Same here. This nonsense of nurses graduating and then going directly or within a few years to NP school is dangerous.
Nursing school is simply a foundation. Experience is where you learn.
Edit: forgot to add I’m an RN (ADN to BSN)
Experience is where you learn but no offense, that doesn’t mean you’re learning correct stuff. Nursing school is not a foundation for medical decision making. It doesn’t cover the depth and detail required for the baseline knowledge and it doesn’t cover how to make medical decisions. Not to mention Med school is 4 years without residency. Sorry it’s just never going to be the same. The training isn’t even oriented to the same goal
Got it. Sorry if my message came off crass. It’s not intended to, but it is what it is. I view it as saying you are good at math class because you took English class and they are both classes!
FWIW, medicine is a team sport and we need everyone. Each person is critical, I just don’t think the current education structure is adequate for independent practice.
I don’t know why it surprises people. You can have a strong feeling about abundance of severely undertrained NP getting undeserved right to practice independently, while at the same time is aware of the fact that there are very experienced NPs doing very good work around us every day, and many of them are well aware of their limitations with their training. The main issues are the ones that just scream “reeeeee I need independent practice because everyone told me my 500 hrs of online training allows me to do the exact same job as a doctor” all day long and spreading bullshits to the public on Twitter or TikTok about how they are just as smart and competent, if not smarter.
I’m not a doctor, I’m an engineer. But I used to date a nurse who gave me the wildest sex ever. She swallowed everything I could muster. Quite an unhealthy practice considering her profession. Made me wonder if all nurses were freaks.
The original purposes was for mid-career nurses to be able to become NPs after many years of clinical exposure and experience. Nowadays, new grads with minimal experience who can’t even see the difference between versed and vecuronium are becoming practitioners.
Exactly. Mid levels who want to stay *in the middle* are dope and very helpful. When people want to become dangerously independent we have problems.
You want to be a doctor, get the MD or DO
CRNAs advocating for fully-independent non-supervised practice is one of the most frightening things. Imagine you’re taken to the OR for an urgent procedure and, without your consent, some half-trained nurse is administering/monitoring your anesthesia.
And it’s funny because a lot of nurses with experience (for example my mom a NICU nurse of >25 years and a peds ED nurse I work with of >30 years) have 0 interest in being NPs whatsoever
Thats what drives me crazy. NP schools just accept whoever with little to no experience. Met some nurses in my previous hospital who still work at bedside and tell me they’re NPs or they’re in school to be one. They were absolutely clueless in the ICU and they don’t even know what to do with their patients and you wanna practice independently?
I agree but a lot of NP programs unfortunately don’t seem to require experience. Before I even graduated nursing school, we were already encouraged to apply to the BSN to MSN (DNP available too) even without experience. Some of my classmates did it. Looking at their page’s admission criteria right now, they actually just require an active nursing license, not even years of experience.
i just don’t understand. i went to crna school and i stay in my lane. do we have a ton of advanced practice nurses who want to be independent? just curious. i don’t think that’s the majority
It’s definitely not, but as someone told me one time, this page is an echo chamber for a lot of people that have very strong (negative) opinions about NPs regardless of whether they’re staying in their lane or not
My wife is an RN with her NP license. Was an RN for ten years before getting the license working primarily in ICU or ED. Even with the experience, she still doesn’t work as an NP because she said her training was inadequate to feel comfortable as an unsupervised provider. She wishes NP was more like what PA is supposed to be- a mid level that actually answers to a physician and has them reviewing their work. In our state, they have independent practice and that’s pretty much the only way they are hired now. Her general plan for now is to use the NP when she retires to head a school nurse program or something like that.
Many nurses are moving to NP or crna. When its that easy to do, pays more, is less physical work, and some people think you’re a doctor, of course any dummy is going to do it. It will interesting to see how it all plays out, that’s for sure
People get incorrect, overly expensive, or inadequate care.
I’ve got referrals from NPs in our system working urgent cares to “establish with PCP for X complaint”. While I’m ok with getting new patients for my panel, for a lot of things these are routine. However if 1-2 rounds of antibiotics or steroids don’t touch it, then boom…becomes a physician issue.
Or every lab imaginable is ordered. Had a non-diabetic patient with polyneuropathy in feet who had 15+ labs ordered including Anti-ganglioside antibodies. Then referred to me. I ordered an EMG.
Patient is going to have a heart attack when they see that lab bill.
I don’t know where you live, but here they do, nearly exclusively. I was actually just looking into a pain medicine doctor to shadow to see if I liked it at all, and there aren’t any in my area. There are, however, at least six NPs who practice pain medicine- no supervision. FNPs who just decided they were pain medicine specialists now. That is the norm here, not exception.
You need to let it go dude and accept that there are states where NPs practice independently. Rhode Island is one of them. Just because you haven’t heard of any states where NPs are authorized to practice with full independence doesn’t mean that they don’t exist. You can read the information here https://www.aanp.org/advocacy/state/state-practice-environment.
Lol I never said there are no states where NPs practice independently. I said they are not the majority even in these states. I just did a quick search of NP jobs in Rhode Island and most jobs are under supervision of an MD.
Back in residency I was hooking up with a nurse in school for nurse practitioning when we had an argument about the training. The relationship wasn't going anywhere, we were going to break up anyway. But it probably didn't help things. I mean, in grown up relationships, you're not actually going to decide who to date based on scope arguments, in a loving long term relationship I'm sure we would have worked it out, but in a casual fling it killed the mood sometimes.
But thinking you are capable of taking care of patients with that kind of training is delusional and shows lack of reflection or humility.
Also, username checks out.
Not exactly the question but I had an interesting experience on Tinder. I guess it has more to do with misrepresentation but this was my first experience with something like this in the wild.
I matched with a cute girl who had a pic of herself in white scrubs and a stethoscope. In her profile she said something along the lines of "Yale's Critical Care Resident" or something to that effect. I asked her what she was doing in my area (I live in the south) and she said she came to Dallas after Yale for a plastic surgery fellowship. I thought you did EM --> Critical care fellow ship and you especially don't do a plastic fellowship after that. So obviously I was pretty apprehensive. She told me the name of her "fellowship" institution. I was able to look her up on LinkedIn and she did some kind of nursing school at Yale (I think) and then was working at some private practice plastic surgery clinic with one physician doing botox and stuff. I ended up just leaving her on read cause I was like yiiikes. Also she was pretty far away haha.
I always wonder what the goal of these people are. She also had her insta in her profile though so maybe she was just fishing for followers. Probably should make it private if that's your goal though.
There are times when something that is right in principle cannot be applied to a single, individual life.
Leaving a loving relationship because your partner becomes an NP is psychotic. You’re making a huge sacrifice for a cause that will never be impacted by your decision— but potentially losing a lot of happiness yourself.
It’s not like NPs are violent, unethical, horrible people or something. I’m completely against mid level encroachment on physician roles, but this is too far.
Good to see an actual sensible take addressing the ridiculousness of the question. Lots of people in here are far too focused on attacking individuals rather than the system that makes it a no-brainer for individuals to take up APP jobs.
