Any NP interest in an EM residency?

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Thinking of starting an EM residency for PA's at our institution, and have gotten a few inquiries from NP's in our department about the ability for NP's to complete it. I'm not aware of any NP residencies, and if there are, what kind of accreditation would be needed, and would there be any interest in the general NP community in completing one?

Thoughts?

Specializes in Critical Care.
yeah, that is a clinical doctorate for sure.

If only something similar was the plan for the DNP. =\

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It is, if you read the attachment with the link, and look at the program. You pretty much get the smack down for those 18 months.

I did... It looks like those 18 months you could kiss all other life as you know it goodbye. But dang the experience/training would be superb. Now if the Army would do something like that for NPs.

Why 18 months and not a solid two years???

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Yep, but that's what makes it so worth it. To be honest, and after almost 20 years of seeing and talking with patients. You need to see thousands of patients before you really know what you are doing. It's that simple. When I was in school, one of the physicians told me, that until you did over 1000 H&P's, you had no business seeing a patient on your own. At the time I was like, "Yeah Right..." But in retrospect, he was correct. To become really proficient in medicine, requires seeing thousands and thousands of patients.....We are thinking of instituting the same type of program here.....if we can get the CPC, and other committees to sign off on it.

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Yep, but that's what makes it so worth it. To be honest, and after almost 20 years of seeing and talking with patients. You need to see thousands of patients before you really know what you are doing. It's that simple. When I was in school, one of the physicians told me, that until you did over 1000 H&P's, you had no business seeing a patient on your own. At the time I was like, "Yeah Right..." But in retrospect, he was correct. To become really proficient in medicine, requires seeing thousands and thousands of patients.....We are thinking of instituting the same type of program here.....if we can get the CPC, and other committees to sign off on it.

Well after seeing some of the H&Ps Iv seen over the years :-)

I concur to practice medicine one needs to practice... Clinical hours should be measured in 1000s not 100s.

By the way where is here??

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Well after seeing some of the H&Ps Iv seen over the years :-)

I concur to practice medicine one needs to practice... Clinical hours should be measured in 1000s not 100s.

By the way where is here??

Mayo Clinic

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Specializes in Nephrology, Cardiology, ER, ICU.

Are we talking Mayo as in Rochester, MN or one of the others?

Also - another thing to consider and perhaps offer would be one or two month rotations in some specialty part of the EM APN residency program:

1. The renal pt in the ER.

2. OB in ER

3. Derm

4. Peds medically complex pts in the ER

Just some off the top of my head ideas. Are you guys level one trauma center?

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Are we talking Mayo as in Rochester, MN or one of the others?

Also - another thing to consider and perhaps offer would be one or two month rotations in some specialty part of the EM APN residency program:

1. The renal pt in the ER.

2. OB in ER

3. Derm

4. Peds medically complex pts in the ER

Just some off the top of my head ideas. Are you guys level one trauma center?

Yes, Rochester, Yes, level one trauma.

OB is more difficult, as all OB patients are instructed to present at the other hospital (Mayo has TWO) to be seen by OB directly. Although, I certainly think a rotation over there would be beneficial.

There would be rotations (I hope) with:

Surgical ICU, Ortho Trauma Service, Ortho Hand, Spine, and hopefully OB at the other hospital. All other rotations would be IN the ED..including Critical Care, Peds, Psych, Medically complex patients, and some, but limited Fast Track exposure (more for learning how to manage 8-10 patients simultaneously, and learning how to manage an extremely rapid pace with fast turnover)

We may also have to do some rotations with the LP clinic, and CT surgery for Chest Tubes, as procedures will be a stumbling block in the ED.

I was told by one of the more senior attendings, that the MD residents WILL ALWAYS HAVE FIRST priority with procedures....so there is still some resistance. Right now, we are trying to gauge interest, and develop a curriculum.

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I would attend in a heartbeat. Already, I'm thinking based on everything I've been reading and engaged in that becoming an NP/DNP is a huge mistake.

Unless you follow a medical track, you will always be subjugated and undereducated in any practical sense. I was expecting the DNP is bring absolute parity to the NP, but it seems as if this is really really REALLY not the case. What's the point?

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Specializes in Critical Care, Emergency, Education, Informatics.

I still say it's not the medical community that is the danger, it's the Board of Nursing in each state that is the danger to practice. Each one is interpreting things differently. just as an example, some states BON classify external jugulars as central lines and don't let nurses do them, even though the infusion nurse society classifies them as peripheral.. In one state I can start a PICC line, but can't use a modified seldinger tech to do it, only MD's can do that. At least the medical boards are a bit more consitant.

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Why do you think it's like this? It seems to me like another macro level view of the doctor / nurse but more specifically the gender stereotype based struggle. Nurses (women) can't get it together and form one national board like the AMA and suffer for it. Doctors (men) use a well structured non-egalitarian based system that imposes and enforces rules that must be adhered to.

As such, nursing is still victim to it's own inability to control itself and medicine continues to hold the real power.

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Specializes in ER, Trauma, ICU/CCU/NICU, EMS, Transport.
Why do you think it's like this? It seems to me like another macro level view of the doctor / nurse but more specifically the gender stereotype based struggle. Nurses (women) can't get it together and form one national board like the AMA and suffer for it. Doctors (men) use a well structured non-egalitarian based system that imposes and enforces rules that must be adhered to.

As such, nursing is still victim to it's own inability to control itself and medicine continues to hold the real power.

...huh?

Can you be more specific and cite some examples rather than just generalizations?

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No, I'm only good at gross generalizations. But seriously, the variance of NP scope of practice from state to state, the difference in dnp programs and that right now there are only 4 accredited and the amount of class hours (sometimes up to 20-35) devoted to non-clinical courses. I understand the history of nursing is important to many people, but I'm not sure how it helps me treat patients.

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