Don’t let facts get in the way of your character assasination of an entire profession but I see post after post of new grad NP’s who want more time in training, feel uncomfortable with their skill set, and are seeking actively seeking supervision. Sure doesn’t fit your narrative about how dangerous all of us NP’s are.
Fact: NPs graduate with 2 years of courses, the vast majority of which are nursing theory and lobbying related—many NP schools don’t even have a single course on pathophysiology
Fact: the minimum amount of clinical hours for an NP is 500, which can be done in any capacity (most often shadowing) in any specialty—the average medical student graduates with 5,000 clinical hours in all the core specialties, including intense sub-Is, and the average primary care physician gets 15,000 clinical hours by the time they graduate residency, or 30 times the amount required for NPs
Fact: the average NP actually gets about 800 clinical hours, which is still 19 times less than the average primary care doc
Fact: after meeting these minimum requirements, the NP can go work independently in half the states in any specialty—even one completely different from the one they shadowed in during school
Fact: the licensing exam for NPs is a single test of entirely first-order questions, many of which are unrelated to medicine and are focused on lobbying and advancing clinical practice rights—a physician has to take 4 step exams, the third of which is a 2-day exam, in order to get a license, at which point they still can’t practice independently
Fact: NPs are 20x more likely to prescribe opioids than physicians
Fact: NPs have been exempt from the sunshine act and are not required to be reported to CMS for contributions from drug companies, and NPs are more likely to prescribe more expensive drugs—in fact 50% of NPs surveyed say they would prescribe drugs they are told about at pharm sponsored events (and 90% of NPs say it’s appropriate to go to those)
Fact: NPs are capable of providing care equivalent to a physician about 55% of the time when appropriately trained and supervised—so they are still providing inadequate care 45% of the time even when supervised!
Fact: there has never been a single study done that looked at NPs practicing without supervision and compared it to physicians—every study allowed the NPs to consult physicians or have the physicians correct their mistakes
Fact: the studies most often quoted by NPs for showing equivalence have a p value of 0.8 and 0.9, which means that it is almost 100% due to random chance and is about as far from significant as you can possibly get
Fact: NPs consult more, prescribe more inappropriate antibiotics, use more imaging, prescribe more expensive medications, prescribe more opioids, and order more tests to get the same or worse results
The only thing the facts are getting in the way of is the AANP and hospitals lining their pockets with more money at the expense of patients. Any NP that supports independent practice is supporting endangering and harming patients.