Hello sirs and madams. I know this is quite frequented topic by aspiring NPs so I had to ask. I am a RN in Dallas TX and made decision to pursue NP, but unsure which specialty will fit my goal the most.
I prioritize my family, so I don't want to work 50-60 hrs and some more, though I can if required. I will be happy with 40hrs and quality time with my wife and kids, so I am fine with outpatient, but I also want to work with procedural specialists such as orthopedic and do preop/postop, assessment, etc instead of primary care settings like family clinic.
With posts concerning FNP saturation and what have you, would pursing more specialized AGNP be better suited for my career preference, or would FNP be fine and better due to higher versatility? Thank you.
FNP flexibility, versatility and opportunity is a facade. You are far more marketable pursuing the specialty education aimed at the population and specialty in which you want to work. All things being equal, a FNP will never beat out a ACNP applying for an inpatient position, or a PNP applying for a pediatric position, or a PMHNP in psych, or a WHNP in OB/Gyn, etc.
No. But it might beat out an agnp in primary care or urgent care that needs someone who covers the life span. I could be mistaken, but I'm under the impression they were wondering about more specific specialties that aren't covered by a specific np path. Things like derm, urology, endocrine, cardiac, etc.
Though I agree the versatility is a facade. Imo if you go fnp, you go because you want to provide primary care to the broadest range of patients you can impact. Nothing more frustrating than working with an fnp who sets limits on their patient panel. I worked with one recently who saw a B.C. frequent flier. He refused to do a gyn check for bv because it was against his religion, but wouldn't treat her based on symptoms or history without current cultures. He handed her the swab to culture herself.
Just consider that if you want to pursue a specialty such as orthopedics, you would be seen less of a favorable candidate because orthopedics deal with a lot of pediatrics and I believe AGNPs see patients 18 and above only. AGNPs are more favorable in internal medicine clinics, SNFs, Home risk assessments, etc. I would look into the specifics of a job you ultimately want to pursue and decide from there. Plus if you want to pursue a fellowship in such specialties like orthopedics, I believe they only accept FNPs.
FNP flexibility, versatility and opportunity is a facade. You are far more marketable pursuing the specialty education aimed at the population and specialty in which you want to work. All things being equal, a FNP will never beat out a ACNP applying for an inpatient position, or a PNP applying for a pediatric position, or a PMHNP in psych, or a WHNP in OB/Gyn, etc.
yeah ugh they need to tell us what specialty type before we can say which program is better but I suppose for most adult things it would be the ACNP OR ACGNP idk what it is called now lol.
I don't think most NP specialties outside fnp, neoNP, psych NP, and ACNP(ACGNP) are marketable though much. Peds NP nobody wants to hire
Specializes in Psychiatric and Mental Health NP (PMHNP).
18 hours ago, Eydyey said:
Just consider that if you want to pursue a specialty such as orthopedics, you would be seen less of a favorable candidate because orthopedics deal with a lot of pediatrics and I believe AGNPs see patients 18 and above only. AGNPs are more favorable in internal medicine clinics, SNFs, Home risk assessments, etc. I would look into the specifics of a job you ultimately want to pursue and decide from there. Plus if you want to pursue a fellowship in such specialties like orthopedics, I believe they only accept FNPs.
Best wishes in your choice!
AGNPs can see teenagers. Depending on the state, they can see ages 13 or 14 and older.
i remember when they told us in RN school to work medsurg before ICU.
dumbest thing ever if anything working med surg makes you dumber
As you know, med surg covers a much wider range of skills, business needs, and medications than icu. That’s why you icu nurses are always so awkward when floated to med surg. Let’s be honest. You aren’t smarter nor more important. You are honestly lazier, have less social skills, and love to feel elite.
As you know, med surg covers a much wider range of skills, business needs, and medications than icu. That’s why you icu nurses are always so awkward when floated to med surg. Let’s be honest. You aren’t smarter nor more important. You are honestly lazier, have less social skills, and love to feel elite.
Oh for goodness sakes. Settle down. Med surg and ICU are different. One isn't necessarily better than the other, but there is a reason that CRNA, ACNP, flight nursing, etc, requires ICU and not med surg. These autonomous fields benefit from the skills and, more importantly, ways of thinking, one gains in ICU.
To be crystal clear, you were the one that called the advice you were given to work in med surg, as a career direction or experience, dumb (to the guy asking). You are now changing the topic.
To be crystal clear, you were the one that called the advice you were given to work in med surg, as a career direction or experience, dumb (to the guy asking). You are now changing the topic.
Correct. Apologies on that. My argument was toward Spadeforce. But that changes nothing else as you are the one defending his or her disrespectful, false views with misdirection.
djmatte, ADN, MSN, RN, NP
1,248 Posts
No. But it might beat out an agnp in primary care or urgent care that needs someone who covers the life span. I could be mistaken, but I'm under the impression they were wondering about more specific specialties that aren't covered by a specific np path. Things like derm, urology, endocrine, cardiac, etc.
Though I agree the versatility is a facade. Imo if you go fnp, you go because you want to provide primary care to the broadest range of patients you can impact. Nothing more frustrating than working with an fnp who sets limits on their patient panel. I worked with one recently who saw a B.C. frequent flier. He refused to do a gyn check for bv because it was against his religion, but wouldn't treat her based on symptoms or history without current cultures. He handed her the swab to culture herself.