Why YOU Should Be a Physician Assistant and NOT a Nurse Practitioner

[@AudraMichelle]

The fact that as a PA your so generalized that you can jump from specialty to specialty is a game changer im sold wow thanks for this video!

[@eastbke]

Yeah it is pretty nice.

[@jessicalauren3996]

It is pretty much the same if you’re a family NP. You can specialize in just about anything! Plus w a BSN you can work as a nurse while in graduate school and with a biology degree or general science degree like a PA you aren’t clinically qualified

[@toyits13]

Jess Lauren I agree with you but only to a certain extent. FNPs aren’t allowed to practice in psychiatry and nowadays, FNPs are discouraged to practice in acute care setting but some hospitals still do.

[@aggi7695]

PA can’t work in psychiatry either, however, some psychiatrists are willing to train and they will hire both PA or FNP

[@eastbke]

@@aggi7695 we do work in psychiatry.

[@PoodleandNoodle]

Thank you for being unbiased even though you're a nurse practitioner. I appreciate your opinion! These types of unbiased videos really do help us students that are on the fence decide.

[@PrivilegedPilots]

Hardest part of becoming a pa is getting accepted into a program 😭 they’re so competitive and I can only imagine how much more comp it’s gonna become considering how people are discovering this profession

[@JohnThePA]

Yeah it's already happening. My PA program 2,000 applications for 50 seats.

[@UneasyTortoise]

@@JohnThePA hi john

[@ypmm53]

I think that is the same with CRNA school.

[@mariakhalid241]

@@JohnThePA im an international medical graduate i did 3 months of residency in my country ,but now i want yo become a PA will my GPA be checked because we dont have grades here its just pass and fail ....and will i EASILY get admission in a PA program in canada

[@MDForTheCulture]

@@JohnThePA 🤦🏿‍♂️🤦🏿‍♂️🤦🏿‍♂️

[@PamelaWhiteley]

PA CME is 100 hours every 2 years. Also, most PA schools still require clinical hands on experience before you apply, whether it is in nursing, paramedic, medical assisting or others.

[@yereminhamilton6769]

Thank you for this video! It’s so refreshing to have a unbiased source. I appreciate the information!

[@eastbke]

As a per diem psych PA, I can tell you that psych NP's definitely have more training in psychiatry right out of school. Although we work in the same capacity, I always go to my NP colleagues with questions.

[@Hendrixchick2023]

I’m glad you said this. Wasn’t sure which path to choose with psych training

[@LifeofaPsychNP]

Yeah, i understand what youre saying, but alot of knowledge is gained through experience.

[@LifeofaPsychNP]

@@Hendrixchick2023 if youre purely trying to go into psych, i would say go the psych NP route, but like i stated above, you can alwys learn it with experience

[@dovgewirtz1633]

@TommyYang whats it like being a psych PA ? How did you even train for that ?

[@eastbke]

@@dovgewirtz1633 we get a baseline knowledge of Psychiatry in school as well as do a clinical rotation. After that we we rely on on the job training.

[@janetoungtong-eckart675]

I love this !!! I can't decide what to do. I have been pediatric ER nurse for almost 3 years.

[@Rubeena.T]

Where are you working as an ER nurse? and how is it? especially on mental health.

[@Julia-qp1hb]

Thanks for this video! I've been a medical Social Worker for 11 years. Going back to school to become a PA. Taking pre-reqs this summer :) 👍

[@pestleandmortarmedical5400]

