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Boatswain2PA 1,415 Views

Joined: Aug 14, '10; Posts: 23 (43% Liked) ; Likes: 16

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  • Jul 25 '11

    I would go in an instant, but I became a FNP late in life and look forward to retiring soon. If contemplating the change - DO IT NOW!!! Don't spend the rest of your career as a second fiddle and wishing you were the MD!

  • Jan 21 '11

    Quote from thenewguy8
    Thanks for the responses, everyone.

    Question - do you think this negativity is directed more at DE NP programs and not the NP field in general?

    I'm considering a DE program - I have no prior nursing experience (I'm working as a medical scribe now, and will have 1.5 years of that under my belt before the program begins). I totally understand the criticism of the DE NP programs and have fears there myself in terms of sufficient education. I plan to be proactive there by taking lots of pre-medical science courses before my program begins, and seeking as much clinical training opportunities as I can.
    The negativity is directed at the NP lobby who is continually pushing for expanded practice rights despite doing nothing to improve the clinical education of NPs and the NPs who really think that they have the same knowledge base and preparation as a doctor. The negativity is not directed at NPs who know their place in the health care team.

  • Jan 6 '11

    Quote from dthfytr
    Makes it much easier to get along with the boss!
    If they've got the stones to do it then by all means. From having been an avid reader at it seems that the PA locates and pays a physician to be their collaborator.

    Arkansas prohibits this though, but the PAs still dont' require immediate, direct supervision so for the readers they can work independently on a day to day basis.

  • Oct 30 '10

    Quote from dr. tammy, fnp/gnp-c
    in regards to mandatory supervision of np's by way of md's signing np charts days later, who is actually served by these regulations--from a financial, political and power point of view? keep in mind that the consumer is protected by licensing boards and np's are compromised as this directly involves barriers to practice.

    as nurses, we need to understand that if we do not stand up and take ownership of our profession and direct our future--others outside of nursing will be more than happy to do it for us. true, the arrogance in one profession attempting to dominate another profession is readily apparent--but this can only happen if we let it.

    ironic you allude to doctors as being the ones who are arrogant. now which group is it that is taking a short cut around tens of thousands of hours of clinical training, scores of hours of hard sciences and years of residency and then calls themselves equivalent? explain to me which group is arrogant- the people taking the short cuts or the ones calling them out on it.

    personally i think that nps should have closer supervision. i agree chart reviews days later does next to nothing; regulations should be tighter such that an np should have to present to an attending after each case just we had to do in during resident clinic.

  • Oct 30 '10

    Quote from Dr. Tammy, FNP/GNP-C

    1) The only chasm here is between your lack of credentials, knowledge, training and education in the nursing world and what you purport to know about the nursing profession and nursing practice.

    2) Maybe you might want to start sharing your thoughts of superiority with other practice-based doctors in how MD's are the only real doctors worthy of the doctor title. Perhaps visiting and sharing your thoughts on sites with the PharmD's, DPM's, DDS's, PschD's and OD's might be in order.

    3) If that doesn't keep you busy, how about addressing why physicians, as the captain of the ship, have completely failed in keeping our country healthy, failed to provide equitable medical resource distribution to vulnerable populations at risk and why our medical system has fallen from a priemier system to that of bandaide

    4) As far as chuckling, the only laughter I hear is that from NP's as they gain independent practice in state after state after state. (Kerplunck!) whoops, there goes another state with independent NP practice!

    Dr. Tammy
    1) You can label it whatever you want- whether nursing or medicine, but diagnosing and treating whether a nurse practitioner or an MD is the same job. You can call it "nursing practice" if you want to but it is the same job. Thus, the fact that I don't have a nursing degree is completely irrelevant. I have standing to comment.

    2) Now as to dentists, podiatrists and pharmacists- each of these is the absolute expert in their domain. MDs do not have the extensive training dentists have for dealing with mouth pathology, the extensive training podiatrist have for foot pathology or the training in drug kinetics and interactions that pharacists have for drugs. So within those domains, they are the experts and I cede to their authority. Thus dentists are the doctors of the mouth, podiatrists the doctors of the foot and pharmacists the doctor of drugs. DNP's are the doctors of what exactly?

    An NPs domain is the exact same as an MDs, so they are NOT the masters of their domain. In fact, they claim to do the same job as MDs yet have a fraction of the knowledge and training. Here is the major difference between you and a dentist/podiatrist/pharmacist- they have the highest level of training possible in their field. NPs aren't even close; instead NPs have 800 clinical hours and more nursing leadership credits than pathophysiology credits. That is why there has been such an increase in autonomy of NPs; the students have been taught to advance their degree instead of how to better take care of patients (more pharm, more path, more phys etc).

    3) So you really think it is doctors who are the ones who control how resources are distributed in our health care system? I wish we had that much power. Perhaps you should direct your anger at the bureaucrats in DC and those who run the insurance companies because we doctors would love to be able to treat everyone and have the power to do so. (Good try at mud slinging)

    4) Until NP education comes in line with the rigor and length of medical training, NPs will always be second rate. So, chuckle all you want. You are putting yourself and your profession above your patients and that is a pity for them.