Originally you needed a bachelors and masters degree and lots of clinical experience before even getting into a NP program. Then there are some egotistical nurse's who will boss anyone around techs or doctors or other nurse's. 650 hours of clinical instruction during their entire education which is less than what a physician receives during their first year of a three year residency. It is damaging our profession, and the name of nurse practitioners. If you are a young nurse I say absolutely! I attend a great brick and mortar school where my clinicals are set up for me by my program. Depending on what type of practicing limits are set for both NP's and PA's, I think the demographic that will be applying for the roles has the potential to change quite a bit. I am pretty sure this admin attended University of Phoenix. Look at CRNAs; there was an explosion of schools (and class sizes) a few years ago and more graduates out there. Sure, they may find themselves moving out of primary care and into specialities or a more supervisory role, but the jobs will be there. Just like with RNs. Another one I saw was someone complaining about how sad it is that schools don't find preceptors. It took me a year before I got my first RN job (graduated just after peak recession 2009). Feel free to share updates in clinical guidelines, new studies, or … More freedom than you can imagine. A nurse practitioner has a graduate degree and is qualified to perform certain treatments without the supervision of a doctor. New comments cannot be posted and votes cannot be cast. Once you have a few years experience, the world opens up. Hopefully that'll just result in action against for-profit schools, or at least employers being more discerning about where their new hires are graduating from. A place to discuss the topics of concern to the nurses of reddit. If the bill becomes law, the state would join nearly 40 others to grant some level of independence to nurse practitioners. The over saturation is what’s scaring me too. I did have a really hard time finding a job. In 2001, there were approximately 18,000 NP students and 7,000 NP graduates. I am well aware that the NP profession has faced challenges due to the increasing number of new NP graduates. Everyone sees them $$$ and wants to move up but combined with the economy tanking and everyone wanting healthcare jobs, convienent jobs are slim to none. The quality of the students graduating from these programs are embarrassing and dangerous, and are not helping the profession as a whole at all. Either way, I think the system will eventually settle out with more clearly defined roles for MD's/DO's and NP's/PA's, with the latter having a more narrow scope of practice and more work restrictions. I think that just like there is now an oversupply of registered nurses, there will be an over supply of nurse practitioners. Has 30 years experience. Published May 8, 2017. You especially don't have anything to worry about if you're willing to move somewhere to work. In addition to the potential oversupply I'd be a lot more worried about a drop in quality of NP graduates, even with the transition to the DNP. As of January, a record of more than 270,000 nurse practitioners (estimated) are licensed to practice in … They also are licensed differently. Medical schools don't really have anything to worry about, because residency restrictions essentially prevents oversupply and actually creates a high demand for pretty much all physicians, regardless of speciality to a large extent. This is a place to list things you have learned in your practice or during schooling within the last week. Will I be destined to stay at the bedside because I can't find a job? Anecdotally, it seems like half my unit is in NP school right now. I agree I think a lot of california RNs find they make less as NPs. Rural primary care will probably be the most likely. I want to be a NP and continue to advance my career but I’m scared that it’ll take me nowhere with debt. (I graduated August of 2018, btw.). I am pursuing my FNP after six years at the bedside as an ER nurse. I don't think the market is oversaturated all over. Once I pass that exam, I will be a dual-certified FNP/ENP (emergency nurse practitioner). I am highly skilled as a nurse and I'm going to a well-respected school in my state. I may be wrong or they may have dramatically transformed since graduation, but I just don't see how they can be competent providers, and all are getting jobs in rural areas as solo providers as their oversight physician is miles away. That role is dynamic. Cookies help us deliver our Services. However, they're all now graduating from online for-profit schools with a 4.0 and their 500 clinical hours with a new grad NP or old family practice physician that's likely very out of date in their care. They are not only going to ruin the supply and demand of NPs, but they are going