The interesting truth is that PA's are trained in the medical model of medicine, which is the same model of medicine of Physicians. PA's curriculum was designed in the same manner to how they accelerated the training of physicians during WW2 (Fast Track). PA's are trained in a generalized approach to medicine and MD's are trained with a specific approach. PA's sit in the same classes with MD's but split off as time progresses in there training. PA's have 1 didactic (Book learning) year and 1 clinical year (2,000 hrs of hand on clinical experience) and MD's have 2 years of didactic and 2 years of clinical. PA's can enter the workforce immediately upon graduation and largely continue to learn from their physician counterparts, however there are PA's who do go into specific residencies (emergency medicine, orthopedics, OB/GYN, etc). PA's largely have collaborative agreements with physician/hospitals in order to practice medicine. MD's are required to go into a residency before they practice which can last 3 years or longer. NP's follow the nursing model that is only specific to nursing. This is the patient centered approach but not the medical approach, which is disease/pathology centered (Medical Model). Nurse practitioners need to be nurses first but the nursing boards do not have any specific edict that nurses need a specific amount of hands on experience to become nurse practitioners. Nurse practitioners need 500-750 hours of hands on experience are are often granted full autonomy after passing boards. This is extremely troubling as Nurse practitioners are not trained in medicine and require the least amount of hands on experience and can see patients in 33 states with no requirements to consult a physician.

[@aggi7695]

Not all NP schools trained NP in nursing model the school I went to trained me in Medical Model NP so thorough research is essential.

[@pestleandmortarmedical5400]

@@aggi7695 What NP are you then? The reason I ask is because there are rather stringent requirements that cannot deviate before passing a certification to become a NP. The boards themselves are not suppose to be taught under the medical model they are taught under the nursing model. There is a difference, it's subtle but it exists. Being a CRNA is medicine but that is the exception to the rule.

[@billr5842]

The school I am at for Psych NP is almost all patho/sciences/clinical with very little nursing BS. The problem with NP is that there is so much deviation from school to school.

[@pestleandmortarmedical5400]

@@billr5842 Well, that is certainly the inherent problem that will continue to persist if there is not greater stringent regulation. The powers at be for the nurses are more concerned with having a greater number of NP's than they are about quality control. This would not be a serious problem if not for the fact that peoples lives are truly in danger. You really cannot determine who graduated from an online degree mill NP program versus a far more stringent program. You will not find the same problem in regards to quality control in PA programs, as they are constantly decertifying PA programs that don't meet the standards.

[@billr5842]

@@pestleandmortarmedical5400 It appears that many employers are actually not hiring candidates from these schools from what ive been hearing. Its also quite easy to see if someone went to a diploma mill. In addition, many employers are not hiring candidates who have no RN experience. Many new grad NPs are having extreme difficulties finding jobs and this is especially true among students who went to diploma mills.

[@cliobhabie]

I’m on the fence for going ABSN- MSN or just go straight to PA- Pediatric Psych. I say this because I have a BSc in Psych and have worked in patient care over two years. I’m confused over NP because I want to include art as a psychotherapy for patients that survived trauma. Do PAs perform this at all?

[@joycemariz]

I am debating this . Please let me know how you decided?

[@AggiBlessed]

PA cant bill and don't do therapy. Psych NP has better education and clinicals in psychiatry and therapy.

[@natyra22]

Good advice. However, there were some things you didn't mention regarding the PA route that are important to note, but also something you mentioned that isn't exactly true. The amount of time you spend becoming an NP depends on the program. For example, there are joint accelerated nursing programs (for those with no undergrad nursing degree or experience) where you can get your MSN and NP in a total 3 to 4 years (e.g. Ohio State, Columbia). One thing you completely left out (which is vital regarding the PA route) is the reason PA programs are generally only 2 years is because applicants are required to have direct patient care (clinical experience hours) prior to applying to PA programs. As a result, the claim that the PA route is less schooling isn't exactly true. For a person that doesn't have patient care experience, this often means having to get certified in an area that will provide the direct patient care experience. It's common for people with no patient care experience to become medical assistants, EMTs, phlebotomists etc. prior to applying to PA programs. These things of course require schooling to become certified. A person can spend 1 1/2 to 2 years (especially if only going part-time and/or also completing PA prereq coursework) taking classes to become certified an area that will provide them the clinical experience hours for PA school admission. It will then take an additional 1-2 years of actual work in the area to gain enough clinical hours to apply to PA programs. Most PA programs require the equivalent of 1 year full-time or 2 years part-time direct patient care work in regards to the required clinical experience hours. Therefore, it could take a person a couple or few years to complete the clinical experience requirement alone in order to apply to PA programs. Yes, the schooling within PA programs can be shorter than NP schooling. However, the schooling overall can be the same or even longer than NP, if a person wanting to enter PA school doesn't already have the required patient care experience/hours. Also, I think the narrative that NPs don't really have room to move around between specialties is kind of inaccurate. The only specialties offered to choose from though NP schooling are generally internal med, acute care, peds, family med, psych, and women's health. However, I've had to two excellent NPs in dermatology, one who removed an irregular looking mole on my chest to test for malignancy. I've also had an NP in urology.