It's much easier to vilify all APPs as evil/unethical/uncaring about patients, rather than accept that the majority of them do actually care about patients. Similarly, most APPs do believe that they are qualified to provide good patient care, as that is what they have been told during school and by various research articles that APP-led care is not inferior\* - "you don't know what you don't know" etc.
Similarly, allowing this sub to become an echo-chamber of black-and-white thinking will only provide more credence to those claiming that physicians hate APPs/just want to keep others away from the money tree/believe they are better than everyone else etc etc.
\*not saying these studies are valid - just saying that they exist.
What else would you call it when you exploit some loophole that allows the unprepared and untrained to take care of patients instead of putting in the right amount of work?
I think at the least we can agree that in the cases it was originally designed for: where an experienced RN goes to a real NP school and practices under a physician’s supervision, it is not unethical for someone to practice this way
If you’re talking about paramedics as we have in the United States, I freaking love them. Professional, respectful, incredible under pressure, and know that their role is limited to emergency management in the field. I got my most recent ACLS from a paramedic instructor and she was exceptional.
I get your point but it's a stretch. Are you still calling unethical if they're in a limited role where properly supervised?
You realize there's a limit to med school and residency seats, right? One could argue that if someone wants to serve a more limited role, it would be unethical to take up a med school seat.
How has that limited role thing been working out so far when you take the nursing lobby into account? Take a look at the NP’s independently managing patients in the United States right now. Furthermore, there already exists a profession meant to fill the role you envision. It’s called PA and they have much better education with actual standards.
Is it so hard to believe that NPs would want to get a proper education? Do you think it's the students asking for fewer classes and clinical hours just so they could put their own asses on the line and get sued for malpractice down the road? It's the healthcare system suppressing any efforts to improve the curriculum at the same time they're encouraging more responsibility to be put on the NP; all in an effort to cut costs. If you're gonna be mad, at least be mad at the right person/system.
This is a great example of don't hate the player, hate the game. It's pretty hard to blame someone for wanting a job description (description, not performance or efficacy) that isn't that different from doctor these days for a lot less work. Hell, half the people in this sub are always saying shit like "if I knew then what I know now, I'd just become an NP or PA." Though granted most are probably being dramatic and don't actually mean it
Lmao holy shit. I get the problem everyone has with mid-levels, but c’mon now. There are many mid levels who are great, know there limits, and are very helpful. Most of them are nice well meaning people who want to work in health care but don’t want the responsibility or investment of being a doctor. This post is a little silly.
I dated 4 all in one year in my internship . I would page myself to go from one to the other . . I’m being paged gotta go !! It was fun for a while . I ended picking one who was cool and didn’t need to drink the sophisticated wine !!
In the real world, anyone with a medical license can do just about anything. ...Just witness all the people who claim to do some version of plastic surgery. Midlevels have been given access to the same self-designated areas of expertise.
We know that in many ways, residencies are overkill and slave labor.
The only thing missing is a middle ground where people have an audited/mentored training experience and then are appropriately credentialed.
Leaving a happy relationship is probably not the most important thing. I will say anecdotally the more exposure NPs get to working with an attending, at least in GI, Hep, etc the ones I’ve worked with realize what they don’t know. We went through a large GI office. Seemingly every single hep B serology was run by the GI/hepatologist who was there. Ditto with IBD management. No one’s running out on independent practice and wants to be faced with what to do for switching biologics or how to adjust immune suppression or with HBV, who needs prophylaxis before chemo.
Not a relationship, but I unmatched on hinge from a guy with 4 years of med-surg nursing when he revealed he was about to graduate from PMHNP school.
Was happy to date an RN, not someone with a pale imitation of my own credentials.
The app with the most late twenties and early 30’s in my area. You also see your most recent like as soon as you get it without paying/also liking the person (which is a huge advantage). Part of the match group conglomerate.
Simile experience. Dated an ICU nurse turning into an NP and I could not handle the brazen, unfounded self confidence in independent practice. I shudder thinking about it haha.
Not my SO, I have a family member pursuing an NP and I am happy and excited for her! Her views on the appropriate scope of an NP or PA are the same as mine so that helps lol. Many of them feel this way. It’s their lobby that pushes for scope creep
She’s already a nurse and is extremely familiar with medical / interdisciplinary team dynamics. I think I know my own family better than you do. Wouldn’t you rather just be happy to hear many of them are in agreement with us? Relax
No, I would not break up with them.
If my partner became a nurse practitioner they are aware of the limitations of being a mid level provider and do not believe in mid level autonomy. They also would probably work in an inpatient setting as apart of a care team, which I believe is an appropriate role for that level of training.
They have said they would not feel comfortable being independent and recognize the failures of NP school, which is part of their aversion to taking that step because they would want to be in a good program, which would require taking time off their current job ect.
Jesus christ people. Some of yall are willing to die on this hill to a point where it affects your personal relationships. Like get a grip. Its just a job at the end of a day. Who cares.
Best comment!
I don't even know how the hell I ended up here. I was researching something completely different about NPs and MDs and found myself here. And enjoyed seeing how territorial physicians are and how "macho" they feel against the NP. The misogamy component is real, too. The amount of sexist and "but she's hot" is also pretty off putting.
The ego boosting RNs and NPs on here are just as sickening, cheering on this kind of toxic, anti-teamwork behavior.
I hope to god I don't have to be treated by any of these people, because this kind of attitude of "I know best" is really dangerous. From both physicians and NPs. But its so common place among both disciplines.
I am on the flip side of the coin. I am an NP, never practiced because I hated nursing and medicine. They are both horrible jobs. Whether you are a doctor or a nurse, its a terrible career. So I decided to go to law school and now, among my many life endavours, I do consulting work for regulatory the regulatory tribunal that deals with issues of complaints against physicians and nurses in my province.
And I can tell you, the kind of "macho" behaviour being displayed on here, is a one way ticket to complaints and license suspensions. In fact, I have worked on a case where a physician's license was suspended for 6 months because of their horrendous attitude and behaviour towards their team (which consisted of NPs, RNs and PAs). It was hilarious to see this macho "I know best" break down crying like a little boy because he was going to be without money for 6 months (not to mention, having to complete civility in the workplace training). Please know, what goes around, comes around. You can trash people all day on the Reddit echo chamber. If that makes you feel bigger and better and gives you meaning in life to feel superior, please, go for it. But please have respect for your colleagues in the workplace. Because I can assure you, it will bite you if your cavalier attitude translates to your patients or your colleagues.
Be humble. Know your lane. And care about what is important. The patient. Seriously. If an MD or an NP can help a patient, that is the end game. Its sad to see the lack of care of patients. People hide behind the guise of "they're not safe, blah blah blah" but really, if there was no need for Midlevels, they wouldn't exist.
They exist because physicians alone are insufficient to provide the complex needs of patients. So remember that. By wanting the monopoly, the people to suffer are the patients and the physicians themselves because do they really want to be burdened with simple UTIs and cold diagnoses that are better prioritized to advanced practice nurses? This gives the physicians the opportunity to provide more comprehensive care to more complex clients that are better served by physicians.