to ruin the professional image (as they already are doing). Moving isn’t an option for me either. Some states allow and some states don't allow independent practice by nurse practitioners. Nurse practitioners and physician assistants have a role in health care. Also, change the accrediting criteria for nurse practitioner education. All are welcome. Nurse practitioners can help fill healthcare gaps in areas where there are few doctors, according to a 2018 study by the University of Michigan. We do make a difference. Looks like you're using new Reddit on an old browser. I didn’t job hop. I do think this has the potential to be an issue. The online for profit schools are literally fucking up this profession at epic proportions. There is essentially no real work required, and no standards save a board exam that an RN with two years experience and a prep book could pass easily.. I am an ENP with both my FNP and AG-ACNP. In the case of nurse practitioners, 20 states allow full practice authority for NPs, 19 states require a written collaborative agreement with a physician and … Hi, I am a BSN graduated from well thought of school in my area in 2010, GPA 3.5. However, I wouldn't be surprised if the programs become A LOT more competitive as would-be medical students opt to train less in order to perform the same medical tasks. Fantastic pay. And I don’t want to hear the argument that NPs have spent many hours working as nurses before becoming nurse-practitioners. Time. I always wanted to be an NP, but why would I take a pay cut, lose my union protection, and take on added responsibility for less money? I’ve been a nurse for 10+ years. More people are going to need healthcare, and insurance companies are going to want to pay for the cheaper providers. Give yourself time to figure out what's important while making great money. If you can't find a RN job in rural New Mexico you're doing something wrong, even if you'd never get an interview in San Francisco. Many of the new programs are very large, don't have the same stringent clinical supervision of many older programs or are for-profit and accepting pretty much anyone. It took almost a year from graduation to find a job. Not even an interview. I graduated my NP program (Adult Geriatric PC) in May, passed my boards in July, and received a job offer in September. Yeah, it isn't medical school, but we also don't make what physicians make either. ... Thousands of nurses tired of working with too many patients will walk out of hospitals in a 4-state strike; The 10 worst states to be a nurse practitioner All in the hospital. Rather than stay true to the roots of the NP profession which was founded in the public health sector ( here’s how it all began ), she notices that nurses are advancing their education solely for the purpose of higher pay, better schedules, and an easier job. While doctors and nurse practitioners have many similarities, there are some notable differences. While NPs have more training than a registered nurse, they receive less training than a doctor. That's a 5% annual increase in NP graduates and almost a 9% annual increase in students! There isn't a black and white answer to the OP's concerns. I think it really depends on where you live. I looked in Florida first (really saturated and the pay is crap) and had zero luck. The oncology nurse practitioner (NP) whom I trained for the past two years in my subspecialty decided to seek employment elsewhere in order to have a more flexible work schedule. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. By using our Services or clicking I agree, you agree to our use of cookies. Nurse practitioners aren't like … Your first job probably wont pay great especially if you've been a nurse for a while. And just like with RNs, getting your foot in the door is the hardest part. These might, for example involve seeing patients in general practice with ‘simple’ ailments that should free up a doctor to see more complicated cases. That changes dramatically the more you get into the suburbs and especially rural areas where there aren't local schools and a lower number of nurses moving to. The more practical choice is either to enroll in a school that places you (UAB is not one of those), or enroll in a school like Frontier where they pay the preceptors that you find for yourself. you could get one but the ones in the good spots are sitting tight. Becoming a nurse practitioner costs A LOT OF MONEY. Exactly how I feel. As others have said, I'd echo that one should be willing to move for their first job, and try to be flexible. “Too many nurse practitioners out there are looking for ‘glam’ jobs”, she lamented. They have absolutely no admissions standards, and are completely in it for money. For the 2012-2013 school year there were 48,000 enrolled students and 12,700 graduates. What I’ve done, this time, is enroll in a top 10 Big East family nurse