[@cydneygallagher7207]

natyra22 thanks for the insight & reviling the other option

[@deniseleach9537]

PA applicants need a 4 year degree before applying into a program, including all the science prereqs.

[@neeneek.369]

Well said. I’m in a two year RN program and there were psych “technicians” with bachelors degrees making between 15 and 18 dollars an hour trying to get this “experience” you’re talking about for PA school. And praying they even get in. They admitted that when I graduate in December with just my associates I’ll be making way more money than them and seemed to be regretting the route they chose while working around all the RNs at their job.

[@eugeniaharrison]

Thank you for this comment, it was very helpful.

[@neenah4027]

"Medical model" vs "Nursing model" is BS, we both treat diabetes etc. by standard of care. Also, as a FNP of 25 years I have worked in internal medicine, gyn, infertility, research, geriatrics, palliative care, urgent care, occupational health, student health. I don't go around wondering, "should I give a beta blocker to someone with asthma??? I'm mainly worried that they might get tired and it will affect their marriage instead of worrying about the effect on breathing" lol. Also, I worked as an RN in major teaching hospitals in Boston for 11 years, so I have WAY more experience than PAs. I also have my own license, I don't not need to work on an MD's license, so useful in rural areas where many will not hire a PA. As far as recertifying, we do NOT have to retest ever, we just have to keep up with our CEUs. I liked my schooling, Boston University, then Emory, it was important. lol. So, with all due respect, I completely disagree with everything you said. I do respect PAs, please respect NPs.

[@pestleandmortarmedical5400]

I work in Utah and work completely autonomously (three states have full practice authority for PAs as of now). I worked in the army as a medic for 5yrs and then went to PA school and worked in the ER for another 8yrs. You absolutely don’t have more experience and the medical model and the nursing model is a gigantic difference. It even starts with what biology/chemistry you need to be accepted into a nursing program as opposed to MD or PA (many schools offer specific “science courses for nursing major). Treating the same disorder is one thing but mitigating your lack of education by saying we’re all educated equally is disinformation and disingenuous. Anybody can look up treatments on UpToDate. I would never claim to have the same training or education as a MD. Be respectful to PAs and MDs by being honest first.

[@neenah4027]

It's great that you worked in the army as a medic, Many PAs don't have ANY "medical" training beginning PA training and just 24 months of school. We absolutely take the same biology/chemistry courses in NP school ( not "nursing school"). I have 46 years as an RN, 27 as an NP 6+ years of college/post-grad education. and can practice independently in many more states. I am honest. My friend is a PA. Her BS was in psychology. Then she studied "medicine" for 24 months. NP school is also 24 months but we often have way more experience coming into NP school. Please explain the difference between the Medical vs Nursing model. It does not apply to NP school, but you would not know, as you never went. BTW I have the utmost respect from MDs, and they do for me. Treating the pt holistically is nice, but with 15 minutes is mainly BS. Pestle and Mortar Medical, I would like to discuss this with you, but not if you insult me by saying that I need to use Up To Date to practice and not until you have looked into and understand what NP school actually covers.

