umbdude MSN, NP

Psych/Mental Health
Platinum Platinum Nurse
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All Content by umbdude

  1. umbdude

    Burn out in psychiatry

    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...
  2. umbdude

    Wilkes University - BEWARE!

    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.
  3. 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.
  4. 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.
  5. Highly unethical and a HIPAA violation.
  6. umbdude

    Low NP Salary for VA

    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.
  7. 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'...
  8. umbdude

    Psychiatric Nurse Practitioner Salary and Lifestyle?

    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 (...
  9. umbdude

    Psychiatric Nurse Practitioner Salary and Lifestyle?

    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. ...
  10. umbdude

    PMHNP private practice

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

    PMHNP-BC, a UWorld Equivalent?

    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...
  12. umbdude

    PMHNP-BC, a UWorld Equivalent?

    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...
  13. umbdude

    PMHNP-BC, a UWorld Equivalent?

    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...
  14. umbdude

    Psych telehealth with supervision or training?

    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...
  15. umbdude

    Are all PMHNP programs post MSN certificates?

    You're looking for Traditional MSN (traditionally people get their bachelors first, then masters). You do not need a masters degree to apply for a masters degree. Post-MSN certs are for people who already hold a masters of nursing degree (some s...
  16. umbdude

    NP Supervision in CA in Psych

    Connections. Most people starting their own practice have worked for employers with physicians and they gain connections that way. There's also a company called Doctors for Providers that claims to match providers.
  17. You should be able to find a job, but your first job might not be the ideal job that you want. When employers want experience, they want "prescribing" experience in most cases. Some 100% telepsych companies require 1-2 years of PMHNP experience ...
  18. umbdude

    Realistic group/provider split?

    Billing companies that charge 3% likely isn't good. Billing slips only flag billers to submit claims. A good billing company will make sure that your claims are paid as quick as possible and pursue aged/denied claims. That could make a huge differenc...
  19. umbdude

    Realistic group/provider split?

    80/20 is probably unfair. 70/30 is good. Most of the practices in my area are offering 60/40 for 1099. I work some hours at a place at 60/40 but they run a very tight ship, handle almost everything, and there's already a panel so I was almost full fr...
  20. umbdude

    PMHNP Walden

    Because the accreditation standard regarding clinical placement is lax and open to interpretation, the accrediting agency does not enforce, and students do not report.
  21. umbdude

    Resources recommendations from practicing PMHNP

    I think you might be talking about "Simple and Practical Mental Health." Few other ones are Psychopharmacology Institute, Carlat Report, and NEI.
  22. Check with the board of nursing in the states where you are licensed and where your patients are. Also check with the company you're working for. Most commonly NPs need to be licensed in states where the NPs are located and where the patients a...
  23. umbdude

    PMHNP Burnout

    Our degree is pretty specialized so there aren't a ton of direct opportunities outside of diagnosing/prescribing. Most likely you'll have to do something that's entrepreneurial and outside the box that relies on transferable skills and your own attri...
  24. umbdude

    PMHNP, Guaranteed Preceptors?

    I agree. If it's up to me, online programs that don't guarantee preceptors shouldn't exist. I'm simply saying that prospective students, when they're applying to an online program, cannot reasonably expect a school so far away to guarantee local plac...
  25. umbdude

    PMHNP, Guaranteed Preceptors?

    Yes, I mean if OP can move to live in the same area where the brick & mortar school is located. It'd be unreasonable to expect a school 1-2 thousand miles away could guarantee preceptors.