Anyway, that's all I wanted to say.
Have fun bashing midlevels. You are all gods and superior beings who can shun the peasant patients and nurses that will never live to your glory.
\>Would you stop being vocal or having strong feelings against mid-level creep?
Absolutely not.
\>Would you ensure they knew they need strong physician supervision?
Always have and always will.
Correct answer.
I completely support my wife leaving bedside inpatient nursing and becoming an NP. Bedside nursing is literally physical, mental, and emotional abuse at this point. I wouldn't wish it on my worst enemy.
She's smart enough to know her limits and will always be practicing under appropriate physician supervision.
I would support her and encourage her growth in the medical field. As a bonus she would make extra income that would help support our family. I certainly wouldn’t belittle her development due to any personal biases I might have…
Not a resident but as a premed I got a match on Bumble from an NP student, she thought it'd be real sexy to open with, "How do you justify wanting to be a doctor, now that NPs are taking over and do everything that a doctor can?
Apparently it's a new dating strategy to induce existential dread and anxiety about life choices in your potential future mate. It's like a new sort of DENNIS system.
RN here. I am completely against nurse practitioners practicing without oversight from a physician. I am also completely against nurses becoming a nurse practitioner without nursing experience. I personally think the absolute bare minimum should be five years of true bedside experience.
Before I chose the pediatrician’s office to take my children, I read the bios of all the NPs working there. All of them had ten plus years working as a PICU nurse before becoming an NP school. That should be the industry standard. Solid experience as a RN. There is no way I’d allow some dingbat who went to some online np school treat me kids much less prescribe them medicine.
Edit: not dating a resident but saw this post and thought I’d share my opinion. 🥴
My wife is an RN and I love it bc she makes 150k with an extremely flexible schedule and shes good st her job. She thinks all the diploma mill online np programs are bullshit too.
if you would break up with someone for going from RN to NP, youre an idiot.
I know right. Like how pitiful does a persons life have to be to discriminate their dating lives based on career choices 😂
Whats next? Dont date lawyers cause they can sue you?
Lol currently in this situation. My gf that I met in residency has applied to go to school for pediatric NP. We’ve talked about it because Im pretty against independent midlevel practice and thankfully she agrees with me and just wants to work under a physician seeing routine patients in the outpatient setting. Got lucky there because if she was one of the cringe midlevels idk If we would have worked out.
My wife is an RN, I actually tell her to do NP school and she refuses lol.
Tbh, she'd actually make a great mid-level, she actually gives a shit to learn things properly, like she always asks me why we are doing certain things, tries to understand pathology pharmacy MOAs...etc.
I'm not anti-NP/PA and not anti-resident, anti-med student, anti-student nurse, anti-RT, anti-PT/OT or anything else
. I think anyone who is not an attending physician has something to add to the team. To suggest they don't is absurd
Each person (including an attending) should know their role and limitations. As an intern, it would be wrong and irresponsible for me to assume I know everything and don't need to confirm decision making with my attending/senior/fellow as appropriate. As an NP/PA, the same should be true, they are valuable, they know things, they can help patient care. The trouble comes when they don't know their limits or don't recognize that they need to confirm decisions with the more trained/qualified/expert attending physician.
Anyone who does not know their limits in medicine is dangerous, regardless of role!!
It makes sense though. You can't be with someone you dont respect. This doesnt make sense for a long term couple, but for two people just starting out and getting to know, this is food for thought
My wife was a nurse practitioner before I went to medical school. Should she divorce me because other doctors ask dumb fucking questions like this one?
This scenario doesn’t apply to you then. Did you even read? It’s a silly question but it’s interesting to consider given how much of us have an issue with the NP profession
I see the PA took offense to my response lol. No one really asked your opinion, so imagine how fragile you have to be interject yourself here
It’s not imaginary work drama. Many people believe patients lives are at risk. if you don’t believe that, then we disagree. If you’re that desperate to get laid that you don’t have any desire to date someone who is intelligent or honest, then we disagree there too.
Imagine how fragile your ego had to be to let petty imaginary work drama affect your personal dating life 🤦🏻♂️
It’s just a fucking job at the end of the day. Dont let that define your life.
I'm in a similar situation. My wife is awesome. Honestly she's probably smarter than me, and not in the patronizing "oh my nurse wife is so smart" type of way. She wins every argument. Every. One.
I recommended recently that she go back to school to get her NP degree. Frankly, reimbursements are shrinking inflation is going nuts, and I'm not about that competitive rat race and additional years of indentured servitude to get into a higher paying specialty.
I understand there is some danger in that. But I honestly think she's the type who should go back and get their degree. She's got years of ICU experience, she's hard working, and made she supervisor about a year ago. I feel like she's who the program was designed for.
And I've never been against physician extenders existing anyways. Just don't like it when they try to eat my (future) lunch.
Now I have been openly critical of NP education and lack of standardization with her on several occasions. But I've always phrased my concern as against the straight to NP types, or independent practice.
Now say she gets her degree and suddenly thinks she's equally trained... Well I mean she is smarter than me...
Idk, I'm insecure in my knowledge right now, but I'm not a complete fool. If she thinks the combined 9 credit hours of path, phys, and pharm she took while working are equal to an MD, then... I'll let it go. For the sake of our marriage and children lol.
But if pushed, I'll boot up Uworld or start pimping her.
Eck. Pimping my wife. Sounds bad man.
She understands the difference between her job and mine. She understands that she would be an extension of her supervising physician and not an independent practitioner. Most of all she understands that even though she will have a Doctorate in Nursing Practice she will not be a “Doctor”.
As long as a NP is practicing within their state board’s scope of practice I have no complaints. Personally, I’ve always had good luck having my children and myself seen by NPs and prefer them in some settings.
Resident here married to another resident. Several of my closest friends are NPs or in NP school currently.
One of them went to school almost immediately after becoming a nurse. Ended up getting a job on the same floor she was a nurse (though it was only for a year beforehand). We talked a bit about how underprepared she felt when she first got the job. I did ask her whether she felt it was safe for her patients to be in this new role, and she kind of shrugged and didn’t answer. Ultimately, a few years later, she remains on the same service and rounds with an attending daily. Now at least, her job has become routine and she knows what to do. I do wonder if she knows WHY she’s doing things a certain way or if she’s just memorized algorithms and patterns from being on the same service for so long. I also get very salty about the fact that she works 3 days a week and makes twice as much I do as a resident. But ultimately, we don’t talk about work that often and we remain very close friends.
A couple other friends went to NP school after being ICU nurses for several years. Their end game is to become a cosmetic NP doing Botox and whatnot…. Does it bother me that they went to school online, doing a bunch of bullshit essays about nursing theory and hardly any physiology or pathology, just to come out and do something completely unrelated to their schooling OR prior nursing experiences? Absolutely. Does it bother me that they will soon get 9-4 bougie jobs making easily twice what I make with no relevant experience? Yes. But at the end of the day, our friendship isn’t all about work. We talk about other things and we are all good friends. As much as I dislike the concept of NPs in the first place, I remind myself not to the the player (my friends) and rather to hate the game (the BS NP schools and the hospitals that hire them…).
