NURSE PRACTITIONER react

Stop Scope Creep is an initiative from physician and the American Medical Association that is stopping the inappropriate scope expansion of non physicians.
As a nurse practitioner I am sharing what I think about this #stopscopecreep and would love to hear your thoughts on this.
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[@stevenjohnson3979]

The argument that NP should have FPA is crazy. 4th year Med students are scared as hell to get an MD & have more authority and they can practice solo. An anesthesiologist as an MD has it in his scope to do surgery or anything an OB/Gyn doc does but he does not. He knows his strength and does not try to dleicer babies or Surgery when that is not what he is an expert it in. Doing surgery & babies would make him more money but harm his pts. Bottom line. If NP’s & PA want solo practice take the same board exams that an attending MD takes. If you pass fine if not then you dont need to practice solo. You cant have your cake and eat it too. If you practice medicine take the board of medicine exams. Practicing “nursing” or “healthcare” does not exist.

[@tk567]

👏

[@Phil4Jesus]

I couldn't agree more. Phil DNP, FNP

[@crystalcalendars142]

Well said. If a "competent" NP is better than an "incompetent" MD (like this video NP said), then medical schools should be all already closed, President's physician will be a "competent" NP (not an MD), those residency, fellowship programs would no longer open. For my understanding, competency for MD/physician is tested through admission exam, thousands tests during medical school, board exam, supervised residency/fellowship, thousand hours supervised procedures... Otherwise, "competency" is coming through thin air.

[@ronniechacon3909]

PREACH!

[@jamest5081]

where in the world can an MD fresh out of school practice solo? In my state, MDs are not licensed doctors until they complete residency.

[@MrChaoticmonk]

An interesting viewpoint. NP education has actually changed as its educational rigor has declined. It is no longer required to be a nurse to be a NP. Many nurses are actually appalled when they interact with these graduates who do not have experience using a stethoscope. That as a possibility is disturbing. Also, patient care should not be dependent on whether a NP feel they are competent since some of those states allow direct practice operations after the the avg 686 clinical hours or 4 month of 8 hour shift-days/ 5 days a week. And this is not a standardized experience so this becomes something of a shadowing exp to a non-graded elective.

[@ktmsnake]

I agree. Feeling competent vs being competent is the scary part of this situation. There needs to be a standardization or specialization exam to be able to practice independently.

[@evolving3657]

Just imagine, someone could actually be prescribing life-saving medications, with NO prior patient care experience 🙄🤔

[@xaviergarcia7965]

686 HOURS?! WHAT?! MEDICS NEED 480 ACCORDING TO SOME STATES REQUIREMENTS, BUT OFTEN GET 600-1k! Bro... these people are getting less clinical in a higher scope than MEDICS! I would be hesitant to trust a new grad NP from a bad school, than the ER tech. Holy crap.

[@adegbolaoluwawamiri3027]

I love your sincerity. I'm am RN,BSN, but the truth is been an NP is wonderful but that doesn't make us equate us to a physician. Medical school is far way thorough and has more in-depth knowledge than a NP. For a medical doctor, they have been tailored towards consulting(more brain tasking) right from medical school unlike an NP, we get to start learning how to consult during NP programme, that's pretty short a time to learn so much

[@fromcnatonp]

Totally agree and I honestly think that some NP/PA believe they are MD and it is scary to think that! I will forever and always correct ppl when they call me doctor because I am not a physician I am comfortable with the role I am in and what I bring to the table for my patients. Thanks for watching!

[@RoadtoAGPCNP]

That is sad that hospitals are getting rid of MDs/DOs to hire ACNPs/PAs as hospitalists for cheaper. I think they have a valid reason to be worried because these hospital organizations and insurance companies are who really run things. Even though you may have physicians and NPPs wanting to work together for the better good, these big organizations don't see it as "lucrative" for THEIR bottom line. We're in a sad state of affairs. God-willing, things will come together for the best. Niceness as always! 😉

[@fromcnatonp]

It is definitely all about money! health care a trillion dollar business and these insurance companies/hospitals do not care, it is about their bottom line. I know you prob have patients who they get things denied by insurance and these are things we as providers know the pt need, It is sad and disgusting. Thanks for watching and I hope you have a wonderful holiday!

