NP Stats

AllIcanbe · Sep 7, 2015

I think the value of Education will 'pop' soon. Much like the housing bubble. Not sure of any country that has as many schools( especially online) as the USA.. Maybe time to revist careers with tech/apprenticeship training?

Jules A, MSN · Sep 7, 2015

Fascinating. There is such a saturation of student FNPs and ACNPs in my area that I wonder about the job market in 5 years. I know for my first job after graduation I have a place, but when I want to move on, will I have somewhere to go?I want to believe that I will. Time will tell. I thought I was ahead of the curve with the ACA passing but my ED has seen greater volumes of people. Sure more have access to "insurance," but being that fewer providers are accepting of those policies or going to cash-only services (a nominal amount in the grand scheme of things but large enough to cause an uptick in non-emergent ED visits) I find that my services will always be desired in the urgent care/ED setting. Will I still love it in 5 years? I hope so, but who knows? At least having the broad-based, all ages population training will make me more marketable.

My concern is not so much being able to get a job but the possible squeeze on my premium rates when the large numbers of NPs start hitting the market with absolutely no clue about appropriate wages or interest in attempting to run their business like a business.

synaptic · Sep 7, 2015

I agree they should bring back the apprentice, journeyman, artesian, etc type training. it won't happen though since colleges bring in big money. education bubble isn't really a pop type phenomenon, more like a slowly leaking balloon, which has been leaking for a decade or so already.remove college, add in only standardized tests one can study for without having to go to college, then let the top litter, enter direct training programs for which they earn a small wage and bust butt for several years (depending on the work) and then let them work on their own.Much better way to educating people but what do i know I don't have a PHD in education and theoretical crapography.Back on topic, sooner or later nurse practitioners will be demeaned to slaves of the MDs. why? because a good amount of nurses are catty and would rather swipe their claws at each other than bond together.

littlepeopleRNICU · Sep 7, 2015

My concern is not so much being able to get a job but the possible squeeze on my premium rates when the large numbers of NPs start hitting the market with absolutely no clue about appropriate wages or interest in attempting to run their business like a business.

I will be 29 when I graduate and have almost 8 years of nursing experience. I know not nearly the same as many NPs from the table, but I hope I'm able to be taken seriously and still effectively handle "the business side of things". I stalk your posts about this lol...you're a good teacher, Jules! Don't go anywhere for the next 2 years, okay? ðŸ˜

Jules A, MSN · Sep 7, 2015

I will be 29 when I graduate and have almost 8 years of nursing experience. I know not nearly the same as many NPs from the table, but I hope I'm able to be taken seriously and still effectively handle "the business side of things". I stalk your posts about this lol...you're a good teacher, Jules! Don't go anywhere for the next 2 years, okay? ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½

Although you are a baby I love that you have an actual nursing background and are interested in handling the business end too. With NPs like you we have a chance of being taken seriously although in my experience its a constant battle.

My plan is to stick around 8-12 years depending on how much things start pissing me off and how limber I remain, got to be able to bob and weave in psych ya know, lol.

Jules A, MSN · Sep 7, 2015

because a good amount of nurses are catty and would rather swipe their claws at each other than bond together.

Have you noticed that physicians could give a hoot if another Doc either makes a mistake, misses something or does things in a way they don't agree with? The could care less but nurses, OMG, they seem to relish in finding others weaknesses in an effort to make themselves feel superior.

And it always comes back to how "holistic" we are compared to physicians. Seriously is that all we have to offer? Barely competent with no business or professional savvy, at all but I'm not interested in how much money I make and my patients all love me because I'm "treating the whole person." I'm sure there is some flimsy nursing research that supports this mantra, lol.

Dranger · Sep 8, 2015

Have you noticed that physicians could give a hoot if another Doc either makes a mistake, misses something or does things in a way they don't agree with? The could care less but nurses, OMG, they seem to relish in finding others weaknesses in an effort to make themselves feel superior.
And it always comes back to how "holistic" we are compared to physicians. Seriously is that all we have to offer? Barely competent with no business or professional savvy, at all but I'm not interested in how much money I make and my patients all love me because I'm "treating the whole person." I'm sure there is some flimsy nursing research that supports this mantra, lol.

I find that docs rarely talk against one another (at least not to nurses) even when glaringly obvious errors or lazy work ups were done. They usually take a diplomatic or a passive approach. This stance almost kind of shocks me, but I also admire them for their stalwart neutrality and support for their colleagues even when it might mean more work for them.

I wish nurses were the same, there is a gossip ring around my work about writing people up in incident reports. It's kind of sad really.

Jules A, MSN · Sep 8, 2015

I find that docs rarely talk against one another (at least not to nurses) even when glaringly obvious errors or lazy work ups were done. They usually take a diplomatic or a passive approach. This stance almost kind of shocks me, but I also admire them for their stalwart neutrality and support for their colleagues even when it might mean more work for them.
I wish nurses were the same, there is a gossip ring around my work about writing people up in incident reports. It's kind of sad really.

