NP or PA

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Hi there, looking for some additonal information to make a choice.

I was in a PA program but took a leave of absence after the first semester. And Signed up for a FNP program. I am trying to decide the best route. I know they are similar but different theroy. The PA gets a lot of clinical in many specialties and is ready for most practice environments. the NP program I signed up for in a family program and has minimal elective options for surgery, er etc. I work in the OR now and some have told me that coming from that background I would not need the first assist course. Surgery or Ed are my interests.These are the closest programs to me and I can't really move. The PA program does carry a high debt, but since the NP program requries only part time work and more semesters the debt is close.

Liked the PA route but do need to get that debt paid off in a timely manner. Have heard some NPs over years state they dont make much more then regular RN, that does not make since to me since now your a provider and have a MSN.

Just wondering what others expierences are in their areas of the country. Thanks

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Specializes in Nephrology, Cardiology, ER, ICU.

Hi and welcome. Maybe some things to consider:

1. Since you can't move, what type of mid-level providers are used in your area in surgery and the ED?

2. Can you shadow any of these providers?

3. What's the job forecast in your area?

4. Finally, what do you want out of it?

I just finished a CSN in adult health. I did it for several reasons. However, the most important to me was the amount of debt I would have as I already had accumulated student loans via the MSN program (my APN is a post-MSN certificate).

My area of staff nursing was ER - absolutely loved it. However, no jobs available so I ended up in nephrology. However, I think I might like the opportunity to learn more in a different direction. What I'm trying to say is don't close the door on any learning experience. Good luck.

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Specializes in Government.

Cody30, I'd urge you to really look at the job outlook in the area you want to live. Investigate salaries and richness of opportunities. I have many many friends who spent a whole lot of money (on PA/NP training) only to end up back as floor RNs because they couldn't find a job.

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thank you, wow thats a downer that they could not find jobs. I live in so cal where there are many but plan to move somehere after school where cost of living is cheaper thats why asking about other parts of the country.

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Specializes in Nephrology, Cardiology, ER, ICU.

I live in central IL (about 180 miles southwest of Chicago). They use PA's, NP's, CNS's, and CRNA's here. Chicago also seems to have alot of openings.

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