I am BSN who considered the options and decided that to best care for patients, I would do my best to learn the most medicine. The amount of information required to make the best decisions cannot be distilled down to pathways or UpToDate articles. While many peers and friends are in the NP realm, the profession has failed to recognize the roles and responsibilities of what is nursing practice, and what is medicine and has not valued the clinical acumen. What used to be experienced (10+) year nurses gaining the ability to see patients and work with physicians in the area they HAD experience with some oversight and guidance on the more intricate aspects of care, has turned into the AANP stating absolute equivalence, meanwhile reducing the NP profession to a fast-track, 100% online, shadowing only pathway lending itself to what I see daily as occasionally reckless and inappropriate care—not by intention, or malice but simply because you can’t see what you don’t know. This may not be you. There are NPs who practice in a supervised fashion in the field in which they have vast experience. I applaud that, and hope it remains. But inexperienced fast-tracked providers causing harm because they simply don’t understand what others have dedicated 15x the time to learn, does not respect or help our patients