Quote from Goldenfox
Clinical ladder? Interesting. Although, I would more accept that for RNs who have different levels of competence with executing clinical tasks, but not for NPs. Not that I ever really bought into the clinical ladder thing for RNs either, but that's another topic. Its a different thing when it comes to qualifying the competence of people who diagnose and treat disease. My point is that MDs don't have level 1 and 2, and PAs don't have level 1 and 2 either. Why NPs?
That sounds like the labels given from the large, teaching hospitals who in my experience rarely pay a decent wage. Probably to pigeon hole someone into a lower starting salary.
The reason this is seen for NPs and not MDs can be asked about a multitude of scenarios and there are a variety of reasons, mostly in my opinion because NPs don't align with medical staff, remain willing to do non-provider tasks and work for peanuts despite similar billing value.
I recommend actively participating with your state NP organization to ensure our voices are heard and we are able to practice to our full scope. It is also crucial, imo, that we discuss our pay rates with peers for the transparency most employers attempt to avoid. It is insane that I am able to make $80,000 a year more than some of my psych np peers who have the same and often more experience.