menetopali

menetopali

ED, Tele, Psych

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All Content by menetopali

  1. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    you basic assumption is false. you assume that only through medical school can a person be appropriately prepared for primary care. this assumption has been shot down several times over - including...

  2. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    on the first three points - no argument from this corner and I wholeheartedly agree that standardization is the way to go and the continued fracturing of specialty NPs that become codified needs to...

  3. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    first, i have said (and will say again) that all members of the health care team should identify themselves by profession and role. "I'm Doctor So-and-So" doesn't do either as "Dr" is an academic...

  4. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    it is disapointing that Mayo has taken such an anti-nurse and physician-centric position. they had a reputation for being prro-nurse here in Arizona and even have an NP residency program. i wonder if...

  5. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    It is certainly true that the standard all providers are held to in a legal sense is currently set by medicine (good, bad, or indifferent - it is the case) and APRNs are currently held to that...

  6. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    i feel her pain..., boy do i feel her

  7. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    a "gold standard" implies the best available and the standard to measure other interventions against. The IOM quality series discusses at length how the curent system fails to provide the recomended...

  8. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    ANA is not as strong an entity as the AMA. the DNP is being pushed by AACN, NONPF, AANP, ACNP et al (they put out a joint statement this past summer on the issue). perhaps if the ANA or any other...

  9. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    i hate to point out that not even the IOM considers care by provided by most physicians as the "Gold Standard". the only prople that consider it as such are those with an economic interest in...

  10. Doctoral degree to become an NP???

    menetopali replied to VickyRN's topic in Doctoral Nursing Degrees

    after reading the actual text, i'd support it with a minor change - make all providers disclose their profession so that we can end the charade that "Doctor" and "Physician" are somehow synonymous....

  11. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    ahhh yes.... the anecdotes come out... "I heard an NP did this..." "I saw a physician do that..." anecdotes make really bad policy, that's why we do research. unfortunately, if the research disagrees...

  12. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    and one more study to add to the pile - this one out of the Netherlands shows that NPs and GPs give comparable care... Nurse practitioners substituting for general practitioners: randomized...

  13. Differences (Educative/Clinical) between NP & PA

    menetopali replied to jstuben's topic in Nurse Practitioners, NP

    Good call on the type of hours and the need for more of them in place of the fluff that makes no sense to include in a clinical program (i.e. "theory"

  14. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    the studies have been done, repeatedly, and every one has shown equal outcomes (yes with higher pt satisfaction). there is also a Cochrane review of those studies (including those cited by the...

  15. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    I'd agree with that physician's assessment, and I work in one of those podunk ED's part time while I'm in school. it is a three bed ED in a single room, we have a physician "on-call" 24/7 but we have...

  16. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    first, i'm trying very hard to keep things civil, please do the same. the point i was making is that the oft cited claims of - 11 years or more of training for an MD/DO compared to two years for an NP...

  17. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    let's try to keep it civil and honest. four year degree in anything at all, two years class room time and two years of short clinical rotations, followed by a paid apprenticeship that only members of...

  18. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    couple of points - first thank you for your kind words. the title issue is one of the most contentious parts of the entire discussion and i am at a loss as to why medicine seems to believe it holds...

  19. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    So am I to understand that you support non-physician use of the title "Doctor" as long as it isn't used by a nurse? That seems a bit odd, given the AMA position that such an action leads to the fabled...

  20. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    Aside from NPs "working for doctors" (many work with physicians in contract relationships, some NPs are doctors ["doctor" is not the same as "physician"], some are employed by group practices, and...

  21. Fear of online NP programs..words of wisdom?

    menetopali replied to inthesky's topic in Post Graduate Students

    it is what you make of it. it has a healthy amount of 'PhD-light' and the clinicals are really what determines your preparation for

  22. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    Truth and Transparency? will physicians finally identify themselves by profession instead of the academic title they usurped so very long ago

  23. What are the BEST and WORST States to practice as an NP?

    menetopali replied to Roland's topic in Nurse Practitioners, NP

    Arizona and New Mexico are good choices - but to avoid the old-boy network, stay in the more urban areas. check the Pearson report for

  24. discussion regarding education of NP (DNP) and PA compared to MD/DO

    menetopali replied to RN to Medschool's topic in Nurse Practitioners, NP

    1) The fizzle of the DNP is a real possibility (DNSc, DNS, ND come to mind) and those of us in the first programs have a responsibility to make sure that it is seen as a distinct degree and not a 'PhD...

  25. Considering Nursing, need advice

    menetopali replied to USAF_Alex's topic in Male Nursing Students

    First, have you considered applying for a commissioning program within the Air Force and have them pay you while you go to nursing school? or requesting a retraining into a medical MOS and going that...