None. Most NPs desire to be PAs (their training closely resembles AMA), so NPs can then be respected by their peers.Hello, I've heard upon doing some research regarding graduate schools that some offer Nursing Practitioner and Physician Assistant program. What are the benefits in being both a NP and a PA?
I actually had a few RNs in my class(both med school and PA school) that voiced displeasure with NP education.If you go over to the pa forums and dig up a few threads, you'll find plenty of PAs that express interest in a way to gain certification as an NP, and openly lament the fact that in many places, If they were NPs, they would have much more latitude in their delivery of healthcare. One PA in particular would love to sign off on certain forms that NPs can, but he can't. A bunch would also love to get reimbursed for electronic medical records to the tune of $40000 dollars, which NPs qualify for under obamacare. Juanita sounds bitter. But like Juanita, I don't know an NP that wants to be a PA.... period. Lol.
I think your story has some truth to it, but not all.NP lacks hard sciences, and that's not a small thing to be sure. I've clashed with that fact with certain NPs that lacked competence. Any RN like myself that had completed prereqs to become a PA or MD would by default have more hard science background than your typical NP that wasn't similarly prepared. My upper division undergrad science courses would demolish even what would be taught in NP graduate programs. One NP I worked with wouldn't even talk to me after I told her I'd be applying to NP school when I had a fraction of the time in nursing she did. She proceeded to tell me how she had been an RN for well over a decade when she felt ready to make the jump. I followed a conversation between her and a doctor where she didn't have a clue about basic immunology concepts. But yeah, after I told her my plans, she went out of her way to try to make clear that her nursing judgement that she built up over years as an RN trumped anything else, and made sure to try to tell me how to be a floor nurse whenever she could (and was wrong the majority of the time). She seems to suck at both nursing and being a provider, so mostly I blame her attitude for her follies rather than her school. I've never had a PA walk by and get up in my business (and be wrong at is as well) like I've had 2 NPs do to me. The PAs I know come in and are cool and we chat about outside interests.
Actually, IIRC you went the nursing route because you could still work part time and your facility paid for it or something.I have a choice between NP and PA, and chose to do NP. I didn't want to be part of a profession that had such a weak advocate as the AAPA. Im interested in being an independent provider.
Neither should be independent but you are correct that nurses are getting there fasterI have a choice between NP and PA, and chose to do NP. I didn't want to be part of a profession that had such a weak advocate as the AAPA. Im interested in being an independent provider. At least one additional state per year, and often two, grants NPs independent status. I know several NPs that have their own practices. My state will allow an NP to do that. A PA has to hire a physician to be their "supervisor". After researching and shadowing, it was worth it to me to take the extra time to become a nurse and then pursue an NP. I want to be more of a master of my own destiny than what being a PA would offer me. To practice as a PA, I would have to be totally dependent on acquiring an agreement with a doctor to work. Then there's the name.... But almost every PA is dissatisfied with that aspect too. The PR campaign thought up my the AAPA, and what many PAs on the PA forums already do, involves actively not using the actual title of "physician assistant", but to use "PA" exclusively.
PAs receive excellent training, but their hands are tied in ways I don't like, which is unfortunate. I find it unnecessary, and frustrating. But the fact is that it is happening. I really don't see that aspect changing any time soon, either.
That is incorrect. States that have "independent" NP practice do not require a signed written agreement with a physician. Other states, on the other hand, have varying degrees of physician collaboration or supervision required for NP practice. The scenario you describe above does not occur in actual "independent" states, but could in others.. Every state, however, requires that if an NP at any level wants to prescribe medication or perform any procedures they must have a signed written agreement with a physician. In reality this is no different than the physician-PA relationship. I know of situations where physicians are walking out on collaborative relaitonships with NP's and guess what--the "independent" NP's are suddenly no longer practicing.
Nope... there were several factors looming over my decision, and the level of independence that NPs enjoy has always been a big focus for me, as well as other issues. I may not detail each point extensively every time I post, but I certainly wouldn't be well served if the only reason I decided to go to nursing school, then get a BSN, then get an NP... was because my facility reimburses me for it. I would have been a PA for 3 years now if I had gone that route. I may make about as much working as an RN as a new PA here, but I'm also hefting patients every shift and running myself ragged. Being debt free is a plus, but there would have been distinct perks to being a provider at this point of my career. From the PA name, to the weak national organization, to my own personal finances, to my tendency to want a more independent relationship with other providers.... I've mentioned all of those things as motivators for choosing NP, and done so repeatedly. My circumstances aren't the same as what everyone faces, and I often suggest people choose to go to PA school if their perspective and background doesn't match mine.Actually, IIRC you went the nursing route because you could still work part time and your facility paid for it or something.