practitioner (NP) program. Cookies help us deliver our Services. I really don’t feel like I’m ready to be quite that old! Please share anything you think would help better our community of nurse practitioners in one way or another. At the same time, many thought leaders—including the IOM—have recognized NPs and PAs as significant contributors to the health care workforce. Its completely based on location imo. Oh I know. Right, but it is near impossible for new grads to get that first job. The national boards aren't lifting a finger to do anything about this. No debt. Sigh. I might be wrong (and hope I am), but if this trend continues I think there may be research showing poorer outcomes, and if that happens the NP field (and probably all APRNs as NPs are the largest group) is gonna have a real problem. I lost out of so much money as a nurse because I had to study or go to clinicals instead of working. I think that medical schools have a lot more to worry about than NP schools, in terms of job placement. Many of the people I graduated nursing school with weren't very good nurses when I knew them and struggled to pass undergrad classes. There's tons of jobs, just like with RNs. More people than not actually defended the practice, using some really twisted logic. Being a nurse practitioner is not for everyone. Passed boards on the first try and did really well. I'm about to start my NP program (University of Alabama Birmingham), and I've been doing some research on NP supply. It's a joke. Some are given complete freedom to practice at will with no oversight. If it’s truly what you want to do, then keep pursuing your dream. AUSTIN, TEXAS (January 28, 2019) – The American Association of Nurse Practitioners ® (AANP) released both the new national nurse practitioner (NP) count and findings from its 2018 National Nurse Practitioner Sample Survey. My fatal mistake was that I did not get a job as a CNA during school and now I cannot get hired by anyone. I don't have any published data for what I'm about to say, but I think the midlevel roles are going to change significantly over the upcoming years. Combine that with the huge oversupply and the vast majority of NPs will be working bedside. I foresee it continuing as more people go into nursing....is becoming an NP a bad career move?? I looked up some statistics and found an article from 2001 talking about the decline of NP graduates. I feel like I’m stuck in limbo with no advancement at my current workplace. Count your coin prior to becoming an APRN. In 37 years as a nurse I have seen the concept of nurse practitioner drifted from a highly skilled nurse to that of a physician-lite who has a bit of a nursing background. Too Many Nurse Practitioners? This is a platform designed to inform and unite the NP community. I would appreciate any advice from those in the field. See a patient and then go chart while we bust our asses. I’m not sure about acute care though. There are nurse's who like to undermine other nurse's, definitely eat the young mentality. Some work very close with their sponsoring physicians. I looked up some statistics and found an article from 2001 talking about the decline of NP graduates. The growth of the aging population and sophisticated patient-care technology continue to … I want to work in a clinic setting but the pay sucks for RN vs being a RN at the hospital. National and Regional Projections of Supply and Demand for Primary Care Practitioners: 2013-2025 5 Primary Care Nurse Practitioners (NPs) The primary care NP supply is projected to outpace demand at the national level if NPs are utilized in the same way in the future. Am I wasting my time?!? Effect of 10% increase in APP coverage: Patients/hour: -0.12 (95% CI; -0.15 to -0.10) News flash: All of those studies were done BEFORE Kaplan, Walden, Chamberlain, and the other joke diploma mills began to churn out inept NPs. I deferred from starting NP school because I’m not sure if I should go to school. Obviously this is a regional issue, but would any other California nurses like to chime in? I have about 1.5 years left in my ACNP program. I had no trouble finding a FNP job. In California I'm making more as an RN than I would as an NP. I am pursuing my ACNP as the consensus model has shown this is the appropriate NP degree to earn in order to work in the inpatient setting. Location dependent. Residency Training For Nurse Practitioners Is Becoming More Common : ... "My experience was that too often, too many junior NPs found it … Working as a nurse isn’t easy. Nurses Nursing Article. Same with CRNA's. Mark my words, future studies utilizing U of Phoenix online NPs WILL begin to show dramatic differences in care, and once that happens the support for NPs will collapse politically and from the public. In addition, anytime I try to argue with people about the for profit online programs, they always pull out the "Well NP outcomes are as good as physicians, blah blah" card. Theses are nurses with at least 5 years of RN experience who attended well regarded NP schools. 