Advice requested about primary care

Started by chrish0204
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chrish0204

Full Member
10+ Year Member
I'm currently a nursing student in an accelerated master's program going for a CNL degree. My ultimate goal is to become an FNP and practice in rural areas and/or developing countries. I chose nursing with the vague idea that I wanted to eventually become an NP someday but also that it would be good to work as an RN for a period of time before that, so I could kind of have a look at both worlds (also I am not a fan of direct-entry NP programs with no work experience between RN licensing and the NP classes).

My question is: since my ultimate goal is to be a primary care provider, am I going to regret not just going to medical school and becoming a physician? I don't particularly care about practicing independently so that isn't the issue here. It also isn't about the money, since an NP's salary is enough for my needs. What I don't want is to have some nagging voice at the back of my head saying that I would have been happier if I had just gone to become a primary care physician.

Considering that I have already done the prereqs for nursing school and I'm in my second semester of pre-RN licensing, is it worth my time to drop out of nursing school (with the debt I've already accumulated), do pre-med prereqs (which will take be about a year; I was a liberal arts undergrad and had no idea I wanted to go into healthcare at the time), and then apply to medical schools? I'd rather not do this if I can avoid it, as I'm already kind of on a path here (in school already, doing well in classes and enjoying them, spent a year doing nursing pre-reqs already, and moved pretty far away from home to do it).

Will my life as a PCP will somehow hindered if I work as an FNP? By that I mean this: am I going to be less happy or satisfied with my life as a PCP if I go this route? I know that some people have strong opinions about NPs in this forum, which is fine, but I am not trying to start an argument. Anyone that has a perspective is welcome to chime in, especially current primary care doctors and FNPs, just try to put some thought into whatever you say.
 
IF supervision doesn't bother you consider going the pa route. this will give you more time on rotations than an fnp program( >2000 hrs vs 500-800).
lots of nurses go to pa school so you could still transition from bsn to pa. and many states now allow a pa to own their own clinic(you still have to hire a physician to do chart review).
 
I did consider the PA route but I have always kind of heard that if you are interested in doing primary care as a midlevel, NP is the way to go, whereas PA is better if you'd rather go into something more specialized. This might just be something that people say and I'm sure it isn't a hard and fast rule -- and I do like the idea of the extra training that PA school brings. Right now I am trying to figure out which FNP programs offer the most clinical hours (the school I'm at offers over 1000, which is more than a lot of NP programs but I wonder if there are any programs with more...)
 
I did consider the PA route but I have always kind of heard that if you are interested in doing primary care as a midlevel, NP is the way to go, whereas PA is better if you'd rather go into something more specialized. This might just be something that people say and I'm sure it isn't a hard and fast rule -- and I do like the idea of the extra training that PA school brings. Right now I am trying to figure out which FNP programs offer the most clinical hours (the school I'm at offers over 1000, which is more than a lot of NP programs but I wonder if there are any programs with more...)

also keep in mind that after 2015 you will need to get a dnp to be an np...and a dnp still has less hrs than a pa..even with the extra 1000 they add on as the "residency".
if you live in ca( or would consider moving) there is a dual pa/fnp program at uc davis for rn's with a bsn. 2 yrs gets you both certs...very sweet....
 
Wow, pretty interesting program. It seems pretty competitive (5.5% of applicants accepted in 2010, and I also wonder if they give preference to California residents). Still my GPA is competitive for this so it is definitely something to consider. Thanks for sending it my way.
 
Davis is a good program with an obvious bias towards primary care. That said, there has been some discussion about eliminating the FNP portion because of changes in accrediting requirements. Haven't heard anything more about that lately so not sure where it stands. And the requirement that the PA portion grant a master's degree in the next several years may also be problematic since it is a non-degree granting program ("special student" status).