[@RoadtoAGPCNP]

@@fromcnatonp yessss, it's so frustrating knowing a patient needs a certain test and they gonna dictate what the patient needs when they never lay eyes on the patient. Unbelievable! Anyhow, you have a wonderful holiday as well! Can't wait for your vlogmas! 😀

[@jodirook71]

this pa has not worked in over a year the hire preference is 1 md 2 anrp 3 pa

[@BrigitteNP]

I agree with you, I think NP schools DEFINITELY should require at least 1 year of bedside experience.

[@fromcnatonp]

I swear this is what a lot of people do not want to hear.

[@Bible33AD]

What will only 1 year accomplish?

[@kikithepupper6774]

1 year bedside experience is waaayy too low. Doctors had 8 years of education and on top of that, they're rigorously trained as interns for 3 to 8 years. How do you give NP autonomy equal to doctors with just 1 year experience.

[@albertouis]

@@kikithepupper6774 sorry but i don't know what numbers are you doing, you should add to the 4 years of NP school at least 3 years of nursing at least on my case i was and LPN, then RN, then became an NP, adding everything together i went to school for about 7 years, did more than 750 hours clinical of rotation in a family practice clinic, on top of that worked as nurse for over 6 years ICU, emergency, MS, hospice you name it, i thing thats is some good experience.

[@ladyt618]

Just because you can, doesn't mean you have to! Great video as always! 😀

[@fromcnatonp]

You're the best! Thanks for watching

[@tailorforeman7082]

As say this as a person with a NP for a PCP & I wouldn’t trade her for anything. However, I am just over the fact that people want to have the rights & scope of physicians without the work. As med school student I respect all parts of medicine but the schooling and training supersedes anything mid-level providers go through. That’s just my opinion. If people wanna be a doctor, go to med school. There’s no short cuts.

[@tailorforeman7082]

I do also want to add that: I would fully support legislation supporting autonomy within certain specializations like family care & pediatrics. In my experience those are more streamlined and straightforward patient cases.

[@fromcnatonp]

Thanks for watching and for sharing! One 💚

[@A-N-D-Y-O-U]

@@tailorforeman7082 I have an NP as a PCP. She is great. However, as a parent, I feel more comfortable if a physician double checks everything for pediatrics. Children as so vulnerable.

[@ktmsnake]

Thinking vs. Being competent as an APP is the problem. I feel like there needs to be some standardization behind "competency". I see too many APP's come directly out of their training and "think" they are competent. Most APPs I have worked with are great, especially the seasoned ones. The "fresh out of school," providers are the ones that produce the most fear for me. What do you think about specialized training after NP/PA school? Similar to a physician's residency but maybe not as rigorous on the procedure side of things. If all APPs were as humble as you things would be much different. Great content on your approach to the situation!

[@fromcnatonp]

I am all for specialized training for NP/PA I have no issue with that. Thanks for your kind words. I do think that some new NP/PA do think they have it all and want to jump into practicing independently and it is very scary. Thanks for watching

[@Phil4Jesus]

We definitely should have a residency requirement. I would say at least one year.

[@Phil4Jesus]

APPs should not practice independently. We do not have nearly the level of education as a physician. We need to stay in our lane and realize we aren't even remotely close to a physician. Phil DNP, FNP

[@kaylinray4873]

a good solution, to start, is getting private equity the heck out of healthcare, period. For profit systems are squeezing all healthcare professionals for funds at the expense of patients’ health. It is directly contributing to the ‘scope creep’ phenomenon. Second, to define competency for independent practice, NPs and PAs should be subject to the same board exams as physicians. If you can pass the USMLE/COMLEX exams as an NP or PA, then sure practice independently. Those exams should be the standardized equalizer for anyone who want to practice independently.

[@BryanKeith01]

Independent practice for NPs are crazy considering most programs only require 500 clinical hours to graduate. PAs are closer to 2000 hours, while 3 year residencies are closer to 15-20K hours…

[@maxoreilly2698]

Why does it make any sense to say if someone with more training can miss a diagnosis that somehow makes it ok that someone with far less training should still get to practice medicine?

[@ron2237]

I believe real world experience plays a large role in that. I don’t think NPs should have the same autonomy as doctors but a NP with 10 year experience working directly under a physician should have a easier path towards moving towards being a physician within whichever specialty they have been practicing. Starting all the way from ground 0 to become a doctor is the main reason why so many NPs and PAs are pushing for increased autonomy without the experience.

