Physicians aren't "afraid" of midlevels. The problem is that there's not a single study that shows that NPs/DNPs provide equal care as physicians. There are a lot of studies that measure useless metrics like patient satisfaction, etc, and the NPs/DNPs extrapolate from that useless data to say that they provide care that's equivalent to that of physicians.
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I sense a great deal of fear and ignorance in many of these comments.
When I complete my DNP degree I will have had an education that entails the following;
I possess a formal degree in Orthopedic Technology and worked in that field for four years prior to admission to nursing school (despite my 4.4 GPA, work experience was required for admission to my associates degree program).
2 years of prerequisites + 2 years associates degree nursing school = ADN, 2 additional years of education = BSN (Summa Cum Laude), 12 years of emergency and critical care nursing (CCRN certified) + 4.25 years of graduate school = Doctorate of Nursing Practice degree. After graduation, I will be in a residency that is not funded by taxpayers (Medicare), rather an employer will provide me with one to two years of supervised practice before I am considered fully prepared to independently perform.
By the time I am practicing independently as a nurse practitioner I will have accumulated 30,000+ hours of patient care time in the most challenging acute care settings. ER, CCU, ICU, MICU, CVL and orthopedics. I am the nurse that residents hope is available to help them not kill their patients...
And for the bigoted, immature participants out there, I played college basketball (6'7") and have been married for over twenty years, raising three children while fighting for my education.
So please make an attempt to understand the milieu to which you speak. Divisive, narcissistic, and ultimately ignorant comments do not move the science of health care forward.
1.)Get off your high horse.
2.)If you can openly admit you are not a physician I will gain some respect for you(just saying...)
3.)What does you being x feet tall, married, kids etc. have to do with medical education. I am willing to put up how hard I have had it going and getting into medical school vs yours any day bud and I bet MANY other medical students can trump us BOTH.
4.)There is a big difference in being the nurse to help stabilize vs the person who decides what makes a person live or die. You would be honestly the nurse I would want far far away from my patients because you appear to know it all already which is very dangerous.
To me it sounds like you tried to get into medical school or wish you were there? The DNP is the biggest mistake in healthcare currently because Pandora's Box has been opened and will never be shut.
E.
PS-If I seem a little pissed I am. There have been so many negative NP's coming onto the board insulting both med. students/docs and PA's alike. You start off by call us ignorant in your first post wth?
I agree with you on this.
Kaushik-Man its only going to get worse when we finish jeesh.
As a future physician, I've already decided to never hire an NP/DNP. Irrational? Maybe. Generalizing over to the entire NP/DNP population? Definitely. But their leadership and the vocal NPs/DNPs have absolutely disgusted me with their ridiculous statements so much that I just don't want to deal with NPs/DNPs in the setting I practice in. I'd rather work with midlevels who didn't spend the majority of their time learning "nursing theory" and "nurse activism," etc.
How will you know who the "best clinicians" are when you don't really have a lot of clinical training to base that off of? Assuming you're an NP (based on your screen name) and knowing that NP programs generally require about 500 hours of clinical training, what qualifies you to judge the clinical proficiency of PAs and physicians (both of whom have far more hours of clinical training than what the avg NP/DNP receives)?
I'm not Makati or the DNP student. I've been fairly open about my anti-NP/DNP-independence stance over the past year and I try to support the majority of my posts with objective measures (ie. classes in the curriculum, hours of clinical training, etc). There's no need for me to pretend to be someone else when I've already repeated myself a thousand times.
...but it's a CLINICAL degree!
I saw an ER physician stick an obese patient twice attempting to start an IV.
The nurse was successful in her first attempt.
hmm. go figure...I start maybe an IV or 2/month while our nurses do 10+/shift....wonder why they are better at it then I am.....I'm better at ej's though.....
Like I said nurses are better at nursing, Doctors are better at medicine. Why does it matter what you get reimbursed for a procedure, I thought NP's are more patient centered and want to save the world working in places MD's won't. When I do a procedure in a trauma situation, it's about saving a life, not getting compensated a certain amount. Have fun playing doctor, I hope they give you idiots equal rights, then the patients can sue your @sses along with the rest of us, you can pay outrageous malpractice costs, and give up to half of your income away in taxes. NP's cant even pass the step three exam that was watered down for them, now that's a joke.I saw an ER physician stick an obese patient twice attempting to start an IV. He never got it started.
The nurse was successful in her first attempt.
PsychNP, I swear, sometimes I have no clue what you're talking about. Please clarify.
Fair enough. And I agree with what you say here regarding procedures. Perhaps I was too quick in making an incompetency joke earlier. My fault.
