Latest Comments by rynophiliac

rynophiliac 2,698 Views

Joined: Jun 5, '11; Posts: 28 (39% Liked) ; Likes: 37

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    I'm looking for advice on specialty options. I'm adult-gero NP and really don't want to work in family practice. I prefer to know a lot about a little. I'm looking at specialty options right now and having a hard time deciding. I would prefer to treat just one disease if possible. I like to see objective and measurable results. I prefer minimal charting. And I like to work with my hands more than my brain. I'm considering wound care NP right now. Are there any other specialties you guys are working in that go along with this? Anyone working in wound care have any suggestions on pros and cons of wound care?

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    My brother in law is a rheumatologist and I have talked with him about his hiring process for NP's in his practice. First thing he looks for is rheumatology experience - although 99% of applicants have none and he realizes this and is prepared to train them. The next thing he looks for is an interest in rheumatology - he wants to know if he invests time and money training you that you will be there for years to come. Im in NP school now, I plan to 1/3 of my clinical hours with a rheumatologist, then take the American College of Rheumatology's NP/PA course to get certified as a mid-level. If that's not enough to show a rheumatologist that I want to work in rheumatology, I don't know what is. Unfortunately, it is pretty difficult to get experience in rheumatology as an RN. Most rheumatologists do not use RNs unless they do infusions.

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    The reason why I am asking this question is because I really don't want to work in a family practice. I chose the FNP route because it has more options but after I graduate I would like to work in a specialty clinic like dermatology or rheumatology. However, it seems like if I choose a specialty type clinic I am cutting myself off of the possibility of owning my own clinic (which I would like to do in maybe 10 years or so).

    This I do know for sure, that in Arizona ANYONE can own a medical practice, dental practice, etc. By law, they MUST have qualified individuals performing the work (obviously). So I was thinking it still may be a possibility to own a specialty clinic. I do plan to work with a doctor in the specialty that I choose. But if I found a doctor interested in partnering and then later he/she decided to leave, I am unsure as to what would happend at that point? I would have to get a doctor in of that specialty but could I not see patients until I get a new doctor in? Even though at that point I will have 10+ years experience in the specialty?

    Thanks for the help

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    I know many NPs that work in specialty clinics (cardiology, pain management, rheumatology, dermatology, etc) but can NPs own a specialty clinic themselves? It seems like all NP-owned clinics are family practice?

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    I know there are program out there that don't require a BSN at all, but they make you take an extra year to year and a half of courses to bridge you to the NP. They are ADN-FNP programs. I will have my BSN in just a few months and just want to get an early start on applying so I can start the FNP program right away if possible. If I finish my BSN in December and start applying I won't be able to start a NP program atleast until next fall at a minimum. But if there are any programs that let you apply prior to getting your BSN (with the requirement that you finish your BSN before starting NP courses) then I could possibly start in the spring of 2013. There is only one school so far that I know of for sure that will let me do this and I am applying right now but it would be nice to know of some others.

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    I am wondering if there are any FNP programs that will let you apply to their program before you have completed your BSN? I will graduate with my BSN in December but would like to start the FNP program right away if possible. Does anyone know of any FNP programs that will let you begin the application process before your BSN is completed as long as it's completed before starting the FNP classes?

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    Quote from nursegirl2001

    ......When I first began nursing, I understood that working in medical-surgical or geriatric care would sharpen and hone my skills as a nurse clinician. I am sooooo glad that I spent numerous years in medical surgical and home health nursing. Here's why....psyche patients often present with other physiological/medical health issues. Psyche RNs who lack this experience in the clinical setting are cheating themselves out of being more competent and capable as professional nurses. When I care for psyche patients, numerous times I have been able to accurately assess a patient who was in serious crisis and lives were saved as a result of yes medical surgical experience. ....I believe that every nurse should have either worked on the floor for a year or more as a CNA or as an LPN/RN in med-surg for 1-3 years prior to moving in another discipline or pressing towards a degree as an NP. This experience proves valuable because assessment skills are learned which greatly aid the NP in the family practice setting. As you know, in family practice the patients seen cover the life span. Otherwise, if psyche experience is all that you have, pursuing the PMHNP tract would be more applicable to your situation. Medical knowledge incorporated with mental health is a necessary and vital part of healthcare and is a must when treating patients effectively. I am speaking from experience and have done both over 17 years and am sooooo glad that I did. I worked with nurse colleagues in psyche who didn't have the medical experience that I did and were glad that I was there to recognize a patient with crisis symptoms....I took care of patients with mental and medical issues and I cannot stress the importance of such competent nursing practice. If you heed this advice you will never regret it......I hope that this response has helped you reach the right decision for you.......I am speaking from living, working experience. ....

    thank you for your comments. I wish I was able to get a job in med-surg right now to start gaining that experience. The only problem is that all the hospitals where I live require experience to get a job! I wish the job market wasn't this way but it is what it is. I am pursuing the FNP degree because I want to work in Rheumatology as a nurse practitioner. I have spoken with several Rheumatologists that say they have to teach both nurse practitioners and PA's everything about Rheumatology because they just don't learn it in their programs. I am sure that the FNP degree will provide a great foundation for me but learning how to treat sore throats, UTI's and how to provide well woman and well child exams are going to do little for me as a Rheumatology nurse practitioner. Since I have no desire to work in family practice, I am considering entering a FNP program without the clinical experience of a med-surg unit. I have a Rheumatologist who has already offered me a job as soon as I'm certified and who is willing to train me specifically in Rheumatology. What are your thoughts on this? I do have some experience in family practice because I work part time in a family practice clinic and it has been a valuable experience to help with my assessment skills.

