After reading through many of these discussions, I am surprised at how many are so dead set against the DNP! I am currently studying for my DNP. I searched for a program that would meet my expectations, i.e. clinically based and backed with evidence obtained through research. My program has set residencies that you can choose from. I have learned more in this program than ever. If a program offers too much "fluff", then by all means don't attend that program. However, anyone who advances their clinical expertise as well as their education is going to have an improved knowledge base and therefore, more information to draw upon when treating patients. MSN prepared NPs will still provide excellent care, but they will have to draw much more upon their own resources. The other plus of DNP, is hopefully NPs will get full reimbursement as I think this is the bigger push behind the DNP. Why should a physician get paid more for suturing a laceration than an NP? Does the MD do better stitches? No. He/she simply has the MD initials. I work in a rural ED where there are no doctors. Because we are also a hand surgery center, many physicians send patients to me because they are not comfortable with hands. Yet I get less reimbursement because I am an NP. Sigh. Sorry for the long post. I think NPs deserve respect and recognition for all they do.