[@AmyStylinson]

@@ron2237 If the exp as NP was worth anything then medical school should be a breeze. Patients deserve more than the hubris of someone who thinks they’re too good to start where every other physician started.

[@ron2237]

@@AmyStylinson You have poor comprehension skills so I’m going to ask you to gain some and come try again.

[@PrinCiplez]

So tru! @ as they hear 'nurse' from the nurse practitioner, their minds are redirected versus a PA. Exactly what we spoke about. Great video!

[@fromcnatonp]

Absolutely!! Thanks for watching and for our IG convo!

[@MelloneeKecia]

Great video as always 👍🏾👏🏾🤗

[@joshuaesquivel5721]

The quality of online trained NPs vs in-person trained NPs is staggering.

[@jamesedward550]

One year of medical residency trumps all NP training.

[@sydneyw4282]

So it boils down to the American healthcare system being a failure. 🤨

[@temporaryrelief2981]

Yup, this is exactly the case unfortunately. I’m about to yeet this country and go to Canada or Europe.

[@marksmadhousemetaphysicalm2938]

It's the residency that makes a physician...I believe that to be independent, an NP or PA should have to complete a residency after PA/NP school and take board certification, same one the docs do...🤔 if certifed... that's it...they should have full independent practice like an MD/DO...the problem I have with the collaborative agreements...is how much income a collaborative doc can take for no return...🤔 so I would require all perspective NPs/PAs to have to go all the way...NP/PA school...residency...board certification...then practice...the big concern I have regarding so many RNs going into NP school is that they lack experience as RNs. Many have zero experience at all. This shouldn't be permitted. I have 15 years experience as an RN and I feel I would need more before I should even consider NP practice in a state where I would be independent...(and I was a paramedic for nearly 30 years) so yes, I am more conservative but I do believe with enough experience, it should be possible. Where we are today is absolutely no where near where we should be to permit independent practice though...

[@Thatguy-mo8jd]

If they are really that qualified then they should go to medical school.

[@BrigitteNP]

Girl congrats! Your channel is growing so fast! 💕

[@fromcnatonp]

Thanks so much!

[@1982NitaJCares]

Hey sis,, wonderful information for my future,, thanks

[@fromcnatonp]

My pleasure 😊

[@trudymara-9434]

I think perhaps 3-5 years of RN practice should be required to enter an NP program. Much NP experience comes from the years or prior RN experidnce- in essence, it is the clinical experience the " scope creep" statements do not include.. The on line masters fast track programs often do no produce high quality, knowledgeable practitioners. This should be addressed. Saying that, there seems to be a huge financial incentive to keep AP's (Advanced Providers, an unblella term for PA's and NP's) " in their place: Ie, 1. no corporate voice or leadership for their professions- so really irritating decisions are sometimes made for them with no explanation. 2. No or really poor profit sharing despite the large amount of profit they bring to a company 3. Physicians get a LOT of money from their companies for "supervision," of PA's and NP's- often with having to do very little to earn it, especially with experienced AP's.

[@davidbaronh]

Isnt it, 500 hrs minimum of supervised clinical experience NPs need to do? They train for their scope, to be SUPERVISED by a attending physician. We train for at least 3 or 4 years after 4 years of medical school, with the intent of practicing INDEPENDENTLY. Huge difference in training philosphophy, not just how many hours. Also including three step exams, clinical hours in medical school. Etc. I think that folks should stick to their scope.

[@angneatb6036]

No, and I'm an APRN. Our education is not adequate enough to function like a physician. We are still nurses.

[@deepthinker8057]

I am a black male going into nursing. Also, I am addicted to your vlogs.

[@kwill7639]

me too lol

[@fromcnatonp]

Thanks for watching them! I really appreciate you

[@adegbolaoluwawamiri3027]

Yea💃💃💃 I came early..first to comment

[@fromcnatonp]

You're the best!

[@crystalcalendars142]

You said "competency", did you mean that A "competent" NP is equal to an MD? Then why medical school is not closed and residency, fellowship for MD specialists are still there? You make the difference between MD and nurse ambiguous.

[@Thatguy-mo8jd]

The classic false equivalency some bad doctors and some bad nurse practitioner therefore NPs should be able to practice independently. This is like saying well some teenagers are fully matured and would do better on their own than many adults therefore we should let all teenagers have full rights when they turn 15...