When my friends start talking about their job prospects and lifestyles, I usually keep my mouth shut and remember I’ll soon be an attending making at least 3x what they make, and so will my husband. Someday the delayed gratification of medical training will all be worth it.
I'm a 3rd year medical student and my SO is in undergrad currently. She's between PA school and med school. I strongly hope she chooses med school as I've previously made my opinion on mid-levels well known. At the end of the day though, I won't respect her any less if she takes the shortcut, and I'll try and support her career as much as I can.
Same here. I'm 37 years old, going to be graduating in May, and the last thing on earth I want to be doing right now is diving back into a school program that would result in me being expected to act as a provider upon graduation. Maybe in my mid-forties I may decide to pursue the NP, but I would want to work in a team with an MD or DO overseeing me. Patient care shouldn't be about the ego of "independent practice", it should be about working to prevent patients from falling into the cracks of the system.
The nurses married to Doctors always remind you their husbands are Doctors. Then they go on about how bratty their kids are because they’re “geniuses and bored in class” as they fling you a pair of scissors ✂️ with the blade facing your face. Just my personal experience.
FMK…
- A Child Psych NP who practices online. He/She was an RN for a year before earning her PHMNP online at the prestigious Grand Canyon University. They now tell people they’re an expert in ADHD diagnosis and treatment.
- A NP Administrator who thinks our ED and Hospitalist service are too costly because it’s staffed by doctors. Now hiring “advanced practice providers” exclusively. Wears white coat with alphabet soup post-nominals.
- A NICU NP who loves saying “kiddo,” started NP school when you were a 3rd year med student, and is now your superior. He/she loves bullying residents and stealing their procedures cause they’re besties with the attending (who’s also a dick).
They do! But I actually feel bad about dissing them since they charge fair tuition and aren’t as predatory. I’ll change it.
https://www.wgu.edu/online-nursing-health-degrees/psychiatric-mental-health-nurse-practitioner-masters-program.html
I don’t rank them the worst by far. they are non profit and actually don’t admit anyone with a pulse for the NP programs. and if you don’t do your work you fail (crazy right). Now… phoenix/chamberlain/walden are legit scams and shouldn’t be legal. Walden is what i would call the worst from how they accept everyone, take their money, and make impossible to fail.
If they are truly a noctor type, run, run as fast as you can! Honestly, these people are delusional with no grip on reality and are often narcissistic but without the actual high achievements/drive. You want to have a life with someone like that?
Wife is a nurse, she has said many times she would not be comfortable being an NP. They simply don't learn enough about actual medicine in RN or NP school to be able to actually manage patients.
i dont respect their profession and their scope encroachment strategies so i could never truly respect a significant other who becomes a midlevel. my nurse gf and i discussed this and she has no plans to become an NP so we’ll be fine.
the docs who marry nps- we call them cucks
I think there’s a distinction to be made between nurses who have a career as a nurse, gain actual knowledge and experience and then do an NP after several years of nursing vs Becky who barely graduated from a 4 year state school with a 90% acceptance rate who enrolls in an online program 12 days after earning her BSN. Either way don’t date a nurse lmao, look at young nurses vs old nurses. That old nurse is your girl’s future.
It’s just what all nurses are doing now. Doesn’t like clinic and doesn’t want to work unsupervised. Kind of regrets the decision. Knows NP school was a joke. Honestly I’m cool with it as long as they aren’t endangering patients, meaning unsupervised (or essentially unsupervised).
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A little bit different here, but I am married to a pharmacist. During our relationship and seeing what I do and what I know he has become horrified at the idea of pharmacists diagnosing/treating eg UTIs. Even the morning after pill has issues, as pharmacists do not generally do STI checks or ask questions regarding possible assault, or offer long term contraception counselling/provision.
My wife wanted to go the nurse prac route then she saw how much med students learn and signed up to finish pre med classes to become a doctor. She has always stated she wants to be the best she can be at helping people and she doesn’t feel being a prac can allow her to do that
This falls under the same scenario as LPNs vs RNs. RNs take care of complex cases and unstable whereas LPNs are for stable predictable patients this would apply to physicians vs NPs in most cases I’d assume especially primary care
My wife (RN) has equally strong feelings about APRNs practicing independently. Edit: BSN/RN
Same. RN here
Agree, RN.
I agree, Im an RN
Same here. This nonsense of nurses graduating and then going directly or within a few years to NP school is dangerous. Nursing school is simply a foundation. Experience is where you learn. Edit: forgot to add I’m an RN (ADN to BSN)
Experience is where you learn but no offense, that doesn’t mean you’re learning correct stuff. Nursing school is not a foundation for medical decision making. It doesn’t cover the depth and detail required for the baseline knowledge and it doesn’t cover how to make medical decisions. Not to mention Med school is 4 years without residency. Sorry it’s just never going to be the same. The training isn’t even oriented to the same goal
Apologies for not being clear. Nursing school is a foundation for nursing, not medicine. I agree with you that NPs should not be independent.
Got it. Sorry if my message came off crass. It’s not intended to, but it is what it is. I view it as saying you are good at math class because you took English class and they are both classes! FWIW, medicine is a team sport and we need everyone. Each person is critical, I just don’t think the current education structure is adequate for independent practice.
Yes. I don’t like it either.
So does my very experienced ICU NP which is one of the things that makes me really value her as a team member.
Rn here, I feel the same.
I don’t know why it surprises people. You can have a strong feeling about abundance of severely undertrained NP getting undeserved right to practice independently, while at the same time is aware of the fact that there are very experienced NPs doing very good work around us every day, and many of them are well aware of their limitations with their training. The main issues are the ones that just scream “reeeeee I need independent practice because everyone told me my 500 hrs of online training allows me to do the exact same job as a doctor” all day long and spreading bullshits to the public on Twitter or TikTok about how they are just as smart and competent, if not smarter.
Yeah, but most choose not to use the level of nuance you demonstrated in your comment.
Same here as well.
I only date exotic dancers, models, realtors and gym rats
Post history checks out.
Tbf, some of those nurses ended up being exotic dancers in the past. Two birds one stone type of situation...
Yup. Charge nurse I used to work with used to be one. She told me and another coworker to try out exotic dancing while we’re still young lol
I’m not a doctor, I’m an engineer. But I used to date a nurse who gave me the wildest sex ever. She swallowed everything I could muster. Quite an unhealthy practice considering her profession. Made me wonder if all nurses were freaks.
I'm definitely picturing you as a woman with a thunder from down under kind of exotic dancer husband
What about hairstylists?
You'rr missing out w the hairdressers
Love the username
Don't forget venture capitalists
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>dude Why are you assuming my gender you ... BIGOT ?
I was in the same place a while ago. Since then I narrowed my dating pool to exotic dancers and models
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What’s the difference between your wife and the ones now? Honest question
The original purposes was for mid-career nurses to be able to become NPs after many years of clinical exposure and experience. Nowadays, new grads with minimal experience who can’t even see the difference between versed and vecuronium are becoming practitioners.
