Quote from juan de la cruz
I didn't care to check but my understanding is offshore medical schools are not accredited by the LCME, the agency that accredits all US and Canadian MD programs. Graduates of offshore medical schools are considered Foreign Medical Graduates (FMG) and are required to be cleared by ECFMG prior to obtaining a residency slot in the US. The latter requires that FMG's graduate from programs that meet criteria for LCME accreditation or listed under a database of worldwide medical schools that uphold standards similar to LCME.
This is correct. Caribbean schools are considered foreign and are not accredited, however, their graduates, if they desire to practice in the US must pass the USMLE step exams and complete a residency.... so there are still barriers to entry.
Also, the PA programs listed as "online or hybrid" are not "online or hybrid" in the same sense as NP programs. They all require significant time spent on campus - not a couple weeks over the course of the program. Lock Haven is all on campus - they have lectures on the main campus that students on the other campus watches via live feeds. So online but not really. And Yale requires multiple site visits including the entire first semester being on site. MCPHS offers an online doctorate for practicing PAs who already hold a master's degree as a PA. UND is a little more similar to NP education, however it still requires 17 weeks on campus.
My main complaints are a lack of a graduate gross anatomy class, no surgical training and far too few clinical hours.
Anecdotally, I just met an FNP student last week who is starting clinical next term who said when she met with the preceptor she told him that she knows nothing. I asked her what she meant when she said nothing and she, again, said she knows nothing. She said she hasn't learned anything clinically yet. The school assumes she will learn it on her clinical rotation. The school requires 675 hours and has just 1.5 weeks on campus. Just mind boggling. I can not imagine starting rotations and not understanding how to develop a differential, what labs/exams to order, how to interpret and formulate a diagnosis. In general, all PA and MD students at least start clinical and graduate with a standard, basic knowledge base.
Nurses like to throw around phrases like, "the data show..." or "studies show that..." but the studies they are using are poorly designed and the data is biased heavily towards the null in all of them. Because of that, the best we have to go off of is to use common sense and compare ourselves to the other provider level professions. And, when we do so, we fall short.