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Good post!
Just wanted to comment on the above referenced part.
Do you really think 5 years is enough?
I think 10 years should be the minimum, and collaboration with on site physicians is key
Well I say 5 years minimum because there are some nurses particularly in high acute/trauma areas (military, inner city) that can really attain experience fast. However, I agree that 10 years should be the recommended protocol prior to NP school. In addition, I would to see more clinical hours as well as more differential diagnosis and pharmokinetics/dynamics classes in the curriculum. Ethics, cultural health, policy and research are all well in good in my BSN program (even though I am getting sick of them) but NP programs should be focusing on a hand-on "residency" rather than didactic fluff.
Just my thoughts as I see many direct-entry MSN students with BAs and new RN licenses going straight to NP school. Luckily almost all CRNA schools require/recommend ICU/ER or acute experience before even applying.