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Shamrock1145 BSN, MSN, APRN

Internal Medicine, ICU, Med-Surg
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Shamrock1145 has 9 years experience as a BSN, MSN, APRN and specializes in Internal Medicine, ICU, Med-Surg.

Shamrock1145's Latest Activity

  1. Shamrock1145

    We Must Demolish Traditional Universities

    I was addressing the issue of our income because this seems to be a constant concern by many on this forum. My statement was meant to illustrate that if anything would concern me about my income, it would be with those programs. I also completely agree with the line of thinking that yes, the government would absolutely seek to save a dime, irrespective to quality care provided to the citizens. In speaking to this thread though, can you show something to back up the following: 1) online schools are lowering income for NP’s, 1a) income for NPs is not keeping pace with inflation and/or exceeding it, 1b) there is a surplus of practitioners or soon will be and 2) standards are at new lows? Please spare me the venerated anecdotal evidence that many here hold in such high regard. My opinion is always ready to be changed, but do so with presenting facts please.
  2. Shamrock1145

    We Must Demolish Traditional Universities

    Not sure I completely understand what you mean here, “personal economic position”? But these institutions were known to be in trouble by 2030 (as if not already the case), multiple sources from varying political parties are easily available. This was and is an accepted fact, even before we started the print fest of 2020. This is really what concerns me, not sure if anyone is concerned about an oversupply of practitioners aside from the tinfoil wearing hats of this forum.
  3. Shamrock1145

    As a new NP, did you do a residency program?

    New NP here, easily can admit that I feel overwhelmed at least a couple times a week. I spoke with someone from Thrive the other week, from the conversation I took away that this is all online, with modules to a given subject weekly, and ample time for discussion with the class. The thing that really gets my interest up is being able to learn from not just numerous experts but also from other new NPs. I really am just trying to figure out how to pay for it right now, my CEU allowance will only cover 1/3 the cost. Seems like this would be 100X better than the NP Program I just completed, so I’m sure the money will be worth it in the end.
  4. Shamrock1145

    First NP job... Did you negotiate the salary?

    My first preceptor, who was amazing, said that the best part of being an NP was the work-life balance, specifically for those with children. Irrespective of pay and benefits, my quality of life has increased ten-fold, for many different reasons, pay being the least of them.
  5. Shamrock1145

    First NP job... Did you negotiate the salary?

    Depends on the person I suppose. I am home every night by 5pm though, so my work life balance is much improved from my bedside days.
  6. Shamrock1145

    First NP job... Did you negotiate the salary?

    This stipulation is literally the only thing that bothered me in the contract. There really was no mention about my increasing role/revenue towards the practice as the years progress. Also concerning in regards to inflation, etc. However, I felt the pay and benefits outweigh this aspect by a lot. The physicians in the practice are all great to work with, when I have questions regarding a case they are easily available, which to me is important as I am brand new (I feel safe and I think that is something you should look at as well). I also did my internship here, so know the staff and workflow well. The pay will increase by 5k for each individual year. But the medical alone is like an extra 12k to my salary, it is top tier coverage. Two weeks vacation the first year, then 3 weeks following years. I am not sure as to the amount of sick days, I think maybe a week? I never call off anyway as my wife has government job and is able to care for the kids at drop of a hat. I plan on moving on after couple years of experience, would prefer to work for large hospital system, or get involved with urgent care. One downside, if I did work for local hospital system, they would provide 5k a year in tuition, whereas I get no tuition coverage in this practice.
  7. Shamrock1145

    First NP job... Did you negotiate the salary?

    I graduated August 2020. I was offered position at internal medicine office I did my internship at, passed boards in September, licensed and started working in November. Initial offer was 80k, I ended up taking 85k, they pay 100% of my families health insurance, and then typical matching for 401k. So reimbursement is actually >100k. Raises are detailed yearly in the contract for the next 5 years. Also gave me about another month of shadowing which was amazing. CE money is around $1,000 I believe. They gave me UpToDate account as well. Wednesday’s are half days, able to call patients and follow up, catch up on paperwork.
  8. Shamrock1145

    We Must Demolish Traditional Universities

    Maybe do so with the other post tackling the exact same topic?
  9. Shamrock1145

    We Must Demolish Traditional Universities

    Likewise, 100%.
  10. Shamrock1145

    We Must Demolish Traditional Universities

    The dialogue is appreciated, also I am glad you could find the needed advice on this forum. I by no means meant to denigrate your ability to teach. However, a review of the role of the preceptor would cover some of your scenario in all honesty, mainly the importance of honest assessments, and the use of appropriate channels for concerns. I did find it odd that your choice to find advice on subpar students was conducted on this specific post, an obvious motive is apparent. Your refusal to precept further students from the given program is appropriate, irrespective to co-worker status.
  11. Shamrock1145

    We Must Demolish Traditional Universities

    And the preceptor you are referencing in this post probably needs to take a course on preceptorship if he is unable to handle the given scenario. Honestly, his post inadvertently highlights how subpar programs will not last anyway. If quality and an inability to secure preceptorship would continue to exist for these programs, then the program will ultimately fail.
  12. Shamrock1145

    We Must Demolish Traditional Universities

    To be clear, there has been absolutely ZERO evidence presented for either side in this debate.
  13. Shamrock1145

    We Must Demolish Traditional Universities

    You misunderstand my reply, which is completely understandable after I go back and read what was wrote. The “extreme” label was meant to be applied to the idea that “...have the board give me a license and anybody can be a nurse practitioner”. You really undercut a large amount of NPs currently practicing, their preceptors, and also the amount of work that was put into their studies. Furthermore, you call in to question the credential information process (which is another subject but whatever). Ultimately, this logic is in essence the arrogance and lack of foresight I was referencing in my prior replies.
  14. Shamrock1145

    We Must Demolish Traditional Universities

    Interesting thought, somewhat extreme example, but nonetheless this may be something that higher education will move towards in some fashion. Current model is not sustainable, or efficient.
  15. Shamrock1145

    We Must Demolish Traditional Universities

    Okay so let’s reverse this line of thinking please. Apply it the other way around. I think many lack the ability to be successful with self-directed learning, and this is why so many aggressively push back against change. There is also a component of market manipulation here that has little to do with concern for patients and more to do with “perceptions” and “our opportunities” by way of limiting entrance into the field. The failure is an inability at looking at viable alternatives for training. The root of this failure is in fact partially arrogant, but also something more nefarious, hubris in the logic that nobody can do what we do unless it is done exactly in the way in which we did it. Complete lack of original thinking. This is ultimately a product of our defunct educational system.
  16. Shamrock1145

    We Must Demolish Traditional Universities

    And this is how prices ultimately become inflated.