\~She believes in a physician led model of care\~
Exactly. Mid levels who want to stay *in the middle* are dope and very helpful. When people want to become dangerously independent we have problems. You want to be a doctor, get the MD or DO
CRNAs advocating for fully-independent non-supervised practice is one of the most frightening things. Imagine you’re taken to the OR for an urgent procedure and, without your consent, some half-trained nurse is administering/monitoring your anesthesia.
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Not everyone fits into the box, could have been a drug abuser, sickle cell, or long term cancer patient with a high tolerance.
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thanks for this. love the description I strive to be dope and helpful on the daily. always tell my docs it's in the title, I'm here to assist you!
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And it’s funny because a lot of nurses with experience (for example my mom a NICU nurse of >25 years and a peds ED nurse I work with of >30 years) have 0 interest in being NPs whatsoever
Thats what drives me crazy. NP schools just accept whoever with little to no experience. Met some nurses in my previous hospital who still work at bedside and tell me they’re NPs or they’re in school to be one. They were absolutely clueless in the ICU and they don’t even know what to do with their patients and you wanna practice independently?
You should have to have 5 years bedside experience in your specialty before NP school.
I agree but a lot of NP programs unfortunately don’t seem to require experience. Before I even graduated nursing school, we were already encouraged to apply to the BSN to MSN (DNP available too) even without experience. Some of my classmates did it. Looking at their page’s admission criteria right now, they actually just require an active nursing license, not even years of experience.
That’s how it is here, 4 years experience and sponsorship from a senior Dr for training.
i just don’t understand. i went to crna school and i stay in my lane. do we have a ton of advanced practice nurses who want to be independent? just curious. i don’t think that’s the majority
It’s definitely not, but as someone told me one time, this page is an echo chamber for a lot of people that have very strong (negative) opinions about NPs regardless of whether they’re staying in their lane or not
that’s unfortunate. i hope that med school will teach them how to be humble and not belittle anyone to make themselves feel better.
My wife is an RN with her NP license. Was an RN for ten years before getting the license working primarily in ICU or ED. Even with the experience, she still doesn’t work as an NP because she said her training was inadequate to feel comfortable as an unsupervised provider. She wishes NP was more like what PA is supposed to be- a mid level that actually answers to a physician and has them reviewing their work. In our state, they have independent practice and that’s pretty much the only way they are hired now. Her general plan for now is to use the NP when she retires to head a school nurse program or something like that.
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Many nurses are moving to NP or crna. When its that easy to do, pays more, is less physical work, and some people think you’re a doctor, of course any dummy is going to do it. It will interesting to see how it all plays out, that’s for sure
People get incorrect, overly expensive, or inadequate care. I’ve got referrals from NPs in our system working urgent cares to “establish with PCP for X complaint”. While I’m ok with getting new patients for my panel, for a lot of things these are routine. However if 1-2 rounds of antibiotics or steroids don’t touch it, then boom…becomes a physician issue. Or every lab imaginable is ordered. Had a non-diabetic patient with polyneuropathy in feet who had 15+ labs ordered including Anti-ganglioside antibodies. Then referred to me. I ordered an EMG. Patient is going to have a heart attack when they see that lab bill.
:0
This doesn’t make sense. Most NPs don’t practice unsupervised, so if she wanted to practice like a PA she could since most NPs practice that way.
I don’t know where you live, but here they do, nearly exclusively. I was actually just looking into a pain medicine doctor to shadow to see if I liked it at all, and there aren’t any in my area. There are, however, at least six NPs who practice pain medicine- no supervision. FNPs who just decided they were pain medicine specialists now. That is the norm here, not exception.
I still don’t think that where you live most NPs practice independently. I’m sure your wife could find a job as a supervised NP easily.
You need to let it go dude and accept that there are states where NPs practice independently. Rhode Island is one of them. Just because you haven’t heard of any states where NPs are authorized to practice with full independence doesn’t mean that they don’t exist. You can read the information here https://www.aanp.org/advocacy/state/state-practice-environment.
Lol I never said there are no states where NPs practice independently. I said they are not the majority even in these states. I just did a quick search of NP jobs in Rhode Island and most jobs are under supervision of an MD.
Access to one only via phone call is not real supervision.
27 states out of 50 have independent practice rights. and Their organization is advocating for that to be 50/50
Marry, divorce, take half, collect child support. /s
Back in residency I was hooking up with a nurse in school for nurse practitioning when we had an argument about the training. The relationship wasn't going anywhere, we were going to break up anyway. But it probably didn't help things. I mean, in grown up relationships, you're not actually going to decide who to date based on scope arguments, in a loving long term relationship I'm sure we would have worked it out, but in a casual fling it killed the mood sometimes.
But thinking you are capable of taking care of patients with that kind of training is delusional and shows lack of reflection or humility. Also, username checks out.
But was she hot
Not exactly the question but I had an interesting experience on Tinder. I guess it has more to do with misrepresentation but this was my first experience with something like this in the wild. I matched with a cute girl who had a pic of herself in white scrubs and a stethoscope. In her profile she said something along the lines of "Yale's Critical Care Resident" or something to that effect. I asked her what she was doing in my area (I live in the south) and she said she came to Dallas after Yale for a plastic surgery fellowship. I thought you did EM --> Critical care fellow ship and you especially don't do a plastic fellowship after that. So obviously I was pretty apprehensive. She told me the name of her "fellowship" institution. I was able to look her up on LinkedIn and she did some kind of nursing school at Yale (I think) and then was working at some private practice plastic surgery clinic with one physician doing botox and stuff. I ended up just leaving her on read cause I was like yiiikes. Also she was pretty far away haha. I always wonder what the goal of these people are. She also had her insta in her profile though so maybe she was just fishing for followers. Probably should make it private if that's your goal though.
Anybody who has stethoscope and white coat on dating profile is an automatic left swipe.
Definitely understand the sentiment but I have way more luck when I hit ‘em with the white coat. Not using one currently though haha.
Its just one of my best pictures tbh
Lol same bro
Following lol
There are times when something that is right in principle cannot be applied to a single, individual life. Leaving a loving relationship because your partner becomes an NP is psychotic. You’re making a huge sacrifice for a cause that will never be impacted by your decision— but potentially losing a lot of happiness yourself. It’s not like NPs are violent, unethical, horrible people or something. I’m completely against mid level encroachment on physician roles, but this is too far.
Good to see an actual sensible take addressing the ridiculousness of the question. Lots of people in here are far too focused on attacking individuals rather than the system that makes it a no-brainer for individuals to take up APP jobs. It's much easier to vilify all APPs as evil/unethical/uncaring about patients, rather than accept that the majority of them do actually care about patients. Similarly, most APPs do believe that they are qualified to provide good patient care, as that is what they have been told during school and by various research articles that APP-led care is not inferior\* - "you don't know what you don't know" etc. Similarly, allowing this sub to become an echo-chamber of black-and-white thinking will only provide more credence to those claiming that physicians hate APPs/just want to keep others away from the money tree/believe they are better than everyone else etc etc. \*not saying these studies are valid - just saying that they exist.
