Update on offer from Dr. working as RN there while in NP school

Specialties NP

Published

Hi!

I posted this on my original question - just wanted to start a new thread in case no one saw my last answer.

Well, I spoke to the doctor and one of his nurse practitioners last week. Basically, the position will be one where I would be their "nurse", get to know the patients, learn more about oncology, but not be acting as an NP. I would perhaps round with doctors, etc, and the NP's as well. The NP said I would most likely get patients ready to be seen, and as time went on, probably will be taught how to dictate for the Dr, and how to help round with them. There are other RN's at the hospital that I work with that are not NP's that perform those tasks, so I don't think I would be out of my scope of practice. Please let me know if I am wrong.

The Dr. told me just tell them what I want as far as hours, pay, etc and he will give me pretty much whatever I want (he said at least 90%). He would help with school costs. He also said he would be very flexible in hours as I wanted to work part-time even when I finish school.

I am torn, his practice is one that I would want to work at when I'm done. I am supposed to talk with their business manager who manages everything to see what the actual offer is.

I still am on the fence, I don't want to do anything incorrectly, but their practice is highly regarded and the docs and others that work there are great! So, the saga continues!

I really appreciate everyone's honesty.

Lynn

Specializes in ICU.

If you are a NP you are a nurse...not a doctor...if you are a CRNA ....you are a nurse...not a doctor.

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Specializes in Community Health.

I almost ignored the last post...Couldn't do it. Lol As said MANY times before on this forum; doctor is not a term designated for a physician. The definition of doctor means teacher. You could say that about alot of professions. Bottom line, dentists, nurses, chiropractors, educators, lawyers, podiatrists, astronomers...They all can be doctors! If you want to be the "doctor" of the solar system, great! Im happy for you. Who cares? Geeeez! Get over it! Ok, I'm done. Lol

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Specializes in ICU.

Right in a academic setting that's fine, why is everyone pretending that using the term "Doctor" in the clinical setting doesnt carry huge implications? An really sorry to OP ill go elsewhere now, hijackwd the thread.

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Specializes in ER; CCT.
Who cares? Geeeez! Get over it! Ok, I'm done. Lol

As indicated by some of the medical student trolls--it is a big deal and should be a big deal--at least to them. As they see the progression of APRN advanced to the doctorate level and as more than half the states have autonomous independent NP practice(and growing) they are starting to reevaluate as to their medical school choice. I don't know why they feel so threatened as they will probably always have a job. Even my NP friend up in Oregon is not opposed to hiring a MD, especially if she can't find a qualified NP to fill the slot.

Perhaps the medical students should have watched this before making their decision.

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Specializes in ER; CCT.
Dr. Tammy? Honestly good grief....let's see I'm an RN but I'm going to get my doctorate in liberal arts(hypothetically) then I'll go work in a hospital/clinic and demand/introduce myself as a doctor!!! My point is a doctorate in nursing is as irrelevant as any other degree unless you are a DO/MD because with a patient you are implying you are a physician! Negative! How many infarcted histology slides have you studied? How many cadavers have you dissected? None I assume. Quit insulting the NPs and physicians together....

I'm sorry your chosen vocation has made you so bitter against reality and those in other professions. Hopefully, this might cheer you up. It certainly did for me:

http://www.medschoolhell.com/2007/07/18/why-be-an-md-when-you-can-be-an-np/

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Specializes in ICU.

The outcry is because these nursing "doctors" are claiming that they're equivalent to physicians. Not only that, the person who came up with the DNP (and is a big proponent of it), Mary Mundinger, has stated in public articles that she thinks DNPs are superior to physicians.

You don't see an outcry against PharmDs, DPTs, etc, because they're not making any ridiculous claims like that nor are they pushing for equivalent scope of practice as physicians. The nursing lobby is pushing for equivalent reimbursements and scope of practice even though they have less than 10% of the training that physicians get. This is what annoys physicians and physicians-in-training.

