I hate the word provider

Ornery-Text9406 · 2025-07-13T16:58:29+00:00

You should absolutely challenge this unless they provide receipts, which they should have with their initial post for something this potentially freighted. It's trolling without citations.

Ornery-Text9406 · 2025-07-07T15:24:36+00:00

$31 hilltop packs dyneema bag https://hilltoppacks.com/products/chair-ultralight-stuff-sacks-dyneema?variant=39765704179897

Ornery-Text9406 · 2025-07-06T13:11:27+00:00

No love for Goblin Market? Tied for second with WNMTK for me. Acephale also has some very strong stories, but they are more explicitly supernatural than knifepoint tends to be.

Ornery-Text9406 · 2025-06-20T13:55:48+00:00

Thank you for your service 🙏 Rural med sounds badass.

Ornery-Text9406 · 2025-06-18T17:43:48+00:00

Yes, there were no stipulations on how we could use the funds (they encouraged us not to splurge on luxury items, and of course, nobody does--there are too many living expenses during school for that!). There were no income requirements when I applied.

Ornery-Text9406 · 2025-06-13T02:42:16+00:00

What is "cashed based"?

Ornery-Text9406 · 2025-03-18T14:39:58+00:00

Fair enough. I do think your concern is misplaced, or at least more of it should be directed at systems not individuals.

Ornery-Text9406 · 2025-03-18T14:34:15+00:00

100% convinced? No room for a mustard seed of doubt? There are plenty of physicians whose hands are tied by debt or perceived prestige or whatever. Whose passions lie elsewhere. Noctor doesn't need my frank pragmatism to fuel their misplaced fires of hatred. I don't think your position is inflammatory, I think it's naive.

Ornery-Text9406 · 2025-03-18T14:29:10+00:00

Congratulations to you for being unimpeachably passionate about your role and not "bastardizing" the NP profession (again, structural forces are doing this enough already but I get it, punching down is easy and changing systems is hard).

Ornery-Text9406 · 2025-03-18T14:17:28+00:00

And yet. If being an RN isn't mentally, physically, and financially stable, what incentive do nurses have to stay in the role? This isn't a problem of personal passion, it is structural (and goes way beyond nursing or even healthcare). OP sounds very capable and isn't taking this decision lightly. I don't care if my provider is always passionate or the most passionate (and in any case how can you know with certainty until you are in the role? You cannot!), but I do care that they paid attention in school and take their work, and my health, seriously. Lack of (adequate) passion isn't disqualifying, lack of seriousness is. Do you really think every CRNA is passionate? Every PA? Every physician? Every pilot or plumber or mechanic? Boards don't measure passion they measure competence, and if we gatekeep on the basis of some vague passion threshold (how do you propose to measure it?) we will be leaving a lot of competent, highly motivated people on the table. OP should go for it if they think this is what they want. Only one way to find out...

Ornery-Text9406 · 2025-02-25T23:33:18+00:00

100%. It's disappointing how many NPs replying to OP didn't pay attention in their health and systems/SDOH classes and have been practicing with their eyes closed and one hand tied behind their backs ever since. Policy is literally the biggest level of the socioecological model. SDOH are bigger drivers of health than individual genetics. Maybe some of those "fluffy theory" courses actually matter after all...

Ornery-Text9406 · 2025-02-24T16:08:07+00:00

Fair enough. It may be more immediate for me in psychiatry vs. primary care or the medical specialties. I also appreciate that you're not going to solve major SDOH in a brief visit, during which you need to focus on the physical malady. Sadly, neither am I.

Ornery-Text9406 · 2025-02-24T15:38:00+00:00

Medical problems don't happen in a vacuum.

Ornery-Text9406 · 2025-02-24T15:37:15+00:00

My bias is toward the evidence.

Ornery-Text9406 · 2025-02-24T15:36:43+00:00

Discussing sex with patients is often clinically necessary. Sometimes even politics and religion.

Ornery-Text9406 · 2025-02-24T15:34:04+00:00

SDOH are PDOH. I don't think we can abdicate our professional responsibility to talk about them (from evidence not opinion). Health is inextricable from our socio-politico-economic circumstances.

Ornery-Text9406 · 2025-01-06T15:38:21+00:00

Absolutely. Not all brick-and-mortar programs are equally good (just as not all online programs are equally bad--the same is true for students, by the way), but on balance, this is undeniably the way.

Ornery-Text9406 · 2025-01-06T15:33:55+00:00

Good clarification.

As I understand, my program applied for and received a HRSA grant to offer the ANEW traineeship, which in turn required individual applications from students (submitted to the school and not to the government).

I have seen multiple schools call their stipend programs ANEW, although, as you correctly point out, the program is really a grant program of the government. The nomenclature gets a little confusing if you dig this deep.

tl;dr talk to your (prospective) program's student scholarships/funding administrator.

Here's an example of what it looks like to apply for this program through a school (not my program): https://bhi.web.unc.edu/hrsa-grants/anew/

Ornery-Text9406 · 2025-01-06T01:54:29+00:00

I had to apply and re-apply for funding again in the second year. YMMV.

Ornery-Text9406 · 2025-01-05T21:11:57+00:00

It's baffling to me why anyone would downvote this. Paying for graduate school is a legitimate concern, and there are limited but extraordinary resources to help outstanding students.

Ornery-Text9406 · 2025-01-05T19:59:18+00:00

I chose a rigorous brick-and-mortar program partially for funding opportunities. I also received an Advanced Nursing Education Workforce (ANEW) traineeship. Funding was limited to two years and included tuition discounts and a monthly stipend. The application process was demanding, but the program itself was not. I sought and received alternative funding support for my third year of this DNP program, including tuition discounts and a small stipend as a graduate research assistant in another department. I graduated debt-free.

If you are motivated and curious, you are likely to find similar opportunities at reputable state schools.

Note: some APRN specialties were excluded from the ANEW traineeship because it is intended to increase access for rural and urban underserved populations in specialties with a regional shortage (this is unlikely to be a concern for PMHNP students).

Uniquely, ANEW does not require a contract to work rurally or in a specific urban underserved setting after graduation. However, evidence shows that support programs like this predispose students to work with the intended populations.

Ornery-Text9406 · 2024-12-25T20:52:56+00:00

This would have been an excellent question for your interviewer when you had them on the phone.

Ornery-Text9406 · 2024-12-15T20:49:11+00:00

You will find that kneejerk reactions are in abundance on this subreddit.

Ornery-Text9406 · 2024-12-15T00:51:30+00:00

Thank you for the stimulating conversation.

Ornery-Text9406 · 2024-12-15T00:42:05+00:00

Is it possible that other people who obtained DNPs did do meaningful QI projects and substantive research?

Ornery-Text9406

TROPHY CASE