We have an issue here with NP's that get hired by an older specialist, who later retires. They tend to continue "the practice" or head out on their own after working with the specialist. I have NPs calling themselves Dr. Kim, Dr. Jane, etc. and their sign and website says: General Cardiology or Neurology. I don't think MDs who went to medical school, did a grueling residency, and then fellowship training to be a Specialist appreciate an NP calling herself a neurologist, etc. I think it's almost criminal, and certainly unethical, as patients don't know Dr. Kim isn't a "doctor" and certainly don't know she isn't a specialist. She's a midlevel provider.