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lckrn2pa 3,055 Views

Joined Feb 4, '11. Posts: 166 (60% Liked) Likes: 432

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  • Nov 11

    Ok, where do I start....the whole ideology of NP's taking care of the whole patient is perpetuated by the academic world in their efforts to differentiate themselves from others. In my 20yrs as a RN I honestly can't tell the difference in the care that experienced NP's give from experienced PA's. Every NP I've ever worked with practice medicine, no "Advanced nursing". I'm sorry if this stepped on any toes but it's what I've seen in numerous encounters with NP's and PA's alike.

    Now, the idea that PA school is less schooling is absolutely false, research PA education a little before you make that comment. Every PA school has different admission requirements, same with nursing. Some require a BS degree and some don't. Some award AS degrees, some give BS degrees and some give MS degree's. It does not mean you can do the bare minimum and still get in, my school awards an AS degree but 90% of our class have their BS degree. But all these degree differences isn't anything different than the direct entry BSN or MSN programs out there.

    PA are able to change specialty area with ease, PA's can do psych and peds and OB and whatever other area you want to work. Can't do anesthesia but don't really want to anyway. Most every PA school will do 1500 to >2000hrs of clinical rotations compared to 600-1000hrs in NP school. NP's have independent practice in a number of states and that is something many will throw out there as their badge of honor but if you ask many of them about where their own practice is then, well, very few actually have their own office. Personally, I don't want to worry about keeping the lights own, just let me see patients and give me my check on Friday, something that is echoed by many of the NP's I've worked with. People will also toss the supervision thing about PA's, true, I'm tied to my SP and we have to have a delegation of services agreement for my practice but the job I'm taking next year when I'm done my SP's office and my office are about 30 miles apart. He has to be available for phone consult or email or whatever means to get in touch and 4hours in my office a month to sigh charts.

    These are just a few things, sorry to drag it out but in closing I'd say, personally, I would have never gone to nursing school if I'd known about PA's 20yrs ago. It took me the last 5yrs to get financially stable enough to not work for 2yrs while in school. Big advantage of NP school is part time and full time status in school and the ability to work close to, if not, full time hours. PA school, very few work, none in my class but there are some that worked in PA school but you'd be hard pressed to find them. Every NP I've ever worked with, worked during school except one girl and she was an ER nurse that married one of the surgery residents. There's no shortcut to either route so chose what is the best fit for you. Talk to some NP's and PA's in your area, visit schools and educate yourself on both professions and then you will have the info needed to come to your own conclusion and not listen to the ramblings of some unknown PA student that hasn't slept in about a year and trying to recall what the difference is between the negative-negative and positive-positive or was that the negative-positive or positive-negative trendeleburg test for varicosities......think I need another 5 hour energy.

  • Oct 21

    Ok, lets look at this from another angle. By your logic, Midlevel's can not give a level of care equal to a MD/DO. So get rid of midlevels. Now, same argument, CNA's, MA's, LPN's can not give the same level of care as an RN so why not get rid of them as well. Since an RN can do the job they do but they can't do the job of the RN then I guess they serve no role, going by your logic.

  • Oct 2

    There are no bridge programs to go from anything to PA and no part time programs to become a PA. Like Neo said, Extremely rigorous. I'm at the end of my didactic year and since last july we have been in class M-F 33-36 hours per week, I study about 40-60 per week outside of class, I've not worked since July 4th last year and prob won't work til I'm done with school. Our clinical rotations start end of July and by graduation July 2012 I will have 1800-2000 clinical hours in PA school. We go for 16 week terms the 1st year with 1 week of between and got 1 week for Christmas. Clinical year we only get a week off at Christmas.

    As a PA you do have a delegation of service agreement with your supervising physician and yes your tied to that doc but they are not looking over your shoulder and most times not even in the same office. As a PA you can jump specialties whenever you like but you can't carry your previous scope of practice with you. Basically if your SP doesn't do it then you can't do it. I could do ER for a few years, move to surgery if I want, jump to pediatrics or whatever I desire without any further education. One thing to consider is PA's re-test every 6 or 7yrs, can't remember but as a NP one and done. Make your decisions based on your own needs, PA school = no work so >school loans but also more freedom to choose your career. NP school = part time vs. full time, ability to work so < school loans, the independent practice chip they so readily toss out. For me personally, I don't want the headache of running my own clinic, just let me see patients and give me my check on Friday. I've seen, worked with and known many NPs that during school they carried that moniker religiously, "I'm going to open my own practice and not ever have to answer to another doc" and several have done so. Most, however, have realized that working to keep the lights on is worse that working for a doc. just my 2cents tho.