BostonFNP Guide 38,109 Views
Joined Apr 4, '11 - from 'Northshore, MA'.
BostonFNP is a Primary Care.
Posts: 4,427 (60% Liked)
Simmons is a fantastic program and they do secure clinical placements.
It makes me nervous that questions like this get asked here.
These are the good programs in MA (in no particular order):
These assignments have several purposes, one of which is to get you out and networking with locals NPs! If you can try and talk to some local providers, you may just find a mentor or a great local clinical site.
Frankly, if we are talking about outcomes, NP education is indeed superior to MD education as the data indicates our outcomes are equal or superior to physician outcomes.
It's heavily algorithmic now where we use evidenced based medicine to produce the best results.
We follow the best practices and dont experiment with dangerous drugs protocols unproven by medical evidence simply because we have some better understanding of the science behind it without any real clinical outcomes to back it up.
NP's are a cost effective solution to the primary care crisis.
We are here to stay and we really no longer need physicians in the primary care role anymore.
I never said your statement was correct. I know the research well and I also know the research is very skewed. I put a great deal of thought into grad school before I made a final decision.
I have already successfully completed PA but thanks for the advice! I fully understand the impact of my statements. My co workers are glad that I commented on this thread. We were actually talking about it today
Do you think some use NP's as cheap labor? Why do you think there is such a push for independent practice? Why pay an MD to do the same job? Because NP outcomes are equivalent right. NP, PA, MD it's all the same.
To answer your questions: 10 years as RN, 5 years as a traveler, traveled all over the country, 5 years as PA-C adult critical care, most difficult part at first being responsible for someones life I was terrified, a residency program would have helped
Honestly, a 1-2 year residency is a very reasonable compromise. After that they can have independent practice. It's crazy to me this push for independent practice from day one. Because if you think about it very few medical professions offer full independent practice day one. Most either require or highly recommend a residency program. Nurses need to understand the political forces behind this push for independent practice before automatically jumping on the bandwagon.
Are you sure you want me to post the thread? You participated in that thread from 2015. I'd really hate to make you eat crow
And I just have to say, I love the thread where NP's whine about not getting paid as much as physicians. LOL well you have half the education. So it's only fair you get paid less! That's business!
I have already read the research on it. I just wanted you to research it more thoroughly.
Personally the available data I've seen has not satisfied me that NP outcomes are on par with physicians. In any event these studies were done when NP education required RN experience which I personally feel does make a difference in most cases, not that there aren't outliers, NPs with no RN experience who are good and NPs with years of RN experience who are incompetent but overall because our education is superficial and at the very least brief I feel RN experience is a key component that we won't see going forward. It would appear there is a NP school for anyone who can pay the tuition and frankly that frightens me.
Side note if I had to blindly pick a NP vs PA I'd go with PA because their education is based on the medical model which I feel is superior.
There are definitely several threads on allnurses where NP's claim the education is equivalent.
Please cite your sources for these outcomes. Which medical school do you work with? I don't think they will be too please to see you posting on a public forum that an experienced NP can run circles around a PGY1. Let alone advocating for MD's to leave primary care. Further, what do you mean run circles? Sure NP's may have better time management skills and maybe they can handle the work flow better due to their bedside nursing experience. But sit down with those PGY1's and you will find that they are incredible intelligent, critically thinking minds. They may need some assistance at first with work flow/work demands but I've found that most PGY2 can run circles around an experienced NP. I have experience at one of the top teaching hospitals in the country so maybe my perspective varies.
Advertise With Us