Med school to NP

Specialties NP

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Hi all, I'd really appreciate any insight.

If any current/recent NP grads could PM me or share about their school experience, I'd be grateful.

I am a medical student in Chicago looking to make a career change and have been considering this for two years.

I've finished a year and am on a leave of absence. I was depressed, and one of our classmates and a resident died of an OD last semester. My own father, a physician, died of an OD when I was young. The school has ramped up suicide prevention measures in the wake of increased attempts, but this all seems very normal for the administration.

To keep things short, every day I've become more concerned about my own mental health in this setting and training, and how it has changed me.

This is not the only reason I think NP would be a better fit. I don't have enough space to go on and on. But I wonder how NP students have felt about their training.

I am applying to all the direct entry MSN Chicago schools, and any others nationally that I have the prereqs for. I just feel very alone.

Specializes in Psychiatric and Mental Health NP (PMHNP).
Actually, I haven't discouraged anyone from becoming an NP. Nowhere did I say that. You must have imagined it.

Let's take a closer look at your comment that I am referring to:

You: Yes, which is why NP salaries have dropped in many areas of the country. Reports of NPs making 70-80k/year are becoming more common.

My response: This is a discouraging comment regarding NP earnings and I'm not sure what you are basing this on. Is this anecdotal evidence? In addition, pay always varies based on experience, full time versus part time, location, and specialty. As I stated, NP pay in the Western US is quite healthy.

You: It's no secret that it's easy to become a NP and one has the potential to make good money, if you have the luxury of being able to obtain those opportunities.

My response: This is somewhat contradictory to your previous statement. And I am not sure what your intention was in making this statement. In general, people who make the sacrifices to obtain more education and training can expect to make more money. Blue collar skilled tradespeople make more than unskilled tradespeople. Education is not a luxury - it should be viewed as an investment and evaluated based on ROI. Furthermore, there are many ways for people to obtain an NP without incurring huge amounts of debt.

You: Point being, wages fall with more applicants to choose from and this is an increasing trend in the profession.

My response: Given that we have an overall shortage of primary care providers, I fail to see how your comment is applicable. We have a distribution problem, not an oversupply of NPs. Do certain locations have an oversupply of NPs? Yes, but people can move to an area with better job prospects and higher pay. We have an acute need for NPs in the many underserved areas of this country, and many of those areas have a low cost of living and are willing to pay more than even in the big cities. In addition, the best NPs will always be able to get a job.

Given that you are an ER RN, and have expressed no desire to become an NP, I am curious as to why you are so concerned about the supply of, and demand for, NPs. You also live in Nevada, a state with an acute shortage of primary care providers, and NPs can make a big contribution to filling this need.

Specializes in Psychiatric and Mental Health NP (PMHNP).

The average NP pulls in at least 300k or more in billing yearly and gets paid maybe 100k. Even for those who are earning above average, ie 150k, guess who keeps the rest of that money?

There is a big difference between an NPs billing rate versus the NPs take home pay. This is true for employees in all professions, not just NPs.

The standard is a 3:1 ratio (billing rate:salary). 1/3 for salary, 1/3 for profit, and 1/3 for overhead.

So, if an NP bills $300K a year, then a salary of $100K a year is in line with most other professions.

NPs can go per diem or locum tenens to make more, or in a full practice authority state, they can open their own practice.

Note: overhead for medical practices is quite high, higher than for a lot of other professions. Office space, medical assistants, medical equipment and supplies, insurance, benefits, office manager, EMR/EHR, marketing, accounting and finance, etc.

Given that you are an ER RN, and have expressed no desire to become an NP, I am curious as to why you are so concerned about the supply of, and demand for, NPs. You also live in Nevada, a state with an acute shortage of primary care providers, and NPs can make a big contribution to filling this need.

No big concern really, just helping others make informed decisions if they happen upon these threads.

Specializes in Psychiatric and Mental Health NP (PMHNP).
No big concern really, just helping others make informed decisions if they happen upon these threads.

Then it's a shame that you seem intent on painting a gloomy picture of being a nurse practitioner and one that is largely inaccurate and unsubstantiated.

Specializes in RETIRED Cath Lab/Cardiology/Radiology.

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Thank you.

I am sorry things have been so difficult for you. In my opinion, no job or career is worth sacrificing your health for. I think you've recognized this, and I'm glad you're looking to make a change. Do not let anyone, including yourself, pressure you into going back to med school if that's not what you want. There are a lot of conflicting opinions here about direct entry programs. I am a direct entry grad, and had a positive experience. Should you choose to go this route, please choose your program carefully. Go to a reputable, well established school that helps you find your preceptors. Get your RN/BSN, and then see if you want to work part time as a RN while you complete your MSN, or not. Maybe you could do some kind of volunteer work in the mental health arena while you're applying or deciding what your next step is.

I wish you the best.

I have a question about these direct entry programs, the majority i have searched only award you with a Nurse Educator NP or something similar. Nothing that will allow you to be a FM/Psych NP upon graduation.

I am in the same position as the OP trying to stay in the science world while recovering from time spent in med school and want to finish my education as fast as possible (not at the expense of training but because I want to start working / starting a family asap)

Problem is many of my classes are old (graduated with a bio bachelors in 08) could you recommend any of these direct entry to MSN programs or would you think it would be better to do an accelerated BSN than a normal length/normal paced MS NP program

Really want to get this done before DNP becomes mandatory to avoid yet another year of schooling and tuition

Specializes in allergy and asthma, urgent care.

PM me if you have questions. The school I attended, a reputable brick and mortar program, does have a Direct Entry PMHNP program. Most of the students had some sort of mental health experience. My sciences were also old when I applied. I had a BS in Biology and Medical Technology. I took and passed the CLEP exams for intro Bio and Chem, but did have to take some courses over. There was no way around that.

PM me if you have questions. The school I attended, a reputable brick and mortar program, does have a Direct Entry PMHNP program. Most of the students had some sort of mental health experience. My sciences were also old when I applied. I had a BS in Biology and Medical Technology. I took and passed the CLEP exams for intro Bio and Chem, but did have to take some courses over. There was no way around that.

Is there any way you could please PM me as since i have not met the minimum topic count of 15 allnurses.com will not allow me to send a PM to you

Thanks

Specializes in allergy and asthma, urgent care.
Is there any way you could please PM me as since i have not met the minimum topic count of 15 allnurses.com will not allow me to send a PM to you

Thanks

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