I am applying for MD school after completing my FNP as I am not really impressed with quality of certification in FNP. The AANP review board are more with nurses, and I wish they had M.D. in nursing board. When I took my FNP courses, I had few instructors who were M.D. and I really fared well in those courses. So after completing the FNP program, I realize that I fit well in M.D. group rather than DNP/Nurses group.
Please suggest what school should I go in US or Caribbean.
As far as schools are concerned look for a DO school or MD school in the US. Residency spots are tight right now, and with many more FMG (foreign medical grads) who generally have a better education than Caribbean grads are getting those spots, leaving many Caribbean MD students in the dust with no residency, a ton of debt, and wasted 4 years of their life.
Some Caribbean students DO get a residency, but their most likely top of their class, from the top 1-2 schools in the Caribbean, and generally go into Family Medicine, Internal Medicine, or Pediatrics or some other lower ranked and less competitive specialties, so keep that in mind if you want to get in to a more prestigious specialty.
I suspect, that we will never see MD/DO incorporated into NP education because that would demand that NP education be regulated and held to the standard of the Boards of Medicine and not under "advanced practice nursing" where they can have more leeway in expanding (for good or for bad) their scope of practice as they see fit without medicine oversight.
I also think on the physician side of things, they are getting more resentful towards ARNPs (at least newer and younger physicians) because of fear of mid-levels taking over their specialties and the demands to be made primary care providers at the expense of less actual education and training as a provider with only a handful of studies done that do not examine long term out comes and have poor qualitative methodology. What was once meant to physician extenders and physician assistants are now vying for the same privileges and billing authority.
Several med [student] friends that I have express disdain for mid-levels if only for the reason that they feel their encroachment is insulting do to the fact that they have put in so much through academia, time, and money only to have the same privileges granted to those who have a fraction of the expertise and then have the audacity to call themselves 'doctor' on top of it.
I feel a lot of this resentment has come from the large increase of NP schools and those that are willing to accept students without clinical experience and no/low barrier to entry (GRE's, admission tests, ect) though, arguments could be made if floor nursing really effects APN competence.
Plus, keep in mind that most current schools of nursing have a big philosophy of showing everyone how they are not like medicine and not like other fields of healthcare. As a FNP graduate, I'm sure you've been parroted that "nurses care more" and are "more holistic" a million times throughout your nursing career, and students just eat it up.
Last edit by mrmedical on Nov 21, '12