NP Changes that need to happen... - page 3

by Sabotai

6,912 Views | 30 Comments

A change has to be made to the Nurse Practitioner profession. There are huge issues with the current curriculum, and one of the biggest issues is the lack of regulation in the curriculum. How can my current university make me... Read More


  1. 1
    With the merging of AANP and ACNP, I look forward to the changes of how the unified organization will continue to regulate the NP profession. Obviously, NP's don't get the respect they deserves because of the loop holes created, in regards to education and experience.
    Tinabeanrn likes this.
  2. 2
    I'm interested in psych, and for that I think the psych np programs are definitely the best answer - psychiatrists are overstrained IMO for their role in most cases, while counselors/MSWs are great but can't diagnose or prescribe...so psych NPs are perfect for mental healthcare, combining medicine and counseling..For anything else, I would do MD or PA. The nurse practitioner model is total crap. There are NO standards, no required courses, no residency, etc. it's terrifying that there are people who, with no nursing experience, go to a two year program with a pathetic 600 hours of patient care, and can now prescribe and treat patients. The main changes we need are: 1. National standards on length and required courses for NP programs (I think 2.5-3 years or so). 2. Standardized exams throughout the program that students must pass to continue (similar to MD usmle). 3. 1 year residency programs that are done as part of the degree. We can't have separate residency programs because the government pays for MD residency and hospitals couldn't afford it, it would have to be a full time year that the college pays the student a small stipend for completing. 4. Make the DNP more practice classes, not research based.
    LLDPaRN and mzaur like this.
  3. 0
    "We can't have separate residency programs because the government pays for MD residency and hospitals couldn't afford it"

    I'm not sure I follow you here. NPs and PAs are pretty much treated like 3rd yr residents anyway, why would it hurt the hospital to pay and train a NP at $40,000 vs hiring an NP without a residency and paying them $60,000 to $80,000 straight out of school?
  4. 1
    Here's my two cents. I think the more training the merrier. You really cant get enough education . A residency would be cool. I started my first job in September working with 5 docs and they kept referring to me as a Resident, lol. I sure feel like one in some respects. I think if we had residencies on top of our regular training that our title should change (to be be called a physician or anything but to something else). I love being a nurse, dont get me wrong. But patients dont understand and are confused when you say your a Nurse Practitoner. All they heard was the word "nurse". Some immediately want to know where the doctor is. And when you try to explain what a NP is to some of these patients they have no clue. And they always revert back to calling you their doctor anyway, even after you keep telling them you are an NP. I dont want to mislead someone and make them feel I am something that I am not. They even understand the term PA. But to them a Nurse is the medical assistant that brought them in the room. Not the person that is treating them. Its a catch twenty two...
    LLDPaRN likes this.
  5. 1
    I think with more NP prevalence "name recognition" will increase. I mean thats really the best name, no matter what you call them NPs are nurses, thats how they are trained. Plus patients will still call for the "Doctor" thats just what our culture expects when they are sick.
    Tinabeanrn likes this.
  6. 1
    I am a clinical nurse specialist working in a NP role. I say "My name is ______, I am a nurse, I will be meeting with you and prescribing your meds. They end up calling me their doctor or by my first name--I prefer my first name and I do tell people who call me their doctor "you know I am a nurse, right?"
    Tinabeanrn likes this.
  7. 0
    Most of the NPs I work with go by their first name. I like it, it seems more accessible. I think that's why patients give them a higher satisfaction score - it seems more personable to say "hey hillary, I'm still having those leg cramps from before. Can we try something else?" Then it does to say "hello Dr. smith"
  8. 0
    I also go by my first name. I say, Hi Im Tina. They always say Dr. Tina. And I say, No just Tina. For those that demand an explanation I go into the whole NP thing and my trianing and bla bla bla. I thinnk its harder for the population that I work with to understand NPs. They see so many NPs and PAs in the hospital, and dont even know it. I read the notes, all signed my NPs and PAs. But in the hospital there is no real first name introduction sometimes. Its just Hi Im with Dr so and sos group with GI or whatever. No matter how many times I tell them I am a NP and what that is they always revert back to calling me their doctor. And like a previous poster said, that is what they expect when they are sick.
  9. 0
    Interesting the direction this thread has gone. I would have welcomed a residency after graduation. I didn't (and perhaps still don't) feel as prepared as my husband was when he was fresh out of PA school (Army medic to Army PA school). My husband was also certainly better prepared to go into a specialty, particularly if he wanted to do one of the IM specialties, and is doing very well in the ER now, which absolutely petrifies me as a FNP. I think I could have had more clinical hours and perhaps higher quality clinical hours. Now that I am in practice though, I don't feel unprepared for what I do most days, although I am in pretty basic primary care. Things still come my way that have me digging through uptodate and calling for help, but that happens a little bit less every month.

