NP push for access to residencies amid DO residency influx

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Oo Cipher oO

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Dayton, Ohio · One of the largest nurse organizations is trying to change the way some nurses receive their clinical training by allowing them to participate in residencies now used by physicians. Proponents say this would allow nurses to expand their training and become more widely recognized as the medical providers they are. Currently only physicians are allowed to participate in on of the 9,500+ residencies accredited by the Accreditation Council for Graduate Medical Education (ACGME). The proposed changes would allow any Advance Practice Nurse to apply and compete with medical school graduated for these positions.

The nursing organization points to the planned influx of previously osteopathic residencies as evidence that there are plenty of training positions to go around. ACGME is expected to receive more than 3,000 additional residency positions by 2020. Proponents explain there are not enough US medical graduates to fill all these positions. The are 18,700 US medical graduated every year leaving more than 4,000 positions open before even including the additional osteopathic seats. Many times programs take in graduates from foreign medical schools to fill an empty position. “It is ridiculous that an organization would take a foreign medical student over an American nurse practitioner”, says Jill Trevors, a nurse practitioner in Dayton.

Any change to medical residencies would require Congressional approval as this training is financed by Medicare. American Review for Education of Nurse Training (ARENT) is a not for profit currently focused on lobbying Congress to allow such a change. Efforts are being spent to highlight the often overlooked nature of many nurses in healthcare.

Debbie Constantine, spokeswoman for ARENT, says nurses would be a welcome addition to medical residencies. “Nurses and other modern providers have always excelled in treating their patients in a respectful and holistic manner. These qualities are sorely needed in the high intensity, high burnout world of traditional providers.”

This a small excerpt for the article. Original can be found here .
 
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I hate April fools.

I woke up this morning and the first thing my wife said to me, "****, your brother didn't make it to his MCAT today!" Was pretty sure it was a joke, but she kept serious for 5 seconds longer than I expected. Was pretty pissed 🙁.
 
Well done. I was fairly infuriated until I looked down and saw what day it was :laugh:.
 
And they are one year to solidify a skill-set, not make you an independent "provider"

I think some are 18 months. The thing I find funny is that there are some 3 year med school for people looking to go into FM. There are also 3 year PA schools. So for med: 3 year med + 3 year residency vs PA: 3 year PA + 1.5 year residency. I know the curriculum is different and PA residency does NOT teach the same things as physician residency. Just thought it was interesting that these mid level brag about shorter routes but their training isn't THAT much faster (in my example).
 
I think some are 18 months. The thing I find funny is that there are some 3 year med school for people looking to go into FM. There are also 3 year PA schools. So for med: 3 year med + 3 year residency vs PA: 3 year PA + 1.5 year residency. I know the curriculum is different and PA residency does NOT teach the same things as physician residency. Just thought it was interesting that these mid level brag about shorter routes but their training isn't THAT much faster (in my example).

And some PA's are bitter that after working for 5-10 years they still have the same title/level of autonomy where several classes of residents have come and gone. The trade off is obviously hitting the workforce sooner, having a normal life at a younger age etc etc.
 
This is from a nursing site:

''I'm currently in an acute care NP program and getting my clinicals set up. As an RN I have experience in surgical, trauma, and neurosurgical ICUs and one ICU I worked in was medicine heavy, although I was only there a year.

I'm interested in working in surgical/trauma ICU, neurosurgery, or ER as an NP.


I have good connections at two hospital systems near me and don't anticipate any trouble finding preceptors, I've had several offers already. Any suggestions regarding the focus of my clinicals? I will have roughly four clinicals with different preceptors, 120-160 hours each.

I know a lot depends on the quality of the preceptor, but assuming all things being equal, what areas would be most or least valuable? Right now I'm looking at surgical ICU, neurosurgical ICU, and a pulmonary rotation for vent management skills.''





This is how NP residency works... Is that a freaking joke?
 
I was fooled because it's totally believable. The Children's hospital where I worked none of the doctors wore white coats as its kind of taboo in pediatrics, but all of the NPs did. They were very aggressive in asserting themselves but it always seemed half-baked and had more to do with ego than actual "holistic" patient care. Whatever "holistic" is I'm not even sure anymore.


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I was fooled because it's totally believable. The Children's hospital where I worked none of the doctors wore white coats as its kind of taboo in pediatrics, but all of the NPs did. They were very aggressive in asserting themselves but it always seemed half-baked and had more to do with ego than actual "holistic" patient care. Whatever "holistic" is I'm not even sure anymore.


Sent from my iPhone using SDN mobile

Thats pretty obnoxious. The surgical teams and their midlevels here wear white coats but the general peds and specialists don't. I don't think they have hospitalist or em midlevels in our peds hospital which is great but who knows what the future holds
 
This is from a nursing site:

''I'm currently in an acute care NP program and getting my clinicals set up. As an RN I have experience in surgical, trauma, and neurosurgical ICUs and one ICU I worked in was medicine heavy, although I was only there a year.

I'm interested in working in surgical/trauma ICU, neurosurgery, or ER as an NP.


I have good connections at two hospital systems near me and don't anticipate any trouble finding preceptors, I've had several offers already. Any suggestions regarding the focus of my clinicals? I will have roughly four clinicals with different preceptors, 120-160 hours each.

I know a lot depends on the quality of the preceptor, but assuming all things being equal, what areas would be most or least valuable? Right now I'm looking at surgical ICU, neurosurgical ICU, and a pulmonary rotation for vent management skills.''





This is how NP residency works... Is that a freaking joke?

From the way it's described, s/he's still an NP student - so more like a "clerkship".

The other side of the coin is that they don't even have to do a "residency" to practice.
 
This is from a nursing site:

''I'm currently in an acute care NP program and getting my clinicals set up. As an RN I have experience in surgical, trauma, and neurosurgical ICUs and one ICU I worked in was medicine heavy, although I was only there a year.

I'm interested in working in surgical/trauma ICU, neurosurgery, or ER as an NP.


I have good connections at two hospital systems near me and don't anticipate any trouble finding preceptors, I've had several offers already. Any suggestions regarding the focus of my clinicals? I will have roughly four clinicals with different preceptors, 120-160 hours each.

I know a lot depends on the quality of the preceptor, but assuming all things being equal, what areas would be most or least valuable? Right now I'm looking at surgical ICU, neurosurgical ICU, and a pulmonary rotation for vent management skills.''





This is how NP residency works... Is that a freaking joke?

Well to be clear, that person is not talking about an NP residency. They're talking about their NP program clinical rotations.

Not saying that that's better, but let's at least talk about the facts.
 
From the way it's described, s/he's still an NP student - so more like a "clerkship".

The other side of the coin is that they don't even have to do a "residency" to practice.
@NYCGuy86

I know she is talking about rotation, which is somewhat residency for them... i.e. 'Let me follow someone I know for 600 hrs and I am ready to practice medicine.' That was my point. I did not convey it well, perhaps.
 
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Thats pretty obnoxious. The surgical teams and their midlevels here wear white coats but the general peds and specialists don't. I don't think they have hospitalist or em midlevels in our peds hospital which is great but who knows what the future holds

I've seen this to be a common theme. NPs and PAs wearing white coats and attending physicians not wearing them. Maybe Mayo is on to something with having physicians wear suits...
 
meh.
 
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