So guys, if NP/PA sare "rheumatologists" and better than many physician trained rheumatologists - aren't we doing a disservice to our young trainees by encouraging them to go into Rheumatology? If folks with less than half the training can do an equal or better job - why should they spend the extra years training to be a rheumatologist? I'm not being argumentative. Many in the government are pushing for non MDs to manage pt with the argument that physicians are not needed so much. Are you generally in agreement with this??