Not in private either, in my experience I have had physicians share that they thought someone was incompetent but thats where it ends. They aren't even remotely interested in gossiping about it and in only one case do I know of a medical director who actually wrote up a fellow doc. Its not so much that they are covering for each other but that they are professional and operating independently and are focused on their craft. Again I have to wonder if it doesn't go back to nursing being largely female, and although I know the tides are turning a majority of the Docs I work with are still male at this point in time.

The other thing I wonder is, as in academia, jobs that are notoriously challenging and require significant education but often don't pay great or offer the prestige of some white collar positions seem to attract or cultivate martyrs who are petty and have to constantly justify their importance by adding insignificant credentials to their title and dragging others down, jmo. Hopefully if APRNs begin to have a more business minded focus this will change and they can lighten up.

PG2018 · Sep 8, 2015

I will be 29 when I graduate and have almost 8 years of nursing experience. I know not nearly the same as many NPs from the table, but I hope I'm able to be taken seriously and still effectively handle "the business side of things". I stalk your posts about this lol...you're a good teacher, Jules! Don't go anywhere for the next 2 years, okay? ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½

Study the business! Look at articles on practice management and funding. I have an article lying on my desk right now from Kareo entitled "3 Easy Ways to Increase Your Medical Practice Revenue by 25%." I am in the business to deliver a quality service and make a lot of money in the process. The better I do in each session the more I can make, and the better I am at administering my practice the more patients I can see with efficacy. The leads to higher revenue, and that leads to happy wife, happy life, happy me. I couldn't care less how that comes off. Know what's going on with your state Medicaid program as well as Medicare. Understand the other reimbursements in your practice. Study the business side of healthcare. I tout modernmedicine.medicaleconomics.com. Books like 10 Day MBA, How to Make Friends and Influence People, 4 Hour Work Week, 7 Habits for Highly Effective People, and similar genres are all good for development of business mindset. Automate whatever you can, and make efficiency your rule. For example, I don't anything during the business day that it doesn't take a person of my credentialing to do.

PG2018 · Sep 8, 2015

Not in private either, in my experience I have had physicians share that they thought someone was incompetent but thats where it ends. They aren't even remotely interested in gossiping about it and in only one case do I know of a medical director who actually wrote up a fellow doc. Its not so much that they are covering for each other but that they are professional and operating independently and are focused on their craft. Again I have to wonder if it doesn't go back to nursing being largely female, and although I know the tides are turning a majority of the Docs I work with are still male at this point in time.
The other thing I wonder is, as in academia, jobs that are notoriously challenging and require significant education but often don't pay great or offer the prestige of some white collar positions seem to attract or cultivate martyrs who are petty and have to constantly justify their importance by adding insignificant credentials to their title and dragging others down, jmo. Hopefully if APRNs begin to have a more business minded focus this will change and they can lighten up.

I have noticed the same characteristic with physicians. They will openly vocalize the incompetencies of other clinicians, among clinicians, but they take no time to fixate or gossip. This is admirable.

I second the business focus of APRNs and the development of the profession. At risk of offending many, I think one of the biggest things we can do to advance ourselves is distance us from the dogma of nursing, i.e. we are servants, any patient's needs always takes precedence over all other matters of life, the pay is ok as long as the patients are happy, we are altruists, we care rather than treat, etc. Rather, I laud the scientifically-oriented, business savvy diagnostician. Of course, this is my own opinion.

littlepeopleRNICU · Sep 8, 2015

Study the business! Look at articles on practice management and funding. I have an article lying on my desk right now from Kareo entitled "3 Easy Ways to Increase Your Medical Practice Revenue by 25%." I am in the business to deliver a quality service and make a lot of money in the process. The better I do in each session the more I can make, and the better I am at administering my practice the more patients I can see with efficacy. The leads to higher revenue, and that leads to happy wife, happy life, happy me. I couldn't care less how that comes off. Know what's going on with your state Medicaid program as well as Medicare. Understand the other reimbursements in your practice. Study the business side of healthcare. I tout modernmedicine.medicaleconomics.com. Books like 10 Day MBA, How to Make Friends and Influence People, 4 Hour Work Week, 7 Habits for Highly Effective People, and similar genres are all good for development of business mindset. Automate whatever you can, and make efficiency your rule. For example, I don't anything during the business day that it doesn't take a person of my credentialing to do.

That's good advice! Thank you!

Jules A, MSN · Sep 8, 2015

I second the business focus of APRNs and the development of the profession. At risk of offending many, I think one of the biggest things we can do to advance ourselves is distance us from the dogma of nursing, i.e. we are servants, any patient's needs always takes precedence over all other matters of life, the pay is ok as long as the patients are happy, we are altruists, we care rather than treat, etc. Rather, I laud the scientifically-oriented, business savvy diagnostician. Of course, this is my own opinion.

Mine too. Although I love my nurses, I am no longer one of them. I'm a provider and I do not do anything they wouldn't ask a psychiatrist to do. I dress professionally, hang with the doctors and make no bones about my worth during salary negotiations.