Needing encouragement: I think I regret being an FNP

Specialties Advanced

Published

I don't even know where to start, to be honest. So I will just ramble (bear with me).

So I was laid off 3.5 months ago from an NP job that I enjoyed, due to budget cuts. At that time, i wasn't too devastated because I always kept my agency ICU RN gig on the side, and I have been able to resume making a good income ever since my layoff. But at this point, I am beginning to grow really annoyed at the inability to find a respectable NP job.

I live in an NP saturated city, and even as an NP with over a year of experience, I have placed over 60 applications with very little call backs. I've only been called back 3 times. One was a cardiology NP job and I was passed over due to me having an FNP (I was crushed, even though he loved my Cardiac ICU experience). The second call back I thought I had it in the bag, went though 5 positive interviews, interviewed with the CMO, and they eventually dropped off the face of the earth (after they STRONGLY encouraged me to get my DEA prior to hire.... so I basically paid over $700 to be flaked on, which is my fault at the end of the day, but still... I felt so deceived), and LASTLY there is another job that I am interviewing for that I think is a joke. They are talking about paying $60,000 a year with a FIVE YEAR CONTRACT. I honestly don't know why I am still communicating with them, but at this point, I feel like ANYONE showing interest in me at this point is something, even if the job is pathetic :cry:.

Even all the Locum Tenens places I am looking at are asking for 2 years experience, and I am still not "qualified enough" at 1 year and 3 months. I recently just purchased a home with my spouse and moving isn't an option at the moment, as I help take care of my siblings.

The job I was laid off from was a low 6 figure income, great perks, etc. and I am angry and disappointed in the lack of options that are out there now for FNPs. I'm not asking for perfection, but i'm seeing too many 6 days a week jobs for 60k-70k a year, which I find to be simply unacceptable. I feel like I fell for the "FNPs can do anything" myth. It is NOT TRUE in my neck of the woods. When looking at jobs now, all that is out there are psych and Acute Care jobs. Even pediatric clinics and OB/Gyns here only want PNPs/WHNPs. There are SO MANY FNPs graduating in my city and many more moving in. I have already put in applications for a few Post Masters AGACNP programs for Spring 2018, to open up my opportunities. I'm even tempted to consider applying for Psych NP, mainly for the $$$ and job opportunities. I'm shocked that employers are even considering asking FNPs to accept $60-80k for 50+ hour work weeks.

At this time, I am loving my Agency RN work, I always have. At least while I search, I can make my own schedule, work 4 days a week, and take trips without worrying about scheduling. But I still get this sense of 'I NEED to find an NP job soon'. But even headhunters I have contacted have nothing to offer because of the saturation. And I don't want to just settle for ANY job (like the 5 year contract job) that I will absolutely resent.

Anyway, thanks for taking time out to read this. Is there anyone else that is regretting their FNP or hating the job market where they are and are unable to move???

Maybe I'm just impatient, or asking for alot, i don't know.

Fire all the MD/DO primary care docs and hire NP since they can do a better job at a cheaper price than them according to studies...

MD/DO in primary care have no trouble finding jobs anywhere in the country, so why is that different for FNP?

MD/DO's don't have trouble finding jobs because there's not an abundance of primary care MD's being pumped out like factories. When a typical medical student gets out of medical school they would have accumulated about 6,000 hours. Add an extra 9,000-10,000 hours during their residency program. Also, if you fire all the MD's then some NP's would not be able to practice in certain states because not all states provide autonomy for NPs.

If anything, nursing schools need to stop pumping out so many NP's. Make NP programs as tough to get in as CRNA programs, then graduates from NP schools will not have trouble finding jobs.

Your argument can be said about RN's in outpatient/clinics and MA's. Why do you need RN's in these settings when MA's can do the same thing for less.

If anything, nursing schools need to stop pumping out so many NP's. Make NP programs as tough to get in as CRNA programs, then graduates from NP schools will not have trouble finding jobs.

THIS.

You hit the nail on the head. Every nurse that graduates nursing school jumps into an online/hybrid FNP program that literally takes anyone with a pulse. The programs are set up so easily that students work full time jobs while completing the "full time" curriculum on the weekends with time left over. I can't tell you how many of my friends went into FNP right after BSN graduation, set up their own clinicals with MDs they're friends with, no structure to what they actually had to learn. They complained about a paper having to be written fairly often and a discussion board post, just the kind of work a clinical masters should be worried about right? If they shaped up thier program I think it would not only solve the oversaturation issue but it would also increase the quality and knowledge base of the new NP which will help them go toe to toe with physicians.