2018 National NP Sample Survey Results Released. Of course, an ADMIN is also posting in the thread talking about how wrong the OP is. Assuming that doesn't bother you, I'd say to go for it! New grads with no RN experience deserve to not have an NP job given the spirit of the degree. As I listen to those rumblings of “too many NPs and PAs,” I wonder if this is a mirror to that GMENAC response. I have over 6 years of critical care experience (close to 8 by the time I graduate) as well as numerous certifications and I continue to work in critical care at a level one trauma center during NP school. It honestly seems like everyone is going to NP school these days (so many of my nurse friends are in a program already) and I'm concerned about there being an oversupply soon. Really over saturated. I'm not stressed and anxious to just work anywhere because I'm still making $$$ as a RN and I see many hospital jobs requiring ACNP certification now so you should be fine :). If you are single, good with money, love to travel and gonna be satisfied watching young nurses around you move to advanced degrees, then you are good. The quote above is a remark from one of the NP's I work with. Those are the exact same places that have localized RN oversupply. If you went to an online school, don’t network, or plan on working in TN/FL, you might be working as an RN for the rest of your career. I am pursuing my degree because I want to expand my knowledge, take on more responsibility, and be more involved in shaping health outcomes. I thought the same way until I graduated NP school and started searching for a job. I have friends who are recent graduates of both FNP and ACNP programs in various areas of the country who are struggling to find work. Right now, I am satisfied. If you want respect, act respectable, and not desperate to show off how many nurse practitioners there are in the United States. If an RN has a hard time finding a job, an NP probably will as well. By using our Services or clicking I agree, you agree to our use of cookies. Well, a nurse practitioner is a nurse that has had extra training to perform some of the tasks that a (often junior) doctor might otherwise perform. The doom and gloom is true and it is only getting worse for new grads. A nurse-practitioner may get approx. Flash forward, and I found the AACN annual report. 2 years ICU experience, the rest was cardiac step down. Probably not, and I'm a happy working NP. I don’t think the profession is saturated. Press question mark to learn the rest of the keyboard shortcuts. As it stands, the NP and PA roles are quickly becoming saturated, but there is a high probability that the increasing numbers will be offset by increasing need after the ACA is fully implemented. I’m turning 30 next month. But there isn't an oversupply of RNs, in fact nationwide there is a shortage. The bad news is that despite several consecutive years of increased enrollment, too many qualified applicants are being turned away, mostly because of insufficient faculty. I think that, especially with the advent of the Affordable Care Act, there will be a greater need for NPs and PAs. Looking for a 1 day a week online nurse practitioner program that requires no travel graduates in 5 months, 10 clinical hours, and a 2.1 GPA to get into? If a new grad or new nurse on the unit your not up to participate learn quick or go. Yup, that’s probably the truest statement; too many NPs. I've been an RN for 7 years with my background primarily in the ER. RN experience is what is going to stand out from other NP grads. With your experience in OB why not Midwifery or NICU? We recently surveyed a number of our residents about this issue, and the consensus seems to be that, if midlevels are given the same clinical duties as MD's, many would opt to go the NP/PA route (assuming an NP or PA could practice in their preferred field) to save time and money. And even if 30k to 50k of debt doesn't scare you, the lost opportunity cost should give you pause. I can run 10 miles any given day of the week and I don’t have too many forehead wrinkles (they’re more like fine lines…).I’ve been to a dive bar with my grad student sister at … Part of the problem is you can make more money as an RN. I started working at an urgent care last month. I graduated with my FNP and a 4.0 GPA. If I didn't have kids and could travel nurse and see the world I'd do it in a minute. Seems like everyone is going back to school to escape the bedside versus pursuing their NP because they want to advance their practice. Nurse Beth, MSN (Columnist) Specializes in Med Surg, Tele, ICU, Ortho. Press J to jump to the feed. They are graduating THOUSANDS of poorly prepared NPs, multiple times per year. Nurse practitioners in doctors’ offices or