tag:blogger.com,1999:blog-4011144937808023981.post4138835537519262672..comments2024-03-08T10:44:40.837-05:00Comments on A Nurse Practitioner's View: Primary Health Care DefinedStephen Ferrara, DNP, RN, NPhttp://www.blogger.com/profile/16673192365074420538noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4011144937808023981.post-83380186824113570312009-08-06T22:06:50.725-04:002009-08-06T22:06:50.725-04:00Hi Whitny,
As you states, it's normal to hav...Hi Whitny, <br /><br />As you states, it's normal to have the feelings you are experiencing at this point as a student. <br /><br />Any uncomfortable situation I've encountered, I had the luxury of having a supportive team to collaborate with. I think it is imperative for a newly minted NP to have a very clear understanding of the support structure at their first job. Don't jump at the 1st offer you get - this is vital to your professional growth and development. <br /><br />I haven't heard anything substantive about NP residencies yet. I am sure there will be hybrids of a residency-type program. If primary care is your thing, I feel that spending time in the hospital is not where you should be spending the bulk of our time. Yes, its important to know complex diseases and comorbidities but our goal is to ensure that they dont get to that point.<br /><br />Thanks for reading and your comments. Good luck and feel free to ask any questions you may have, <br />StephenStephen Ferrara, DNP, RN, NPhttps://www.blogger.com/profile/16673192365074420538noreply@blogger.comtag:blogger.com,1999:blog-4011144937808023981.post-1368399212348989982009-08-06T02:03:50.064-04:002009-08-06T02:03:50.064-04:00Hi, I guess I'm a little late to this debate--...Hi, I guess I'm a little late to this debate--I just found your blog, y'see. I'm an NP student... I always intended to go to med school after becoming a nurse and I finished my prereqs for med school and took my MCATs and everything but decided to go with an FNP program because I love nursing, I love nurses, I love the place where nursing meets medicine, and I wanted an education that honored my nursing background. Anyhow, reading this debate made me a little nervous...HH spewed some vitriol about the NPs lack of "training" (he seems to use training and education interchangably here, though). I began to wonder if I've made the wrong decision, if I'm going to woefully underprepared for primary care. I don't want to function as a 2nd year resident (as one MD commenter described his impression of the "good" NPs he's worked with), nor do I want to subject my patients to my early-career learning curve. Newly-minted doctors get the benefit of a residency... now new RNs have the opportunity to complete a nurse residency program at many hospitals as well. What about NPs? I guess my questions are: 1) Did you ever or do you feel underprepared for you job? Now, I know feeling underprepared is normal for everybody at some point in their career (even MDs), but I mean, have you ever been in a dangerous situation because of your education, or is HH just bitter, misinformed, self-righteous, threatened and biased? My father is a doctor (a surgeon) and he gave me the impression that the NPs he works with are absolutely outstanding. 2) Have you heard any substantial chatter about residency programs for new NPs? <br /><br />Thanks, and I am loving your blog so far.Whitnyhttp://sideeffectsmayinclude.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-4011144937808023981.post-50820611982878536082009-06-24T21:20:07.241-04:002009-06-24T21:20:07.241-04:00I'm not sure I understand how the WHO definiti...I'm not sure I understand how the WHO definition of primary care could be met by an MBA with no medical training. Could you explain that a little more? Do you mean on a theoretical level or a practical level (with an MBA actually providing health care that would help eliminate health disparities)?Jane Knowhttps://www.blogger.com/profile/13737513919725679578noreply@blogger.comtag:blogger.com,1999:blog-4011144937808023981.post-52674571917824299092009-06-24T16:10:46.606-04:002009-06-24T16:10:46.606-04:00In no way is my comment intended to get into an ar...In no way is my comment intended to get into an argument about the capabilities of physicians versus nurse practitioners, since I agree with you that each are valuable parts of a health care team and continuum.<br /><br />I would point out, though, that the WHO definition of primary care could actually be met by an MBA with no medical training at all. The WHO definition's yard stick of health care need is much lower than experienced in most developed countries.<br /><br />ENCDINOSAURAnonymousnoreply@blogger.com