OP, I'm sorry you're stuck in that situation. You aren't the first FNP I know to tell me their job offers were down in the $60K range. I have a few friends who graduated FNP school and just stayed working in the ICU because they couldn't afford to take the pay cut.

MD/DO's don't have trouble finding jobs because there's not an abundance of primary care MD's being pumped out like factories. When a typical medical student gets out of medical school they would have accumulated about 6,000 hours. Add an extra 9,000-10,000 hours during their residency program. Also, if you fire all the MD's then some NP's would not be able to practice in certain states because not all states provide autonomy for NPs.

If anything, nursing schools need to stop pumping out so many NP's. Make NP programs as tough to get in as CRNA programs, then graduates from NP schools will not have trouble finding jobs.

Your argument can be said about RN's in outpatient/clinics and MA's. Why do you need RN's in these settings when MA's can do the same thing for less.

They should fight for autonomy in all 50 states then... It's either they can replace PCP MD/DO completely or they can't.

In states that they are fully autonomous, they should not be looking for jobs. MD/DO PCP should since there is no difference in the care provided by NP vs. DO/MD in primary care and yet NP is way cheaper...

Why would an employer hire a MD/DO PCP over a NP in states where NP have full practice right?

Based on the OP's and others' comments:

Is it really better to go for a psych NP certificate as opposed to the FNP certificate?

Specializes in allergy and asthma, urgent care.
Based on the OP's and others' comments:

Is it really better to go for a psych NP certificate as opposed to the FNP certificate?

Only if you want to be a psych NP. I think you're doing yourself and your patients a disservice if it's not really want you want.

Specializes in Family Nurse Practitioner.
Only if you want to be a psych NP. I think you're doing yourself and your patients a disservice if it's not really want you want.

Ethically I couldn't agree more and from a practical standpoint while there used to be a shortage of PMH NP that is no longer the case at least in my area of Baltimore-Washington DC. The numbers who are jumping on the psych bandwagon are staggering. Wages are declining and the quality of care is also declining, speaking anecdotally from the misdiagnosis and prescribing I see on patients were are being admitted to the acute inpatient units where I work. Its sad because this is a very special and vulnerable population who deserve better.

They should fight for autonomy in all 50 states then... It's either they can replace PCP MD/DO completely or they can't.

In states that they are fully autonomous, they should not be looking for jobs. MD/DO PCP should since there is no difference in the care provided by NP vs. DO/MD in primary care and yet NP is way cheaper...

Why would an employer hire a MD/DO PCP over a NP in states where NP have full practice right?

because MD/DO actually know what they are doing.

no difference in level of care lol. go drink more of your kool aid

The states may have fallen for the nursing propaganda bus but the hospitals know better.

Perhaps it's time to consider moving. I would if I was in your situation.

Specializes in Hospital medicine; NP precepting; staff education.

Once again I am counting myself lucky.

Thanks to advice here and in person, I negotiated a position nearly twice what I made as an RN. On top of that, even in my restricted state, my collaborative physicians are wonderful and supportive and I've been recruited for moonlight jobs from the networking I've done.

This really is the best job in the world.

Specializes in allergy and asthma, urgent care.
Once again I am counting myself lucky.

Thanks to advice here and in person, I negotiated a position nearly twice what I made as an RN. On top of that, even in my restricted state, my collaborative physicians are wonderful and supportive and I've been recruited for moonlight jobs from the networking I've done.

This really is the best job in the world.

I have to agree. I love what I do and I was fortunate in that jobs were plentiful when I graduated. I've had some great experiences and I get calls daily from recruiters trying to entice me with big bucks. I know times have changed, and it's tough to get that first job. But once you do, more doors open and you have options.

Specializes in Psychiatry, Community, Nurse Manager, hospice.

It's been 3 and a half months. That is nothing in the job search world. Even if you were looking for fast food work you should expect it to take more time.

because MD/DO actually know what they are doing.

no difference in level of care lol. go drink more of your kool aid

The states may have fallen for the nursing propaganda bus but the hospitals know better.

Well, you might be right because I just could not understand why some NP are having a hard time finding jobs while primary care physicians aren't... It just does not make sense to me if one (NP) is way cheaper and they are the ones who are getting the short end of the stick...

+ Add a Comment