I may have an unpopular opinion here, but I don't think that Robyn should be commenting so much on nursing care, nursing practice, etc. when she hasn't truly practice as an RN, let alone an NP yet. She seems to have a lot of theoretical knowledge and nursing school knowledge, but not much in practice, and it is much, much different in practice. I do appreciate her input on her decisions and what lead her to nursing! Those portions were very insightful.
As a nurse & FNP student I have to disagree with this interview. As a NP you take on the role of a practitioner and focus more on diagnosing and prescribing. Where as an RN you are more trained for the scope of nursing.
As a NP you can function as a first assist in surgery as a PA would, you just have to attend a specific program to be able to do that. FNPs are unable to do this, but there are ACNP programs that allow you to do this. And there is a national certification process to do this as an RN as well - RNFA.
This video was so helpful! I'm in high school and I've been trying to decide if I want to be a doctor, nurse practitioner, or PA, and this video really helped me decide on NP. Thank you so much for the helpful information!
It would be awesome if you could interview a nurse anesthetist (CRNA)! I'm a soon-to-be senior nursing student and after shadowing extensively that is the career path I have decided to take. Thanks for your videos!
Yeah, I agree, it would be fascinating for you to interview an experienced MSN or DNP CRNA and an MDA. Maybe they could explain their educational backgrounds/differences/similarities and careers. If you need an SRNA to interview I'll volunteer.
I know the Columbia program she did, and it's for people who truly are committed. A great choice! I was a seasoned RN before I became an NP, but I did meet people with no experience as an RN who became NPs almost overnight - they worked twice as hard and were just as effective as practitioners. I've never seen this done in any other field.
And this is why NP's struggle to get a job, the direct entry option is a curse. While its not as bad for FNP but there are direct entry AGACNP programs and those people hang out in allnurses.com crying about not being able to get a job.
As a college freshman considering a career in medicine but has not clue what path to go on, this video was incredibly helpful and insightful! I've just been feeling so lost lately and stressed about thinking of what I want to do with my life. Thank you Andrea and Robyn for sharing your thoughts and experiences! I definitely found the advice and information I needed at the right time :)
That's interesting, but a family medicine residency involves so much more training, the residents rotate through adult inpatient, pediatrics inpatient, different outpatient settings ( sub specialties of family med: dermatology, sports medicine, sleep medicine, psych etc), they deliver their patient's babies, they have to have a certain number of deliveries to graduate. They participate in research, attend lectures and conferences. Do what makes you happy, but one shouldn't take the easier route if they feel they are settling and it's not really the kind of education they want. NP is a good choice if that is what you want, don't compare it to medical school and residency, because it's like you are comparing apples to oranges. Great video though.
That's an interesting path. I'm heading to medical school with a bachelor in nursing. I love being a nurse. But i'm so interested in medicine and i thrive in the atmosphere of nonstop studying. I get such gratification from it for some odd reason lol.
Same. My problem is that I can't finish all the premed prereqs and nursing classes without going into a fifth year. Were you able to finish all your classes in four years of nursing school?
+seapinkoyster nop. Also, take advantage of your nursing degree. Get a job and get real world experience. Graduating nursing school doesn't make someone a nurse. Taking care of patients and the clinical experience is what makes you a nurse. It's a wonderful professor and you studied your ass off to get there. Get 2-3 years of experience under your belt then head to medical school. You'd have a much easier time assimilating the material because you've taken care of people with the conditions you'll be studying. You'd know what the pathophysology and treatments of the diseases are before even setting foot in a medical school campus. Get the experience and work on doing volunteer work/research/studying for the MCAT once you graduate college. Either way it's your choice. But taking all the prereqs while in nursing school is really hard. It's a lot of classes to take and nursing school is demanding at is it. And who knows if your schedule would even allow in the first place.
Honey Lemon yesss! would love to see this. I'm in the process of getting my BSN right now and there's so many things to choose from if I wanted to go further than nursing.. NP, PA, CRNA etc. I feel like a video like that would be super helpful!
