Thank you very much for your response. You gave me a lot to think about. I went back and forth on going to Med school vs NP route and ultimately choose PMHNP for a number of reasons. That being said I don't plan on stopping there. I am still fairly young so Med school wouldn't be out of the question. I guess the way I look at right now is there is nothing stopping me from getting as much as I can out of self studying from recommended resources used in med school (First Aide, Sketchymicro/pharm, Pathoma etc.). I am doing this in my NP program and studying well beyond what is expected of me to try to make up areas I feel I am weak in. I understand that would in no way be equivalent, but its the best I can do without going $300,000 in debt. In my mind, PMHNP is a fulfilling career that I feel I would enjoy and would provide an income that allow me to pursue other interest as well. Thats the plan at least, but like I said I am keeping an open mind because anything could happen and I am sure I have not considered a lot.