practice of medicine/surgery: plastic surgery, dermatology, endocrinology, etc.

5)For the public, this is known as practicing w/o a medical license. Medical board in AZ will do nothing, even if a patient is harmed because the individual who caused the harm is a FNP. A nurse with a master's degree. If it was a layperson, he/she would be arrested. If it was a

6)doc trained in none of those areas, the BOM would suspend or revoke his/her license. Here's the kicker. Docs can legally practice in all these areas because our licenses permit it. We have a broad SOP. Know why we don't? Because we know our limitations/SOP and we know that the

7) BOM will yank our licenses in a heartbeat because we have not completed residencies in those areas. Nursing boards won't do jack. So guess who handles the complications caused by FNPs who practice in this realm? The plastic surgeon, the dermatologist, the surgeon,

8)the endocrinologist, etc. The physicians. You know. The ones to whom they claim their practices are equivalent. Yeah. For those who haven't figured it out, procedures in liposuction and fat transfer are not currently in high demand in rural areas. This is what FPA looks like.

**SOP=scope of practice
**FPA=full practice authority=practicing medicine w/o a medical license.