NovaFNP22

Thank you so much!!

Thank you for the advice!

I know this topic has been beaten to a pulp, but I wanted to know if you lovely APNs would recommend a primary care practice guideline book I can look over before I begin my FNP clinicals. Thank you in advance! ?

I've heard people going to Jeff having a good experience and know some that hold great positions as an NP. I think you do have to find your own clinicals, though. I go to Villanova now because it's cheaper for me. There are a lot of factors that play into this big decision!

I think you said it very well. Too many choices lead to passive patients.

She's in her early 70's now. The exact details of it all I'm not caught up on. I think many are alive because of intuitive providers, and in some cases, technology as well. Even personally, I was telling my MIL I had to go for a gestational diabetes test and the same comment came out: "the doctors intervene too much." I then, of course, had to comment again explaining that diet, health, and family obligations are different than 50 years ago and explain the rise of diabetes during pregnancy that led to routine screening. But even so, she's correct, and as you said ultrasound was not invented in the earlier years.

I'm currently an FNP student and as I'm progressing into my program, gaining that provider mentality, a conversation with my mother-in-law got me thinking... She was telling me a few stories how her older relatives hardly received treatment for things; going to the doctor meant you had something beyond what a little salve could take care of (or, for fans of my My Big Fat Greek Wedding, a little Windex). I'm sure we've all encountered those people that say "ehhhh I'll just wait it out I'm not running to the doctor for every little thing" and they actually turn out to be fine. One story in particular really got me thinking: an aunt of hers was born 8 weeks early in her home at a mere 4lbs. She was not in the NICU for weeks or hooked up to machines. I'm sure there was some intervention, but nothing compared to protocols we have today. Her aunt is completely fine. I responded to my MIL by saying that there are individuals who do not survive and cannot live with some ailments like they can today. Such situations led to research and treatment development that make it possible to overcome sickness and live with disease. But I couldn't help but still ask myself the question: are we really intervening too much? Of course there are evidence based practices, but is the million dollar workup really implemented because of money or is it more to cover our butts, even for minor things? If you are presented with something minor, how much do you really intervene? Is there middle ground? Sincerely, A curious FNP student.

Drexel is expensive so I understand the worries with that. Does TJU Hospital only help with tuition at their university? Maybe you could reapply to Jefferson for the spring after speaking with someone like and advisor. There's always options and sometimes it's a matter of being a pain in the you know what to get things done.

I'm sorry to hear that caaarolynnn. Have you applied elsewhere?

I've decided to wait to apply until I finish my BSN program (four weeks away woohoo!). My decision is between UPenn and Jefferson due to financial reasons and I'm going to be switching jobs once I graduate - hopefully where I end up will have tuition reimbursement. What area of nursing have you worked in? Have you applied to other schools?

I would suggest looking at the clinical descriptions attachment that is posted on ISU's site and line up your preceptors now. I almost had to sit out a semester because I couldn't find a site. Other than that, go out and be social now while you can! It is hard work, but completely worth it.

That's upsetting to hear. I'm sorry you had a bad experience. If you had to choose a program in the area again, which school do you think you would go with?

MissT19, although this was posted awhile ago, what are you thoughts on TJU now?

np2017, I was thinking of applying there this summer. What about the program are you disappointed with? I would love some insight.

I'm applying for the Pediatric Primary Care Program. How has the application process been?