I walked out of a job fair after being Reminded why I left the southeast

[Tony1790, BSN, MSN, NP]

I work as an independent licensed Rheumatology/arthritis provider in Washington state, I am currently attending a Rheumatology conference in Atlanta, they are having a job fair and I swung by my old alma mater, ETSU, and like most places, they are hiring mainly for MD rheumatologist, what torqued my behind was when the recruiter said “we are hiring for a rheumatologist, and then maybe a fellow, and then maybe a third rheumatologist, and then we may consider an extender”. I really, really, really hate that term, “extender”, it just really reflects the backward thinking and the lack of value the NP’s are given in the southeast US, and even more demeaning from my alma mater where I got my BSN and MSN, to be referred as a tool, very insulting at least in my mind.and one of the reasons I moved from Tennessee to Seattle 2.5 years ago

Part of me wants to move back home to the southeast, but I don’t think I can tolerate the backward status that NP are given in the SE, Maybe I am being overly sensitive, but definitely I think I need to keep the job I have, LOL

[bbcewalters, NP]

YEP!!! Atlanta is OLD SCHOOL!!!!

[myoglobin, ASN, BSN, MSN]

Keep in mind that in Georgia and Florida you must always have a collaborating physician (I'm not even sure in Georgia that NP's can prescribe schedule II medications). Washington is the "mecca" for NP's and every effort should be made to provide a level of care that is equal (or hopefully superior in many cases) to that provided by physicians. You are absolutely correct about the term "extender". I am not insulted by "midlevel", but extender is a real slap in the face.

[bitter_betsy, BSN]

Atlanta is the problem - maybe Georgia in general. I currently work in Savannah in another profession while I'm in school and I've already determined that I will not work in healthcare in Georgia. Please don't throw the rest of us fantastic states out because of a weird apple. Pick another one ?

Edited to add that I'm sort of kidding about atlanta / ga being the problem. I don't live there but I see Savannah changing so I can't even begin to imagine what the bigger cities are going through. I mean no disrespect to anyone living in those areas. I'm just a rural girl...

[murseman24, MSN, CRNA]

Same with anesthesia in regards to CRNA practice. Very restrictive and political.

[Neuro Guy NP, DNP, PhD, APRN]

On 12/4/2019 at 10:17 PM, bitter_betsy said:

Atlanta is the problem - maybe Georgia in general. I currently work in Savannah in another profession while I'm in school and I've already determined that I will not work in healthcare in Georgia. Please don't throw the rest of us fantastic states out because of a weird apple. Pick another one ?

Edited to add that I'm sort of kidding about atlanta / ga being the problem. I don't live there but I see Savannah changing so I can't even begin to imagine what the bigger cities are going through. I mean no disrespect to anyone living in those areas. I'm just a rural girl...

I used to live in Savannah! Shout out!!!

(I practiced there as an RN and then left several years ago after becoming an ACNP. I too decided not to stay in the South. I practice independently now and won't go to a state where that isn't possible).

[beachbabe86]

midlevel is what is common here in Florida.

[AtomicWoman]

Don't call me a "physician extender". It makes NPs sound like medical Hamburger Helper! ? I will not even respond to a job ad that uses that term. It speaks volumes about the culture of the employer if they think of NPs and PAs as "physician extenders".

[myoglobin, ASN, BSN, MSN]

What is wrong with the term "prescribing clinician(s)"? It describes the role without casting aspersions.

[amoLucia]

AtomicWoman - You just made me laugh silly.

I commiserate for you fellow nurses. So sad that that level of cockeyed thinking still exists in this age of technological and advanced thinking.

[AtomicWoman]

Glad to be of service! ?

[NPvampire, MSN, RN, APRN]

In Georgia we can only prescribe c3-5. And our salaries suck. Hour per hour I make as much as a teacher with the same exp, degree, etc. This is outside ATL yes.