[@SuperHogwart]

not really with the advice on this video. PA’s might have the advantage in psych, but overall NP’s are more autonomous whereas PA’s hit a ceiling and will always be under the authority of a supervising physician

[@LifeofaPsychNP]

I totally see where you're coming from but as far as advantage in psych, I respectfully disagree as psych NPs get way more training in psych compared to PAs coming out of school.

[@ruthhouston9860]

Some people would rather work more collaborative or have a second ear. Having supervision can be a pro or a con

[@cfoxy3]

Some states are already giving PA’s 100% autonomy. So over time, the PA profession will change dramatically to become 100% throughout all states.

[@Liittlebrother]

I mean that isn’t terrible. Find a doctor that will teach you and leave you be. Its not like the doctors are micromanaging you.

[@deniseleach9537]

Nope, not true. PAs definitely have the upper hand. NP's can only work at one type of job, as he said in the video, PAs can switch and work in whatever specialty they want. If you are burned in PC, you can switch to term. Makes the provider jobs so much more appealing. I can't imagine working in one specialty for 10 years or more, ugh! I have worked with both, PAs hit the floor running!

[@brooklynbear]

I’m a lab tech looking to go back to school to become a provider and I really appreciate your videos and perspective!! :)

[@LifeofaPsychNP]

nice, congrats! i appreciate the support! best of luck

[@JoeDaFivefoota]

A couple of corrections... The PA recertification exam (PANRE) is a typically 6 hour monitored exam that is pretty tough. It used to be every 6 years but recently became 10 years. The PANRE is separate from our 100 CME units we need every 2 years. And the PANRE is a "high stakes" exam meaning if you fail you cannot practice (depending if your employer requires the "C") until you pass it (and you only can take it 4 times total then you have to retake the original cert exam the PANCE and that has a limit of 6x.if you fail both then you cannot be certified... Ever). Just wanted to point that out. It's not as easy as the video makes it out to be. And the schooling thing mentioned is also misleading. It's not only 2 years. We usually have pre med (biology) undergrad degrees (not necessary but the bio major fulfills almost all the pre-reqs) and most of us until recently, had to have 3000 Healthcare hours. I was a navy corpsman then worked as a lab tech, surgical tech and MA as a civilian totaling 22000 hours. My class had an average of 13000 hours as RNs, RTs, medics, MAs and IMGs. But this was 13 years ago. I think now it's much more lax with most programs but there are still previous Healthcare experience requirements. Switching specialties is also not as easy anymore and most specialties want experience in that specialty or you start at "new grad" pay. Subspecialty switching (internal Medicine/primary care to GI, Cards or another IM sub) is easier but even that may entail having previous experience. So many experienced PAs rarely switch specialties.

[@Thelifelately]

Can you do a video on RN to PA ?

[@Grabbearjet]

Yes, that's what I am interested in too.

[@deniseleach9537]

I am an RN that became a PA years ago. What questions do you have?

[@Sonia-jw2fw]

Denise Leach can you still work as a RN tho you have your PA degree??

[@pestleandmortarmedical5400]

An RN is an associate degree or a bachelors degree in nursing. A PA needs to have a bachelors degree first and obtain patient care experience (average accepted PA student is 2,000 hours of direct patient care) and then they must complete a masters levels degree. The only comparable example of professions at the undergraduate level of nursing would be Athletic Training and Respiratory Therapist. PA's and NP's are taught at the graduate level of education. Both PA's and NP's can obtain doctors level degrees.

[@ypmm53]

@@pestleandmortarmedical5400 there are a few programs that will let you in if your have a bachelors. Most do require a bachelors.

[@DabidRobinson]

Hope you’re staying safe man

[@LifeofaPsychNP]

Thanks bro! I appreciate the love. Hope you and your fam are safe!

[@michaelt8161]

Can you do a video on dual degree nurse Practitioner schools where you can be certified as a FNP/PMHNP in the same program or FNP/ACNP.

[@Sophie-ge7ti]

You can get the degree in one and do a post masters certificate in the other.

