Post-Master's FNP versus Med School

Specialties NP

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I am an RN with a BSN and MS degree in nursing administration. I completed my MS degree about 3 years ago and I've had a few interesting leadership and administrative roles since then. However, I'm not fully satisfied with my career path and lately I've been thinking about returning back to school for either post-master's FNP or med school. To start at the beginning:

I graduated as valedictorian of my high school class. In high school, I was always interested in the health care field and everyone assumed that I would choose pre-med and go to medical school. I ultimately decided on nursing because I was in a serious relationship in college and I wanted to have a family-friendly career (in retrospect, this was very poor reasoning). After the first year of nursing school, I was having second doubts about my choice of major. I wasn't enjoying nursing at all, but I decided to stick it out because I didn't want to be a year behind if I chose another major. I rationalized that I could always go onto medical school or graduate school after I graduated. After graduation, I got married and started working as an RN in the ER. I HATED that job. I took a job on a med-surg unit and I HATED that job even more. Eventually, I did find a specialty that I enjoy (home health and hospice), but I still knew I had to go back to school for something that would allow me to move beyond the staff nurse role. At that time I was very torn about beginning the process for applying to med school. My husband (now ex) did not want me to go to medical school because he wanted to start a family and basically did not want to support me throughout the long process. I applied and was accepted to an FNP program. I finished a semester of FNP school, but I was so unsettled about the decision as to if I would be fully satisfied with the NP training and scope of practice. No offense to any of you that are NPs, because you do play a very important and critical role in health care. I've had an NP as a primary care provider, so I do think that NPs are wonderful! But at that time, I was convinced that it would ultimately bother me that I would be in a very similar role as a physician in primary care, but without the ultimate responsibilty, scope of practice, and level of pay. And I was unimpressed and disappointed with the foundational FNP courses that I took at a very prestigious university. I didn't think that I would be happy with the lack of depth of knowledge in the FNP program. So instead of doing the NP program, I decided to do a master's program in administration. I've had a few interesting jobs in administration since graduating, but it still isn't as fulfilling as I would like and I keep having the feeling that I've chosen the wrong career path.

Recently, I've been thinking again about beginning the process to apply to med school or to start looking into NP programs again. At this point, I am nearing 30 (but not there yet), single, and I have no children. I do have significant student loan debt from my master's degree though and the loan burden of med school does concern me. I also have concerns about the time burden of residency in particular- to be honest, I have lots of interests outside of work and I do wonder how happy I would be working 60-90 hours week while in residency, being on-call, etc. Although I'm now single, I still do hope to have a family someday (hopefully within the next 8 years or so). The post-master's FNP is looking very appealing because of the low cost and time burden. It would allow me to earn a decent salary, have better hours than MD/DO, and I do think that I would enjoy the work.

I'm frustrated that I still seem to be in the same situation that I was in while trying to make this decision in college. I feel like I should be past this point in my life! Any feedback into my situation would be helpful.

Specializes in family nurse practitioner.

OP, I say follow your heart. No matter what the time is gonna pass you by (9-10 years). Do not settle. If going to Med school is what you really want to do, don't cheat yourself. You will regret it later on in life. It wont be an easy task, but if you are up for the challenge I say go for it. As one writer said, don't waste any more time. You are young enough to do it. You don't have kids yet so now is a good time.

Specializes in ICU, ER, OR, FNP.
I am nearing 30 (but not there yet), single, and I have no children.

That spells: M e d S c h o o l

I was forced to do FNP due to career, age, obligations, finances, etc. I regret it every time I see my paycheck. I pull the same hours, same pateints, same workload and kill the RVUs, but make ALOT less than my MD co-workers.

just to clarify; i wasn't suggesting that it is impossible to go to medschool at 50 and i certainly don't want to discourage anyone from following their dreams. i think studentdrtobe has succinctly highlighted the difficulties of it.

Specializes in Critical Care, Emergency, ACNP, FNP.
@KurtNP: Are you a NP in the ER? Is FNP the way to go for that or will ANP or ACNP be ok too? Do they normally want the NPs to have ER experience as a RN before they will hire you or consider you for an NP position?

I don't know why I am only NOW seeing this. Oh, I do...school!!

I am an NP in the ER. Neither FNP nor ACNP (or ANP) train you for the ER. The best route, IMO, is FNP+ACNP outside of the new (but not yet established) ER NP certification coming soon. They do normally want RN ER experience but most will rarely hire new NPs irregardless of RN experience because being an NP in the ER is truly a very different beast than RN practice. ER RN practice clearly gives you some good background but not enough to be up and running in the fast-paced ever-changing environment of the ER. Make sure you get as many clinical hours as possible in the ER (if your program allows it).

So the best options of becoming an ER NP IMHO and in order of best to worst:

#1. ER NP tract (best option, currently at the University of South Alabama, for example, you end up with ACNP and FNP; soon there will be an actual ER NP board certification)

#2. FNP (get as many ER clinical hours--and urgent care--as allowed/possible)

#3. ANP (get as many ER clinical hours--and urgent care--as allowed/possible)--pediatrics not part of training so you'll be limited to adults-only positions

#4. ACNP (get as many ER clinical hours--and urgent care--as allowed/possible)--pediatrics not part of training so you'll be limited to adults-only positions

Specializes in FNP, ONP.

I think studentdrtobe has a distorted view of what life is like for health 50somethings, lol. I could easily hack the hours, except I completely agree with his/her other comment about what it takes from you regarding quality of life. It just isn't worth it from my POV.

That said, individuals have to make that decision for themselves.

I don't think the OP needs to make a decision for MD because they are young and uncommitted. Age and family status are factors but not the only ones.

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