i currently work in an sicu divided into provider "teams" of residents and acnps, each guided by an attending. the acnps are a permanent group on our unit and a blessing to the bedside nurse; as surgical and anesthesia residents come and go along their journey learning icu patient management (and causing minor headaches). our advance practice nurses really do just about anything an intensivist can, with some limitations set by our hospital (lumbar puncture). i know advance practice is not like this everywhere. will things change with the doctoral requirements? is that the big idea? what about other practitioners: nps, fnps, crnas, midwives. i will be starting a crna program next year with a masters requirement, i don't plan on getting a doctorate (not in nursing anyway) if it won't change my practice.