NP or MD? What would be the right choice in my situation?

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    Okay, so my knowledge is somewhat minimum compared to all of you guys, so please forgive me if I seem naive.

    I'm entering college this fall into nursing and the plan has always been to go on and become an NP (DNP, in Iowa it's required that by 2014 all those graduating as NPs must graduate with doctorates) But lately have been toying with the idea of going into pre-med. I think I have the drive, brains, and grades to be able to get into medical school, although I know it is difficult, so in the end that could be a factor.
    Based on the following which would you say is a better fit?

    • Am interested in family medicine or peds
    • Have no issue working under someone, but would prefer to work in colaberation and not be made to feel lesser
    • Although I am not interested in either for the money I want to be able to live a comfortable life without worrying about bills
    • Paying for school isn't an issue, I'm lucky enough to have parents willing to pay for all my schooling
    • Although I am more then willing to dedicate a lot of time to my work I want to be able to have a social life and when the time comes be able to spend time with my family
    • Hope to eventually move to Chicago area
    • Have a goal to open a practice one day, but if I understand correctly that is allowed with NPs also.


    I know you guys don't personally know me, but any input would be very appreciated. Even just listing some pros and cons of either or your personal experiences.

    Thanks a whole bunch!
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    If you want to own your own practice as a np, make sure you really love nursing because it will be a tough road. Alot of states will require you to have a collaborating physician which is difficult to find and expensive. I don't think you will have a lot of free time owning a practice. It requires a lot of hours and patients to stay afloat. All of the reimbursement claims are decreasing.

    I like the nursing model better than the medical model. Nurses and nurse practitioners center care around the whole patient, not just the disease. You will see NP's that will have slightly longer appt times with patient's than the physician. But if they are working on bonuses they will usually be shorter as well.

    You will find that if a doc is looking for a NP, he will see that person as a provider and less of an employee. They know what to expect. It's the docs that don't want NP's that give us a hard time. The ones I've worked with wish our laws were easier so their job as collaborator would be easier.
    I would do some job shadowing, if I were you.
    Last edit by shapely on Apr 10, '10 : Reason: finish answering


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