Why preceptors don't precept

[sauce]

I found this article in my E-mail recently, it was a pretty good read, and if one goes around the site they will see several other complaints by preceptors pushing the same issue.

Students are not prepared for clinical.

Has the Bar Been Lowered for RN/NP Programs? : Clinician Reviews

I have seen this in a few students I precept also (which I only do now from certain schools). I had a few kids from online universities (the for profit crap-wagons) as students a few times. It was awful. None of them had any clue how to diagnose, prescribe, or even really do a true physical exam. Basic stuff they should have learned in nursing school, much less an MSN program.

Get with the program people, you go to these for profit schools with no requirements besides a BSN degree, don't learn squat, and expect us to precept you?

Sorry this is real life.

This message is brief, and to all those people who attend these junky schools. Stop making our profession look terrible. If you cant get into a real school, then many you should just stay a nurse, you probably aren't cut out for the real deal MSN level thinking.

Yeah, yeah, I know I sound harsh, but your type are the reason that our profession is looked down upon by so many. Personally, I am pretty well respected, but every time I start a new job or meet a new doc or whatever, I have to prove myself, and it is because of sloths that attend these programs and lower our standards.

So the take-home is. Don't go to a crappy school and expect to find a preceptor, we know better than to waste our time with you. Go to a well respected school and we will be glad to help you out the best we can and accommodate you.

I already wrote a nice long, nasty letter to our credentialing agencies telling them this, of course they turn a deaf ear. The credentialing groups for nurse practitioners is weaksauce, and ran by a bunch of DNP- think they know it alls that are trying to I don't know what, by pumping as many nurse practitioners into the market, ignoring quality.

I cant wait for the flames from this one, people on this forum seem to resent the truth, and sit in their little happy-bubble world full of white coats, stethoscopes, and hopes for a big easy paycheck.

And to those who come here, from those, for profit schools and try to tell us that they were one of the students who "went above and beyond, because learning is about what you put into it" I have one thing to say. you already told us what you put into it by going to one of these programs. A lot of money and no thought. School is supposed to filter out those who aren't fit. PA and MD/DO schools do this. Yeah, every once in a while a junky one slipps by, but you know its a lot less frequent than NP schools.

Just fess up and admit that this is all true.. Preceptors are seeing it everywhere.

NP education is a lax joke with fluffy requirements.

I also gave psychguy and Jules A a personal spot to like this post. Why? Because they have great wisdom and common sense, and you all don't like what they say, because its the truth.

sauce out.

[AndersRN]

Why don't NP schools do it just like medical schools? In med school, you learn about basic clinical skills in year 1. Then in year 2, you have a clinical diagnosis class where you practice on standardized patients... On the exams, you have 4 standardized patients back to back (15 minutes each) in which you have to take a complete Hx and do focused physical depending on the CC... After doing all these, you have to tell the patient your impression and the tests/exams you will order to confirm the Dx. A board certified doc watching you in a monitor while doing all that. You have 10 minutes to write a note in a computer after seeing each patient. After all that, they give you feedback of what you did right/wrong!

If NP schools do that, their students might be more prepared when starting preceptorship...

[synaptic]

probably, anders, because a majority of the students would fail.

Then less tuition dollars would be acquired.

let everybody in, easy schooling, easy board exam= ?? = profit!

[AndersRN]

I see... The accreditation body(ies) should step in because most schools will always try to maximize their profit at the expense of providing a good education to their students... I am assuming these accreditation bodies are not profiting from schools shortchanging their students...

Another thing NP can incorporate in their clinical dx class is PBL (problem based learning)... Group of

[IsabelK]

IsabelK, you're amazing! I would love to work with you! *subacute rehab unit RN, applying to AGPCM-NP schools. Mad love to you!

*I have to say, the NP I work with is the MAIN reason I am still at my job bc she allows me to think through labs before I report to her, and will ask me my opinion on treatment plans bc she wants me to critically think though situations.

Thanks for posting your thoughts on preceptorships. Something a NP student should know so to get the most out of the educational experience. And thank you all for precepting RNs, we need training.

Thank you :)

[Psychcns]

AndersRN. Can you recommend any apps that would help with differential diagnoses??

[PG2018]

I never said anything about community colleges. I was pointed toward the for profits. Not quite sure how you made that non-existent connection.

Community colleges are the wisest choice anybody could make for their first two years, I was pointing out you have to have like, no brain basically, in order to enroll in a for profit.

The worst part is, people try to defend going to a for-profit.

I mean hey, you don't have to listen, but when your sitting there eating your ramen noodles paying your big tuition bill, when I drive by you in my new F150 platty, youll know I was right.

This tall southern boy and his family drives American made Nissan's lol. I've got a Frontier. Wife has a Pathfinder. They're loaded but bigger sizes cars make me paranoid I'll never find a parking spot.

[yvheflin]

AndersRN, what you described in your above post about standardized patients usage to assess, diagnosis, etc.. Is exactly what my school did in our advanced health assessment course except no doctor was watching but professors were watching on monitors and they also recorded our performance. Each student received a CD copy of their performance so we could critique ourselves. It was very helpful

[synaptic]

Lol i was talking to one of the house supervisors where i worked at a year or so ago, she was in an online np school where the teachers had to watch them do physical assessments on Skype or something. I mean really? you don't even do physical exams in person?

You pretty much have to be mental ill to think that our training is on par with a doctors. I can't believe people actually argue that on this forum. Are some nurses that delusional?

Ive worked with some pretty know-it all nurses in the past though so yeah, some probably are. Only thing I ever experienced more ridiculous were kids on world of warcraft back in the day when i used to play that game.

Sometimes I get the two confused though.

[evolvingrn, BSN, RN]

AndersRN. Can you recommend any apps that would help with differential diagnoses??

They aren't an np.... They merely spend their free time bashing their education

[Conqueror+, BSN, RN]

I never said anything about community colleges. I was pointed toward the for profits. Not quite sure how you made that non-existent connection.

Community colleges are the wisest choice anybody could make for their first two years, I was pointing out you have to have like, no brain basically, in order to enroll in a for profit.

The worst part is, people try to defend going to a for-profit.

I mean hey, you don't have to listen, but when your sitting there eating your ramen noodles paying your big tuition bill, when I drive by you in my new F150 platty, youll know I was right.

So it would be better to spend 90k at georgetown than 35k at a place like Chamberlain?

[nickster26]

I am currently working on my BSN but have a long term goal of becoming an NP. I hope that I am fortunate enough to find someone like you to precept me! You seem to be the epitome of the ideals and skills I believe NP's should have, and it would be amazing to learn those from some so dedicated and passionate.

[Get2theChoppa]

Ha! artical writer, you are out of touch!

If msn programs didn't fill their schedules with garbage ancillary courses in research/management and the associated busywork, I'd have all day to up my performance in clinical--AND--I go to a state university that's well regarded instead of the private schools you look down upon.