    In fact, lately I have been thinking more about the Adult Nurse Practitioner. There are some Rheumatology patients under 18 years old but the majority of them are over 40 years of age. I have been thinking about the ANP lately for two reasons:

    1: I think I would get a greater understanding of problems specific to that age group as well as more training in polypharmacy which would be useful in Rheumatology while treating patients in that age group.
    2: Maybe the ANP program is less competitive than the FNP program since everyone wants to go FNP?

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    SHGR likes this.

    Quote from hey_suz
    I think this is relatively common. For example, a colleague of mine just completed her FNP studies. She had a clinical in a women's health setting, a clinical in a family medicine setting, and one with a dermatologist. She wants to do women's health, but they got assigned. Some programs will let you choose a preceptor.
    Good luck in your search.
    That would be great I didn't realize that this was even a possibility. I planned on doing some training courses with the American College of Rheumatology for NPs and PAs after I completed the FNP but some clinicals in Rheumatology would be great too. I will add this to my list of questions to find out when I research different schools.


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    FutureMSN, Tia333, and LPNRVER like this.

    Quote from nursegirl2001

    I too am in a position where I do not have to work, however .... I am not in the mindset to rush through such a serious aspect of clinical healthcare performance and services. Think about it for a minute, doctors have to go to school for a lot longer than NPs so how can we even offer accelerated programs under 2 years that actually prove effective in the clinical setting?? ... .As other posters have commented I would not want a practitioner who has rushed through a program and is treating me because I cannot help but wonder and associate this behavior/attitude with potential for the same disposition in the professional setting. NP is a serious job and responsibility that requires rigorous study:icon_roll..........hurried education will most likely equal hurried (potentially detrimental and incompetent) results.....
    I want to get through school as well but I want to be competent and knowledgeable as a provider but I need adequate TIME to learn the material to be able to do so effectively..... ...
    Nursegirl, I'm not sure if you read through the entire thread or not but we have already covered this. This thread is not about how about how effective accelerated FNP programs are in preparing their graduates for clinical practice, it is to identify which accelerated programs are out there so potential students can do further research into each program.

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    SHGR likes this.

    Quote from sapphire18
    Family practice IS a specialty...and many NP programs (at least the ACNP programs that I've researched) offer subspecialty training in clinicals and throughout your program. Even if it isn't advertised that way on their website.
    Sapphire, are you saying that I can do clinicals in a rheumatology clinic and get credit for them in the program? That would be great. I have never heard this before.

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    I have head that FNP programs are becoming much more difficult to get accepted into due to the increase in applicants trying to finish before 2015. If you have been recently accepted (within the last year or so) into a FNP program would you mind sharing your GPA, GRE, years of experience, volunteer work, organizations, etc you had and how many schools you applied to and how many acceptance/denials you got? I would like to see where I stand and maybe try to make my application look better.


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    cocoa_puff and ICUman like this.

    Quote from LetsChill
    Vanderbilt's FNP program is indeed 12 months. However, you need to already have a BSN. If you don't, they have an accelerated BSN program available. Also, it is more pricey, at nearly $1200 per credit hour.

    But it is one of the top MSN schools in the country. I'm going there for that reason, and because I can get an ACNP with a sub-specialty in cardiology. Few programs have sub-specialties and none for acute cardiology.

    Good luck.
    I would really like to see some more NP programs offer subspecialties. This is where the med students have us beat, they get to do a residency and learn their specialty as part of their training. I really want to do rheumatology, to my knowledge their aren't any FNP programs that offer additional training in rheumatology. I am planning on taking additional courses with the American College of Rheumatology for NP's and PA's at my own expense but it would be nice to have a subspecialty type program that would include it.

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    squishyfish, cocoa_puff, and ICUman like this.

    Quote from fallinnstyle
    I heard Union university in TN has a 14 month program.
    Good luck in your search
    Thank you very much fallinnstyle, this is a great lead! Their website says it is a 15 month program and at $490 per credit it is $22,500 very affordable! I will check more into this one for sure. If anyone else knows of more please post them and thanks to those who are helping make this list.

  • 5
    squishyfish, cocoa_puff, ICUman, and 2 others like this.

    Quote from hey_suz
    I'm a bit jealous that you don't have to work while in school! That will be nice, to just be able to focus on studying.
    It is very nice, the secret is to keep your bills low, don't buy a big house and new car, etc. I will still be working one 16 hour shift on Saturday but that's it, and I think I can handle an accelerated FNP program while working one day a week. If I have to drop the saturday too I will but it will be nice to have some income coming in to cover living expenses.

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    Southpawdown likes this.

    Quote from Tragically Hip
    Did you search this site? This thread came right up....

    1 year FNP programs
    I did see that one but it didn't go for very long and did not contain much information