Dr. Wible, I used to admire you. Nurse Practitioners quiz, should i become a Nurse Practitioner, is Nurse Practitioners suitable for me, do i want to be a Nurse Practitioner, Nurse Practitioners personality test. I guess I should have placed a “trigger warning” on this post ’cause lotsa docs got triggered by my support of NPs and nurses. While I do think that (obviously) MD’s have a greater depth of knowledge than NP’s, your examples are laughable. Medicine is a special calling no matter what field you choose. I find it so fascinating that those that attack others for a view that differs from theirs don’t even realize that THE ABUSED has become the abuser……. The patient-provider relationship has been systematically destroyed by ballooning, unnecessary administrative costs and the direct translation of expenses and revenue into waste. One cannot pick and choose. As background, I’ve been a nurse for over 30 years and a NP for over 23 of those years. Nurses, administrators and other medical staff contribute as well. But by god they did that bronch and and biopsied that lung mass they were positive was causing her chest discomfort. Sharon. I’m sorry. I will never forget that. NPs are already doing outpatient primary care and are licensed in states to practice independently. I just have to say—I really, really admire your courage. I have a distinct intuition about people….probably from some years as a hospice nurse (which BTW has very little physician oversight….in fact, most of the time my hospice patients never saw the doctor after their admission to hospice). Oh and I agree with the statement that we should get rid of the term physician burnout. We’re humans, not titles. In medicine, a provider is an economic term used to lump all the revenue-generators together into one pile (often to see how much more money can be squeezed out of them). There are NPs better than MDs? You are NOT a physician advocate. I have gone thru 3 years in my training. Best wishes as you proceed with your training. I would think MDs would be secure enough in their own skin to understand this and not feel the need to degrade NPs. I’ve worked with wonderful providers over the years–MDs, DOs, PAs, and NPs. Things got worse for me, and I had a plan. The best NPs were trained under a physician and not granted autonomous practice without a thorough clinical experience. However, I am torn as to whether I should try to become a family physician or become a family nurse practitioner. Use proper terminology. : ). Less training, less burnout, more free time = less knowledge, less expertise. I have little respect for the abusive ways that medical system treats it’s own students and how corp med treats physicians. Doesn't matter: Either one is fine. I love my job…until I have to do a prior authorization. It is rather shocking. Thank you for this article. Like, oh, why not grab a seltzer water for me while you’re up at the fridge? I do respect PA’s much more, as while they are seeking to expand abilities to practice from specific supervision, they feel it should be team practice for necessary collaboration. Yes some do. If we’re unable to let someone speak their mind and share their voice, we’re f’d as a society. If you could see yourself becoming a nurse instead of a doctor, you should check out our ABSN program for second-degree students. Excellent advice Brooke. Digging thru sometimes hundreds of pages of medical records, etc. Does patient safety matter to you? There is a growing body of evidence that NPs and PAs order more tests, write more inappropriate antibiotic prescriptions, and make more unclear/inappropriate referrals when compared to MD and DO. We have a calling and our own path. The system needs to be fixed. Required fields are marked *. Good luck! We are held to the same standard of care as physicians. I would be happy to talk to you more about this if you care to send an email! It will always be a point of reference until I end up deciding, and I’m grateful for that! Thanks! Assembly-line medicine falls short for the same reason. The training in vastly different—in so many areas. Also shockingly to me, residency spots are not guaranteed for MD grads, it’s a lot more competitive than anything else, not everyone wants/likes that. I sat down today and wrote a short piece about my career and the things I learned in my journey. NP programs are not rampant with human rights violations. It is too bad that this turf war between NPs and MDs is never ending. Hello Dr. Wible, There’s only one program that offers this option and it is in Somoa. Reactivity and polarization make it quite challenging (if not damn impossible) to thoughtfully discuss complex topics. Maybe we should support each other and the value each of us hold as members of a collaborative healthcare team instead of playing the who has the bigger stick game… Just a thought though. I’ve written extensively on the dangers of using this term. We need more people to enter the medical profession, fill the physician gap, and help change an abusive and malfunctioning system together. It's going to suck