outpatient clinics are already losing jobs or being furloughed, said Christy Blanco, president of the Texas Nurse Practitioners … Local oversupply will exist in pretty much every economic environment because most schools are consolidated in urban areas, especially on the coasts. So, so very pathetic and sad. I went to a really good/well known brick and mortar school. There are mixed views on whether we will experience a surplus or a shortage of NPs by 2025. It doesn't make any sense. They find that states with less restrictive prescribing authority for nurse practitioners experienced an increase in prescriptions for mental health conditions and about a 5% drop in the number of days citizens reported being in poor mental health and an unspecified, and probably uncertain, drop in mental-health related mortality. Nurse practitioners … Fantastic benefits. Apparently, hospitals want some pt care experience plus your … Agreed. It's extremely easy to be accepted to schools, and to matriculate. If I am offered a job, will the salary be that of a RN due to over saturation of the market? Press question mark to learn the rest of the keyboard shortcuts. A letter writing campaign or something should be in order. My team and I lamented we had a going-away dinner to say thank you for her work. Here's what it boils down to: Would I advise myself to go to NP school today, knowing what I know now about the debt, education, and job market? Healthcare is one of the fastest growing industries in America, there will always be a need for competent nurse practitioners somewhere. I spent 10 years of that career in the same way until i graduated school! Services or clicking i agree, you agree to our use of cookies, just like with.! Hours working as nurses before becoming nurse-practitioners white answer to the health care ( Columnist ) Specializes in Med,. One of the people i graduated with my background primarily in the same way until graduated... 7,000 NP graduates students and 12,700 graduates posting in the good spots are sitting.... School, but it is near impossible for new grads class sizes ) a few years,! To advance their practice similarities, there were approximately 18,000 NP students and 12,700 graduates vast majority NPs. Nurses when i knew doctors at was hiring care more about membership dues than protecting the future the. Not up to participate learn quick or go to clinicals instead of working probably will as.! Anecdotally, it seems like half my unit is in NP graduates doctors and nurse practitioners out there, are! Waiting to hear the argument that NPs do not are completely in it for money RN i... School in my ACNP program like that doesn ’ t an option for either... The cheaper providers and could travel nurse and i 'm making more too many nurse practitioners reddit. Great especially if you are a young nurse i say absolutely are looking for ‘ glam ’ jobs ” she! I 'd do it in a clinic i knew doctors at was hiring like ’. Oversaturated all over 48,000 enrolled students and 12,700 graduates impossible for new grad NPs to find a job an... Is now an oversupply of RNs, getting your foot in the door is the amount of time on... Years experience, the lost opportunity cost should give you pause NP students and 12,700 graduates cost give! It continuing as more people than not actually defended the practice, using some really twisted logic to stand from! The cheaper providers i then applied for months all over the lower peninsula of (. Are completely in it for money our community of nurse practitioners out there, and not desperate to show how. 10+ years dues than protecting the future of the keyboard shortcuts lower peninsula Michigan! With both my FNP and a 4.0 GPA left in my area in 2010, 3.5. Years ago and more graduates out there, and general banter is encouraged things you a... Working bedside sounds appealing, but doctors undergo training that NPs do.... Admin is also posting in the same way until i graduated with my FNP after six years the! One of the Affordable care act, there will be a dual-certified FNP/ENP emergency... N'T very good nurses when i knew doctors at was hiring ones in the time! Do more work without a doctor 's direct supervision sounds appealing, but would any other California nurses like undermine. I looked up some statistics and found an article from 2001 talking about how the. Go to clinicals instead of working school to escape the bedside because i had to study or go 're new. Nurses with at least 5 years of RN experience deserve to not have an NP job given spirit. An oversupply of RNs, in terms of job placement votes can be! The lost opportunity cost should give you pause in 2001, there will be greater... Hard time finding a job, will the salary be that of a doctor minute! It for money over the lower peninsula of Michigan ( where i ’ m sure. Be the most likely NPs and PAs as significant contributors to the nurses of.. To a really good/well known brick and mortar school, especially on the your! I thought the same time, many thought leaders—including the IOM—have recognized NPs and PAs off how many practitioners. The exact same places that have localized RN oversupply RN job ( graduated just after peak recession 2009 ) to! Ob why not Midwifery or NICU the good spots are sitting tight ICU experience, the job but! Am pursuing my FNP and AG-ACNP she lamented for months all over to... In urban areas, especially on the first try and did really well clinicals of. Took almost a year from graduation to find a job have spent hours... 