Why You’ll Want to Know How Your Nurse Practitioner Was Trained | Big Take

Americans are more and more likely to get health care not from doctors, but from nurse practitioners. It’s one of the fastest-growing professions in the US - and the number of nurse practitioners in the country is expected to climb 45% by 2032. But training for the booming profession has never been standardized, and some students worry they’re not being set up for success.
On today’s Big Take podcast, host Sarah Holder talks to investigative reporters Caleb Melby and Polly Mosendz about what the rapid rise of nurse practitioners has meant for their education - and their patients.
Read more: The Miseducation of America’s Nurse Practitioners (www.bloomberg....)
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[@eib275]

This is SUCH an important topic that no one is talking about.

[@katel3786]

NPs need structured in-person training vs being made to find a physician or NP to shadow for their "hands-on" training.

[@trixiesilver4030]

I went to one such school, which is a fairly long-standing university with a number of robust degree programs. You have (or had; this was a few yrs ago) to have a couple of years of clinical rn work experience & 3 gpa I think to get in NP program. It is accredited which means it is standardized according to the same criteria as every other accredited NP program. Yes, the administrative part is a nightmare worthy of its own diagnosis, and to get through it, I had to tell myself it was meant to be a resilience building exercise (it wasn’t). The attrition was/is consequently high, but that just means those of us who make it through and are not in your tragic examples are unworthy of being denigrated.
NPs are not an infection in healthcare but rather a response to the same kinds of needs and demands that nurses & doctors alike are here to meet. No, we do not have the same level of education; we also do not make as much money, nor hold most of the directorial positions either, nor can we do all the same things, which varies significantly by state. So what; we all are needed, now more than ever.
In light of the absence of stats & studies to back up the claims made here (& were the examples of graduated NPs of the schools mentioned…?), especially the implicit message that NPs are dragging down the quality of healthcare, what is the goal? Because if it’s to actually improve the situation for patients, I don’t see the point of encouraging a punching-down attitude when there is already a shortage of all healthcare providers, not an infestation of NPs somehow depleting or contaminating the supply, as is implied here.

[@donnafarmer111]

In an ER a nurse practitioner is always on shift with a physician. The nurse practitioner or PA can and should run a case like this by the physician to make sure they concur with management, especially when deciding to discharge. This is simple risk management: share the risk.

[@wmd40]

well they dont. medical errors are the 3rd leading cause of death in the US with around half a million deaths per year. only going to increase. i went to the ER with abdominal pain and was diagnosed with a kidney tumor, never saw a doctor. NP almost sent me home too, i had to demand a CT after her xray showed nothing. she accused me of drug seeking before the CT proved i had a tumor. her write up of me makes me appear like a liar even though i HAVE A TUMOR. and so care after that ER visit has been horrible bc the first thing they see is her write up of me being demanding despite the demands revealing something dangerous. no doctor ever saw me. filed a complaint and the hospital agreed that it was wrong. they took corrective action but never told me what that action was. for all i know this NP could be still working, or fired. they arent obligated to inform anyone about it.

[@lightowl4345]

Sounds like there isn't much data on the subject. It would be interesting if there were on both NPs and PAs.

[@susan6841]

That explains a lot, when I came to the four corners area 30 years ago the healthcare system and hospital were excellent. Now the hospital has bought most practices and primary care is usually nurse practitioners, when you can even get in there. It's all run like a corporation to maximize profit.

[@d3r3kyasmar]

Do not enroll in those online NP diploma mills.

[@janineclemons746]

I'm hoping AI can be implemented to follow each person and identify targets for improving health.