mep7296

The practice already has an NP that rounds in all of the dialysis centers, they are looking for an office based NP to round out the practice.

I am a fairly new graduate considering the above two specialties. I think that I am slightly more interested in GI, but the nephrology practice is a little more established in my community. I'm really torn, and don't have the actual offers in hand yet to consider things like pay, time off, benefits, etc. Right now just trying to figure out if one specialty is more appealing than the other. One thing that definitely occurs to me is that nephrology patients are very sick, and that you would lose a lot more patients over the years. Thoughts?

So did you take the nephrology job? If so do you like it? I am a new FNP grad and trying to decide between a GI job and a nephrology job.

I am a new NP considering a GI job. The physician wants someone to take call and participate in hospital rounds. In the city that I work in, I think starting pay for new NPs is approx. 85-90,000 annually. Is it pretty standard to receive extra compensation for call? How should you negotiate the call pay, per hour or per call shift? I read an online article from AANP that average call pay is $51.00 per hour, but that seems really high to me. So what are people being paid for call? I don't want to sell myself short in the negotiating process. TIA.

I worked in a primary care office and it was not allowed because of OSHA rules.

And on the topic of nurses eating their own, it sounds like many on this threat are fortunate enough to have not experienced this phenomenon. But it my 8 years of experience this has been very true at my facility. In general people are very hostile to students and don't want to be bothered by them. Which is just odd, because when I worked the floor the students were very helpful to my day. Most of my working experience as an RN before becoming an ARNP was in the OR, and they devour their young there. It was bad enough that nurses suffered hostility and bullying from the doctors and the surgical techs, but the nurses would bully each other too...particularly the new nurses but also experienced nurses. It was so bad that half of new hires would wash out during orientation. Now I am not going say that this was all nurse driven, there were definitely management and systems reasons that contributed to this work environment.

Unless you are 100% sure of exactly what you want to do and know there is a good likelihood of getting a job in that field, then I would pick your track of study based on what will give you the most options. For example if you study Women's Health then you can only work in that narrow field, but if you study Family NP then you can still work in Women's health, but also in a myriad of other specialties. It also depends on the state restrictions and the job market restrictions in your area. I work in FL and they will hire an FNP to work in a hospital position, but some states or employers will only hire an acute care NP into a hospital position. Another thing that I notice as I job hunt is there seems to be A LOT of psych NP jobs out there, which probably means there is a serious shortage in the field.

It's weird because this practice currently has both on staff, but they have a job posting for PA only. There is also a large ortho practice here that has a strong preference to PAs and most of them are male. 75% of their NPs are women, but of the PAs only 40% of the PAs are women.

It this just a way to increase the likelihood that you will be able to hire a male candidate over a female candidate? I work in FL and it seems like the NPs and PAs function in their roles very similarly, so why the preference?