[@Joshua102888]

Come through Jamaican Accent! lol, great video.

[@fromcnatonp]

😊 thank you! Mi say mi accent can't hide! lord have mercy 😩! ps I don't want it hidden 😏

[@Joshua102888]

@@fromcnatonp It makes you unique. lol my father has been in NY for over 30 years and he still has his Jamaican accent.

[@GleefulGene]

Thank you so much for this. I’ve been an RN BSN for 6 years and was playing with the idea of NP. However that AMA article really had me puzzled and a bit afraid to move forward to the NP track. But your insight was really motivating

[@fromcnatonp]

Glad it was helpful! Good luck

[@toporisnash1324]

What do you think about the clinical DMSc is there any point to it, and do you think it should become obligatory?

[@weirdo-gj5xz]

How about if you can pass USMLE/COMLEX 1, 2, and 3 then you can be granted full autonomy

[@marksmadhousemetaphysicalm2938]

If you can pass board certification in your area of focus...that would seem reasonable...I've always felt a reasonable answer would also be to require a residency too...that's where the physician is made...they like to talk about med school...you ever been around an intern...🤦‍♂️ nope...its residency that makes a physician...and we want good nurse practitioners...require a residency and passing a board certification of the same kind a doc must...and no nursing school to NP school...absolutely not...that experience of being on your own and learning that way is essential...

[@AlphaFoxAdam]

I would be okay with the concept if the med mal insurance was proportionate to the level of education (an inverse relationship, that is).

[@walkingdeadlands]

Meaning higher for NPs ?

[@herbbbbzzz]

So is it worth being a NP?

[@fullarmourC]

Laurie you need to do a video about nps/midwives who went straight through grad programs with no RN experience. This is such a travesty for pts and a potential train wreck in the making. Seen and heard too much. Not to mention midwives who weren't RNs

[@cnb1243]

This! If I could like this comment a million times I would. These fast track programs are not always for the beat interest for the patients and community

[@fullarmourC]

@@cnb1243 girl it gives me a headache. I'm constantly correcting their mistakes. Sometimes, I call them on it or send the pt right back to them. I'm only responsible for 1 license; which is mine.

[@fromcnatonp]

Girl this gives me a headache when I think about it! I am not sure why ppl really think that they should really leave nursing school and go straight to NP school! you really need some clinical background! my ICU training have saved my ASS on more than one occasion as a NP! I will definitely be talking about this! Wait what midwife is not a RN?

[@fromcnatonp]

These colleges want money but at some point we have to look into ourselves and realize this is NOT the way to go! that is why I said not because you can you should!

[@HappyFeet_2024]

This would be a great topic. I know a new RN that just graduated a few months ago and started her NP program at very well-respected local university. The program is apparently “hard to get in” but I’m not sure how because this nurse was accepted prior to even finishing her BSN.

[@terrig3842]

So why not require a residency or probationary period where you practice under a physician for x amount of years for NPs and PAs before they can practice independently? If you show competency...why not? There are some awful and dangerous MD's out there and I swear their patients think they are in the best hands. It's scary to see them practice medicine but that MD title leaves patients star struck. That's not to say we don't have dangerous nurses...we do but every profession has their incompetent members. If you can show competency you should be able to practice independently within your defined scope. It's a fine line between doctor's not wanting NP's and PA's creeping into their scope and simply not wanting to allow patients a choice in who cares for them. Those same doctor's have zero problem having an NP or PA on staff to see patients FOR them...but the idea of that same NP or PA "taking" the patient "away" from them is unthinkable. If you trust NP's and PA's to treat patients in your stead can you really say they shouldn't ever practice independently? With the exception of my OB and my kids Pedi...most of the time I go see the doctor it's an NP anyway.

[@PinkLadyDaria]

Agree 100%

[@kilikngo]

Absolutely not! The amount of people thinking they can start practicing as a NP/PA independently is beyond me.

[@HappyFeet_2024]

Great video and I couldn’t agree more! As a daughter of a practicing neurosurgeon and me being a practicing nurse practitioner, you are spot on! Healthcare in the US is a business and it’s all about the money, unfortunately. These corporations feel that if they can have two APPs for the price of one physician then double patients can be seen and make even more money. I have heard about a few facilities in my town that are firing physicians and replacing them with APPs which is not ok. In my experience, most of the physicians that I know all work in specialties and have no issues with NPs working in primary care independently. It’s the more specialized fields of medicine and critical care where there is an issue and I agree. I enjoy working with physicians, having them there to bounce ideas off of and etc. I’m with you 100% with your thoughts on independent practice!

