mahaandai

so, I got lots of emails pertaining to this piece of gem written by Dr. Saad. There are comments posted by readers who have not even read the book on Amazon, interesting..., https://www.amazon.com/gp/product/B08M9YJQR3 here's the link to amazon -

Hello, fellow NPs/PAs/Pharmacists/Optometrists/DO Has anyone read the book titled "Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare" by Dr. Niran Al Agba Saad ? It is sad that in this book some rare case of NP errors are used to justify NPs as risky practitioners. This author has employed a DNP as pediatric practitioner at her clinic https://www.silverdalepediatrics.com/, yet she has left no stones unraveled to malign non physician healthcare professionals and their training. She deserves a round of applause for her in secured opinion.

Previous post from danceluver in allnurses.com >>I am currently an American nurse. But have wanted to relocate to London for the last year or so. I am not going to pursue working as an RN in the UK simply because the process is way too demanding and from what I have read on these threads not a financially savvy endeavor. Hence, I am decided to redirect my career into becoming a Math teacher. Danceluver, may I assume you are not even FNP? So why are you posting misleading title of FNP to PA? You seem to be quite confused, please decide first what you want to become, Math teacher in UK or PA or FNP, or RN with RNFA? FNPs are independent providers in almost all states, and they dislike to be tethered with MD for supervision.

I am sick with PA/NP/MD debates on allnurses forum. It seems same stuff keeps coming back .. which adds no value at all in healthy and fruitful discussions. First, this is a NP specialty sub topic in the allnurses website. I see RNs/LPNs/PAs etc posting in this sub group of NP and start venting about NPs and comparing with their professions. Guys and Gals, if you are not an NP, please stick to your groups and do not post here. I am sure there are numerous groups for PAs, search google, go and put your feelings in these groups. Second, there are endless opportunities for each & every provider in healthcare. Their goal should be providing quality healthcare and services to needy patients rather than belittling each other with their education, knowledge and social skills. Third, if there is a gap in skill which you need in your workplace, do some research and retrain yourself. One should never stop learning, and every day at your workplace you experience something new to learn as long as you are open to criticisms.

Well doc, you have hit nail right over its head. Great post by you for your giving honest opinion in nursing forum. I think you don't want to hurt the egos of know all NP program educators/professionals, who fail to see that how hard it is for fresh NP graduates to work shoulder to shoulder with doctors when they don't have necessary background and credentials to interpret, diagnose and treat patients. All NP programs it should be necessary to complete coursework as electives from medical school which covers complete cadaver anatomy, X Ray interpretations, suturing, etc. In fact, ANCC and AANP boards should not give any certification to practicing NPs unless they have completed these basic courses and requisite clinical hours from medical schools.

Some more to add: 1) While I was in NP school all NP students were left alone in jungle to find rotation with preceptors/hospitals on their own, whereas I noticed that in same school's PA program, the school arranged rotations for their PA students with hospitals diligently. During my NP program I had tried calling one of the hospitals inquiring about rotation in their pediatric unit and was rudely answered by administrative nurse that they do not take NP students but will accept student PAs/MDs on rotation shifts. I feel RNs look NPs down out of their sheer ignorance. NP/MD/PA/OD work in similar role and capacity in real world and they should not be distinguished by the titles they hold but the quality and care they impart to their patients. 2) I wish NP programs be rigorous and well formed like MD programs in United States, and their licensing and credentialing be done together by MD and Nursing boards.

Quote from NY Post- "One good outcome of last December's federal budget deal is that doctors' groups convinced Congress to delay the VA's plan to substitute nurse practitioners for primary-care doctors until the risks could be assessed. If only New York lawmakers had shown the same concern for patient safety." Yeah, right. We know how much safe patients were under Primary Care MD in VA before they considered substituting MDs with NPs in Primary Care. Please spread more lies.

Alicia777 .. which makes me wonder why can't we have a separate licensing board for nurse practitioners? Besides, I see nothing in common between RN and NP professions, and keeping a valid RN license along with NP license is a nuisance & pain for NP. NPs are more closer to MDs within scope of their practice. Also it has been explained and discussed previously in this nursing forum, NP professional liabilities are much higher than RN since NP treat and diagnose the patients independently.

On the contrary, I had patients who liked to see only NP instead of MD providers. Let me admit though that these patients had well searched on google, and were very well informed that NPs were better than MDs in listening and caring for their patients.

No pun intended, these subject lines would be a fit for prestigious New York Times: 1. Lawn doctors are not doctors 2. Car M.D. are not real M.D. 3. Dr. OZ on tv is not a profitable m.d. since he prefers alternative medicines in health care 4. Witch doctors are witches and not doctors 5. Pharmacists are not doctors 6. Nurse Practitioners should wear scrubs with flowers and petals on them and only doctors deserve wearing white coats Not sure when will this nonsense end

I agree with FutureeastcoastNP's comments regarding NPs requiring to take advanced courses in genetics, microbio, cell biology, etc. In fact some good NP programs do offer advanced courses in these subjects. Further, there are good online courses offered by edx.org, coursera.org, Khan academy, Stanford, MIT and Harvard and other world class institutes which can enhance your knowledge in these subject matter.

cayenne06, "MDs go through training that RNs and APNs cannot even imagine...", please explain? First, it is wrong to club RNs with APNs, and it has been stated several times in this forum that beside the keyword "nursing" in their titles, there is nothing in common in their training and experience. APNs are highly trained professionals and their experience is more like of MDs since they diagnose and treat the patients independently without any direct supervision, which is why states like Kansas and New York are passing the bills to let NPs practice without any collaboration with physicians after 2000 hours of their service. Further, more and more NPs are voluntarily taking USMLE3 ... Also calling NPs as mid level is a big mistake because their malpractice insurance is pretty high because of their scope of practice.

Hello new_horizon555: When did you complete your FNP program? Previously you stated that you were planning to start your program in May 2012. Just curious...

wildcatarnp- Completing DNP program would be a good idea if you have a full scholarship/funding provided by the institution. Do not take any loans since it might add your debt. Regarding your original question about FNP not having a job- I thought you mentioned in your previous post that you wanted to go into psych NP program, and earlier you mentioned you were not happy working in Derm clinic. Please make up your mind what you want to do. Please do not post any confusing headlines because you are not able to make a decision. Where are allnurses moderators?

Latest 2013 Salary Trends: Average FNPs are earning in range between $105000 - $120000. PAs in average are earning less than NPs in year 2013 in between $80000 - $90000. This is the first time NPs are leveling their salaries with primary care physician MDs. Perhaps, it is due to high demand of FNPs in primary care clinics with the current change in healthcare laws.