Thread by @Suburbanbella

@DocStrange_1 @GallaherCaren "However, our national organizations strongly oppose the view that emergency care is solely “physician-led” or that physicians should dictate education and practice standards for advanced practice registered nurses (APRNs). APRNs undertake rigorous preparation through their

@DocStrange_1 @GallaherCaren 2)education and clinical training through nationally accredited graduate programs, as well as pass national board certification exams. APRNs practice in accordance with the scope of practice determined by national standards and state law." I have no qualms in stating that there

@DocStrange_1 @GallaherCaren 3)is no emergency nurse practitioner(ENP) curriculum that can compare to the training required to become an emergency physician. Not even remotely close. If the AANP does not want physicians to dictate education or practice standards, then don't ask us to precept. Don't apply to

@DocStrange_1 @GallaherCaren 4)"residency" and "fellowship" programs developed by physicians in the ER. Because that is exactly what those programs, that have been supported by NPs, are doing. No one taught physicians how to train NPs because it was never supposed to be our job. I have always maintained that

@DocStrange_1 @GallaherCaren 5)the worst thing that ever happened to nursing education was when they allowed doctors to become the main educators for NPs. The best NPs with whom I have ever worked were trained by their own leadership. The physicians simply refined what was already present so that it fit into

@DocStrange_1 @GallaherCaren 6)their clinic practice model. Now docs are training nurses. So explain to me how a doc trains a nurse to be a NP when a doc has never been a NP? Therefore they must be teaching NPs to practice medicine because that is all docs know is medicine. Is that legal? Nope. But we do it

@DocStrange_1 @GallaherCaren 7)anyway because we think we know. There was no course or program that taught docs to transition from medical training to nursing training. And with the new NP grads from the degree mills today, we are teaching from scratch. The old school NPs knew their stuff--and their

@DocStrange_1 @GallaherCaren 8)limitations. The new grads--it is as if they never attended school. So imagine how smooth the transition is when a doc untrained in nursing is teaching a nurse poorly trained in nursing how to practice medicine. It's a joke. Education should not be a joke, especially when it

@DocStrange_1 @GallaherCaren 9)involves patient care. And as much as the AANP wants to spout nonsense about "rigorous education"--they know it it's inconsistent. Want to know who leads in ER nursing care? ER RNs, that's who. The ones who never get mentioned. Nothing like a good, seasoned ER nurse. I've

@DocStrange_1 @GallaherCaren 10)worked in EDs where it is just me and two ER nurses and been just fine. And those RNs never had a problem with me being the team leader. They also knew I could not do it w/o them. The NPs today don't have the RN experience to be good ER nurse, let alone a good NP. But the AANP

@DocStrange_1 @GallaherCaren 11)will never admit that, because if they do, they have to put a stop to their own agenda. That will never happen. The multitude of subpar NP schools need to go the way of Corinthian Colleges, Inc. because they are doing a disservice to nursing education and its reputation.

@DocStrange_1 @GallaherCaren 12)I agree with the AANP. They should direct their own education and practice standards. So just do it already.

Vanderbildt Emergency Nurse Practitioner and EM residency curriculums are attached. They are different because they are supposed to be. Two distinct disciplines.

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