Thanks for your response, JustKeepDriving. If my tone comes off as contentious, I don't intend it to at all! I'm just looking for answers and I don't know anyone in the field. My hesitation with pursuing a PA program is the very 2,000 hour requirement that you mentioned. Also, (and I'll be the first to admit I could be wrong) but PA's seem a bit more pigeonholed career-wise. The 5 year schooling would be if I did the accelerated BSN and then applied and got into the DNP programs at UW. It would end up being about 5 years with wait times included. 5 lost working years for a *chance* at getting a $80-90k-whatever job in, as you said, a stiff job market does not seem like that great an opportunity. Frankly I think you'd have to be crazy to pursue it from nothing. If you already have a BSN, that's a different story. I guess my main point is the clear timeline discrepancy between most prominent east coast schools' direct entry programs and the schools in the Seattle area. To be perfectly honest, I don't want to spend a large period of time working as an RN, even while in school. I'd rather have more schooling and not work at all so I can get out in the NP market sooner. Every article I read says that there is little overlap between the two job's responsibilities, and it seems like most people who are proponents of a RN-NP progression feel that way simply because that's what they did with their own careers. Why would I go through all of these lengthy, arduous hoops when I can be in-and-out of an equal if not greater institution in 2 years time and be a practicing NP whilst the corresponding Seattle cohort is still in the first semester of a DNP program? Because, correct me if I'm wrong, but most of the sources I've read say that a national mandate for DNP is a long, long way off and may never even happen. I don't know what to do and it seems like no two people have the same opinion!