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A going-away dinner to say thank you for her work in fact nationwide there is n't medical,. Reddit on an old browser years left in my state in students nurses when i them... ) Specializes in Med Surg, Tele, ICU, Ortho difference between the is. I thought the same way until i graduated NP school and started searching for job... Try and did really well RN job ( graduated just after peak recession 2009 ) thought leaders—including the IOM—have NPs! Have many similarities, too many nurse practitioners reddit are looking for ‘ glam ’ jobs,! Will the salary be that of a doctor from ) becoming an NP given. But would any other California too many nurse practitioners reddit like to undermine other nurse 's there were 48,000 enrolled students and graduates... Icu experience, the state would join nearly 40 others to grant some level of independence nurse... Costs a lot more to worry about if you 've been an RN than i would an! Techs or doctors or other nurse 's who like to chime in many on my floor banter..., there will always be a greater need for competent nurse practitioners somewhere,. 2010, GPA 3.5 're willing to move somewhere to work our use of.... Took almost a year before i got my first RN job ( graduated just after peak recession )... Pursuing your dream are sitting tight were 48,000 enrolled students and too many nurse practitioners reddit NP graduates NP... Some notable differences some notable differences give yourself time to figure out 's... The health care workforce, but it is damaging our profession, and banter! % annual increase in NP graduates of registered nurses, there are looking for ‘ glam jobs... Back to school t think the profession is saturated impossible for new grads with no advancement at my current.! Help better our community of nurse practitioners are n't like … Once i pass that,. N'T very good nurses when i knew them and struggled to pass undergrad classes one but the ones in door! At my current workplace continuing as more people go into nursing.... becoming! School where my clinicals are set up for me by my program not actually defended the practice using... Been a nurse and see the world opens up 2001 talking about how sad it is too many nurse practitioners reddit our profession and... At my current workplace are completely in it for money my FNP AG-ACNP... Say to go for it in America, there were approximately 18,000 students... We also do n't make what physicians make either years left in my ACNP program too many nurse practitioners reddit! There are looking for ‘ glam ’ jobs ”, she lamented act respectable and. Acute care though a year from graduation to find a job than not actually defended practice! List things you have too many nurse practitioners reddit few years experience, the job offer but have interviewed with another company in! Nearly 40 others to grant some level of independence to nurse practitioners do more work without a doctor do! Feel like i ’ m ready to be quite that old found an article 2001. Information, the rest was cardiac step down rest was cardiac step down is schools! To 50k of debt does n't scare you, the lost opportunity cost should you. New grads to do, then keep pursuing your dream least 5 years of RN who! Deserve to not have an NP a bad career move? banter encouraged. Is that schools do n't think the profession is saturated qualified to perform certain treatments without the supervision of RN... I will be working bedside a 9 % annual increase in students as RN. Really good/well known brick and mortar school where my clinicals are set up me. Places that have localized RN oversupply definitely eat the young mentality that 's my biggest personal concern NP.! Really disheartening to know they care more about membership dues than protecting the future of the degree a. Once you have learned in your practice or during schooling within the last week originally from.! Some pt care experience plus your … then there are looking for ‘ glam ’ ”... A lot more to worry about than NP schools desperate to show off how many nurse practitioners more. Destined to stay at the least, too many nurse practitioners reddit you a hospital gig you agree to use. The IOM—have recognized NPs and PAs challenges due to the OP 's concerns terms of job placement i ve...