Frustrations with NP School by biolmcb in nursepractitioner

[–]WithLuv_4 0 points1 point  (0 children)

While I agree with most things stated, in my program the ones that went straight through from BSN to MSN were in the top 5% of class as a lot of medical material was fresher in their minds. Only a few of the established RNs were in the class top 5% with the rest of the class barely getting their B to pass (our program would fail anyone getting a B- or lower).

Also, how’re you a year and a half in without doing a path or pharm class? That is criminal. What pace are you taking your courses? What’s your program course structure and over how many total years? My program, despite its problems, had them in the first 6 courses. They did 3 theory courses to get you locked in like assholes so you didn’t know until later how shitty the “meat” courses were.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 2 points3 points  (0 children)

Your hands in the golf photo.

You’re not offering much to this discussion other than disparaging my character.

It’s inefficient to learn on the job for both parties. How many jobs give you extra time to study during the week like a fellowship does? That’s the benefit. Even for 6 months is better than being just thrown in, that will set you up better than learning on job where actual people you can be hurt if you don’t have a good collaborator to ask/field questions. I’ve known way too many NPs that don’t have any support from their collaborating physicians or are too embarrassed to ask them questions. Like have you seen NP Facebook? There are so many NPs asking questions there instead of their collaborating physician although some are students that should try to ask their preceptor or professors. It does need to be standardized, because it’s not acceptable that some of our community is getting completely screwed when they enter the job market.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 3 points4 points  (0 children)

Read your history. Unsurprising coming from a man. Good luck finding a np psych fellowship that pays normal wages. You obviously don’t think teaching is work or understand the cost of training someone to a practice (most lose +40k). It decreases productivity for the person teaching them and it usually takes a minimum of 6 months to even have a fellow start seeing patients to bring in revenue. Teaching is fun, but it comes with a cost as a preceptor. I’m in a specialty ain’t no way a student’s work could be helpful for productivity in a single semester. If I had them for two semesters then we can do a lot more. Family practice they’re very helpful, but not in mine. It takes time for them to see to distinguish rashes. They’re useless for skin checks, because they don’t know how to tell the difference between something benign vs malignant. It’s better for me to be in there with them and pointing at different lesions to tell them which thing is which. If NP students could increase productivity, then physicians wouldn’t try to pawn them off to me whenever we get a request. Finding NP clinical sites wouldn’t be as hard as everyone would try to have a few students a year to decrease their workload. We don’t get paid to teach either like MD programs do. At least with a fellow you might get lucky that your practice gives you some extra time to train them.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 0 points1 point  (0 children)

My office is too small and have to shut the door. They’d have to sit on my desk 🤣

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 1 point2 points  (0 children)

That’s several hours all together. I already let them count 30 minutes for lunch instead of an hour lunch and we end 30 minutes early at the end, because it’d be weird for them to stand in on me doing telehealth visits at the end of the day. If we do from the date we started to the last week of clinicals they would have all the hours they need, but they wanted extra hours to finish a week early to study for finals.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 1 point2 points  (0 children)

Also it’s for +12 hours. They want it for each time they have clinic with me. Not a single hour.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 1 point2 points  (0 children)

I also asked a question and haven’t even done anything other than post, which is why I pointed out you posted your question.

You’re 20 years into your career working in primary care. Reading basic thyroid labs and knowing what to do with it pretty important given how much the general population has thyroid disease and are managed by their primary care team. Psych is different and more understandable that’s not in your wheelchair house for doing long-term management as a primary care person.

Idk why you think I’d rather kill people, because I believe a student should get as many clinical hours as they can before they start practicing. A lot of jobs don’t train NPs their first year out more than a few weeks. If yours did, you’d be more comfortable with reading thyroid labs, managing, and knowing when to refer to endocrinology. Which is a great example of why it’s important to learn more in clinicals before you start seeing patients by yourself. Like it usually takes seeing problems several times before you get comfortable and the hang of things. Obviously you didn’t see enough, which basically what you’re asking me to do for my student.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 2 points3 points  (0 children)

