Published
Why I'm going to medical school. Ill keep this short and simple. How does this relate to everybody else? Read the entire thing and see, this explanation is not at all about me.
Overwhelming amount of masters level nursing programs. Never before besides law and maybe the MBA have I ever seen such a large amount of specific programs pop up. Every school in america seems to have a masters level nursing program in their academia. This includes the notorious for-profit schools that everybody excluding people who hold degrees from these institutions seem to loathe. Our credentialing bodies, by allowing all of these poorly regulated programs to pop up, have lowered them selves to the level of weaksause, bile-like vomitus.
decreasing job market. Again, with every soul in america for going an advanced practicing nursing degree, our job availability will decrease severely in the next few years. This has already began to take place, with many NPS across america, varying geographically of course, fighting for entry level jobs making substandard wages.
Low barrier to entry. This is where the nail gets hit on the head. Essentially, to keep enrollment high, higher level nursing programs (excluding a few from higher end schools) have DROPPED their admission standards, in fear that somebody will go to another program instead of their own. NO GRE, NO GPA, NO EXPERIENCE, NO INTERVIEW. I mean come on people, really??? Your so money hungry you will lower your admission standards just to get more applicants and provide more seats. At least in the medical world, schools keep it competitive, for which is mostly to make their school look better.
Role confusion. This is not prevalent everywhere, but even with all these nurses pushing for education of the np model to patients†a large amount of people still don't know what we are. PAGING DOCTOR NURSE, DOCTOR NURSE. I mean how ridiculous does that sound. DOCTOR NURSE??? while the DOCTOR NURSE complication may be DNP and PHD specific, there is much confusion to a nurse wearing a while coat, prescribing medication, etc (not anything wrong with it but it is confusing to patients)
Weaksause curriculum. I am sure there are very difficult schools out there that provide the MSN needed to obtain the overly sought nurse prackk†status, but many of these online programs at for-profit universities have really dumbed the requirements. I know of many schools that require no closed book tests, being the only one you take is your majorly feared BOARD EXAM, which was so notoriously easy i don't see how anybody can fail it. I think the hardest question I had was. SOMEBODY COMES IN WITH THAT BILE-LIKE- VOMUCKUS AND RIGHT QUADRANT UPPER PAIN IN THE ABDOMINALS AREA. WHAT LOLTEST DO YOU ORDER IMAGING WISE FIRST SO U CAN DIAGNOSE THIS PATIENT LIKE A 1337SAUSE NURSE PRACKK AND BE EPICLY LEET AND GET A LONGER WHYT KOAT. But anyway…. it is too easy, to short, and does not always prepare people for the level of knowledge required to do his or her job. If you disagree, then why do we aways get these ZOMG I CANT TAKE MY JOB ITS TOO HARD AND HARD AND I CANT FUNCTION, DIDNIT LERN ENUFF, HELP†posts on all nurses from these inadequate providers that went to the university of the FEENIX at western senator university and didn't even learn what lisinopril is? epic failure my fellow PRACKKS.
I could keep going but i will spare you all from my wonderfully notorious grammar and poor use of capitalization to go study the MCAT since medical school actually has requirements to get into it. By no means am I smarter or think I'm smarter than anyone else, but by taking this path I will have a much more rewarding career, more job options, and an overall better outlook than most (if not all) NURSE PRACKKS. None of this is due to any quality I possess besides the fact that I have been imbued with the knowledge that Low barrier to entry, overly easy schooling, hot popularity, and poor credentialing bodies will lead to a severely saturated market for current and future nurse practitioners, which I have chosen not to be a part of.
If anybody else wants to follow me through a more difficult and rewarding pathway than advance practice nursing can provide, you will reap the rewards of the hard labor you shall put forth, if not, enjoy the last few years of excellent salary guarantee (excluding excellent providers, which most people think they are but they are not even close) and wallow in your despair once your fighting for jobs that pay a couple grand more than RN positions.
Eat dirt you poorly managed nursing credentialing bodies, for imbuing all these poor people with high hopes and dreams which will burn in fumes faster than the dotcom bubble did.
THE PRACK BUBBLE WILL POP, ARE YOU READY?
#incoming hate
#pulverize the dead horse
#all of the people who cherish his or her APRN license will be super MADZLOL and be offended by this which is awesome
#hanging out under my bridge
#overly sensitive nursing population
Oh, and I also put down a 200k+ year job to do all this, for all you people who will be like "LOL YOUR BADZ AND NEED MORE SKOOL TO BE GOODS AND PROBABLY MADE LIKE 55K PER YEAR ROFL ROFL ROFL."
This would be an excellent thread and I admire that you are doing your due diligence now.I personally think sharing knowledge not only benefits the newbies but also secures my position. Why would I want someone coming in for less money than I make? As a RN I felt this way also and went out of my way to pass along the tricks of the trade that I learned from someone else's generosity. It doesn't cost me anything, might help someone else and our profession as a whole so why be greedy?
