Anybody know of any groups working to advocate for stricter education and licensing requirements?
Some elements that might be advocated for would include:
- Increased federal dollars to fund residencies or other incentives for hospitals/clinics to develop such programs.
- 5 years of full time RN work experience in a hospital related to the tract one is pursuing and/or standardized testing to measure baseline competency.
- Mandatory 1 year residency or at least mandatory MD supervision before independent practice is considered w/ a certification required once independent practice is requested.
- Renewal of licenses every 4 years.
I would like to here opinions about items mentioned above, but more importantly, I would like to know of groups that are doing serious work to advocate for these changes.
And no, I'm not an AMA 'plant'. I'm an FNP dedicated to solidifying our place in the medical field.
I can't even imagine working in an ICU for 5'ish years and having only a superficial understanding of anything. Nope, can't imagine five years and coming out with the same shallow understanding any beginner would have. How very uncurious.
I was actually the opposite of that (as opposed to my coworkers who were on autopilot), I looked up everything if I didn't know it. But in the end and compared to what I know now, it was superficial.
londonflo said:
Relevant causes a reaction as it closely connected. Irrelevant statements do get a defensive response. For example:
"I guess I hit a nerve there said my dentist when I flinched"
You are just rambling at this point without any sort of meaningful counter to what I said.
Pray tell, is nursing experience definitively improving the quality of NP candidates and programs?
If you can't tell when a meaningful reply is given to your 'put downs' no wonder you don't respect your nursing peers.
Because I think nursing experience is irrelevant to making a good provider? The current system only requires a BSN and 1-2 years of nursing experience and is producing subpar graduates, full stop. Adding more nursing experience or even making it a requirement does not make a NP candidate better.
I respect results and competency, not entitlement.
Specializes in Former NP now Internal medicine PGY-3.
Numenor said:
I am okay with that, it is clear nursing experience isn't doing what it supposedly should. To me and anyone not emotionally attached to the nursing title, it is obvious.
Same with medicine. A lot of other fields have more difficult subject matter. Though milage may very per individual. The nursing superiority and even the medicine superiority is nauseating. Seems like people whine to make whatever they do seem explicitly more difficult, when they are really just inefficient.
I was actually the opposite of that (as opposed to my coworkers who were on autopilot), I looked up everything if I didn't know it. But in the end and compared to what I know now, it was superficial.
You are just rambling at this point without any sort of meaningful counter to what I said.
Pray tell, is nursing experience definitively improving the quality of NP candidates and programs?
We can't know that because so many NP candidates don't have experience. I just read an article today about NP being the fastest growing profession. It'll probably get worst before it gets better while they crank out the sausages as fast as they can. Shame on us for allowing thus to happen during the last couple of decades. It wasn't always like this.
We can't know that because so many NP candidates don't have experience. I just read an article today about NP being the fastest growing profession. It'll probably get worst before it gets better while they crank out the sausages as fast as they can. Shame on us for allowing thus to happen during the last couple of decades. It wasn't always like this.
I have to throw in my anecdote of precepting. ACNP programs generally ALL require experience (1-2 years). I found my 2nd profession students with the bare minimum nursing experience were by FAR my best students.
The nurses with 8-10 years+ experience generally performed the least well.
Specializes in Former NP now Internal medicine PGY-3.
Numenor said:
I have to throw in my anecdote of precepting. ACNP programs generally ALL require experience (1-2 years). I found my 2nd profession students with the bare minimum nursing experience were by FAR my best students.
The nurses with 8-10 years+ experience generally performed the least well.
Riiiiiiight. OR's would be dangerous places if every CRNA applicant was accepted after one year of experience. 3 to 5 years is the average mininum of people accepted into programs. It used to be around 7 years but seems that they are also put in the position of making the sausages more rapidly. They are cutting some corners for sure, but still require want students to have that 3 to 5 years.
Riiiiiiight. OR's would be dangerous places if every CRNA applicant was accepted after one year of experience. 3 to 5 years is the average mininum of people accepted into programs. It used to be around 7 years but seems that they are also put in the position of making the sausages more rapidly. They are cutting some corners for sure, but still require want students to have that 3 to 5 years.
My brother is in a CRNA program where the average age is 24-26. He is the old man at 30. Most have under 2 years of experience. This is a top 25% program as well.
My brother is in a CRNA program where the average age is 24-26. He is the old man at 30. Most have under 2 years of experience. This is a top 25% program as well.
Like I said, they are putting people on the assembly line to have more people do less. I am stunned that any program is accepting students this stunningly young. The students I've worked with, albeit not that many, are completely happy to work on ACT teams and don't want the responsibility of working independently. That requires much less competence than having to work without backup. So many are in it for the money. I was happy to work at the mothership teaching hospital rarely so I never had to precept them. I went to an Ivy League school and it was a great program when there was only 10 in the class and all classes were at the university. We had a 9 month residency where we made enough money for subway fare and peanut butter. Now the students are farmed out to places who only work with them for a few months. I no longer have any respect for any place that makes any claims to excellence. What does the "top 25 percent" even MEAN anymore? It's not about education; it's about graduation.
londonflo
3,002 Posts
Relevant causes a reaction as it closely connected. Irrelevant statements do get a defensive response. For example:
"I guess I hit a nerve there said my dentist when I flinched"