Quote from reesern63
As long as I wouldn't have to do peds or gyn, that would be OK. I wouldn't mind doing some hospital, I just wouldn't want to be stuck in the hospital all day every day.
Most of the NPs in my area are FNPs. None in the EDs; most round only on med-surg units when they're in hospital, with the exception of the NPs who work for the cardio groups, and that's not my interest either. I want a little more variety.
Thank you for the suggestions so far. They really help and have given me much to think about.
I am a student in a FNP program.
I was faced with these same decisions. The decision ends up being a personal one. One must look inside themselves and discern what it is they are looking for.
Have you asked yourself, what do I really want? Where do I see myself in 5 years, 10, 20? If you know the answers then you can answer your questions.
One must also look at where they want to live and what the practice guidelines are for that state. Are you going to live there for the rest of your life or do you consider that you might want to be mobile?
What kind of hours are you looking for? Are you interested in straight days or is shift work and overtime still acceptable? What kind of patient volume are you interested in?
If you are sure of your practice area and know without a doubt what it is you want to do, then your options become much simpler. For example, if you only ever want to be a hospitalist or work in the ED. Perhaps, geriatrics or mental health is the way you want to go.
But if you are in a position like me, where I have done so many things, then I made my choice on what would bring me the most flexibility. I want the ability to be able to choose. I have an incredible amount of intensive, critical care, and trauma experience. I love these fields. I currently think I will always work in an area abutting these fields. But I want to make sure I do not limit other opportunities as I continue to age and grow. So i chose the broadest scope available and I will make the most of it. In the state where I reside, a FNP can still work in those areas. Be aware that in some states they cannot though.
I thought about acute care, but this would limit me working in an ED, as one must see children also, unless it was an adult only ED. I thought about Emergency NP but this limits me to working only in the ED and not being able to consider private practice. I just didn't want to get locked into one area and I plan to explore all the marvelous opportunities open to me once I am in my fabulous 40's with a degree in hand.
The answer is education and research. Figure out what you really really want and then research the heck out of it.
Heck, I think I might even join the red hat society so I can wear them red hats and boas. Oh la la.