smd2521

I work with a lot of BHRT in the family practice I'm currently working with. I am FNP most of my RN experience is in ICU. Remember acute care NP are trained for acute care and then there are primary care certs. If I were you and you plan to do clinic work id get a cert demonstrating training in PC. Even though you probably do fine, I'm just saying for CYA. Just like if I went to work in the ICU I think I could fly but I should get ACNP first.

The 3 P's and an entire semester of advanced diagnostics

My program had those classes and we had a semester of advanced diagnostics

In most med schools, they don't grant grades F-A the classes are P or F

If this degree takes off for the PA community, they will obtain independent practice and be considered physicians. Notice it said you had to be a PA and have 3 years experience before the program. They will use the terminal education and the experience to obtain status as a full physician. I say cool more people to take care of people. NPs will had full independence in every state I believe within 15years or less I believe. This is a way for PAs to obtain their independence as well. We will see how history plays out, exciting times to be alive

Very good post Goldenfox. I agree NP mills are popping up. As far as easy admission programs, I'm hoping the tied is changing. I know the FNP program where I went wasn't easy at all to get into. There were around 460 applicants and they only took 27 and now the class has even become smaller due to insufficient faculty. Family Practice is flooded with applicants, my faculty said they flipped through the applicants looking for RNs with at least 10yrs experience. Not one classmate was a new RN. The director of the nursing school said at graduation, it was now harder to get into the FNP program than the undergrad RN program. The more and more RNs leaving for Advance practice, will force a bottle neck. They will need to filter applicants. Most of which is due to not having enough faculty. This is a problem in undergrad RN programs. I agree there should also be a entrance exam, GRE or maybe something unique. Physicians pride themselves on only excepting the brightest. Why shouldn't we want the brightest Nurses? I agree with you on the political side of things, and the support for "in the private club" mentality. I wanted to start the conversation because many nurses just except what they are offered. They have never even considered negotiations. We must advocate for our own profession. We don't need to demand the world see us as Physicians, because we are not, and never will be unless we go through their rite of passage. But We must pull up a chair to the table of personal choice, in regards to healthcare, and be compensated for such.

This is a concept that has me perplexed. Physicians are well aware of their value in the market. Physicians out of residency make market value for their respective specialty. Explain to me, if APRNs obtain $80-85% reimbursement for services rendered. Why don't the majority of APRNs make 80-85% the salary of Physicians. I am blown away when I hear of Advanced Practice Provider starting at 70-80-90k The preceptor I was will during my primary care training billed over 600,000k for her services alone. Granted the company won't be reimbursed that much, but to think her salary is hovering around 100k APRNs must educate themselves on their worth and propel the profession. It hurts us and our respect if we except anything less than 100k, new head of not. Back to my original question, if we are reimbursed at 85% of Physicians, why aren't we making 85% of their salary. I've heard the argument of supervision and what not, but remember it's already 85% for the same service. What do you think? What can be done to close some of the gap?

From what I know regarding the laws in Texas. MD and Pa's may own a business together with a 51% MD and 49% PA relationship. APRNs and MDs by law are not able to be business owners together in Texas. APRN must be 100% owner in collaboration with the MD or Vice versa. This has not been confirmed but this was the legal information I was told by a attorney here in Texas.

Nurses become nurse practitioners. If you don't want to be a nurse, then become a PA. 21 states and DC have COMPLETE independent practice for nurse practitioners. A big fat 0 for PAs remember that. Everyone in my class in NP school had 10yrs or more of RN experience. I for one was titrating multiple drips, chasing hemodynamics of critically ill patients on the verge of death for 12yrs before grad school. while most of theses PA graduating with 2 yr of training were still popping pimples deciding on a undergrad degree. I hate the PA vs NP argument, just take care of patients and stop the comparison.