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As indicated by some of the medical student trolls--it is a big deal and should be a big deal--at least to them. As they see the progression of APRN advanced to the doctorate level and as more than half the states have autonomous independent NP practice(and growing) they are starting to reevaluate as to their medical school choice. I don't know why they feel so threatened as they will probably always have a job. Even my NP friend up in Oregon is not opposed to hiring a MD, especially if she can't find a qualified NP to fill the slot.

Perhaps the medical students should have watched this before making their decision.

I don't think anyone is threatened, but you have to understand that there are some very intelligent people out there who work very hard to earn the title Doctor and they see this new wave of people with doctorates that put in less than a quarter of the work and time to try to earn the same title. The idea you are trying to insinuate with an NP hiring an MD to work for them is that the NP is now somehow superior, despite the situation being the exact opposite in 99% of the cases. The passive-aggressive, catty tone of your posts here doesn't help your cause. No one has a problem with an NP until she tries to pass herself off as something she isn't (the same way nurses get angered when MAs pass themselves off as nurses).

Anyways I hope the op gets answers to the question she asked before you hijacked this thread with the whole "doctor" agenda you're pushing ;)

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I don't know if it's passive-aggressive or not...I certainly don't have the ability to read another's motives. But hiring a physician IS the way that NPs are able (in many states) to own their own clinics/practices. We can hang a shingle out and develop our own practices, but we must (in many states) hire someone to be a collaborating physician for us. That person must then review a certain number of charts or work with us on performance improvement or be available for phone consults - that sort of thing. For this service, he or she is paid a salary. He or she may work in the same building, or not.

Once an NP owns his/her practice, as a business person they may find the need to hire additional providers as patient flow dictates. Either a physician OR a non-physician provider may be the best person for the job. I don't think that's "catty."

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Specializes in Nephrology, Cardiology, ER, ICU.

Let's get back to the topic at hand please.

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Specializes in ..

To Dr. Tammy,: Really? (and BTW, the two situations are not alike).

I get the point of your "doctor" post but think it actually backfired and proved the opposite point.

To the OP: Great opportunity. I'd do it in a heartbeat!

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Specializes in ER; CCT.
....there are some very intelligent people out there who work very hard to earn the title doctor and they see this new wave of people with doctorates that put in less than a quarter of the work and time to try to earn the same title.

another proponent of dr asblow's theory:

"the average doctor has more raw intellect than the average nurse--period."

i always wonder to what extent and if any boundaries actually exist on this nursing board as to the depth nurse bashing can occur on this nursing site.

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Specializes in ..
another proponent of dr asblow's theory:

"the average doctor has more raw intellect than the average nurse--period."

i always wonder to what extent and if any boundaries actually exist on this nursing board as to the depth nurse bashing can occur on this nursing site.

i don't think it is nurse bashing to say that a nurse is not a physician. it is not a matter of higher or lower, it is a matter of different. a car is not a pickup truck though they can perform many of the same functions. there are times when a truck is required, there are times when a car is required and there are times when either will do quite nicely. but to say that an elcamino or subaru bratt is a truck is simply not the truth. to say that a four-door truck is a car is equally not true. the problem lies with nurses who are not happy with being nurses. an advanced practice nurse is a nurse with advanced training and skills, not a physician. no one is saying that physicians are better, but no one should be saying that nurses are either. depending on the situation, a physician or an advanced practice nurse would be the better provider. they are both a part of the healthcare system and it works best when they function within their scope. i believe that a np should have independent practice without physician oversight. i also believe that a great percentage of conditions can be diagnosed and managed by an np. i also believe that, like any physician, an np needs to know the limits of their training. that's why physicians refer to specialists and an np should do the same. i ride a bike quite often, but i have in no way trained enough for the tour de france. while i hope to be an advanced practice nurse and use one for my primary care, i do not think an np is a physician. an electrician is not an electrical engineer. they must know and perform similar tasks at times, but there are times where each one's specific skills are needed. i would not use an np who felt their training was equal to that of a physician because it simply is not. these np's will be the death of advanced practice and are dangerous because they do not know their limits. this type of person tends to learn things the hard way.

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