Quote from medictorn
all of the literature i can find leads me to believe that pa's have a more w comprehensive scope of practice if not a more autonomous practice than that of a np. at least here in michigan the scope of practice laws seems to be this way. also i've talked to several np's that wish they had the clinical experiences their conterpart pa's had in school.
it may be all just a matter of perspective, but that is essentially why i have chosen the pa route.
you need to go to the physicianassistantforum.com and check out the new thread: when i grow up i want to be a np...here's a little excerpt.
oh, and don't forget to look for the post about the np having to cosign for the pa - ha ha ha ha!!!! these are all new posts (within the past 3 weeks).
when i grow up i want to be an np
i know that we've had this np vs pa discussion, but today . . . i wish i were an np.
a year ago i started working on creating an urgent care clinic on our island. i did a lot of footwork putting things together. my bottle neck came when i started to recruit a md to sign on as sp (paid well for chart review etc.). the mds on the island belong to one of two large groups. both, came out opposed to an urgent care clinic . . . seeing it as a competitor.
while i was in limbo, looking outside our area for a willing md, the office i was looking at to rent . . . suddenly was leased out to a mysterous renter.
after renovation behind closed doors . . . suddenly it opened as "[color=#496690]fidalgo (our island) walk in clinic
." it was started by a np.
i shared with her if it grew to the point that she need a partner (which, according to my research, i knew that it would) to give me a call.
well, she has reached that point and today started looking for a partner . . . but an np only. why . . . nps in the state of washington need no . . . that is no relationship with an md. i know that i may sound dumb, but i didn't know that before today. i went and read all the legislation on the books and learned that in the state of washington, nps have had the freedom to open their own clinics since 1972!
this urgent care clinic will be a great business success and it is a little disappointing that i, as a pa, could not realize this dream.
makes me wonder again if the aapa took the right path thirty years ago to make sure we stayed dependent.
okay, maybe tomorrow i will awaken and be glad i am a pa instead of a np . . . but for tonight . . .