"NPs don't practice medicine"

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I read this on a physician assistant forum.

I've been accepted to an Accelerated BSN program for career-changers. Yes, I also applied to PA schools, but I am wait-listed at both of them, so I am choosing the BSN (and after RN experience, MSN). Let me say that I do NOT think NPs are inferior to PAs; I applied to both because as someone with a BS in biology, PA school makes more sense time-wise. I am happy to go to nursing school.

So, back to the title. Yes, someone said that NPs don't practice medicine, they practice nursing. What? First, what does this REALLY mean? Second, I understand the difference between the medical and nursing models but do they make any meaningful difference in your career post-graduation? In the same thread, someone also said that NPs have poor diagnostic skills because of the way they are trained. These comments really heated me up. Please tell me this sort of animosity between the professions is mostly just online and not real life!

Thanks in advance for your comments.

Can we not do that please? I hate the generalization that doctors don't take the time to listen to their patients or that they only "treat the disease, not the person." Sure, there are bad docs and good docs, just like in any profession, but let's not disparage or make sweeping generalizations about our colleagues.

And as far as the cadaver comment- it's not a replacement for practicing on real people. But it's an incredibly valuable experience, if you are lucky enough to get the chance to work on one.

Sigh…so sad. Now ask yourself where in my comment did you come up with your entire 1st paragraph as it has nothing to do with my comment. Playing with dead people is not good experience for psych period.

Specializes in Reproductive & Public Health.
Sigh…so sad. Now ask yourself where in my comment did you come up with your entire 1st paragraph as it has nothing to do with my comment. Playing with dead people is not good experience for psych period.

Oh, I must have misunderstood you. I apologize. I took your comment "I do not want to practice like a physician, and you might not either, if you listen to patient's complaints" to mean that physicians give crappy care. What did you mean by that?

And yes of course cadavers aren't very useful for practicing psychiatric assessments or counseling, but that doesn't mean that a psych provider (or whatever specialty) couldn't still gain valuable knowledge from the experience.

As a CNM student, I definitely don't *need* cadaver experience by any stretch of the imagination, but i'd jump on the opportunity if it presented itself.

Specializes in Adult Internal Medicine.
Oh, I must have misunderstood you. I apologize. I took your comment "I do not want to practice like a physician, and you might not either, if you listen to patient's complaints" to mean that physicians give crappy care. What did you mean by that?

And yes of course cadavers aren't very useful for practicing psychiatric assessments or counseling, but that doesn't mean that a psych provider (or whatever specialty) couldn't still gain valuable knowledge from the experience.

As a CNM student, I definitely don't *need* cadaver experience by any stretch of the imagination, but i'd jump on the opportunity if it presented itself.

Perhaps he meant: work more hours, take more call, spend less time with patients, pay higher malpractice, etc. Physicians give about equal care and NPs/APNs tend to have higher customer satisfaction scores. Have you read the research?

I took a cadaver lab. It was interesting and I value the experience. But it honestly would help a new grad NP/APN more to take CME course or four which is about the same cost/time investment.

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I took a cadaver lab. It was interesting and I value the experience. But it honestly would help a new grad NP/APN more to take CME course or four which is about the same cost/time investment.

What kind of CME courses (for future reference)? I don't need CME as a research assistant, but I am always checking out what my hospital offers (I get tons of the general emails) and so I'm curious what kinds/topics would confer similar knowledge as a human cadaver anatomy course.

Specializes in Adult Internal Medicine.

The ones at the hospital aren't bad but I was talking more like the novice and intermediate courses put on at conferences or though companies like FHEA.

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Okay. I guess that's something I would know if I were actually an RN or NP, eh? I'm always a bit ahead of myself.

Just google outcome studies comparing APRN providers to MD/PA providers, they're virtually identical with the caveat that APRNs tend to have higher rates of patient satisfaction. Also, welcome to the never ending tension between MDs (and by extension, PAs) and APRNs. APRNs are attacked in numerous ways by MDs worried about NPs poaching their business.

As a current RN and FNP student, I found this thread to be extremely helpful. Thanks so much. My sister is in PA school, and she said she loved that you all discussed everything professionally and not in an attacking matter. Which she says, it what she often finds when PAs discuss NPs on their forums- competition, nastiness and condescending comments.

Thanks again guys!

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