A landmark decision in my workplace - page 2

by BlueDevil,DNP 9,223 Views | 32 Comments

We found out on Friday that our corporate pay schedule is being completely revamped and NPs and MDs/DOs in any given specialty will be paid the same, weighted according to experience, not educational path. MSN/DNP prepared NPs... Read More


  1. 0
    Awesome!
  2. 0
    Congrats on the raise!

    Question though- not to hijack the post, but it has me thinking about where I may want to practice in the future. What states allow for an NP to practice independently, or where can I find that information? I live in MA and I don't believe we are one of those states (correct me if I'm wrong) ...Thanks, and congrats again to the OP
  3. 6
    If they're going to pay an NP the same as an MD it makes no sense to hire an NP. No one is going to argue the fact that an MD goes through more training, why hire someone with less training and pay them the same when you can have the maximally trained professional for the same price?

    I thought the whole selling point of using an NP was that they wouldn't cost as much yet be able to provide adequate care. If it's costing the system the same amount of money to employ an NP as it does an MD that tosses that whole argument out.
    jtmarcy12, mystory, wtbcrna, and 3 others like this.
  4. 2
    Thats why my hospital will never have a "landmark decision," and I would be extremely worried about a Lay-Off if they did. I am very excited for you though, and congrats on the Raise!

    If they did that here, I could just see them waiting until they could recruit more DOs/MDs, and throw the NPs by the wayside each time. Here, we practice independent, but we are the first to be Cut, and last to get a raise. We are in/out with the seasons. The Hospitals here seem to be much more volatile than clinic practice. But, I don't ever want to be tied to a clinic again that I don't own, and never will.

    If I could go back, I would have done DO school- and never invested in a degree I can make more on the road traveling as an RN (CEN), than my MSN/ACNP! It is one of my most regretted decisions.

    All that said, It is good to hear some good news! Really Proud for you. And, Yes, a little jealous.
    brandy1017 and mystory like this.
  5. 0
    You still haven't answered one question, what state do you practice in? I am planning on becoming a NP, I will be specializing probably in cardiac. It's about time NP's received the same respect as MD's. Although, I must admit it appears to me that MD's have far more clinical experience, at least at my hospital in Pennsylvania they do that's for sure.
  6. 0
    I practice in NC and I've struggled since starting my first job (5 months ago) to try and get my physician associates to realize that NPs here are required to have a collaborative aggreement with one physician - NOT full supervision and report/preceptorship on each and every patient I see. This job has been great and is likely to last another 8 months or so, at which time I will be ready to move on to something a little less restrictive.

    Relocating isn't an option for me right now, but I'd be interested to hear what states are disposing of the restrictions that we currently have in NC on independent practice.
  7. 1
    @cardiac - she stated she didn't want to post the state d/t privacy. You know the rule about not sharing company info. Let's just appreciate the info she has given so far.
    mystory likes this.
  8. 0
    Quote from sheronep
    @cardiac - she stated she didn't want to post the state d/t privacy. You know the rule about not sharing company info. Let's just appreciate the info she has given so far.
    Actually, I didn't know that rule. Y'all just forget that I told you where I'm from!
  9. 0
    Quote from mammac5

    Relocating isn't an option for me right now, but I'd be interested to hear what states are disposing of the restrictions that we currently have in NC on independent practice.
    http://www.texaspolicy.com/pdf/2007-...tioner-mks.pdf
  10. 0
    This is fabulous news for APN's and nursing. Thank you so much for sharing, Blue Devil.

    In a couple years' time- if everything goes according to plan- I hope to be that CNS, leading the diabetes group...and I hope that I am able to work for a forward-thinking company who sees the value in APN's, and the value in diabetes treatment/education/complication prevention.


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