I completely disagree that they’re not unethical
Every NP is unethical for being an NP?
What else would you call it when you exploit some loophole that allows the unprepared and untrained to take care of patients instead of putting in the right amount of work?
I think at the least we can agree that in the cases it was originally designed for: where an experienced RN goes to a real NP school and practices under a physician’s supervision, it is not unethical for someone to practice this way
I don’t even know about that. Nursing education isn’t medicine.
I'd hate to think what you think of paramedicine then considering over here both are 3 year bachelor's degrees as to be an entry level
If you’re talking about paramedics as we have in the United States, I freaking love them. Professional, respectful, incredible under pressure, and know that their role is limited to emergency management in the field. I got my most recent ACLS from a paramedic instructor and she was exceptional.
I get your point but it's a stretch. Are you still calling unethical if they're in a limited role where properly supervised? You realize there's a limit to med school and residency seats, right? One could argue that if someone wants to serve a more limited role, it would be unethical to take up a med school seat.
How has that limited role thing been working out so far when you take the nursing lobby into account? Take a look at the NP’s independently managing patients in the United States right now. Furthermore, there already exists a profession meant to fill the role you envision. It’s called PA and they have much better education with actual standards.
Is it so hard to believe that NPs would want to get a proper education? Do you think it's the students asking for fewer classes and clinical hours just so they could put their own asses on the line and get sued for malpractice down the road? It's the healthcare system suppressing any efforts to improve the curriculum at the same time they're encouraging more responsibility to be put on the NP; all in an effort to cut costs. If you're gonna be mad, at least be mad at the right person/system.
This is a great example of don't hate the player, hate the game. It's pretty hard to blame someone for wanting a job description (description, not performance or efficacy) that isn't that different from doctor these days for a lot less work. Hell, half the people in this sub are always saying shit like "if I knew then what I know now, I'd just become an NP or PA." Though granted most are probably being dramatic and don't actually mean it
Yeah imagine sleeping with the enemies lol
Ok weirdo
Lmao holy shit. I get the problem everyone has with mid-levels, but c’mon now. There are many mid levels who are great, know there limits, and are very helpful. Most of them are nice well meaning people who want to work in health care but don’t want the responsibility or investment of being a doctor. This post is a little silly.
I hooked up (+/- dated) 4 nurses during residency. Am I allowed to comment?
you can receive an honorary DNP degree for this feat ;)
Flair me, baby
D ain't stand for doctorate. I'll see myself out.
No… YOU ARE STAYING.
I dated 4 all in one year in my internship . I would page myself to go from one to the other . . I’m being paged gotta go !! It was fun for a while . I ended picking one who was cool and didn’t need to drink the sophisticated wine !!
In the real world, anyone with a medical license can do just about anything. ...Just witness all the people who claim to do some version of plastic surgery. Midlevels have been given access to the same self-designated areas of expertise. We know that in many ways, residencies are overkill and slave labor. The only thing missing is a middle ground where people have an audited/mentored training experience and then are appropriately credentialed.
Leaving a happy relationship is probably not the most important thing. I will say anecdotally the more exposure NPs get to working with an attending, at least in GI, Hep, etc the ones I’ve worked with realize what they don’t know. We went through a large GI office. Seemingly every single hep B serology was run by the GI/hepatologist who was there. Ditto with IBD management. No one’s running out on independent practice and wants to be faced with what to do for switching biologics or how to adjust immune suppression or with HBV, who needs prophylaxis before chemo.
Not a relationship, but I unmatched on hinge from a guy with 4 years of med-surg nursing when he revealed he was about to graduate from PMHNP school. Was happy to date an RN, not someone with a pale imitation of my own credentials.
I can’t keep the apps straight anymore. Which one is hinge?
Classier tinder
The app with the most late twenties and early 30’s in my area. You also see your most recent like as soon as you get it without paying/also liking the person (which is a huge advantage). Part of the match group conglomerate.
Simile experience. Dated an ICU nurse turning into an NP and I could not handle the brazen, unfounded self confidence in independent practice. I shudder thinking about it haha.
Not my SO, I have a family member pursuing an NP and I am happy and excited for her! Her views on the appropriate scope of an NP or PA are the same as mine so that helps lol. Many of them feel this way. It’s their lobby that pushes for scope creep
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She’s already a nurse and is extremely familiar with medical / interdisciplinary team dynamics. I think I know my own family better than you do. Wouldn’t you rather just be happy to hear many of them are in agreement with us? Relax
Well my wife is an RN right now and she’s miserable. She thinks it’ll be easier as an NP, so I’m totally in support.
Why are you guys so obsessed with this topic? Ugh
No, I would not break up with them. If my partner became a nurse practitioner they are aware of the limitations of being a mid level provider and do not believe in mid level autonomy. They also would probably work in an inpatient setting as apart of a care team, which I believe is an appropriate role for that level of training. They have said they would not feel comfortable being independent and recognize the failures of NP school, which is part of their aversion to taking that step because they would want to be in a good program, which would require taking time off their current job ect.
Redditors are not real man LOL what kinda question
Praying it's a joke/troll post because otherwise, everyone on this sub is getting prescribed some mandatory grass touching.
Yeah this is absolutely bonkers if real lol
I was thinking the exact same thing
Jesus christ people. Some of yall are willing to die on this hill to a point where it affects your personal relationships. Like get a grip. Its just a job at the end of a day. Who cares.
Best comment! I don't even know how the hell I ended up here. I was researching something completely different about NPs and MDs and found myself here. And enjoyed seeing how territorial physicians are and how "macho" they feel against the NP. The misogamy component is real, too. The amount of sexist and "but she's hot" is also pretty off putting. The ego boosting RNs and NPs on here are just as sickening, cheering on this kind of toxic, anti-teamwork behavior. I hope to god I don't have to be treated by any of these people, because this kind of attitude of "I know best" is really dangerous. From both physicians and NPs. But its so common place among both disciplines. I am on the flip side of the coin. I am an NP, never practiced because I hated nursing and medicine. They are both horrible jobs. Whether you are a doctor or a nurse, its a terrible career. So I decided to go to law school and now, among my many life endavours, I do consulting work for regulatory the regulatory tribunal that deals with issues of complaints against physicians and nurses in my province. And I can tell you, the kind of "macho" behaviour being displayed on here, is a one way ticket to complaints and license suspensions. In fact, I have worked on a case where a physician's license was suspended for 6 months because of their horrendous attitude and behaviour towards their team (which consisted of NPs, RNs and PAs). It was hilarious to see this macho "I know best" break down crying like a little boy because he was going to be without money for 6 months (not to mention, having to complete civility in the workplace training). Please know, what goes around, comes around. You can trash people all day on the Reddit echo chamber. If that makes you feel bigger and better and gives you meaning in life to feel superior, please, go for it. But please have respect for your colleagues in the workplace. Because I can assure you, it will bite you if your cavalier attitude translates to your patients or your colleagues. Be humble. Know your lane. And care about what is important. The patient. Seriously. If an MD or an NP can help a patient, that is the end game. Its sad to see the lack of care of patients. People hide behind the guise of "they're not safe, blah blah blah" but really, if there was no need for Midlevels, they wouldn't exist. They exist because physicians alone are insufficient to provide the complex needs of patients. So remember that. By wanting the monopoly, the people to suffer are the patients and the physicians themselves because do they really want to be burdened with simple UTIs and cold diagnoses that are better prioritized to advanced practice nurses? This gives the physicians the opportunity to provide more comprehensive care to more complex clients that are better served by physicians. Anyway, that's all I wanted to say. Have fun bashing midlevels. You are all gods and superior beings who can shun the peasant patients and nurses that will never live to your glory.
