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695 Posts
I don't get it. As an FNP the only way to become a psych NP is to go back to school and get your PMHNP cert. Anything else is going to open you up to being sued. Yeah, FNPs get trained in a little psych, but you are not trained to be a psych specialist. What if something goes horribly wrong and a patient has a bad outcome? The first thing a lawyer is going to do is point out that you are trained in primary care - not psych. Having a friend train you is not going to cut it. Plus, it's a disservice to your patients, since you aren't licensed in that specialty and have not received the didactic or clinical training that a PMHNP gets - you should be referring out for psych issues. Psych isn't something you can just learn on the job, as has already been stated.
/rantover
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202 Posts
Do you have any innate attraction to working in psychiatry or is it simply the propinquity of your friend offering to train you? Is this something you can see yourself doing for the rest of your career or is it a stopgap until you can get a job you love?
[petpeeve:ON] Psychiatry is not a non-medical field. I don't know where you are, but in my experience the kind of patients who are referred to PMHNPs are those need excellent psychopharmacological evaluation and follow-up. There are quite often neurological differentials that we have to assess. There is a host of physical issues that are known to accompany both the meds we use and the patients we care for. Then, of course, there are significant MH skills involved in forming a therapeutic alliance and motivating people to change, often at the cost of significant secondary gain. [petpeeve:OFF]
The challenges and rewards of being a PMHNP are many and they are very special. But if you aren't into psych and psych patients, it's hell. I've seen too many clinicians (nurses and doctors) of enormous potential crash and burn because they ended up in psych as a fallback and it was a terrible match.
Can you arrange to shadow your friend at work? Maybe some of her colleagues? I strongly suggest you stick a toe in before diving! But if you enjoy this kind of interaction and challenge, there is nothing better in the world! :)
zenman
1 Article; 2,806 Posts
I don't think OJT as a Psych NP is going to cut it.