[@lauryngal20]

I couldn’t agree more! However, I’ve personally encountered nurses/nursing students whose personal views align more so with that medical model than the nursing model even. Granted, had I known about DO’s while in school I might have chosen that over nursing.

[@LifeofaPsychNP]

Yeah, I love giving a diff perspective of things. I don't want to be biased with strictly choose nursing over everything. It's always good to show everyone both sides to help guide them

[@keeploving5923]

I’m currently a teacher, so I have a bachelor’s degree and I’m currently considering registered nursing, but want to know if it would be better to do physician assistance instead.

[@pestleandmortarmedical5400]

*physician assistant

[@danghsiao]

do PA schools provide clinical rotations or do students do this themselves?

[@DavidDoe-z9n]

They have to supply each student with rotations

[@torvlogs7390]

I wonder if employers (hospitals) will pay for PA like they do for NP.. they should right?

[@pestleandmortarmedical5400]

They pay more on average according to BLS. This has more to do with PAs working in high reimbursement surgical sub specialties.

[@danghsiao]

did you have to find your own preceptor while in NP school or did they provide you one?

[@430wasted]

i have about 36 credit hours right now. I originally thought psychologist would be my job, then I thought psychiatrist, and now I want to get the most out of my time and money while making a difference. A huge factor is to make sure I have lots of time during my career to be with my family! I am married and plan to have kids when I finish school. I want to be involved in psychiatry whether that is PA and NP. If I am 100% sure I want to be involved in psychiatry which would you recommend? what kind of hours do these careers work?

[@ThaARossBoss]

Depends where you work, outpatient vs inpatient facility. I’d recommend NP and work outpatient if you want a normal schedule and good money

[@pdmech73]

you're third reason of why PA over NP is actually a bad one. you stated "PA's are more generalized than NP and can jump into any field when they want while NP's are specialized." let's stop and think about that for a moment. a medical student finishes med school and goes into a residency and probably fellowship afterwards to specialize. NP's pick a grad school program to specialize in whether it's adult critical np, psych np, pedatric np, neonatal np, etc is it really safe for a new grad PA finishing school to jump into any specialty without specific training? Just because a PA did q few week rotation in that specialty during school. that's why physicians need specific training with residency. imagine a nurse who's worked in ICU for 5 years, went to ACNP school, and decides to work in ICU after graduating to work with an Intensivist group in the hospital. Would you rather have a PA who jumped finished school and did a few week rotation in ICU or the ACNP grad who's spent their career focused in ICU?

[@PoodleandNoodle]

It took me 5 minutes to figure out what you're trying to say in your first sentence. Your* is the right form. However, he mentioned that P.A.'S train using the medical model, which makes them prepared for any speciality. They study all body systems in-depth, and their clinicals give them a hands-on experience to reinforce what they learned.

[@deniseleach9537]

PA curriculum is based on the medical model, NP programs are based on nursing curriculum. I have been a preceptor for both. The curriculum is very different. More intense in a PA program. When an NP picks their specialty, basically, they stay in that specific site for the entire rotation. Not much experience with other aspects of medication. They maybe ok in the specialty but out of their comfort zone in other areas. I prefer a recent grad that hits the floor running and for the most part, that's a PA with a more diverse background...

[@ypmm53]

As usual, great info!! Thank you!!

[@laylam4241]

Thank you for this video 🙏

[@LifeofaPsychNP]

Of course =)

[@dovgewirtz1633]

What do you think though about NP's being autonomous, wouldn't that be a massive plus side to being an NP ?

[@LifeofaPsychNP]

It will definitely set us apart and will be a HUGE plus when it comes to choosing between a NP and a PA.

