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umbdude MSN, NP

Psych/Mental Health
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umbdude has 4 years experience as a MSN, NP and specializes in Psych/Mental Health.

umbdude's Latest Activity

  1. umbdude

    Scary Paranoid Thought

    Many states have e-prescribing requirements meaning that you cannot prescribe controlled substances with paper scripts (people also can't just 'call it in'). Rather, it must be done via 2-factor authentication. You can also check prescription drug monitoring website and see who you prescribed to. Pharmacists also call if they suspect anything out of the ordinary.
  2. umbdude

    NP/PMHNP Work Culture

    You really don't know? A friend of mine graduated from pharmacy school in around 2000-2001. The pharmacy job market back then (and prior) was like PMHNPs a few years ago. She got multiple high-paying job offers within 15-mile radius with sign-on bonuses from retail pharmacies. These retail pharmacies were begging her to work. Over time people caught wind of the "lucrative career", Pharm associations kept touting "huge pharmacist shortage," and schools with low standards started popping up everywhere graduating thousands of PharmDs. The upshot is that nowadays new grads lucky to get a job as a pharmD after shelling out $200k tuition. PharmDs work in crappy environments for pay that's lower than RNs with associate degree. Many are talking about going to Alaska to get their first job. Pharmacists are dime a dozen and easily replaceable, and many older pharmacists are basically forced out so companies can replace them with cheap new grads.
  3. umbdude

    HOW MUCH malpractice insurance?

    $1m/$3m is typical.
  4. umbdude

    Secured a job on LinkedIn

    It's just one of the means to staying connected and potentially leading to an opportunity. I did get a job (not nursing) indirectly through LinkedIn years ago when I reconnected with a coworker/classmate I had met when I was in high school. He introduced me to his friend and I landed a job through that connection. As an NP I get 2-3 connection requests a month from recruiters via LinkedIn, but most are staffing firms and not jobs I'd want. I did get an invite to interview from physician recruiters for an attending position at an ivy-academic hospital and also from the US army. It's worth setting your profile up and include your academic credentials and experience. If you have an impressive profile, inevitably certain people in your circle will think you're bragging. But recruiters do not view profiles this way. They're just looking for a possible quality match.
  5. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    I call this DIY NP education. The program literally hands student a list of readings, set up a chatroom for online discussion board, and refers folks to watch Youtube videos. There's close to zero investment on the school's part and that's the reason for large cohorts.
  6. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    I don't think it's a total non-factor. Mental health is suited for telehealth but not necessarily 100% of the time and not for all patient populations. Also, there're a lot of uncertainties around what's going to happen after covid emergency is lifted- (1) Ryan Haight and (2) some states might not have telepsych parity and reimburse telehealth at lower rates. The upshot is that we can't expect to work entirely remote unless we work for one of those telehealth companies (e.g. Iris) that already existed before covid that serve rural community health; or decline to take on any patients who use controlled substances. Some of those telehealth companies mentioned above already shown a decrease in pay because more & more people want to work remotely (myself included). Many telepsych companies that popped up during the pandemic pay horribly and are ethically dubious (I.e. pill mills for controlled substances). Private practices might require people go to back in-person once Ryan Haight exemption ends.
  7. umbdude

    What is your take home pay as Nurse Practitioner?

    That's good to know. thanks
  8. umbdude

    What is your take home pay as Nurse Practitioner?

    If your average 1-year 1099 salary is $180k. What's your "after tax" earning over 1 year? How many weeks do you take off?
  9. umbdude

    Are you ACTUALLY supervised???

    My supervising MD doesn't read my chart. She has no time for that. I talk to her once a week to go over complex cases since the clinic pays for all of it. Other practices have fewer supervision, group supervision, or have experienced NPs doing the supervising. I think it's good to have supervision in the first couple years especially given the lack of standard and depth in NP education. However, I don't think it must be done by physicians. Many experienced NPs are capable of supervising new NPs.
  10. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    ANCC data- the number of ANCC-certified psych APRNs (includes CNS and phased out adult/ped PMHNPs) rose by ~68% in 4 years. Number of candidates taking the ANCC-PMHNP exam grew from 1,497 in 2016 to 4,114 in 2020 (4,377 in 2019). It'd be interesting to see where this goes in the next few years.
  11. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    My comment really wasn't directed at you. What state are you in? I'm packing my bags. 🙂
  12. umbdude

    Looking for PMHNP preceptor in Maryland

    Try Maryland NP association. Also, your school needs to put in more effort than you in finding a preceptor.
  13. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    There are more NPs (especially FNPs and AGPCNPs) than there are jobs in many areas. That's just reality. I'm surprised that people are arguing over this. It's not really about feeling "entitled" to jobs, but nobody in their right mind would want their field to be saturated. Why do you think people are flocking into psychiatry? (Certainly not because they suddenly discover their love of psych after spending 20 years in ICU or as FNP.) It's the money, benefits, and abundance of opportunities. Who doesn't want to have 10+ job offers lined up within a 30-min drive of their home and have their pick of the highest-paid job offers with the best benefits? Or even just the option of saying "screw you" when an employer gives a low-ball offer, because you're not worried about whether you'll have a job to make your next rental payment. I'm all for being competitive. I worked in a highly competitive field before nursing, but it's also a field that rewards excellence (I.e. only folks with top GPAs, good schools, prestigious certs get the top-paying jobs). This isn't the case in nursing. Employers will hire any warm bodies with a prescription pad to fill scripts and pay them crap. Without saturation, these employers will have to budge; with saturation, someone will lower themselves to make a living.
  14. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    I take BLS numbers with a huge grain of salt. For years they projected amazing growth for pharmacists, and it's true that in the late 90s and early 2000s the job market was excellent. Then these PharmD diploma mills start popping up (similar to Nursing, employers don't give a crap where you went to pharm school as long as you're licensed), and BLS continued to tout "faster than average growth" in pharmacy jobs, but even in the mid-late 2000s pharmacists were starting to see a notable saturation and worsening work conditions. It wasn't until last year did BLS change the job growth to 0% and then -3% this year. Clearly, pharmacy is inherently different from nursing, but if pharmacists had kept their supply in check, they wouldn't be facing the disaster today. Basically, experienced pharmacists are either looking for a way out (usually computer science-related) or early retirement, and the new-grad pharmacists are fighting over jobs that pay $40/hr with >$200k in student loan debt.
  15. One thing to consider is to sue the school for refund for tuition if you've paid out of pocket or had taken out loans. If you can move, maybe another state will accept the school's degree.
  16. I'm sorry to hear. Do you have your own malpractice insurance? If you do, contact them right away. Malpractice companies usually have attorneys that could point you to the right direction if not more. It's very common for employers to throw employees under the bus regardless (they're afraid patient will go public and damage the reputation). If you do not have your own insurance policy (which everyone should always have his/her own), I think it would be wise to secure an attorney who is familiar with these kinds of scenarios.