Published
The AAPA has recently released a position regarding "Full Practice Authority and Responsibility" or "FPAR" to create a level playing field with nurse practitioners.
It basically calls for ending their mandatory collaborative agreements with physicians and establishing indepedent PA state boards.
http://news-center.aapa.org/wp-content/uploads/sites/2/2016/12/FAQ-Final_12_15.pdf
It seems like PAs are trying to mimic NPs full practice authority journey (especially after the VA ruling on APRNs.)
I wonder how this will affect NPs and our practice environment? Thoughts?
OH good! Another RockMay post! I love these.PAs may be able to do, in practice, 85% of what a physician does (after OTJ training) but they certainly don't learn 85% in 2 years, what a physician does in 4 (plus residency). That's a ridiculous claim.
But Rock is kind of fanatical about PAs. Bit of a chip on his/her shoulder and something to prove.
You're right, I was browsing through the user's previous posts and it seems like they've been very critical about NP education, practice and existence. Some cynicism is healthy for the progression of the profession but it's treading on hatred it seems like...
You're right, I was browsing through the user's previous posts and it seems like they've been very critical about NP education, practice and existence. Some cynicism is healthy for the progression of the profession but it's treading on hatred it seems like...
My cynicism of NP education, practice, and existence is due to the complete lack of education, lack of preparation for practice practice, and insistence that the NP job should not exist as it clearly endangers patients.
My cynicism of NP education, practice, and existence is due to the complete lack of education, lack of preparation for practice practice, and insistence that the NP job should not exist as it clearly endangers patients.
1) Complete lack of education? You are obviously biased - NPs have at least a four year degree (as do PAs) and a masters' level degree (as do PAs).
2) Lack of preparation for practice practice (whatever that means) - One could argue that about PAs too.
3) insistence that the NP job should not exist as it clearly endangers patients - Prove it. Show us one study. No? Can't find one? If NPs are unsafe, why haven't there been studies, actions by state legislatures against NP independence, shutting down NP programs by regulators.
Look, I'm not an RN or an NP (and I never will be) and I think PAs are an important part of the medical delivery system. However, I do not appreciate your trolling here or your inability to present facts to back up your spurious accusations. Building up PAs doesn't have to be by denigrating NPs.
the NP job should not exist as it clearly endangers patients.
As do PA's. I often have to correct and edit orders made by the PA in the ER I work in. Or how about the PA who had no idea what to do in my recent ACLS renewal class? They didn't know what atropine was.
That said, I still favor PA education over NP.
But many NP's come with years of RN experience, a huge help. Most PA's have dismal HCE prior.
I agree. He is most likely very insecure and it makes him feel better to run down NPs. Pretty sad.
The truth is that there are good and bad in all professions. NP, PA and physician.
PAs don't get more education, this is just laughable. PA and NP are pretty much interchangeable. The big difference is that PAs MUST have a supervising physician. This is a big reason that rural ERs like NPs. No need for back up call. This has nothing to do with PA capability, simply politics and state laws.
Correct. PAs have more education which is superior in depth and quality to that of NP education.Incorrect. The title is Physician Assistant. There is no possessive after physician.
Incorrect. PAs obtain their own licenses from their state board of medicine.
More like 85% physician.
Hmmmm. I see that you are back. How fun!
I agree. The PA model is better, IMHO. I think NPs are shooting themselves in the foot by having so many specialties. I've long thought that all APRN practice should start with a base FNP then specialize to anesthesia, peds, women's health, mid-wife, ER, intensivist etc.
Actually, I would argue that we don't have enough specialties. With the exception of psych, those areas you mentioned are the only ones in which the accrediting bodies offer NP certification. NPs who want to practice in other areas have to find a specialist physician or facility that's willing to train them, and that isn't so easy to do anymore.
Dodongo, APRN, NP
793 Posts
OH good! Another RockMay post! I love these.
PAs may be able to do, in practice, 85% of what a physician does (after OTJ training) but they certainly don't learn 85% in 2 years, what a physician does in 4 (plus residency). That's a ridiculous claim.
But Rock is kind of fanatical about PAs. Bit of a chip on his/her shoulder and something to prove.