[@dovgewirtz1633]

Thank you @@LifeofaPsychNP. I'm planning on going to PA school and in the process of applying, but really wondering if I should reconsider it because I will be limited for the rest of my life if I go through with it. PA school does seem to have a little more "glitz" and competition associated with it, but I think that's silly because PA' can actually be more limited than NP's (especially FNP's)

[@DarkKn1ght430]

When we use the word “autonomy” I think we need to be a little more careful. In actuality NPs and PAs should always have some physician over site. NPs definitely have a higher advantage if they’ve worked in a specialty, that they’re planning to continue on in as a provider for at minimum 3 years. All NP programs should have this requirement. The problem with today is that now you have the online schools as well as the straight through programs. Both of which are hazardous as providers and why NPs have become an issue. PAs don’t get enough credit and I tend to think that some physicians take some of their frustrations, with regards to NPs, out on their PAs. Both are essential, both have the ability to learn and handle intense situation. Doctors need to be a little more trusting and allow not only NPs but PAs to handle critical situations.

[@dovgewirtz1633]

@@DarkKn1ght430 Well said, thank you !

[@mo7943]

I believe there is/will be significant resistance against allowing NPs, as well as PAs to have full practice authority across all states. Certainly there may be APPs out there who have all the experience they need function independently, but the danger is that not all APPs are capable of functioning this way. The quality of NP/PA programs and their clinical rotations varies significantly, and let’s not kid ourselves... becoming an MD requires much more significant training, and a lot of them are significantly smarter. I know this because I went to school with future MDs at a top undergraduate program and took all the same classes alongside them, including even an MCAT course (I was originally in the med school track). Although I had close to a 4.0 and everyone considered me “smart,” I could not believe how much smarter some of these future MDs were. I personally went on to a top APP program (and I won’t specify NP vs PA because the whole competition between them is BS) and had GREAT rotations right alongside med students, but still would have been very uncomfortable practicing fully on my own. It was nice to be able to run something by a doc if needed. Also, if you wouldn’t trust someone who just graduated 4 years of med school to practice independently, why would you trust someone who just graduated NP/PA school?? It’s a bit insulting for the MDs to be told that someone who had half the training can practice medicine on their own. I do agree in certain settings (such as underserved areas or places where no MD is willing to work) APP independence may be necessary. If an NP or PA wants to practice independently, there should be a strict process to clear this. Perhaps independence can be granted base on their individual years of experience, an additional specialty exam, physician recommendation letters, etc. We cannot expect to be granted full practice authority that simply. Ultimately, it’s the patients’ lives that we are dealing with, not our pride!

[@zahraa.5450]

But NPs have full autonomy, PAs don't 😢

[@DavidDoe-z9n]

Full autonomy is extremely dangerous. PAs have largely collaborative agreements with hospitals. They are not direct supervision agreements.

[@chiho2182]

Just curious, why you became NP instead of PA? Thanks.

[@LifeofaPsychNP]

Great question, ultimately it came down to growth and opportunity. As a nurse or np, I can do so much. I can be hospital administrator, own my own practice, be part of management, practice independently, etc. Don't get me wrong, being a PA is awesome but I had more opportunity to do more as a nurse/NP. Everyone is diff tho

[@gracefulworld4914]

Love it so helpful

[@kjpesl7311]

You can’t just go from nursing school to PA school. You have to be pre med to be a PA (for most pa schools this is what they require) Nursing school doesn’t include organic chemistry or two semesters of chemistry plus the labs, bio 1 and 2, physics, etc

[@LifeofaPsychNP]

You don’t have to be premed lol. They require similar pre reqs but don’t have to be premed and some nursing schools require those classes. I had to take most of those classes for my program

[@LEXZAYful]

You don’t have to be me pre-Med. I’m currently in nursing school and I took my prerequisites for PA and nursing school simultaneously and over summer break

[@kimberlystigall5436]

🤣🤣🤣🤣 no you dont

[@pestleandmortarmedical5400]

So all the people who replied to this and said this person is wrong, did you all take organic chemistry and physics…really? Additionally, many colleges offer prerequisite science classes designed for nursing majors. This is an option that many nurses take as opposed to the academic rigorous of taking the standard science courses. There were 60 BSN students at my college and all 60 took a biology and inorganic chemistry overview course for nursing, NOT bio or chem 1 and 2. You can of course choose to take Bio and Chem 1 and 2 but it’s not required to be a BSN or NP.

