hoosier guy

Maybe its just my area but for the most part it seems Psych NP's mostly do 10-15min appointments for meds adjustment. Most of the counseling and therapy is done by clinical social workers and psychologists.

Like most things in politics the differences are subtile in theory and gulfs apart in practice. If you ever get a chance look at the party platforms, except for a couple things they are nearly identical.

You can lead a horse to water...

To those who think online schools are destroying credibility: Could you please explain the difference between listening to a lecture 20 + feet away in an uncomfortable stadium style chair and listening / watching a lecture from the comfort of your own home where you can pause and rewind and review again, the entire lecture. Answers to any questions are only an email (or in some cases a phone call) away. The clinical are in-person either way. The Physician / PA attack on online MSN programs is just a mixture of hate / fear / turf protection.

i would think that as a derm np you would still need some of the adult/family np background to smartly practice. if i remember the consensus model correctly (not that it is gospel or anything) you are only supposed to practice your specialty within you population foci. therefore a pnp who specialized in derm would only treat pediatric derm issues. not sure how that would translate for a psych np.

whether you needed to go to the er or urgent care may be debatable. in either case commenting on your “medical education” was unwarranted. if i were you i would be considering changing pcms.

none of the schools in indiana (at least none that i am aware of) even have a direct entry dnp yet. most of them have either recently came up with post-masters dnp programs or are planning to add them. the dnp is just another example of degree inflation… plain and simple. the aacn said as much in their position statement. they cite “other professions” terminal degrees as examples and say that nursing needs parity with them… pt, ot, phamd, etc. for some reason americans think it takes a doctorate to be a professional. look at most of europe… to be a physician you do one year of prereqs and then do a 4-5 year bachelors of medicine degree. it’s the same deal for lawyers and pharmacists (or chemists as they call them). you really don’t need 4 undergraduate years (usually with little to do with your profession except for learning the basics) to get a foundation for some of these professions. ironically nursing is probably the only example where a undergraduate foundation (in nursing) would be helpful.

Most Schools will let you retake classes for a better grade. They do seem to differ inhow they handle GPA and transcript issues though. I think you would probably be better off retaking the class at your full-time institution.

i can’t imagine your 1st bachelors figuring into the admissions decision for crna too much. will they look at it… yeah, but assuming your bsn transcript is strong ( that shows improvement and maturity) that will count for more that your gpa from an unrelated degree. of course crna schools seem to be pretty competitive so you never know what might disqualify you. best of luck, let us know how it turns out.

limiting the supply of nurses in order to raise salaries is a horrible idea. the only thing that will do is cause med asst. to expand their role and do it for less money than a rn. look at what happened when there was a doctor shortage, we got nps and pas. if there is the type of nursing shortage that is being predicting for 2020, we will get something else to do the nurses job.

i will preface by saying that i am not a nurse. but i do have a better than cursory knowledge of nursing curriculum. generally speaking there are probably a lot of thing that would be useful to know but that must be weighed against the time and cost adding those things to the current curriculum. despite the lack of organic chemistry, physics, and in-depth biology, do you feel that nurses are able to satisfactorily perform within their scope of practice?

just to clarify; i wasn't suggesting that it is impossible to go to medschool at 50 and i certainly don't want to discourage anyone from following their dreams. i think studentdrtobe has succinctly highlighted the difficulties of it.

MED School at 50!

After reading the Institute of Medicine's "The Future of Nursing: Leading Change, Advancing Health" (found here: The Future of Nursing: Leading Change, Advancing Health) I have really rethought my proposal. Expansion of practice rights for NPs is a Given but I am not so sure they need the "Physician" title. Perhaps that is too much like getting into bed with the enemy. I do hate to see the DNP become the standard. Currently most MSN NP programs are around 40 - 60 credit hours, DNP adds another 20 - 30, PA programs are 75 - 95 Credit hours and are still masters programs.

my personal opinion is that if you don't have any nursing experience and aren't willing or able to gain that experience before becoming an np you are better off being a pa. on the other hand a lot of pa schools want or prefer some kind of clinical experience.