[@fromcnatonp]

OMG that is amazing that your dad is a physician! what is his thoughts on this situation? Specialized fills definitely need more training I agree. I also believe even in primary care you need a certain amount of experience and knowledge! I too enjoy working with physicians because I am learning what I need to and the collaborative nature is best for the patient outcome.

[@HappyFeet_2024]

@@fromcnatonp he says it doesn’t bother him with NPs having full scope in primary care because of the provider shortage and that is the greatest need that physicians can’t fill. He thinks there need to be certain requirements to obtain this and a competency exam prior granting full-scope. He also said physicians don’t care to work in primary care because of the money it pays and with student loan debt it’s not worth it. He works with some NPs and PAs at his current job and he states that them being there does help him out a lot with rounds and if he is in a long case he has them to round on patients and etc for him. I think NPs with full scope doesn’t really affect him professionally, so it doesn’t really bother him.

[@michellerowe-smith5803]

There are other professionals who can prescribe but it is limited like clinical pharmacists, and clinical psychologist.

[@ticktock1861]

nurses should have at least 8-10 years of nursing experience including 3-5 years in what they are specializing in before applying to np school...0-2 years of experience is not enough

[@cbl6520]

The concept of hiring NPs and PAs to save money could be remedied with the NP parity act, which requires NPs (and I believe PAs) to be reimbursed at the same rate as an MD for the same work (same pay for the same work eccentially). As far as independent practice in family medicine, I personally feel that MDs are overqualified to work in primary care. Their higher level of training would be more beneficial in acute care settings as opposed to primary care, which evidence has shown no statistical difference in care quality or outcomes when provided by a mid-level.

[@fromcnatonp]

Agreed! I have no issue with NP/PA with independent practice if they are competent to do so.

[@RC-rc6pw]

I'm going to disagree with you. I have high regard for the work that is required of PCP. I think a great PCP has to be the jack of all trades, has to know which is normal and which is worrisome. What ends up happening is a lot of midlevels can only do PCP for the first job and end up just referring patients left and right. It's not as good as it may seem. Patients are unnecessarily referred which costs the healthcare system more. And management is delayed in a lot of these cases because now they're just waiting for the specialists who is all backlogged due to the flood of referrals. And get this.. when they see the specialists, it's still a midlevel anyway! Haha

[@cbl6520]

@@RC-rc6pw Unless you have peer reviewed evidence for this, then as far as I’m concerned, you’re just appealing to worst case. Research has, and continues to show no difference in the outcomes of patients cared for by NPs vs. MDs in a primary care setting. Also, even if primary care patients are more complex, they’re still considered low acuity. pubmed.ncbi.nlm.nih.gov/28234756/

[@AuroraReussi]

@@cbl6520 Actually RC is right. Way more unnecessary referrals and tests which drive up costs and take more time anyways, and leads to a burden on the system band delay of true amelioration of symptoms for the patient.. As for the peer reviewed journals you seek, they are easy to find.

[@cbl6520]

@@AuroraReussi Citation please?

[@lucyluz1651]

The medical association should have a more welcoming approach to providers such as NP’s and PA’s providing care for basic, every day primary care visits. As it is many people go without care due to lack of access. On the same token I do believe NP programs should aim for more robust and thorough clinical training hands on in the clinic. The way this country is behind in healthcare measures and chronic disease, there is more than enough for all providers, I don’t think MD’s will run out of “business” any time soon .

[@fullarmourC]

NP program should aim at providing students with postgraduate externships to further our knowledge and solidify what we bring to the table. RNs who become NPs have a wealth of knowledge and expertise that's not being fully utilized by the healthcare infrastructure. Maybe, I should go into healthcare policy reform - I've got some great ideas here

[@lucyluz1651]

@@fullarmourC Most definitely, and I absolutely agree, if we can get nursing education and practice to where there is “uniform” curriculum among programs and NP’s don’t have to beg or spend months searching for preceptors, we would be golden...but alas...several states down...more to go. We have to keep believing that we can mediate the healthcare crisis - together. “Nurses” will always be “essential” no matter the degree.

