FNPagnpFNPFNP....no it's AGNP

[GraceOnly]

Hello friends! Old experienced nurse of 25 plus years, now new grad AGNP-C about to start first job here. After a long job search and the market being flooded with new grads, I am recently blessed with an opportunity in my dream setting of working with Senior patients. During my graduate education, I came across many opinions on my specialty. A co-worker FNP told me she heard many programs "were doing away with the AGNP" role, and I would be better off pursuing FNP for greater success in finding a job. My previous employer, a hospital, did hire mostly FNPs, without any acute care experience. Most threads are about the FNP role. As our population ages, I was excited for my opportunity. Now that I am hired in my new and true role, I being introduced to future co-workers and the new "FNP" when I am not. Even though I am to work with elderly only at this point, without getting defensive, I still feel like the FNP title is engrained into most mindsets and some even laughed when I corrected them nicely. I was told that's just how they refer to their NPs in general! Have any other AGNP's come across this! Maybe its not such a relevant thing and it won't keep me from doing my job, but not everyone is aware of our scope of practices. Thoughts or insight??

[djmatte, ADN, MSN, RN, NP]

2 hours ago, Dodongo said:

Haha, that's up for debate.

Seriously?! Pediatric, adult/Geri and women's health primary care are all thoroughly covered in training. There's nothing those areas do that aren't touched on or thoroughly covered in fnp school. While ganted every school has a broad latitude in training and frontier certainly went balls out on our clinical experiences, the same can be said for all np areas. Some are good, Dionne mediocre, some just bad. Too many points of entry, too few controls. You work in acute care of memory serves and if that's your area for debate of FNP training, clearly my post was not focused on acute care or hospitalist jobs.

[djmatte, ADN, MSN, RN, NP]

11 hours ago, djmatte said:

Seriously?! Pediatric, adult/Geri and women's health primary care are all thoroughly covered in training. There's nothing those areas do that aren't touched on or thoroughly covered in fnp school. While granted every school has a broad latitude in training and frontier certainly went balls out on our clinical experiences, the same can be said for all np areas. Some are good, some mediocre, some just bad. Too many points of entry, too few controls. You work in acute care of memory serves and if that's your area for debate of FNP training, clearly my post was not focused on acute care or hospitalist jobs.

Quoting for auto-correct type-o's.

[Dodongo, APRN, NP]

21 hours ago, djmatte said:

Seriously?! Pediatric, adult/Geri and women's health primary care are all thoroughly covered in training. There's nothing those areas do that aren't touched on or thoroughly covered in fnp school. While ganted every school has a broad latitude in training and frontier certainly went balls out on our clinical experiences, the same can be said for all np areas. Some are good, Dionne mediocre, some just bad. Too many points of entry, too few controls. You work in acute care of memory serves and if that's your area for debate of FNP training, clearly my post was not focused on acute care or hospitalist jobs.

I'm just saying, ask an adult gero primary care NP if 1 class and 1 rotation in adult primary care is thorough. Ask a pediatric NP if 1 class and 1 rotation in pediatric primary care is thorough. Ask a women's health NP if 1 class and 1 rotation in adult primary care is thorough. 500 - 800 hours, split between multiple specialties is not thorough in my opinion. Family practice / primary care has the broadest scope of practice and broadest knowledge base. It should, honestly, be much longer and more in depth. It shouldn't be the catch all specialty of NP education that attracts the people who don't really know why they want to be a NP or what they want to do.

[djmatte, ADN, MSN, RN, NP]

10 hours ago, Dodongo said:

I'm just saying, ask an adult gero primary care NP if 1 class and 1 rotation in adult primary care is thorough. Ask a pediatric NP if 1 class and 1 rotation in pediatric primary care is thorough. Ask a women's health NP if 1 class and 1 rotation in adult primary care is thorough. 500 - 800 hours, split between multiple specialties is not thorough in my opinion. Family practice / primary care has the broadest scope of practice and broadest knowledge base. It should, honestly, be much longer and more in depth. It shouldn't be the catch all specialty of NP education that attracts the people who don't really know why they want to be a NP or what they want to do.

Except family medicine isn't some "catch all". If anything it was one of the first and therefore probably the most recognizable. I know my clinic hours exceeded most institutions in both hours and patient complexities and can't say the same for others. Didactic would be different for sure, but not necessarily inferior.

Overall I'll just agree to disagree. I went family because I waved to work across the lifespan in primary care. I like the diversity of patients and choose a school that has a broad background in both clinical nursing and being and community care. I equally discourage anytime from it who thinks there are populations they will not work with. Don't like peds, go adult. Don't waste our time demanding you only see specific patients when trained for more. We already have that prob with a guy who refuses to do gyn exams on religious grounds and someone else who refuses to see peds.