\>Would you stop being vocal or having strong feelings against mid-level creep? Absolutely not. \>Would you ensure they knew they need strong physician supervision? Always have and always will.
Correct answer. I completely support my wife leaving bedside inpatient nursing and becoming an NP. Bedside nursing is literally physical, mental, and emotional abuse at this point. I wouldn't wish it on my worst enemy. She's smart enough to know her limits and will always be practicing under appropriate physician supervision.
Didn’t care
I would support her and encourage her growth in the medical field. As a bonus she would make extra income that would help support our family. I certainly wouldn’t belittle her development due to any personal biases I might have…
Not a resident but as a premed I got a match on Bumble from an NP student, she thought it'd be real sexy to open with, "How do you justify wanting to be a doctor, now that NPs are taking over and do everything that a doctor can?
Not a NP student or planning to be one but I just feel so embarrassed reading that
Lmao ya don’t do this
Apparently it's a new dating strategy to induce existential dread and anxiety about life choices in your potential future mate. It's like a new sort of DENNIS system.
…. But what did you say?
RN here. I am completely against nurse practitioners practicing without oversight from a physician. I am also completely against nurses becoming a nurse practitioner without nursing experience. I personally think the absolute bare minimum should be five years of true bedside experience. Before I chose the pediatrician’s office to take my children, I read the bios of all the NPs working there. All of them had ten plus years working as a PICU nurse before becoming an NP school. That should be the industry standard. Solid experience as a RN. There is no way I’d allow some dingbat who went to some online np school treat me kids much less prescribe them medicine. Edit: not dating a resident but saw this post and thought I’d share my opinion. 🥴
My wife is an RN and I love it bc she makes 150k with an extremely flexible schedule and shes good st her job. She thinks all the diploma mill online np programs are bullshit too. if you would break up with someone for going from RN to NP, youre an idiot.
>My wife is an RN and I love it bc she makes 150k with an extremely flexible schedule How is she accomplishing this?
i made a typo, shes NP not RN
sorry, wife is an NP* typo there
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I know right. Like how pitiful does a persons life have to be to discriminate their dating lives based on career choices 😂 Whats next? Dont date lawyers cause they can sue you?
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The egos are so pathetic. It’s like being a doctor is their only personality trait. I dont give a fuck about medicine tbh. Trying to gtfo if anything.
Lol currently in this situation. My gf that I met in residency has applied to go to school for pediatric NP. We’ve talked about it because Im pretty against independent midlevel practice and thankfully she agrees with me and just wants to work under a physician seeing routine patients in the outpatient setting. Got lucky there because if she was one of the cringe midlevels idk If we would have worked out.
It’s a financially smart move so good, more $$$ for us.
My wife is an RN, I actually tell her to do NP school and she refuses lol. Tbh, she'd actually make a great mid-level, she actually gives a shit to learn things properly, like she always asks me why we are doing certain things, tries to understand pathology pharmacy MOAs...etc.
I'm not anti-NP/PA and not anti-resident, anti-med student, anti-student nurse, anti-RT, anti-PT/OT or anything else . I think anyone who is not an attending physician has something to add to the team. To suggest they don't is absurd Each person (including an attending) should know their role and limitations. As an intern, it would be wrong and irresponsible for me to assume I know everything and don't need to confirm decision making with my attending/senior/fellow as appropriate. As an NP/PA, the same should be true, they are valuable, they know things, they can help patient care. The trouble comes when they don't know their limits or don't recognize that they need to confirm decisions with the more trained/qualified/expert attending physician. Anyone who does not know their limits in medicine is dangerous, regardless of role!!
A living, breathing human thought this was a sane post?
It makes sense though. You can't be with someone you dont respect. This doesnt make sense for a long term couple, but for two people just starting out and getting to know, this is food for thought
It’s not a respect issue, it’s just ego. Fragile egos everywhere.
My wife was a nurse practitioner before I went to medical school. Should she divorce me because other doctors ask dumb fucking questions like this one?
This scenario doesn’t apply to you then. Did you even read? It’s a silly question but it’s interesting to consider given how much of us have an issue with the NP profession I see the PA took offense to my response lol. No one really asked your opinion, so imagine how fragile you have to be interject yourself here It’s not imaginary work drama. Many people believe patients lives are at risk. if you don’t believe that, then we disagree. If you’re that desperate to get laid that you don’t have any desire to date someone who is intelligent or honest, then we disagree there too.
Imagine how fragile your ego had to be to let petty imaginary work drama affect your personal dating life 🤦🏻♂️ It’s just a fucking job at the end of the day. Dont let that define your life.
$$$$
I don't care, I'd rather they make more money This is my life btw
I think you’ll come to the realization that in the real world it’s not as big of a problem that Reddit makes it out to be
Okay seriously wtf is this? Is this what the future is?
I'm in a similar situation. My wife is awesome. Honestly she's probably smarter than me, and not in the patronizing "oh my nurse wife is so smart" type of way. She wins every argument. Every. One. I recommended recently that she go back to school to get her NP degree. Frankly, reimbursements are shrinking inflation is going nuts, and I'm not about that competitive rat race and additional years of indentured servitude to get into a higher paying specialty. I understand there is some danger in that. But I honestly think she's the type who should go back and get their degree. She's got years of ICU experience, she's hard working, and made she supervisor about a year ago. I feel like she's who the program was designed for. And I've never been against physician extenders existing anyways. Just don't like it when they try to eat my (future) lunch. Now I have been openly critical of NP education and lack of standardization with her on several occasions. But I've always phrased my concern as against the straight to NP types, or independent practice. Now say she gets her degree and suddenly thinks she's equally trained... Well I mean she is smarter than me... Idk, I'm insecure in my knowledge right now, but I'm not a complete fool. If she thinks the combined 9 credit hours of path, phys, and pharm she took while working are equal to an MD, then... I'll let it go. For the sake of our marriage and children lol. But if pushed, I'll boot up Uworld or start pimping her. Eck. Pimping my wife. Sounds bad man.
She understands the difference between her job and mine. She understands that she would be an extension of her supervising physician and not an independent practitioner. Most of all she understands that even though she will have a Doctorate in Nursing Practice she will not be a “Doctor”.
