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advanced practice

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  1. I appreciate the comments here. I have been researching avidly for a while. I am caught in the catch-22 as well here in Las Vegas. I cannot get a job in ICP until I can take the CIC but I cannot take the CIC without a job in ICP. I know that they now do not state time restrictions but if they limit the fact that ICP must be in active job to be eligible negates that removal of the time restriction. I am wondering if this is a restraint of trade issue in some way. How to get the experience to get the job to get to sit for certification without the experience to learn enough to take the exam to get the job. All jobs here are always posted as "must have CIC" Interesting that they have not created an entry level to allow for the novice ICP and then the advanced ICP certification. Any ideas?
  2. I am an NP with 25 years of experience. I was hoping against hope that the DNP would really be a "clinical doctorate" but as it stands it is a glorified manager program. I began the UNLV DNP Program and after 3 weeks dropped out due to the inane courses that did nothing to enhance or contribute to my practice as a CNM. I could not even understand the course titles much less the microtheories of managed care. I am truly disappointed in nursing's direction away from the bedside and clinical aspect of our practices. I needed a clinically based program that would have been more along the lines of what I really do-I see patients, diagnose, treat, and teach. I do not run managed care systems nor do I need the other courses such as scientific underpinnings of science. Be very careful to understand what you are really paying that much money for and what you will get. My clinic CNM Partner finished the courses and cannot even use her title in the hospital or in the office as it "conflicts" with the physician provider's. I have since began the Capella Doctorate in Public Health/Epidemiology which has opened up wound management and infection prevention and control nursing for me. It is nursing in its purest form and so pertinent to this world today. I highly encourage NP to seek this direction in any of the specialties. DNP isn't worth the money and in Ivy League Schools they will not tenure DNP without a PhD. Now that has moved from sublime to ridiculous.

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