We need more people who realise that having the word "Practitioner" in their job title doesn't make them a doctor. To use a slightly ropey analogy: Being an Ambient Products Replenishment Practitioner still means you're essentially a shelfstacker. It doesn't automatically make you the Supermarket Manager - that would take longer training and a degree of expertise in the whole range of goods that your supermarket sells - not just the Ambient products... The real irony is that nurse practitioners aren't really any cheaper than house officers! And while practitioners take on more & more jobs that us juniors used to do, we lose out on crucial experience!