Great video!! I'm currently working my way to nursing school but there's still apart of me that wants to go MD. At least I know there are more options out there if I do want to pursue something down that route. Keep up the great videos :')
Hello Andrea! I am in the military and planing to start taking online classes to get my Bachelor's in Psychology, after that I'm not really sure if I want to get a Master's in Social Work or go to medical school to get a Psychiatry degree. The big problem here is that I am planing to start a family soon and feel that it will be extremely overwhelming to deal with all this. Did you meet people in my situation in medical school? And, how did they deal with this? Thanks
Now that I'm done with my college application, I am doing a marathon of all the videos that you've uploaded. Your videos are so inspirational and help me understand what it really takes to be a physician. It would be so great if you can do an interview with an international student who went to medical school in the US and became a physician. I am an international student, currently a senior in high school in the States, and going to college this fall. My dream is to take the traditional pre-med path during my undergrad, working hard on both my academics and ECs, go to medical school in the States (fell in love with Perelman School of Medicine at the UPenn) and eventually practice in the US as a pediatric surgeon. Not all medical schools accept internationals, but there are plenty med schools that do accept foreigners. However, internationals are expected to have higher stats in both academics and ECs due to the higher competitions for very limited spots and disadvantages as foreigners during the application process. I would love to see that being a physician in the US without permanent residency and citizenship is possible and get some inspirations from those who have gone through the same path. Thank you again for great videos!
+Sungjae “Luke” Park It is possible. She did a video based on this.If you go abroad you have to come to terms with possibly not getting a specialty of your choice. If its your passion though you could really do it. If you are in high school though I wouldn't even consider the international route. By the time you graduate the whole landscape could be very different.
I find it interesting that in Ms. Coale's explanation of how the NP philosophy resonated with her, compared with the "doctor" and PA philosophies and responsibilities, actually describes Osteopathic Medicine and its philosophy! (*see between 7:00min and 8:00min. mark) This causes me to conclude that what Ms. Coale must be refering to with her "doctor" philosophy must be referring to Allopathic Physicians. I wonder what the difference between an NP and a DO would be, other than the fact that one is a nurse and the other a doctor?!?
Hmmm.... That is interesting I always wanted to know the difference between an NP and PA since they are both mid-level healthcare professionals did not realize maybe it's the way they are educated. Maybe the same can be said for a DO and an MD but then there are also NDs lol too many to keep up.
Omg thank you so much for this video! I am in the middle of deciding between MD, PA and NP and this video just pushed me into the NP direction even more. I will be 30 this year and recently went back to school to get my degree and continue my path to my career. My goal was OB but I love the Midwifery route as well. I think becoming a Certified Nurse Midwife is for me. I live in NYC and thought the Columbia program was a good one. Once again, thank you! I wanted to request an NP video but didn't think it was possible.
This has really helped me, Andrea! I am so glad I came across this video. What you are doing is great and I am sure a lot of your viewers appreciate your videos very much. I actually have decided to pursue a career as PA because I didn't feel the drive to become a physician. I thought that a PA would be a better alternative. This is mainly because I felt a PA would not only be able to interact with patients and connect on a more personal level but because PA's are able to prescribe medicine. This is important to me because I was always interested in a career where I can connect and socialize with my patients yet feel I am in control and important in other ways. I'm almost embarrassed to say this but I was not aware that NP's were able to prescribe medicine -- probably because I never experienced it first hand. Nevertheless, I wish I would have researched the medical field overall before choosing my major. I guess I was always using an RN and an NP interchangeably without knowing it, haha. After watching this video, I realized that an NP might be better suited for me actually. I honestly don't care much for medicine. Don't get me wrong, I find it intriguing but the main reason why I wanted to be in the medical field was to make my parents sacrifices worth something, yet be able to emphasize my own aspirations by interacting and assisting patients not only externally but internally and emotionally. Considering an NP is more emphasized in what I truly am passionate about, I think I FINALLY know what I want to do and pursue!!! This feels so great. Thank you again.
yea..... NP is definitively for me because thats how i view everything even tho im not a professional. every time im sick i always think if is cause of stress? am i not eating right? i always do those things first and if i dont get better than thats where ill go to the doctor but it sucks for me because im already a junior in a Biology program so ill have to do to the entry msn and so far the ones i have seen are soooo expensive compare to PA where is one price covering the whole 2 years.
The fallacy is to think that physicians don't treat patients, "holistically." That's called "a good social history." This Holistic vs. Medical comparison is a false dichotomy. Hopefully I'm wrong, but it seems this is done to refute the rather obvious expertise that comes from 20k hrs of education.
