Maggie Mahar writes a wonderful column, "The Battle over Letting Nurse Practitioners Provide Primary Care." I couldn't have summed it better myself.
The healthcare system of today is so complex yet so dysfunctional that I believe the time has come to educate and train the NP providers of tomorrow in a way that is reflective of that complexity. We have done a good job up to this point but need to bring that to the next level. Residency. I'm not necessarily referring to the typical residency training of physicians which takes place in hospitals but a residency-type of program in an out-patient setting (ironic that we use the term residency). We realize that healthcare is not exclusively delivered in hospitals. It takes place in independent providers offices, in community health centers, in mobile health vans, and in retail settings. It takes place in people's homes and places of employment. It takes place in many of the health decisions that we make on a daily basis. I found this NP residency program in Connecticut that claims to be the first NP residency in the US. The programs admits 4 NPs each year and trains them to ha...
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A friend of mine is an NP in charge of a clinic and thousands of patients in a state prison. He also has not taken a vaca.tion (longer than 4 days for Thanksgiving) in 3 years. He loves his job helping patients and because of his dedication, I am worried that he will not be able to let himself take a vacation (worries about patient abandonment and increased mortality while gone).
How do you deal with taking some time off? What do you tell yourself in order to give permission to leave? How do you trust your co-workers to maintain continuity of care? Thanks so much for any answer (or direction on where to find answers).
Your friend has to leave work at work. There is no way to be able to care for everyone all the time. Your friend needs to trust the covering clinicians to do a good job (especially if they are in charge of hiring them).
Vacations are needed to maintain a balance in one's life. If somebody is working constantly, something will begin to suffer.
Hope that helps!
Stephen