Okay, so apparently some on here think that I have taken an "anti-NP" stance.
As usual, people have things backwards, upside down, and all over the place. I am far from being "anti NP". I actually advocate for BOTH PA's and NP's when I can, and am an outspoken proponent for both. The problem is, that NP's as whole hear the SLIGHTEST criticism, and they immediately attack. Which is too bad.
I have posted here in the past about the educational differences, and the differences in licensure and certification.
One commenter remarked that "phyasst, most of the PA programs are at Community Colleges not medical schools. I also agree with the last commentor that PA initial education is very basic and comparable to two year RN ADN programs, Respiratory Therapist and ect."
I don't know what to say to such ignorance. Of the 142 PA programs in existence that are accredited by ARC-PA, ONLY 3 are community colleges. These are remnants of the older days in the early seventies when PA programs WERE at community colleges. BTW, one of them actually grants a Master's degree now.
Please look here
I don't know if it's a reading comprehension thing, or just plain ignorance, but I AM FIGHTING FOR BOTH PROFESSIONS.......
Do I have concerns about NP education, and specifically the DNP degree and it's potentially negative effect on the supply of primary care providers in rural and underserved areas? Yes, I do. And BTW, so do MANY of the NP's I know and work with.
Do I have concerns about the PA education, and specifically the students that I have been seeing lately that are younger and younger with less and less real prior HCE? Yes, I do, which is why I am advocating mandatory residencies for PA's.
Do I have serious concerns about EITHER profession having programs online....you betcha, and as of right now, I am not aware of a single PA program online, but if there was, I would decry it as loudly as I decry the NP ones.
Do I have concerns about the combined RN/NP programs where the student NEVER actually works as an RN prior to becoming an NP? Yep, and so do most RN's that I know and work with.
BTW, the PA profession has a "clinical doctorate" program too. The Baylor/Army EM residency program awards a DSc degree, and with 5600 clinical hours, and close to 700 didactic hours over a period of 18 months, I would most assuredly call it a "clinical" doctorate. Guess what, I would be JUST as opposed to graduates from the program using the title doctor in the clinical setting.
I am pro PA, I am also pro NP, NP's have been valuable colleagues, co-workers, and have filled a very valuable niche in the healthcare market by delivering low cost, high value care, especially in primary care settings.
Does this mean that I cannot question either profession? If so, then you have truly drank the kool-aid.
At the end of the day, after advocating for PA's and NP's, there is one group that I must advocate for, even at the expense of the above two....
As Charles Mayo said. "That which is in the best interest of the patient, is the only interest to be considered".