[@AggiBlessed]

Some nursing students who were thinking of medical school before switching to nursing took organic chemistry, physics and even calculus. Some nursing school required general chemistry, biology, and organic chemistry 1. If a nurse wants to do PA, they can always take organic chemistry, physics, and calculus from community college and do GRE.

[@DrMathOfficial]

These kind of videos make it very.....very hard for me to continue to support you and your channel. That must be said.

[@LifeofaPsychNP]

It's all about perspective. If you cant see both sides of things then how will I help other people make the decision for their own future. If I made pure nursing content, it'll be too biased towards being a NP. Frankly, I don't need you to support my channel or be liked by everyone, I'm here to help others and I've done that so far

[@DrMathOfficial]

​@@LifeofaPsychNP I completely agree. But what I don't understand about you, you're an NP. I don't see any videos of you saying why you prefer NP over PA, or why you feel (or know) that path is superior. When it comes to this subject, I only see you speak about how you wish you would've been a PA, why being a PA is better, etc. I like or understand it, to be honest with you. And I don't know if you realize it or not, but you're turning MANY people away from choosing to be an NP or CRNA, and towards being PA's instead. If you read and think about what's said in the comments, you will see that. As an NP, I can't see how that would make you feel good. BUT, I can clearly see that you're a good guy, a good person, with a good heart and good intentions, and I do like your other videos. So that's why I'm still here.

[@LifeofaPsychNP]

@@DrMathOfficial a lot of my videos are geared towards showing why I love being a NP and it's built around certain topics not one video specifically. Maybe I'll make one soon tho. Thanks for the support! Hopefully one of my videos makes you proud lol

[@DrMathOfficial]

@@LifeofaPsychNP Well my friend, you're already making me proud lol. By getting to where you've gotten to so far (which is not easy), and being a good person with a good heart (with me being in Psych...and very, very good at it....I can easy see what and who people are). So you're already making me proud there. Yes, I would love to see some more videos geared towards why you love and choose NP, and why you choose it over PA (if you don't have any thought on that, then don't make the video on it.....yet, wait until you have real thoughts regarding that, so that the video will be real). And videos about your every day life/ "day in a life", as a Psych NP....or even a "week in a life", people really love that kind of stuff. Also videos about your experiences as a Nurse, your experiences in nursing school, your experiences in NP school, etc. People love those too.

[@truthaboutlife2026]

@@LifeofaPsychNP , Never mind the haters... The best decision is based on the greatest view! Congrats Psych NP.

[@Grabbearjet]

Please do a video on RN to PA/NP?

[@deniseleach9537]

What would you like to know?

[@Grabbearjet]

@@deniseleach9537 thank you! Did you get your ADN first, then your BSN before starting PA school? Or did you get a bachelor's in a different field? What's your recommendation? Also, can PAs travel like RNs with contracts and the ability to go anywhere there's an opening?

[@Grabbearjet]

@@deniseleach9537 also, are you glad you chose PA instead of NP? I'm someone who gets bored and depressed if I do the same thing for more than 2 years. So I'm leaning towards PA so I'm not dedicated to a specialty

[@dunnbrandon]

Isn’t PA glorified MA? Specialty trumps generalization in medical field

[@pestleandmortarmedical5400]

PAs scope of practice is larger than NPs. PAs have independent practice in three states and will have more in the future. PAs do specialize but are required to take a board exam every 10 years to test knowledge in all general medical specialties. Every PA could get into NP school, not every NP could get into PA school. Different caliber of individual and competence.

[@IKn0wWh0IAm]

@@pestleandmortarmedical5400 not all true.

[@metorphoric]

@@pestleandmortarmedical5400 Total Lies...

[@ttt5205]

@@pestleandmortarmedical5400 Mate, NP's can practice independently in 27 states, significantly more than PA's. Work places are also more likely to hire NP's than PA's if they could only choose one. Especially in rural area's where there may not be practices with MD's.

