prelift

money always plays somewhat of a factor and one should not be guilty of that. I don't think I would medicine for 50k per year for life, but it is a great and interesting job. More than likely people would not CRNA for 50k either, not when less stressful or full of liability jobs are out there. If anybody wants to chase pure cash though go be a financial engineer for big banks.

I've read most of them. "Equal outcomes for high blood pressure, diabetes, high lipids, blah blah blah" Then it follows mortality rates, luckily most people don't die during 6 month long studies so yeah of course it is equal. Then in fine print at the bottom for many it says physician with np vs physicians alone so it's not even really independent practice. Go read them on pubmed yourself with an unbiased looking glass. Plus they are all published by nurses almost so you know if they did have a study that didn't fit their "criteria" they just would not publish it. Almost all nurse practitioners work alongside physicians also, so how do they even know that the np isn't bouncing ideas off of the physician for treatments evaluated in the studies? What about nps that were trained by physicians? Without the mass of medical knowledge procured and passed down to mid levels via MD counterparts where would NPs be? Can you answer those questions or do you still think that you can manage everything that walks thru the clinic door without physician oversite?

It's ok tho. Only been in neuro residency one month and have had three nps on the hospital service consult me for confusion/AMS on patients with cirrhosis without even ordering NH3 lab. Not sure where their attending is but lol. And yes we get consults day 3 on service considering first two are computer orientation. How bout them livers

Shia owner. I don't even comment on what you said except to point out you stated two opposing statements in your post. What exactly do you want me to find evidence for related to that? The only studies done physician vs np are for the basic 5 diagnoses. Others don't exsist. What do you want people to do studies on exactly? Just be cause studies have not been done doesn't mean one can't derive that physician education is superior than np education. I guess you know it all as a new as a new grad though right and aren't working under a physician since you think you can solo medicine. Pass step 1 and then we can talk about equal education i guess since there have not been studies done in regards to physician vs software engineer ability to code google should hire me next. I mean there is no data to refute this right??? So obviously I am just as able of a programmer since no studies say otherwise

1. you are not in practice yet so the opinion on study vs provider ability is not worth a grain of salt 2. if you are at a for profit online np school you are probably not learning what you need to learn. 3. the studies you refer to only count like 5 diagnoses, out of thousands in equality between NP and MD. 4. do you even know what med students do in clinicals? third year I had to manipulate the laproscope and was suturing with the surgeon walking me through it. That is experience. Also rounded on all his patients before he got there. Same goes for every other rotation. Why would you place a dichotomy between clinicals and experience.. do you not know that you gain experience in clinicals???? 5. before you diagnose a disease you at least have to know it exists. Tons of NPs who rotated in the hospital I was at did not even know of HALF the diagnoses we learn in medical school. You cant really diagnose something you haven't heard of no? 6. If you think you will learn everything at your pajama online for profit you are wrong. 7. book knowledge, done thoroughly, greatly speeds clinical learning. 8. How are physicians green exactly when they land his or her first job? 6-7k clinical hours + 3-7 years of residency= no experience???? I fail to see the logic in your post sir or ma'am Jeez these nurses that have never written a prescription in his or her life think they know it all.... The one part of your post I do believe is that you were in management. Only somebody in that section of the hospital could be this out of touch with reality

Chiros can be huge scam artists. If they advertise they can fix anything besides neck and back pan run from their lies. They can go to jail for saying they are medical doctors.

It's pretty pathetic people can do 2 or whatever years at some schools doing discussion board posts then 500 clinical hours and get prescriptive rights

Lol you say prior nursing experience had a negative correlation then later in your post you say it helps. Please quit debating.

lol have to shadow one before you dump your life into a lifetime of sitting in the OR, less patient contact than most other specialties, and pumping drugs. One surgery rotation and one anesthesia rotation and I was like "nah brah ill pass." If you enjoy pharm and physio and such though it may be for you. But those 8 weeks of surg and 4 of anesthesia was enough for me lol

At your age I would try management opportunities. Having outside experience with other types of work is often more useful than the career nurse in nursing going up into management.

