Quote from ArkansasFan
Well, like I said I knew it would vary between states and it goes unsaid that it would vary between institutions.
I guess those procedures are just not taught then. It's obvious that an FNP would have to take histories and physicals, etc. I just wondered where, if ever, the procedures that you could have done at your family practitioner's (MD) clinic were taught to FNP students. I'm assuming by the replies that joint aspirations, would debriedment, endoscopies, and so forth aren't done at all by FNPs. ?? Thanks for the replies, ladies.
Disclaimer, I am an independent practitioner in family practice.
I do arthocentesis and intra-articular injections several times a week. I also do a lot of shave and punch biopsies, colposcopy, IUDs, I&Ds, and botox and fillers. Yesterday I removed several large sebacious cysts (and sacs) that required suturing afterward. My rule of thumb is, if it were something I'd want a plastics expert to do for myself or my kid
, I refer it to plastics. I do not generally sew faces, except in cases like the patient that insisted he didn't care about the scar and just wanted his eyebrow sewn back on in a hurry, lol. I had suturing in school but I didn't get good at it until I practiced. I had several weeks worth of instruction on reading xrays in school. I am expected to do a preliminary read on my my own films, but like my colleagues, I rely on my own interpretation only to assess the highlights and defer to the radiologist for the final word. This too was a skill I learned with practice and reinforcement from people with more experience. Someone brought me copies of his head CT earlier this week and I honestly wondered what he thought any of us in a primary care office would do with them, lol. I just told him I was clueless about them. If that true solely because I am not a MD provider
, well I can live with that and he will too.
I do agree that gross anatomy would have been great fun and a thrilling learning experience. It's a pity that it isn't available to NP students but as I understand it, it is very difficult to get the number of cadavers needed for medical students as it is. Clearly, if they are to be rationed, it makes sense to appropriate these limited resources to medical students.