Thank you so much for this interview. It was very informative and answered a lot of questions that I've been having trying to decipher between N.P and P.A.
Go to a doctor; finds lung cancer. NP: have you changed your air filter? Your lungs sound silly. This is wildly inaccurate. As a medical student, we are trained CONSTANTLY to discover all aspects that may contribute to pathology. Mind, body, and spirit. NP: 500 clinical hours minimum. 1 board exam that takes 2 hours. Never re-certify. Practice in any speciality without more training. Demand greater scope. Get “doctorate” in NP which adds no clinical training and then put “doctor” on their “white coat” and fools patients. Meanwhile, the AANP lobbies for greater scope and independence of tests. There are several 100% acceptance ONLINE NP programs that require ZERO clinical experience. Why would that person be qualified to do anything beyond take vitals? They aren’t. MD/DO: 6,000 hours IN MED SCHOOL clinical hours in all major specialties. Then 15,000-20,000 clinical hours in residency SUPERVISED before you can touch a patient independently. Cannot switch to a other specialty without ANOTHER residency. 5 FULL DAYS of board examinations taken in 3 different exams. Must retake every 10 years. Takes liability for NPs when they screw up and kill patients. DO NOT ALLOW AN NP OR PA TO TREAT YOU OR YOUR FAMILIES. www.ama-assn.org/practice-management/scope-practice/3-year-study-nps-ed-worse-outcomes-higher-costs “PMHNP aren’t trained in the ‘medical’ side.. just the psychiatric side.” Yeah- psychiatrist go through medical school and DO understand the entire patient.. why would you see a mental health NP? Why are hospitals hiring so many NP/PAs? Because they can pay them 1/3 the salary. Period. This needs to change.
I'm a RN who is considering going into anesthesia. I along with many others often vacillate between pursing nurse anesthesia and anesthesiologist. If you could find a CRNA that became a MDA that would be phenomenal.
Hello Dr. Tooley! Would it be possible for you to interview an ENT specialist? I believe it is a highly interesting field and the videos I could find were no match for your interviews
I just started going to school, im still an undergraduate student but i don't know if i should do a nursing major or biology pre med major. I am on the fence about going full out to med school but also interested in NP, I'm thinking if med school fails I can go to NP but what would be the best undergrad route and most beneficial? I dont want to have to do double the prerequisites in the end if that makes sense. ADVICE PLEASE.
I have to say that, at least in Canada, becoming a Nurse Practitioner appears to have several practical advantages compared to going into medicine. The money is quite good; not as much as a doctor, but you also don't have the same level of responsibility so that's totally reasonable. It's much more affordable; the cost of medical education is especially bad up here (although I know that it's extremely high no matter where you go). At 8-9 years it doesn't take as long to complete the NP certificate; 4 year degree + 2 years clinical experience + 2-3 year program, and you're also making money for those two years that you're working for the clinical experience. The grades and number of applicants also aren't as competitive as medical school (although to be sure, they're still very competitive by any other measure). The main advantage is that, in today's world of staff shortages and budget cuts, nurse practitioners provide bean counters with an attractive alternative to doctors simply because they don't cost as much. They can't replace doctors entirely, but they don't need to; as long as they can save the institution money there will always be a place for them. I don't know if the same can be said of doctors; in Ontario, the province where I live (it's the administrative equivalent of an American state), we're perpetually short of doctors, but just last year the provincial government actually cut 50 residency spots. So from where I'm standing (just starting nursing school) the NP certificate looks like an increasingly attractive and more realistic option. Also, with the scope of practice for NP's slowly being expanded, it's possible that in the next 10-20 years NP's may be allowed to write certification exams like the USMLE (similar to how DO's were), or at least be given a faster route to become MD's. Knowing my luck, I'd probably be in my 3rd-4th year of medical school when they did this. In Canada we unfortunately don't have the entry to practice program mentioned here; once you get your bachelors degree you need a minimum of two years experience in a clinical setting before you're eligible to apply to an NP program. The clinical experience is probably a huge help though.
+Ezinwa Agokei You need to be an RN with at least two years of full time clinical experience to apply to an NP program. To become an RN you need either a Bachelor of Nursing (BN) or Bachelor of Science in Nursing (BScN) degree. This is a 4 year degree that involves a number of science, humanities, and administrative courses, and clinical placements (I'm doing the BScN at Ryerson) Also, the two NP programs I've looked into (at Ryerson and U of T), both give preference to students who can maintain an overall average of A- in years 3 and 4 of their nursing degree program. If you're in high school, make sure you're taking biology, chemistry, English, and math at the academic level in grades 11 and 12, and try to get at least mid-80's in all of them. That will give you a competitive average for most programs.
