umbdude MSN, APRN

I wouldn't judge it based on one experience at one facility. I went into nursing specifically to work in psych. My psych rotation during my BSN was not good, but I already worked in an inpatient psych unit at a research hospital, so I knew that's the...

It doesn't hurt to apply, and you can always apply to different positions within the same hospital.

sadly this is not an exaggeration...heard this crap too many times and irritates the heck out of me. Most of them want the cheapest, easiest, most convenient program so they can continue working full-time (often not even in the same specialty) and ne...

"DIY" education. Unfortunately, these days that is the norm rather than exception.

FNPs can specialize too (e.g. neuro, derm, onco, cards). When I had my shoulder surgery, my follow up appointments with my ortho NP were at least 20-30+ minutes. Also, many PMHNP jobs don't offer 30 min follow ups. Plenty of PMHNPs are required ...

This job sounds pretty terrible (seriously, no pay raise?). Are there a lot of PMHNP jobs in your area? Are you able and willing to move? The southern region has the lowest pay, fewest opportunities, and most restrictive statues for PMHNPs. PMHN...

Never heard of this but not surprised. The field is getting flooded with new grads and when practices know they can replace us quickly, they'll do what profit them most. 50/50 split is terrible if it's 1099 with zero benefit. If I were your wife...

There are quite a few of those. One practice I worked at used practice fusion (separate from their EMR). Other ones I've heard of are office ally, MD toolbox, DrFirst etc.

So your total compensation is base salary and % of collection? If that's the case, it would be: $100k + (0.2*$500k) = $100k + $100k = $200k $500k total reimbursed is very high. How did you come up with that estimate?

I work for and interviewed a number of NP-owned practices. They're not much better. Hence I started my own. There's a ton of work and financial risks that come with starting a practice, then the op expenses pile up as it grows. These aren't shar...

I don't see how administering and monitoring ketamine and esketamine tx are in PMHNP's wheelhouse. I absolutely would not feel comfortable being the one monitoring patients undergoing this type of anesthetic unless I have some years of doing cardiac...

I hear ya. Love the specialty (I've been a PMHNP for 2+ years), but the constant back-to-back patient interactions can be pretty tiring. I do find part-time tolerable, but full time work would not. I think there are options...teaching, insurance...

I'm glad OP is speaking out in details. It's important to point out what these schools are like. Essentially, these programs are handing out degrees without providing any added educational value.

Having access doesn't mean you have permission to search anyone you want. You need consent permission to view an individual's private medical record.

I don't know about legality, but certainly should never view someone's medical record without consent unless you're caring for that person as a provider. Again, most likely HIPAA violation.

Highly unethical and a HIPAA violation.

Don't have much knowledge about this but I would just consider the benefits since the VA supposedly have superior benefits (vacation, low healthcare premium etc.) compared to other organizations.

If you're a permanent resident of Montana and only visiting VA couple months a year, and you're exclusively seeing patients in Montana while you're physically in VA, my belief is that you do not need to be licensed in VA. The regulations in VA doesn'...

Not sure about my panel size but anywhere between 8-14 patients a day at one job and the other I'm just starting so fewer. I provide 1-hour intake and 30-min follow ups. Outpatient setting isn't homogenous so it's highly dependent on where you work (...

I've found ziprecruiter to be more accurate in my area (northeast). Actual comp depends on where you work (outpatient could be FQHC or private practice), psychiatry experience, and negotiation. $200k revenue or net income? Big difference there. ...

Join FB small business group. A lot of good info.

Most PMHNP review courses have test banks that you can purchase or subscribe to. Board vitals provides good rationales but very expensive (~$300 for 6 months) and doesn't really match ANCC question styles. I would pre-read Stahl's psychopharm and DSM...

You'll be starting your PMHNP program or starting to prep for ANCC board? If you haven't started your PMHNP program, it's way too early to study for the boards. If you're going to a decent program and you study well, you probably don't need much...

There isn't a UWorld-equivalent. The ANCC board exam is nothing like the NCLEX and there isn't any good exam prep. The ANCC question bank (the one with ~100 questions) is the closest to the questioning style in the ANCC board but because there're onl...

Ultimately you would need to speak with these companies individually to ask about supervision and training. In my experience, the large, fully-remote, telepsych companies that popped up during covid are not places new grads should go to (most don't h...