dnpfnp

Thank you, @TuxnadoDOI appreciate the perspective of a physician. I have a few comments on this. She did know that I would be a new grad working with her. We both signed on for this job in April-May. She and I spoke on the phone around this time and I told her I was be a new grad. I think the appealing part for her was this is a rural clinic and I have 8 years of rural oncology experience (rural onc is a different beast compared with a big teaching hospital). I’m not claiming I know everything about oncology, but I have a very good background in oncology as a nurse. But, I don’t think seeing a patient on my own is asking for a lot of responsibility. I’ve got oodles of notebooks and oncology and hematology textbooks. I’m not afraid to look things up. But I’m also not afraid to ask questions. I will try and make the work and research I do more apparent. Perhaps that will make things a little better. Thank you for the feedback

Hoping for some advice from experienced NPs.... I graduated in the spring of this year, passed my boards a month later. Interviewed at two different places, one rural family practice clinic and another semi-rural oncology clinic which would require us to move across the country. My background is nursing was 8 years as an oncology RN. I accepted the job in oncology because this is the field I love and know best. I started about a month and a half ago. This is a brand new clinic that just opened- a satellite branch off of a main clinic in a large urban city that is about 90 miles away. I trained up at the large clinic for about 4 weeks strictly shadowing their MDs... this was my "orientation" Now I'm "training" at the clinic where I will be working. The MD just finished her fellowship in June. I am not credentialed yet with all of the insurance companies so they are not allowing me to see my own patients. We are seeing around 1-3 patients per day. I just shadow the MD in the rooms. She does not let me do anything more. I have asked and she has only let me see one patient before she went in to double check my work. The only thing she continually asks me is when I will be able to take call so she can get a break. She is very difficult to communicate with and I feel that she is treating me like a resident and she is the attending. She bosses me around and just has me make phone calls that she doesn't feel like making. When I ask her questions she gets frustrated and her usual response is "didn't you learn this in school" I was in a FNP program....we did not learn the ins and outs of oncology practice. I know a lot from my experience as a nurse, but there is still a lot for me to learn.... For example, she wanted me to call a pathologist and add on markers for a new diagnosis lung cancer. I asked her what markers and her response was "look it up" So--- the mentorship is severely lacking. It is very frustrating to not have a good mentor. I don't feel like I am learning anything and there are no other providers in this practice. It is me, the MD and an LPN. That's it. Since this is a brand new clinic, I don't anticipate that we will be getting busy for quite some time. Credentialing office says it may be up the 6 months before I can see patients on my own. So, my question is, what do I do? A large part of me wants to quit and find a new job that is more appropriate for a new grad. I think this place jumped the gun on hiring a oncologist and an APP. There will not be enough patients for two providers for, at the very least, a year. I am getting no mentoring. I am learning only from reading NCCN and UptoDate incessantly because her response is always telling me to "look up the guidelines" It will be quite sometime before I can even see patients on my own and even then, I will be seeing 1-2 a day if that. Do I stick it out? A side note is that my spouse is not loving this area at all--- we moved across country for this job. He is not very happy here, and I can't say that I am either. We thought the move would be worth it if I had a great job. But, it's not panning out that way. I should add in that I got a sign on bonus and the company paid for all my licenses (DEA and two states for RN and NP ) so I feel added guilt. They have invested a lot in me... Please help. I would love some feedback. Am I just being a baby?