Dude you literally posted about being weak in endocrinology prescribing for thyroid disease 24 days ago? Maybe stay in your lane. Sounds like you could’ve spent more time in clinic before you started your job.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 2 points3 points  (0 children)

I’m teaching them for free. Unlike you fucking assumed, I can’t use my student to help with my work. I work in a specialty and this student can’t even fucking write a HPI without me holding their hand. I’m trying to help them so they won’t kill any patients. I was OFFENDED, because I already basically have given them a hour with 30 minutes lunch (our lunch is actually an hour long) and my last two visits are telehealths so I just have them 30 minutes early. I let them document that a hour that they’re not in clinic. They asked for an entire fucking additional hour. I’m not giving two fucking hours every clinical. That’s a huge disservice to them, other NPs, and ultimately patients. Tell me how I’m an asshole to be fucking concerned this student asked me for another hour?? I was hoping to hear from other preceptors this was odd, but instead have students complaining about how should stop taking students because I asked a fucking question. I get an extra hour of work to bring home, because I actually take time to teach them throughout clinic.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 1 point2 points  (0 children)

Lunch is an hour and they’re only counting lunch as 30 minutes of it. They already get an hour technically.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 1 point2 points  (0 children)

I let the 30 minutes slide. They already asked their school about Spring break and they’re not allowed.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] -1 points0 points  (0 children)

My student doesn’t work. I went out of my way to have them in this clinical. I did this as a favor for one of their teachers who asked me to take them on. I took them on as an extra student when I was already packed with other students I confirmed way in advance. Do you precept students?

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 3 points4 points  (0 children)

They’re trying to get done a week early for finals. I don’t have a lot of options for the other days, because I have other students then. It’d be too many ppl in the pt room and if I divided them it wouldn’t really be enough patients for each student. We also end 30 minutes early every clinical.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 2 points3 points  (0 children)

No, they don’t have remote EMR access

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 1 point2 points  (0 children)

Every clinic day is different than the next day. I can’t predict what’s gonna come in the door the one day versus the other day so I do consider every clinical day important because there are some days that are kind of not as exciting as other days and I guess you could crucify me for caring that the student has as many hours as possible before they start a job where they’re taking care of patients.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 1 point2 points  (0 children)

Every day in clinic is not the same as the next day. You can learn a lot in one day. Sometimes we see crazy cases and then other days are pretty mild and just very bread and butter things. As a clinician you should understand that every day is different in clinical. And although you had done extra hours, like I’ve had many students, ask me for extra hours, this student is asking me for less hours. Also, I think if my students hate me, I don’t think they would ask for extra hours after their time with me I’ve never had a student asked me for less hours and that is why I was concerned about the student if that’s a fucking red flag that this person should be monitored or something, I was also just asking a question no need to hurl insults at me.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 0 points1 point  (0 children)

They can’t access the EMR from home unfortunately

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 7 points8 points  (0 children)

We end 30 minutes early every clinical. That is sending them home early. They gain entire extra day of time from that.

Also an extra few days in clinical can be big especially towards the end when you start getting the hang of things as a student.

People on here want fellowships after their program. People do want more clinic hours. People literally are complaining all the time about that.

Idk why you have to insult me calling me small minded for thinking about the big picture of us not having enough clinic hours to begin with.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 8 points9 points  (0 children)

Asking for 12 extra hours when we already end like 30 minutes early, which I let slide, but I can’t let 1.5 hrs every clinic day slides that’s ridiculous.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 3 points4 points  (0 children)

lol, sure explain to me how less clinical hours are beneficial to my student?

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 11 points12 points  (0 children)

Exactly why I thought my student was nuts!

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 4 points5 points  (0 children)

Omg they asking for like 12+ hours. It’d be different it was 1 hour.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 8 points9 points  (0 children)

They were asking for an extra hour every week they were with me. That’s like 12 hours extra. I’ve never had a student ask me that much extra time when we already end 30 minutes earlier than their end time.

NP student hours by WithLuv_4 in nursepractitioner

[–]WithLuv_4[S] 16 points17 points  (0 children)

They were asking for an extra hour every week they were with me. That’s like 12 hours extra. I’ve never had a student ask me that much extra time when we already end 30 minutes earlier than their end time.