kevagonia

point well taken pro-student I still see this is a challenge that there must be a solution for... Otherwise all the FNP-owned clinics are "at risk". I was asking originally if anyone had a solution or an answer to this challenge, but it seems like it's going to be one of those "gray areas" that are elusive or with only "second-best" options... _K

Sometimes "extra training in Dermatology" will mean an extensive amount of continuing education. He/She might have a pretty impressive background in derm. one never knows unless one asks. -K

our BON states that in FNP collaborative practice, the MD must have "experience in, or specialty in the area", so I would imagine most internists would have "experience in" Family Practice areas. Of course there is a dearth of Family Practice BC MD's - K

Understood, thanks. In TN we have full prescriptive priveleges but bill have to contact BON re: above. ..

Re: starting an indie practice as FNP, specifically with regard to the supervising MD and our scope of practice requirements... If we plan to treat the whole family, is an Internist per se adequate from a medicolegal standpoint or is the only good or legal option a Family Practice doc as supervising MD? Thanks guys, -K

yes, they are.

your post is greatly entertaining. please do not go into this field. -K

most of the people I know recently who have commented that it will be required to be a DNP to practice tend to have been incdoctrinated by the Deans of their NP programs. This is a racket on the part of the schools. I am not saying it will not be true one day, but the schools are driving it. -K

The salary may be brought up at the end of the second interview if it is not brought up first by the interviewer. This is pretty customary. It's also fair in some occasions to let them know up front what your salary requirements are, and not vise versa. -K

this is one of the most peculiar threads

I want to inquire, from those who work in this field and have real business experience re: RNFA: Can an NP work (in some states? all?) as an RNFA and what is the common practice for billing and employment? Let me clarify. I am an FNP student, graduating this year and considering employment with a surgical group in a Southern state. I am interested in joining the NP and PA providers who work in this group and many or all of them also provide surgical assistance either as RNFA or otherwise (unsure). If I were to join a group like this where I do provide some surgical services or first-assisting, would I need to be certified as an RNFA, what are the pitfalls or advantages of this? Would I be able to seperately bill and gain income from this specific duty? It is billing specifically that I am interested in because frankly to work in surgery as well as my regular comfort zone of the hospital units, I would need some incentive. thanks, -k

I am interested in learning more about the experiences of an NP in a neurosurgery group/field. What are your duties, specifically? Patient load? Clinic? Hospital? Comfort level? Pay? Background? There is not much discussion about this, but I know several, just not well enough to pick brains yet, but I am working on it! Any reference to an existing thread would be welcome! -NP student