BostonFNP Guide 39,179 Views
Joined Apr 4, '11 - from 'Northshore, MA'.
BostonFNP is a Primary Care.
Posts: 4,466 (60% Liked)
NP educational programs hurt the profession. There's a reason so many people, working NPs included, feel this way. And, as a student experiencing the educational process for NPs at this very moment, I think I am more than qualified to comment on it.
As I stated above, I felt strongly enough about it that I sought out additional educational opportunities.
You are free to use biased, systematic reviews performed almost exclusively by nurses to prove your points, but any one who is experienced in evaluating research knows these studies are low quality. We all know that until a head to head, randomized controlled trial is performed, there's really no way to know if NPs provide EQUAL care to that of physicians. This study, of course, will never be performed as it is impossible in health care and probably unethical.
the educational process is hurting the profession as a whole. Imagine. If we were to include graduate level anatomy, physiology and increase our clinical hours (something that many NPs and NP students are opining for) what would PAs and MDs have to say against us? Nothing.
I commented that I was more than qualified to comment on the educational process of NPs. As I am, right this very moment, experiencing it.
...treatment is absurdly standardized. In other words, with a study heavily biased towards the null. Even a registered nurse could follow the recommended AAP flow sheet for diagnosis and treatment of asthma, or the JNC for HTN or the ADA for diabetes. 9/10 times if you throw Advair, ACE or Metformin at these people you’ll be practicing within the standard of care.
None of this is surprising, however, coming from studies with Mundinger as the lead author, as she is HEAVILY biased toward NPs given her background, much in the same way that studies published by drug companies are.
So you admit there are problems that need to be addressed, but don't think there is evidence that you and your colleagues should attempt to address them? Ok...?
You have made it clear that you think only practicing NPs have any ability to comment on this at all so I will bow out.
I simply feel that there is not a single NP program out there that adequately prepares students with their minimum requirements.
Welcome student NPs and prospective student NPs!
Starting your journey towards advanced practice and the provider role is a stressful time (we all know, we have been there) but also is a time to really embrace your transition and have the freedom to be an active learner. This time will be the foundation your career and your practice is built on. Unfortunately, this is a stage that is often mired by anxiety related to clinical placements.
I wanted to take some time and share my personal opinions on some frequently asked questions and frequently discussed topics. I would like to offer some guidance in a two-part post on this topic, this is part one of two.
First off, a little about me. I am a board-certified Family Nurse Practitioner and I work in a mixture of both inpatient and clinic settings with a small independent adult internal medicine practice. I live in a state that requires a collaboration agreement but I practice almost fully independently (as fully as I am comfortable with, see below). I have been on the clinical and didactic faculty at a local NP program as well as a lecturer and clinical preceptor for a local medical school. I have been an active preceptor for most of my NP career. I am active in the local and national NP association. I am not, however, the be-all-end-all of NP advice, so take everything as the opinion of one person with some experience.
Now on to the 10 questions I most frequently hear from students, both in school/practice and here at AN:
I want to thank you all for your responses to my post. I want to provide a brief update. I'm 3 months into the difficult job. I have wanted to work so close to home for over 10 years! This is my first NP job and it is the hardest job anyone can have in primary care. I'm expected to see 20-30 patients a day. I'm currently seeing about 20. What gets me is the way I get yelled at when I make mistakes. My superiors are very disrectful. They say things like-you can be sued for that or that is malpractice. I feel so awful for not knowing as much as they do. It is a physician run practice and there's a lot of animosity towards NPs. I'm currently interviewing at other places. I will travel if I have to. I can even go back to work as an RN. Please keep me in your prayers. I can't wait to submit my resignation letter.
That means NPs are reimbursed from insurance at the same rate for doing the same job which I support and which in theory should increase our value and compensation however no worries because I'm sure the number of co-dependent NPs with zero business savvy will continue to accept horrible paying jobs. All while feeling self righteous because if they didn't personally do the prior authorizations, answer the phones or scrub the office floor it wouldn't get done and all their beloved patients would surely perish. Written only partially tongue in cheek.
Advertise With Us