Thanks to both of you for your insight and feedback.
Hope this will give you some additional information on your decision.
I have read the entire thread. There is a level of truth in most of the comments posted. A quick glance at the comments and you can quickly pick up on the bias view. The facts are the facts. And I will point them out. I have an association with both groups and well informed about intent, practice parameters for both. First thing to understand, the nursing board is independent, it is as easy for the board to declare medical independence as it is for it to declare nurse practioners as rockets scientist. The meaning of this there is no check and balance with respect the credential they pass out. And although some PAs have private practice via hiring a physician part time to collaborate with, the fact is on paper NPs are the independent practioner of the two under the law… In the real world, all hospital treat mid-level care practioners equally, that is regardless of the groups the doctor is the final check off.. As for education, facts are the facts… the didactics associated with diagnosis and treatment it is clear, PAs has much more class room and clinical rotation time. Just for a quick illustration, the guidelines for NP education dictates 700 clinical hours which may be done sparingly, 700 clinical hours amounts to ~ about little than 3months of rotation. Looking at PA training, each rotation is about 2months long. The real, true on average coming right out of school a PA will be better informed then a NP but that edge quickly disappear within the first two years of working… Intent, both groups want to be independent, which is concerning as a healthcare consumer. One comment said, they will be the new primary care providers, really? Truth is neither profession rise to the level of training and education necessary to be completely independent. Whether PAs change the name to physician associates, or whether NPs, add another credential to the same thing they’ve been doing (DNP), none of it can make up for the standard set for medical practice. The good, both are highly skilled profession with a lot to offer the medical community. My suggestion dont do either if you believe its a short cut to acting like a doctor. In the end, when push come to shove, there will be signs notifying patient to specify whether you want to be treated by a medical doctor, MD, a nurse practioner, who practice medicine in a nursing model, or Physician assistant… It goes that route you will be looking for a job. Ironic enough PAs and NPs I have talked to, refuse to see anyone other than a the medical doctor do you think the rest of the public will feel differently..? Im a pharmacist so it doesnt matter to me. What i see, is that, NPs are ever trying to be viewed like doctors, and you think its a good move, but it will end up biting you in the future when push come to shove… If you want to be a doctor go do it, if you want to be a mid level care do it.. , but whatever you do stay in your lane. We all in healthcare, so no need for PAs n NPs to bicker about 1st, 2nd, or 3rd place… The ultimate choice rest with the patient. If you’re a patient what would you choose.
Ms. Candace Wilhelm Dr. William (Bill) Sackley
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