I wish more people had this perspective. The cultural more against discussing income really only supports employers in offering low wages. Websites like Glassdoor are useless since cost of living and geography influences local economies. If I asked for what they or the BOL say is the average I'd be seriously below local wages.
I have a few friends who are NPs who discuss salaries, but most of them are in my age bracket and thus haven't been practicing long, and they're certainly a minority. I just want to get paid what I'm worth, but without knowing details of the local landscape it's hard to know how to value my services.
ETA: good luck in med school, OP.
I totally agree that NP programs should be harder to get into and select the best and brightest like medical schools. I really REALLY wish NP programs would be like medical schools. I work with an NP and I wonder how she became a nurse practitioner, she is not that smart. The fact that the NP market is saturated and that programs vary so much is why I feel like I don't want to be one. I would hate to graduate from an NP program and be totally clueless. That is scary. I also don't think I would be a very good provider when I have had
I also wish the OP well for their goals. I, personally, do not want to be an MD/DO because of the debt, I'd have to take undergrad sciences again and more of them, and I don't want to be married to the job. I feel I will serve in the role I desire (primary provider) with less debt and more time to myself. I do, however, have a personal goal, similar to Dogen, that I want a practice doctorate. I guess I'm a professional student. Still, cheaper than an MD/DO education for me.
My thoughts as well on why I chose NP! I do wish the NP curriculum was more science oriented (since, ya know, that helps us with prescribing, diagnosing, etc.) but I am continuing my education in areas I don't feel as comfortable with as a primary care provider. I am thinking of my first couple of years as my residency....but I'm getting paid better with normal hours.
When I factor in what I can earn with my RVU bonuses I can easily get to 6 figures without the 6 figure debt.
The debt is the bad part >.>
I will say though, that for the most part that whoever governs the nurse anesthesia group seems to have their stuff together pretty well. I know the market is also narrowing for CRNAs, but it also seems to be for anesthesiologists in a lot of areas. But i do not see the CRNA market to take a beating like the prackyprack market will. If only the ancc and aanp would follow suit.
See, im not against nursing, just the shabby boards of rotten yellow pine that control the validity of our license we worked so little to get.
maybe we should try to write our governing bodies letters tell them more is not always better. I think they feel that there is power in numbers. Either that or the more nurses and nurse pracks there are, the more money they get for selling CME, board exam tests, license fees, and the other fecal-like substances they make us hold in our gloveless hand to remain licensed.
Synaptic, I agree that you should not pursue being an NP, but I don't think being an MD is the way to go, either. Your attitude is horrid. Your grammar is worse. I would hedge my bets that you wouldn't get past the interview stage of a med school application, let alone the MCAT. One could argue that allowing you into an MD/DO program would be diluting the integrity of the medical model. This is what you don't understand: skill level and commitment vary in EVERY profession. Have you ever heard the phrase "C's get degrees"? Would you want to traverse a bridge designed by an engineer with a 2.0 GPA? Well, I guarantee you do every single day. Nurses, MDs, and engineers are scientists first and foremost. Scientists worth their salt don't make sweeping generalizations like you have. I also am concerned that you lack the shrewdness to maintain HIPPA because of your feeling so comfortable spouting your incendiary ideas on such a public forum. Finally, what makes you so sure you could "cut it" in an MD program? Being as anonymous as you are, though, we would never know that you returned to our lowly profession to pay your bills with your tail lodged between your legs. On behalf of all of the future NPs on the forum, I sincerely say "Bye, Felicia!".
If you want to go to med school thats fine, its your choice. However, there are many APNs who are happy in their careers. Remember, money is not everything. Its about loving your job and having a decent income that satisfy your livelihood. However, if you arent satisfied then you have the right to do something about it. I wake up everyday, happy with what I do and the pay I get, and time it allows me to be with family and friends. As for nps, its about finding the right job, just as it is for a doctor. I know nps who arent happy with their job, just as I know MDs who arent happy either. I even had a close MD friend who makes alot of money said to me that if he had to do it again he wouldnt choose med school(Which kind of shock me). His reasons was constant oncall, lack of family time, missing his children" birthdays, etc. I had my reasons for being an rn to np because i didnt want loans and I didnt want to be totally devoted to work as much as I love my patients. I worked hard for my rn, bsn, msn-fnp, and currently my dnp without any loan assistance. So it depends on individual preference and what you are looking for in life. Good luck with whatever you do.
Jules A, MSN
8,864 Posts
This would be an excellent thread and I admire that you are doing your due diligence now.
I personally think sharing knowledge not only benefits the newbies but also secures my position. Why would I want someone coming in for less money than I make? As a RN I felt this way also and went out of my way to pass along the tricks of the trade that I learned from someone else's generosity. It doesn't cost me anything, might help someone else and our profession as a whole so why be greedy?