[@DavidDoe-z9n]

@@IKn0wWh0IAmexplain?

[@Times_to_Relax]

Also nursing is becoming is becoming highly and ridiculously over regulated…if the ANA or any other administration wants to give themselves a job they should do stuff that counts and is needed like addressing patient ratios and standing up for nurses who are being criminally charged, instead of making stuff up for a paycheck

[@josceljames]

Thanks for your videos, I'm seriously considering psych NP in the fall. I also sent you an e-mail :)

[@noahfarrell7082]

Why would anyone want to move specialty’s? That seems like the only benefit. Maybe it’s just me but I feel like if I’m a critical care NP why would I suddenly want to move to L&D? Seems like PA is for people who want everything and you can peruse NP if you want a more holistic approach.

[@deniseleach9537]

Why would someone want to stay in the same specialty of medicine their entire career? Switching from family medicine to ortho or derm sounds much more stimulating especially with burnout.

[@X3GibbleX3]

I’ve worked with both and just being honest and unbias I’ve seen that generally speaking the NPs tend to be smarter. PAs sometimes completely miss the mark in their decision making

[@maika4082]

The smartest ones tend to lack common sense is the real problem.

[@DavidDoe-z9n]

Funny. I work with PAs and NPs and generally speaking the PAs tend to be smarter. NPs sometimes completely miss the mark with decision making. Sounds familiar? You have a subjective opinion that offers no value in reality as you are encapsulating an entire profession to transient interactions with maybe 5-10 people.

[@KkK-ol6cu]

How many years is physician assistant? How many years is NP?

[@Nacho-ck3gm]

PA usually take 6 years and NP take 7 years

[@jemimajanvier4706]

@@Nacho-ck3gm No, PA school is 2 years and I think with NP it’s approximately the same but perhaps a bit less

[@tatto9001]

@@Nacho-ck3gm depends. In California you will need to do 2 years of MSN and get clinical experience and then go back to school for the FNP program which can be another 8 months-2 years.

[@trinitysmith2226]

My mom is an NP. They're both 4 years of undergrad then 2 years of graduate school.

[@tatto9001]

@@trinitysmith2226 it differs per each state. California is one of the hardest. But I'm currently in NP school. I had to get my Msn CNL license than working for at least over a year in order to go for a FNP

[@Justforme7]

Sorry but NP are very questionable to me

[@LifeofaPsychNP]

Questionable enough for us to practice independently lol

[@Justforme7]

Life of a Psych NP that’s what makes it dangerous most NP don’t have enough depth knowledge and I would never get treated by one ! I’m a medical technologist and I can see their incompetence from the tests and treatment plans they have for patients. Shameful

[@marcelaalva4682]

I’ve seen so many incompetent PA in the ED I used to work at.

[@Primitivegarage915]

@@marcelaalva4682 we don't even hire NPs in our ERs or the ICU. I will always hire a PA over an NP. The PA programs are well regulated by the board of medicine that also sets standards for medical schools in the US. NP programs are a joke for the most part. not all NP programs are created equal, that's just a fact.

[@jeetpatel6087]

Prevention end 90% of diesease

[@gabrielisrael4063]

No

[@deborahvictoriaedwards5188]

Truth be told, mind control... Greed drives most...

[@proplayer341]

If you want lateral mobility and a cheaper route..PA all the way. If you know for sure what specialty you want to love or stuck on hospital medicine go np Also correction on one point , you do get quality hours as np, in my acute care experience I dropped central lines, incubated, surgery and rounded with the team daily, that point he made about quality hours was disingenuous. If the ANA would.combine fnp and aganp, the programs would not be ne k and neck, the reason pa get more.hours is because they bounce to each discipline to totaln1000hrs. Np gets 750 in one core discipline which is why if you know where you wanna go np.is better. The Nursing and medicmodel is thrown out window when it comes to advance.practice, we both look atbdisease.meds and treatment