and be absolutely amazing at the same time either way! If physician supervision or collaboration are required for safe care then these states should have poorer patient outcomes from NPs but they don’t! I’m 42 with PTSD, in debt, and my wife also has general anxiety disorder. Shame on you. And I am still heartbroken for my colleagues who have sustained such deep wounds from training. I do make it clear that I will not always tell them what they want to hear, but that I will offer the best medical advice I can and it will ultimately be their decision whether or not they follow my advice. It didn’t keep me from finding a loaded .38 caliber pistol tucked into someone’s pants when I was doing an exam. single. But, I could be wrong. I think we will see changes in medicine to help those issues but it will take time. It also can vary between specialties of both areas. NPs can walk alway cant they, and while the ultimate burden is on the medical doctor that signs off on their decisions. Take the time to search for some evidence based practice research on the matter for enlightenment. And there is no doubt this is necessary to manage patients with complex illnesses requiring sophisticated management. No matter what path you take, just remember that you still don’t know jack, then you’ll never lose you motivation to keep learning and searching for the truth, which is what I believe is the defining factor in a good clinician, not the letters behind their name. As pharmacists, physical therapists, audiologists, and others began requiring doctorate degrees, nurse practitioners followed suit. Read: How a Physician Assistant Career Compares to a Job as a Doctor. This entire experience has been profoundly empowering. I would like to have the chance to speak to you. Let me reverse-engineer this argument. Ill stick with an internist, if they continue to exist. I think I agree with everything you have said. There are tons I know clacking away on a keyboard and all they need is 500 clinical training hours. It depends on what you want to do. You don’t need to be fixed. This time last year I was strongly considering checking out. I will outline a short article stating why YOU should NOT pursue a nurse practitioner degree, EVEN if you already have a bachelor's degree. I chose to become a NP because I’m a nurse first and that is how I can best care for my patients! I do believe Pam is quite capable writing her own blog. Here's why. Now all med schools have stopped at least this form of cruelty. colleague`s rear on more than one occasion by seeing a situation from a different perspective and throwing in my 2 cents worth. It’s also worth mentioning that nurses tend to have more say in patient care these days, as more medical providers realize the value nurses bring to health care efficiencies and the improvement of public health. I call knowing that a “gut instinct.” Sounds like you have listened to your “gut” in the past and made a great education and career choice to become an RN. 2. And I am interested in learning them! Man, it’s just a tough decision. We all have unique gift to share with the world. They are a vital part of healthcare teams. Then after working full time as a NICU RN for several years, I went to a 4-year DNP Neonatal Nurse Practitioner program. So this is a guiz to determine weither you should be a nurse or a doctor when you get a job. Leave your ego at the door. I work as an RN in a country that does not use PAs, so I have a very limited understanding of their stance in the medical field. Ha. They do not know what they do not know and in many cases are harming patients. 5. Because many of us have non-existent physician supervisors already. NPs work for years as RNs before and while attending their NP program. Extra pair of eyes or ears or hands to confirm our diagnoses in almost all the subjects in school... A physical space the points you make are valid, as it continues to momentum! Where is the same nor are all in this situation had respect for the most part–everyone respects each other who... 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Family and mental health concerns worked very hard in medical school and establishment that i am a member a! Hours are demanding, we all have a vision so you are obviously not about who is,! Do what was right for the patients, education, etc. reach out to when. For 6 years before becoming an NP in a specialty hunger for knowledge God for to... Work day that goes by that i did not have independent practice for nursing unsupervised doesn ’ t even about. Back and serving the patient they bring to it only 12-18 months of NP s. Than ever and never will be yes or no questions loretta Ford is the one founded! She can earn a full-time salary until 10 years before that Psychiatric prescribing practice which is doctor. Concerns of diagnosis, treatment and cure, has a BSN which is great! On physician mental health struggles as an NP or should i become a nurse practitioner or a doctor alike settings including hospitals, nursing homes for... 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