Why DNP and not MD?

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I'm really curious about why the AACN wants all NPs to become DNPs. I understand the notion of "advancing nursing practice" but I think that there's going be a backlash towards this because (1)if you get the additional education, it doesn't mean you actually have the stature of and MD (2) what is it that you actually study? (3)if it requires you to get the same amount of schooling, why not just go for your MD?

Not sure what you mean. MD programs do not have preceptorships. Are you referring to the residency match?

You have preceptor(s) in your last two year of med school (clerkship)! An attending is assigned to you on your different specialty rotations. It's amazing that most MD would tell you students are not ready to practice medicine after spending 3000-4000 hours of clerkship while NP, on the other hand, would say they are equal to a FM doc after 700 hours... There must be something magic about NP.

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yeah the numbers just do not match up. And i know for a fact that regular RN experience does not teach you what you need to know to be a provider. It helps, less than most think, but overall it does help.. mostly in indirect ways such as assessment, memorizing meds, teamwork (lol nursing teamwork is more like kids fighting over a candy bar though in some places), and energy management.

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Specializes in Emergency.

Invitale, I'm no troll. If you read my profile, you'll see my stated goal....FNP. Starting in healthcare at 45, I feel the passage of time just a bit too acutely. When FNP was a Master's program (and still is), it felt reachable. Though I already have a BFA, I still need to get my BSN. So, I feel like I'm taking a redundant path (especially when the BSN program isn't giving me much of anything). Finally, the DNP feels like another hurdle to jump across.

Basically, another hurdle or really just a barrier. My question is just as much about frustration. However, the discussion DID give me balance and perspective. I'm thankful for that.

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Well, since I am in er. one might be since i make 55-65 an hour depending on shifts, plus some wicked benefits and like a month off per year.. Not bad.. better than most types of employed jobs out there in my neck of the wood. Not psych np pay of course but oh well I chose my path right?

But the doc sitting 8 feet from me makes 200, not as much benefits, but I mean who the heck needs benefits when you are raking in 150 more an hour.

Need I say much else?

This is in response to why somebody might want to be an MD and not an np btw.

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Specializes in Emergency.

AndersRN, its not dissimilar to essentially, practicing medicine after an 18 month ADN. It's surprising how much autonomy you're given as a new nurse.

The question is, whether the NP is sufficiently prepared with the time given or the MD is perhaps over-prepared. One is set up to practice in tandem and under another more qualified provider and the other independently. There's probably a reason why the MD is expected to have more clinical practice before being set on their own.

All I can say is that the NPs that I know are all extremely capable at their job

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yeah the numbers just do not match up. And i know for a fact that regular RN experience does not teach you what you need to know to be a provider. It helps, less than most think, but overall it does help.. mostly in indirect ways such as assessment, memorizing meds, teamwork (lol nursing teamwork is more like kids fighting over a candy bar though in some places), and energy management.

Not only that, there are some direct NP programs right now and programs that do not care about experience...

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AndersRN, its not dissimilar to essentially, practicing medicine after an 18 month ADN. It's surprising how much autonomy you're given as a new nurse.

The question is, whether the NP is sufficiently prepared with the time given or the MD is perhaps over-prepared. One is set up to practice in tandem and under another more qualified provider and the other independently. There's probably a reason why the MD is expected to have more clinical practice before being set on their own.

All I can say is that the NPs that I know are all extremely capable at their job.

The NP that you know are probably experience NP... Are you saying more education is not necessarily better?

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Specializes in Nurse Leader specializing in Labor & Delivery.
while NP, on the other hand, would say they are equal to a FM doc after 700 hours... There must be something magic about NP.

I've never met an NP who has said that they are equivalent to a physician. CERTAINLY have never heard a brand new NP saying that after 700 hours of preceptorship.

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I've never met an NP who has said that they are equivalent to a physician. CERTAINLY have never heard a brand new NP saying that after 700 hours of preceptorship.

I have a friend in NP school who told me that NP school is more difficult than medical school because she is learning in 2 years what medical students learn in 4-year...

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All of the boards of such and such nursing say it indirectly all the time.

I mean they can't just come out and say "We Iz Doktur" since the backlash would be horrendous. but they can come out and say it indirectly with biased studies and lolerskates research such as articles stating we treat patients with diabetes the same as doctors, which obviously is a no brainer.... the protocols are the same, and its not very difficult to diagnose and manage. '

Management of diabetes (II) comes down to who can convince the patient to lay down the cheeseburger and fries, more than medication management.

I think the other article was something stating that we have better readmission rates. I mean how can you measure that? There are too many confounding variables, a few of which are location, patient complexity, and how long it takes to get in to see the provider. Most docs have a waiting list as long as the US tax code.

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All of the boards of such and such nursing say it indirectly all the time.

I mean they can't just come out and say "We Iz Doktur" since the backlash would be horrendous. but they can come out and say it indirectly with biased studies and lolerskates research such as articles stating we treat patients with diabetes the same as doctors, which obviously is a no brainer.... the protocols are the same, and its not very difficult to diagnose and manage. '

Management of diabetes (II) comes down to who can convince the patient to lay down the cheeseburger and fries, more than medication management.

I think the other article was something stating that we have better readmission rates. I mean how can you measure that? There are too many confounding variables, a few of which are location, patient complexity, and how long it takes to get in to see the provider. Most docs have a waiting list as long as the US tax code.

How come you didn't drink the coolaid?

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I have a friend in NP school who told me that NP school is more difficult than medical school because she is learning in 2 years what medical students learn in 4-year...

Lol, that is the attitude of many nurses too, even in undergraduate I had that attitude. Trust me, it was quickly washed away. They should really make nurse practitioners sit for the step one exam. It would wash their rear ends out better than three gallons of GOLYTLY

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