[@lucyluz1651]

@Jason Smith oh I absolutely agree, as a single mother of 3 ...I prepared well in advance to dedicate my time solely on my clinical practicum...I’ve heard some NP students having babies during clinical...just no. Have got to make sacrifices for the sake of sanity and learning with goal of obtaining “competence”.

[@renehooper7000]

People don't know what they don't know. Thank you for not having a huge ego. I know several grade school kids that feel they are competent enough to be an anstronaut. My advice is the same, "Great! Go to school for that". Sometimes I feel like a chef, until the smoke alarm reminds me I can hardly cook bacon! If I ever have a physician tell me that they want to be a physical therapist, I'll tell them the same. Our career scope is different because our education & training is different. One side note, PA healthcare experiences prior to PA program can be as low level as lifeguarding or even careing for a friend. They don't take the boards. They take their own PANCE exam. Lower application requirments, less than 1 year in classroom (not required to be taught by MD, DO, or Phd...often by other PAs) & no residency. The "taught under the Dr model" verbage is very misleading..maybe nothign more than a tricky way of saying they don't have patient experience nurses do. Thank you for not jumping on the band wagon and remaining a humble learner. The patients deserve it. AMA has some really interesting reads on the negative impact the scope expansion will have on underserved populaitons, MD, DO, RN outlook, healthcare costs, insurance rates, etc.

[@banagir123]

Looking into yourself alone is not enough to let you be in charge of people lives.

[@ashtonasmr3157]

What if a NP has a doctorate? Does their scope of practice exapand versus just having a MSN? Very educational video. 💙

[@jeffreygeiger3824]

Hey, i am deff not an expert as I’m still in school but as far as I’m aware there is no scope of practice differences from a MSN and DNP, they take the same licensing exam!

[@cinnamon3220]

I am an NP. The answer is No. The scope of practice doesn't change. Also, many people like the fact that with a DNP or PhD you can be addressed as "doctor". However, some doctors don't want NP's that work in their offices & etc addressed as "doctor". Just remember that on your journey.

[@fromcnatonp]

You are correct no difference at all in scope of practice!

[@fromcnatonp]

No difference in scope of practice still a mid level provider and still need to work under physician in the states that requires that! Thanks for watching

[@fromcnatonp]

I don't even think they are referred as DR in practice it is more if they are teaching, but I could be wrong!

[@lisasmith4192]

Nice in theory...too many Benjamin's to be lost!!!

[@A-N-D-Y-O-U]

I like your humble attitude because it puts the best interests of patients first and considers the long-term effects on the nursing profession. I don't think that nurses should be allowed to start in an NP program without demonstrating competency and skill as a nurse. NP was designed to elevate nurses that were experts in their field, not as an easy path instead of medical school.

[@All.things.C_Monique]

Have been an NP on Florida now almost 5 years. My main concern is the lack of requirements now to move forward in practice. I agree we are not physicians, but I believe that autonomous practice has a place with the right experience. Best to everyone.❤️

[@ems7623]

No way in hell I would trust an NP or a PA operating without the supervision of an MD. Sorry. Not for anything beyond very basic primary care and urgent care needs. PAs and NPs most definitely do not belong in high-stakes or "messy" complex areas of medicine like anaesthesiology, surgery, or psychiatry.

[@christopherblair1482]

Absolutely not. When you have completed a four year undergraduate degree, passed the very challenging Medical College Admission Test (MCAT), completed another four years of medical school training, a four year (or in my case five) residency program, an additional year of fellowship training, and THEN 20-30 years of active practice -- only then are you a doctor or surgeon. Doctors are not "Providers," and they are not "Prescribers," despite the efforts afoot to manufacture respectability of midlevels. Respect your doctors. They earned their degrees (ALL of them). Nurses and PAs are not equals to doctors and surgeons, despite trying to disguise them under a cloud of "Advanced Practice Provider." If you're a midlevel, that's great. We're glad to help. But don't look in the mirror and see a doctor. Unless you go on to EARN your medical degree, in which case we will again welcome you at the level appropriate for your accomplishments.

[@dadivine9804]

Well Said!!. Medical school is available to all. Go to Medical school if you want to be a physician Or go to NP/PA/CRNA school if you want to be a mid-level. Don't go to NP/PA/CRNA school and expect a medical degree, experience, and title at graduation.