    I feel like programs should be standardized more than they are, but this whole bagging on the online degree thing has been done ad nauseum on this board as well as many others. It feels a little bit like people just clinging to the old ways for the sake of tradition. How about programs be held to higher standards whether or not the content is delivered online? I have heard people on this board and in my day to day life who have complained equally about the bricks and mortar schools. I am certainly prejudiced as a FNU graduate (by the way, they didn't beat down my door and call me endlessly, I had to do the legwork, so don't really understand that reference), but I feel like there has to be a place for online schools if NPs are to be a part of the solution to the PCP shortage. I would not be an NP but for online education. We moved to 3 different states in my 3 years completing the program and that was not without difficulties even in an online environment, would have been impossible at a B&M school.

    I also agree with others that it is difficult to explain what an NP is to laypeople and even doctors, MAs, etc., but I remain proud that I am a NURSE first and would never voluntarily lose that part of my title. As the number of NPs swells across the country, hopefully that awkward explanation will occur less frequently. I like to think this is what the DOs went through (and still go through to an extent!) when explaining the letters behind their name. Since my husband is a PA I can also tell you on good authority that PAs absolutely agonize over their title as "Physician Assistant" because they get mistaken for MAs, CNAs, or secretaries, many in the profession want to change the title to Physician Associate and have even drafted motions for their national association to that effect.
  10. 2
    Quote from studentnurserachel
    Interesting the direction this thread has gone. I would have welcomed a residency after graduation. I didn't (and perhaps still don't) feel as prepared as my husband was when he was fresh out of PA school (Army medic to Army PA school). My husband was also certainly better prepared to go into a specialty, particularly if he wanted to do one of the IM specialties, and is doing very well in the ER now, which absolutely petrifies me as a FNP. I think I could have had more clinical hours and perhaps higher quality clinical hours. Now that I am in practice though, I don't feel unprepared for what I do most days, although I am in pretty basic primary care. Things still come my way that have me digging through uptodate and calling for help, but that happens a little bit less every month.

    I feel like programs should be standardized more than they are, but this whole bagging on the online degree thing has been done ad nauseum on this board as well as many others. It feels a little bit like people just clinging to the old ways for the sake of tradition. How about programs be held to higher standards whether or not the content is delivered online? I have heard people on this board and in my day to day life who have complained equally about the bricks and mortar schools. I am certainly prejudiced as a FNU graduate (by the way, they didn't beat down my door and call me endlessly, I had to do the legwork, so don't really understand that reference), but I feel like there has to be a place for online schools if NPs are to be a part of the solution to the PCP shortage. I would not be an NP but for online education. We moved to 3 different states in my 3 years completing the program and that was not without difficulties even in an online environment, would have been impossible at a B&M school.

    I also agree with others that it is difficult to explain what an NP is to laypeople and even doctors, MAs, etc., but I remain proud that I am a NURSE first and would never voluntarily lose that part of my title. As the number of NPs swells across the country, hopefully that awkward explanation will occur less frequently. I like to think this is what the DOs went through (and still go through to an extent!) when explaining the letters behind their name. Since my husband is a PA I can also tell you on good authority that PAs absolutely agonize over their title as "Physician Assistant" because they get mistaken for MAs, CNAs, or secretaries, many in the profession want to change the title to Physician Associate and have even drafted motions for their national association to that effect.
    I would have to agree with you, Physician Associate would be more appropriate, I never looked at the PA being compared to MA or other careers, but I am not a layman. I unfortunately had a slap in the face by a family member who said "I don't feel NP should practice, if I am sick I am going to see a doctor"! From an educated person. So upsetting that many don't understand how NP's are an asset to health care.
    Tinabeanrn and SycamoreGuy like this.


Top