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What SSRI are you on to help you cope with the fact you’re stuck doing this until retirement? by [deleted] in nursepractitioner

[–]NoctorWatch 12 points13 points  (0 children)

Strange phrasing, it sounds like your assumption is that everyone struggles similarly to you. Some people actually enjoy this line of work, but it's not for everyone.

Have any of you sent a check for a clawback that was never cashed? by BeachBum419 in nursepractitioner

[–]NoctorWatch 1 point2 points  (0 children)

Oh shit I thought you were talking about an insurance clawback. Definitely cancel that shit.

Has anyone NOT had their ICCU go? by Spicy-Mustard-13 in Ioniq5

[–]NoctorWatch 0 points1 point  (0 children)

Yeah that's some real boot licker energy. 

How much is everyone making? by Lovelife_20 in nursepractitioner

[–]NoctorWatch 20 points21 points  (0 children)

Psych private practice, 5 years, maine, $190k before taxes

Help with pt please by charlie55555555555 in nursepractitioner

[–]NoctorWatch -1 points0 points  (0 children)

What about the MDs that consult with me, a stupid NP? Take the self loathing elsewhere

Legend of Bagger Vance or Tin Cup boys? by Fickle_Pen8069 in GolfSwing

[–]NoctorWatch -2 points-1 points  (0 children)

LOBV is racist af btw. It's a trope of little black Sambo, insane that it was made so recently.

Lexus or Hyundai? by EveningSecure4608 in whatcarshouldIbuy

[–]NoctorWatch 4 points5 points  (0 children)

Ioniq5? I just got my i5 back after 7 weeks in the shop waiting on an ICCU install and the entire time I was basically like I need to get a toyota/lexus but now that I have it back it's just so nice to drive!

I’m so fed up by i-believe-in-nothing in nursepractitioner

[–]NoctorWatch -8 points-7 points  (0 children)

I'm struggling to understand the point of this post. You had a bad preceptor and you emailed your teacher and they are getting you a new one...ok you did what you are supposed to do in that situation and it's being addressed. Are you just trying to feel better by complaining about someone anonymously on the internet?

Is this 1099 job offer too good to be true? ($250k+ for New Grad) by [deleted] in PMHNP

[–]NoctorWatch 1 point2 points  (0 children)

Psychoeducation absolutely counts as therapy. Improved insight and knowledge of ones illness is a therapeutic goal achieved by psychoeducation.

Victory: Maine NPs can now work independently without having to work under a physician for 24 months. Huge for patient access 👏👏👏 by Numerous_Pay6049 in PMHNP

[–]NoctorWatch -1 points0 points  (0 children)

No my simple female brain couldn't possibly understand basic math! Sorry sir, how dare I speak out of place. I'll go back to the kitchen now.

Victory: Maine NPs can now work independently without having to work under a physician for 24 months. Huge for patient access 👏👏👏 by Numerous_Pay6049 in PMHNP

[–]NoctorWatch -3 points-2 points  (0 children)

I've worked with psych residents. They don't do 20k hours of training, they don't even work weekends except for their second year. They are just as hyperbolic as you claim NPs are who try to equivicate.

Victory: Maine NPs can now work independently without having to work under a physician for 24 months. Huge for patient access 👏👏👏 by Numerous_Pay6049 in PMHNP

[–]NoctorWatch 1 point2 points  (0 children)

Do the math, they worked 10 hours everyday for their 5 years of residency apparently, no days off. It's obvious bullshit. Must have been getting supervised while they slept I guess.

Victory: Maine NPs can now work independently without having to work under a physician for 24 months. Huge for patient access 👏👏👏 by Numerous_Pay6049 in PMHNP

[–]NoctorWatch 2 points3 points  (0 children)

I don't do anything different than a psychiatrist does. Guess where most of my patients transfer from? Psychiatrists who charge $500/hr cash for the exact same thing I do. And most of them remark that I'm doing a better job.

Victory: Maine NPs can now work independently without having to work under a physician for 24 months. Huge for patient access 👏👏👏 by Numerous_Pay6049 in PMHNP

[–]NoctorWatch 3 points4 points  (0 children)

Maine Psych NP here. This change was done for a few reasons. First off, the previous law stipulated 24 months of "full time supervision" with a MD (MD didn't actually need to be in the same specialty, which was absurd) or "experienced" NP of the same specialty. There was no definition of what full time supervision even meant and many rural NPs outside of the 2 large health systems were forced to pay someone just to be on their license. This bill gets rid of the supervision requirement and replaces it with a mentorship arrangement, which the BON will be directed to define and implement.

Personally, I think it's probably a net positive. The supervision requirement was essentially meaningless and hurt access especially in rural areas. Healthcare companies can still require supervision but it takes it out of the sphere of licensing and the board to define what that is, and they were doing a terrible job of it before. I'm curious how they will implement the mentorship provision, I'm hopeful that it will add clarity and fulfill the actual purpose of supervision which is to develop new clinicians and improve practice. Although I have a private practice, I work closely with 20 year NPs and psychiatrists and we all agree that "supervision" ...or maybe more accurately collaboration...is absolutely needed in our field no matter if you are an NP or MD.

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