[@kv12345]

I am currently an AGPCNP student trying to get my Masters and I have some thoughts on your video and some of the comments I have read. I think you're focusing too much on NP opening their own practice in relation to the whole NP/PA independent practice authority. There's much more to that than that. To be able to "independently practice" can mean that you can open your own practice, yes, but also you do not have restrictions on your practice/licensure. You are not required to have a contract with a physician who can restrict who you see and what you can do even if that state BON scope of practice states that it is within your scope. in a way, you are at the mercy of your collaborating physician to either uplift you or restrict you. I have heard of plenty of stories about this. There are a few states who allow independent practice but only after an NP has had a certain amount of years/hours working with a physician to become independent. This is fair to me if a practitioner wishes to open their own practice. However, there are many states who do not have this and require the NP to forever be tied to a physician despite their many years of experience or even better care. There is a need for more access to health care and NPs can fill that need. To have the AMA try to stop that need is selfish in my opinion. They are not looking at the needs of the population and only looking at their own pocketbook. if people do not want to see an NP then that is their own freedom to choose. Patients have the right to choose their providers so I believe that should not affect the whole independent practice authority. Everyone is struggling in their own way. The reason why MDs, NPs, and PAs chose healthcare is supposed to be for caring for the people. Healthcare is supposed to be collaborating. If one person believes that they have all the answers and do not need anyone else then that person is a fool. Even MDs do not know everything and if they are a reasonable person, they will reach out to someone who does. The same goes for NPs and PAs.

[@gracembakop2813]

Hiii laurieee, loving the video once more. This conversation is so important but i don't think we will ever find a resolution simply because it is dependent of each individual. Nonetheless i don't agree with the law they are trying to pass, because an NP with 10 years experience under her belt can certainly venture to have his/her own practice and be successful at it. Now some reforms are necessary as far as opening a practice, a number of experience as well as a certain level of acuity should be required. Nonetheless, i believe everyone should know their place and understand that we are truly intertwined, if we all work together healthcare becomes so much easier 💁

[@fromcnatonp]

Thanks for watching! I too think experience and competency is key and I don't think a NP/PA who has both should be restricted from independent practice.

[@TheHAm9995]

No. You have to go to medical school to know medicine. Experience will not teach you everything

[@preetpatel6714]

Np and crna should be banned from treating patients 🤬🤬

[@Drmdunn]

Yes physicians go to school for a long time, but so do nurse practioners. Personally, my nursing education has taken a toll on my personal life as well as my professional life. I agree that physicians have a different form of education but it doesn’t mean that that one is any more important than another. If one feels competent, at the end of the day each professional has their own license to practice, and if the patient is at the forefront of your care, that’s what matters.

[@fromcnatonp]

Not more important at all that is not what I am saying! Competency is what that matters! and I believe this for all professions physicians as well!

[@maxoreilly2698]

The problem is physician education and training is standardized with many objective tests at all levels to ensure fund of knowledge and competency. Looking into your heart and asking if you are ready to practice medicine without a medical license does not compare.

[@aiszzy]

"if one feels competent"😭😭

[@cinnamon3220]

NP's really don't need physician overseers. We can function independently without them. However, there should be a requirement that an NP should practice under a physician for at least 2-3 years of full-time work with prescribing before they can practice independently. I also believe that the requirements to apply to NP school, should be that a nurse must have practiced as a license RN for 1 year Full- time with prescribing before they can apply to NP school. This is all my opinion😁😁

[@fromcnatonp]

Yes! YES! need to require them to have at least one year of clinical experience period!

[@mattgehm7827]

Start requiring full length residency programs for all NPs and PAs that follow the exact same curriculum as what a physician has to go through to practice independently

[@cinnamon3220]

@@mattgehm7827 That's not gonna happen, Good luck trying to get that implemented!

[@mattgehm7827]

@@cinnamon3220 im not trying to get it implemented, its just a suggestion. That's one of the biggest points that physicians have is there is no real residency for PA or NP that is required. In the eyes of a lot people they question why someone who goes to less schooling and doesn't have to go to a residency should have the ability to practice unsupervised? And I think that's a fair question to ask. If NP and PA want to practice fully by themselves what makes them different from a physician who had to go through formal education for much longer?

[@cinnamon3220]

@@mattgehm7827 I get your point. However, It goes unsaid that NP's and PA's gain enough knowledge to function in a capacity where they don't need supervision. We didn't create this, legislators did.