But this is just insulting and an attitude that contributes to physician burn out. I think there would be pros and cons so this is a difficult question to answer. I agree. Thanks again for your insight. Ethan: Here are the things that attract me to becoming … My hopes of practicing medicine are rapidly disintegrating. If you want to be a nurse but still having second thoughts, you may want to check the following reasons why this career is still better than being a doctor: Also Read: Top 10 Reasons Why You Should Never Be A Nurse. I say it depends on where you practice. Nurse practitioners are advanced practice nurses who have a much wider scope of practice than the average registered nurse. Pamela gave one guy one opinion about something he already knew he wanted to do. PAs have to get over TWO THOUSAND! In some states full autonomy. Whether you are an NP, PA, MD, DO, EMT, RN, DVM. And it has been a symbiotic relationship for the most part–everyone respects each other’s roles. The medical knowledge is complex and requires YEARS of mastering that cannot be done in 12-18 months of NP school. Except she didn’t actually ask about his goals, values, etc before saying she was thinking NP for him. I simply didn’t have the proper knowledge base to take the correct action. Thank you for this clarification! Answer this: When you wake up tomorrow morning, what will your perfect life look like? I wanted to throw my experience in the mix here because I feel like I was going through the exact same thing as you were and it wasn’t until a year into my program, when every other day I was either elated to have chosen to become an NP or crying and devastated that I had not gone to medical school, that I finally came to the ridiculously simple conclusion that there is no perfect choice. I also wanted to play more of the role of final decision-maker in the patient’s care. hey, Pamela, I’m a freshman in college and really wanted to be obstetrician since I wanted to be somehow in a field that dealt with childbirth but I have a really limited amount of time because my parents won’t support me for long since they will be leaving soon. Required fields are marked *. I am a psychiatric NP practicing independently. I got to the point that I looked at myself in the mirror and hated everything about myself. ALL health professionals are invited to our retreats. Pamela, in her imperfection, was brave enough to share her thoughts in the hope of adding to our collective understanding. They won’t ever understand that I went through at that time. I did find my place as a hospitalist and have been doing this since late-2011. That was literally just based on him being an RN. I think you are absolutely right when you say there is no perfect choice. Similarly, according to the BLS, the number of nurse practitioner jobs is expected to be 28% higher in 2028 than in 2018. With a BSN, it’s possible to significantly expand your scope of practice by earning an advanced degree or becoming certified in a particular specialty. Mid-level is a derogatory term. Billing is the same (except for Medicaid/Medicare). Can you please educate your MD colleagues to have the same perception of APPs as you? It is too bad that this turf war between NPs and MDs is never ending. The program started due to a lack of services in rural, poor areas. Wow Pamela Wimble. Many of these posts now have me wondering what they really think of me. I agree with Pamela’s advice to this RN in this situation. Your training will be just as good as you’ll seek out to be. I do appreciate Pamela’s addendum. Sometimes I think, “Well, maybe I could live with the extra hours.” But then knowing myself now, where as I have gotten older have grown to appreciate down time as a way to stay balanced, it seems that I wouldn’t like that scenario. After all my rambling (forgive me, it is 1am), I have a few conclusions. I’m not quite sure why you are asking me if I have a problem with NP’s when I clearly state that they are a vital part of the health care team and that I have worked with them for many years. Pam, no need to defend yourself from so many reactions of people either envious of the NP freedom or those preferentially MD with all the privilege and hiding places. Although they both work towards providing patients holistic care and treatment, there are major differences between a nurse practitioner and a doctor. Thank you for your kind correction. Before the MBAs came on the scene and the med schools excluded “non-allopathic docs” we were all healers. Dr. Wible. Who do you think tell doctor interns what to do prescribe, how to prevent errors and how to function? Wow! I was so impressed with his assessment skills…..honestly pretty jealous really. You failed to mention the wide Gap in education of MD vs NP, the resultant higher cost of delivery of care by NPs (despite what media and others portray)and the appalling for-profit, online schools that have near 100% acceptance rate. The time it takes to become a nurse practitioner is significantly shorter than it takes to become a doctor. For an FNP, especially when new, I think it is smart (and probably should be mandated) that he/she work with a physician for a few years in the area of their specialty before going solo. I collaborate with three incredible physicians, we work in an underserved area at an FQHC and believe me we are all needed to run this ship! You ask for help too when something does not add up. I have no staff. Thanks for your advice. Being a PA is always being part of a medical team. If you’re so passionate about giving advice about your chosen profession, start your own site, create your own tribe, tell your story, do you. NPs are strong and stand on their way. Pam, I’m happy you’re conversation with Ethan took into account his concerns about training & his goals. I also appreciate your mentioning about looking closely at medical schools and residency programs. I just wanted to share my experience and hopefully provide some perspective to what seems to be a very polarizing topic. This is not correct. Please donât lead my health care Pamela. No training will ever separate you from anyone else unless you absorb the training, put it to use and continue to build on that knowledge every day. I can’t say that one of them every discouraged me from becoming an NP. I recommend that plenty of others go to MD or DO programs. What not! My point is that I think the US healthcare system is so broken and backwards. we learn about steroids and codeine-and much more- in pathophysiology and pharmacology. Is that REALLY your message here? An end result is the recent suicide of Robert Chu MDâan unmatched physician. Patients may be “satisfied” because they get what they want, but this doesn’t equate with quality patient care. Having been both a nurse and a doctor, most of the questions I get from readers have to do with making the decision between nursing and medicine. I guess it’s just about knowing yourself and your strengths and abilities, what is best for YOU, knowing how to take reasonable risks (and for the right reasons) and knowing when to be humble and step back. Add in the time and cost it takes to pay off medical school debt and a dissatisfied physician may well consider pursuing medicine a $1 million mistake. That’s the only reason I can think of for their angry responses. Nurses are professionals who work with a purpose. No. After speaking to 1000s of suicidal docs/med students (and families who have lost their loved ones in med training) I know that honesty in helping individuals choose the right profession is essential. Let me reverse-engineer this argument. I did not know about the terrible treatment the students have to endure. The NP role can be an amazing path, if youâre lucky enough to live in a state that truly embraces their potential. This NOT good for patients and at the end of the day patients are human beings, not just a source of income for his “finaincal choice”. Thanks! And although NPs do have the ability to work without the doctor on site? Can you still lay bricks? For those thinking about switching from nurse practitioner to doctor, or looking at medical school in general and questioning the path they’re on, Matt’s advice is to do a lot of shadowing to see what the different professions do day to day. 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