The whole doctor title is lame anyway and more less provides discourse between patients and their provider. If they call me by my first name thats fine, I could care less. If a nurse does it out of spite I would not like it though, but if we are chill go for it. (start neuro residency this month so)

It taught myself some social skills back in the day otherwise yeah didn't like it at all. Being the only dude on a floor of middle aged females was not very pleasant. Especially when on the days you worked they all had back issues and could not lift anything more than their pen.

The fact they still do not have one year of basic sciences in the curriculum and then some generalist clinicals and then a "fellowship" year for whichever NP specialty one would like to perform in still beats me. Probably a money issue since why pay people a fellowship stipend when they will pay you more tuition. Never seen such a cluster bomb as to what they call advanced practice specialties. Such as they sit there at night and dream up things then make programs for them and people pay for em.

A formal education is psych care is pretty broad of a statement. Getting a few lectures over psychiatry does not promote someone to uber nurse psychiatrist status. If one considers psych to be mostly just handing out SSRI and handling kids on ADHD, and benzo pumping on everybody who gets a shiver of nervousness occasionally you are not correct. If it is a rural clinic, there probably is not much of a choice of where people should go. Which means the patient with Schizo comes knocking at your door with "I keep hearing things all over the place and nothing freaking works" story. Dont get sued.

Most physicians are wise enough to not practice outside of his or her scope. For an APRN to do so is asking for a lawyer thomping.

other would be a more fitting term than general since as per stated above it is an oxycodone. I mean moron.

Because they know they do not know as much even though NP think they do (at least some of them think they do). Have you even graduated yet or diagnosed or prescribed???? No, your sitting at home posting on your discussion boards to become physician-lite NP

Bad candidates go to bad schools because they are easy. There are no easy med schools in america. There are tons of easy NP schools. Anybody can dunk a ball on a one foot high goal but not everyone can dunk on a 12 foot high goal or however high they are, I hate basketball. Lectures are pointless but somehow people have to be tested on his or her knowledge prior to clinicals (tests) Tests serve the purpose of basic understanding of the material, if you are at an online discussion post NP crapatorium, there is no guarantee you will know anything. NP board exam was way too easy back when i took it. Maybe that has changed but probably not.

Will probably get hate from this but some of the best docs/nps/etc I have known are problem fixers. We really are all problem fixers. If i call an AC repair dude to my house I do not want sobby empathy, false tears, and what not. I want my AC fixed. They look at the whole AC (the good ones) when they fix it by asking about usage, which filters I use, and what could have gotten in it--- addressing the problem at the root cause. Same thing when we ask a patient about asthma. We dont just throw them an inhaler. We ask questions on how to modify, prevent occurrences, etc. This "whole person" crap does not mean a thing if we are already searching for the root cause of a problem. Be friendly, non judgmental, and do your physical duties. That is all we owe patients.

could have been written better but it isnt lies. Not as bad as the "studies" provided by nursing organisations trying to say they can 100% doctor with less education and more online discussion posting.

there is a study showing a decent oversupply of PA and NP by 2025 they still show shortage of physicians at that time https://bhw.hrsa.gov/sites/default/files/bhw/health-workforce-analysis/research/projections/primary-care-state-projections2013-2025.pdf there are your facts unaltered by nursing colleges or industry. If you get your information from colleges they will tell you there is a shortage of business majors and if you get a bachelors in general business from their school you will have people thumping your leg for 100k salary jobs. its a business brah, colleges would sell you used tampons for 20k if could

if people are signing a 5 line long signature they arent seeing enough patients or spending time with them.

Our minds get used to things as we continually deal with them. It is not wrong to not have some deep empathy toward patients. We have a duty to do what is best for them, nothing else. With a judgement of duty; empathy, compassion, etc is not required and it takes less of a mental toll on us when we work out of duty instead of an emotion.

No, your brain cannot learn unless you are currently enrolled in a degree program. You have to bring your frontal lobe to the registrar so they can stick a myelin forming electrode in there for new memory formation.

i used to just sign APRN or NP. whatever my hand wanted to do at that moment since both were allowed by facility. who in their right mind would waste more time signing something ridiculous...