As long as a NP is practicing within their state board’s scope of practice I have no complaints. Personally, I’ve always had good luck having my children and myself seen by NPs and prefer them in some settings.
Nah it’s called putting your eggs in different baskets. I’m a physician, she’s a mid level, one of us will win so it’s all good.
Resident here married to another resident. Several of my closest friends are NPs or in NP school currently. One of them went to school almost immediately after becoming a nurse. Ended up getting a job on the same floor she was a nurse (though it was only for a year beforehand). We talked a bit about how underprepared she felt when she first got the job. I did ask her whether she felt it was safe for her patients to be in this new role, and she kind of shrugged and didn’t answer. Ultimately, a few years later, she remains on the same service and rounds with an attending daily. Now at least, her job has become routine and she knows what to do. I do wonder if she knows WHY she’s doing things a certain way or if she’s just memorized algorithms and patterns from being on the same service for so long. I also get very salty about the fact that she works 3 days a week and makes twice as much I do as a resident. But ultimately, we don’t talk about work that often and we remain very close friends. A couple other friends went to NP school after being ICU nurses for several years. Their end game is to become a cosmetic NP doing Botox and whatnot…. Does it bother me that they went to school online, doing a bunch of bullshit essays about nursing theory and hardly any physiology or pathology, just to come out and do something completely unrelated to their schooling OR prior nursing experiences? Absolutely. Does it bother me that they will soon get 9-4 bougie jobs making easily twice what I make with no relevant experience? Yes. But at the end of the day, our friendship isn’t all about work. We talk about other things and we are all good friends. As much as I dislike the concept of NPs in the first place, I remind myself not to the the player (my friends) and rather to hate the game (the BS NP schools and the hospitals that hire them…). When my friends start talking about their job prospects and lifestyles, I usually keep my mouth shut and remember I’ll soon be an attending making at least 3x what they make, and so will my husband. Someday the delayed gratification of medical training will all be worth it.
I'm a 3rd year medical student and my SO is in undergrad currently. She's between PA school and med school. I strongly hope she chooses med school as I've previously made my opinion on mid-levels well known. At the end of the day though, I won't respect her any less if she takes the shortcut, and I'll try and support her career as much as I can.
Ummmm why would that even matter. You can't control someone climbing higher in their career.
I think RNs/NPs who actually see how much education residents/physicians have realize the differences in training.
What the fuck? No. I would not break up with her. What kind of assumption is that?
well you’re a PA so… you’re also a midlevel. not a physician.
I’m currently in nursing school and I want to be an NP or CRNA eventually but I absolutely do not want to be independent
Same here. I'm 37 years old, going to be graduating in May, and the last thing on earth I want to be doing right now is diving back into a school program that would result in me being expected to act as a provider upon graduation. Maybe in my mid-forties I may decide to pursue the NP, but I would want to work in a team with an MD or DO overseeing me. Patient care shouldn't be about the ego of "independent practice", it should be about working to prevent patients from falling into the cracks of the system.
The nurses married to Doctors always remind you their husbands are Doctors. Then they go on about how bratty their kids are because they’re “geniuses and bored in class” as they fling you a pair of scissors ✂️ with the blade facing your face. Just my personal experience.
This feels like a *very* personal experience
r/oddlyspecific
I’d withhold sex
This sub is so toxic lol , it really depends on the person not the degree … c’s get degrees too.
Passing step gets degrees
No.
I'll never be surprised what people are willing to ignore to get some pootang.
I’m sorry but you guys are such fucking losers.
FMK… - A Child Psych NP who practices online. He/She was an RN for a year before earning her PHMNP online at the prestigious Grand Canyon University. They now tell people they’re an expert in ADHD diagnosis and treatment. - A NP Administrator who thinks our ED and Hospitalist service are too costly because it’s staffed by doctors. Now hiring “advanced practice providers” exclusively. Wears white coat with alphabet soup post-nominals. - A NICU NP who loves saying “kiddo,” started NP school when you were a 3rd year med student, and is now your superior. He/she loves bullying residents and stealing their procedures cause they’re besties with the attending (who’s also a dick).
WAIT, wgu has np programs???!!! Lordt
They do! But I actually feel bad about dissing them since they charge fair tuition and aren’t as predatory. I’ll change it. https://www.wgu.edu/online-nursing-health-degrees/psychiatric-mental-health-nurse-practitioner-masters-program.html
I don’t rank them the worst by far. they are non profit and actually don’t admit anyone with a pulse for the NP programs. and if you don’t do your work you fail (crazy right). Now… phoenix/chamberlain/walden are legit scams and shouldn’t be legal. Walden is what i would call the worst from how they accept everyone, take their money, and make impossible to fail.
If they are truly a noctor type, run, run as fast as you can! Honestly, these people are delusional with no grip on reality and are often narcissistic but without the actual high achievements/drive. You want to have a life with someone like that?
Wife is a nurse, she has said many times she would not be comfortable being an NP. They simply don't learn enough about actual medicine in RN or NP school to be able to actually manage patients.
I'd feel good cuz she'd probably be making more money
I've never met an NP as bad as some of the MDs I've worked with. Some of them are downright criminal in their behavior.
i dont respect their profession and their scope encroachment strategies so i could never truly respect a significant other who becomes a midlevel. my nurse gf and i discussed this and she has no plans to become an NP so we’ll be fine. the docs who marry nps- we call them cucks
I think there’s a distinction to be made between nurses who have a career as a nurse, gain actual knowledge and experience and then do an NP after several years of nursing vs Becky who barely graduated from a 4 year state school with a 90% acceptance rate who enrolls in an online program 12 days after earning her BSN. Either way don’t date a nurse lmao, look at young nurses vs old nurses. That old nurse is your girl’s future.
It would heavily depend on if they/he/she staid in the requisite lane or pretended to be a doctor
It’s just what all nurses are doing now. Doesn’t like clinic and doesn’t want to work unsupervised. Kind of regrets the decision. Knows NP school was a joke. Honestly I’m cool with it as long as they aren’t endangering patients, meaning unsupervised (or essentially unsupervised).
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[https://www.youtube.com/watch?v=wzqXggZU3eE](https://www.youtube.com/watch?v=wzqXggZU3eE)
Sounds like a fundamental assumption of inequity in the home life.
A little bit different here, but I am married to a pharmacist. During our relationship and seeing what I do and what I know he has become horrified at the idea of pharmacists diagnosing/treating eg UTIs. Even the morning after pill has issues, as pharmacists do not generally do STI checks or ask questions regarding possible assault, or offer long term contraception counselling/provision.
Dump her for a PA
No
I one dated a nurse that suggested we’d be a “power couple” when she became an NP…
My wife wanted to go the nurse prac route then she saw how much med students learn and signed up to finish pre med classes to become a doctor. She has always stated she wants to be the best she can be at helping people and she doesn’t feel being a prac can allow her to do that
This falls under the same scenario as LPNs vs RNs. RNs take care of complex cases and unstable whereas LPNs are for stable predictable patients this would apply to physicians vs NPs in most cases I’d assume especially primary care