This was an excellent video. I have been trying to decide on what path to go in medicine. And this video gave a very nice and clear description of the two paths I was trying to decide between (doctor, NP, or pharmacsit). Even though you didn't interview a pharmacist-- wish you should :)-- the comaprsion between the two fields was tremoundsly helpful. God Bless. I think I know what I want to do now. I also like the questions and the answers. And the fact that the answers were uniuqe not the same generic answers everyoe else says. Thanks again to both of you!
Do you think you could do a video with an engineering or computer science pre med? I feel they might have a different story as opposed to other pre med paths. Just a thought.
Can you do a video on some of the sacrifices that you had to make choosing the path of being a physician. IK that as a female we have to think about stuff like putting off having kids until the end of residency for example. So maybe a video on some of the challenges that you had to overcome to become a doctor, etc.
this answers my question, thank you for this! Andrea, I have a question for you. Do you ever wish you went the midlevel route? Or being an MD is still the decision you would make if you had to do it again?
I just came across this channel and have truly enjoyed your interview videos because they have exposed me to so many lesser known health professions! Can you please interview a pharmacist next? Thank you :)
Thank you so much for the video!! I'm really looking into becoming a np even though I'm still a junior in high school...never too early to start thinking I'm thinking of doing my bsn first and then going off to np school but going to see how life takes me
So as a highschooler trying to decide what they wan to do with there life . I always loved the medical side .And thought I wanted to become a doctor . But when I really thought about it, I don't want to spend my whole life in medical school . Because I have other goals in life beside becoming a doctor . So I think a Nurse Practitioner will be a better choice for me.
Any advice for choosing between becoming a Mental Health Nurse Practitioner and going into a field like neuropsychology? I believe in the holistic model, and want to one day have a practice where I can offer therapy/medicine. I have such a fascination in neuroscience; I started as a psychology major but recently switched to pre-nursing and am one semester away from clinicals. I am having a difficult time deciding whether to stick with nursing or continue onward with psychology/neuroscience (have been offered a full scholarship to a prestigious school) I know it's a lot more time and less financial return going into psychology, but I want to have a practice where I can spend time with patients and focus on holistic well-being. Any advice would be appreciated! Thanks!
+Keishawn Roye My sister knows an nba team surgeon. It is difficult because of the amount of jobs there are. Often times you go to med school but you may have had a background in sports management before. There is sports medicine as a specialty. If you have done research in your field it helps a lot. You could even start after your training is done by networking with the right people and offering to do college and high school teams.
what is the name of the school Robyn mentioned with the double FNP-Nurse Midwife program? I'd never heard of it so I can't quite make out what she says. thanks!!
I'm so glad I found your channel! I love the advice you're giving in your videos and the interviews with people in different areas and professions of the medical field! I was wondering if you could do a video talking about Mayo Clinic? Like did you go to Mayo Clinic med school or did you go somewhere else and are doing your residency at Mayo? Whats living in Minnesota like (I'm new to your channel so forgive me if I'm wrong about you being there now)? What's different about the program compared to others? Etc. Thank you!!
Please help I have a question! A nurse practitioner can prescribe medication correct? What if a nurse practitioner is at a house party where people are drinking. Just a normal house party. No illegal drugs. And there is someone at the party who is 18 and underaged. This nurse practitioner has nothing to do with the underaged drinker at the party. If the party got busted and a cop found the underaged drinker could that nurse practitioner get into trouble? I only ask because I was told they will get in trouble if this situation happened. But I think that's total bullshit and they wouldn't get into trouble at all. Someone please give me a simple answer to this.
So glad I watched this video. I have a BS and MS in another field but I'm taking nursing prerequisites now. I definitely want to take the NP route, so it's good to know about the MDE/DNP programs. Love your videos by the way.
I totally agree with her! As a nurse I work in oncology with many MDs and ARNPs and her opinion resonates. Nursing training is very person oriented instead of pathology oriented. Overall assessment skills are emphasized in NP training. Awesome interview. Thank you!
Hey Andrea !! Love your videos, keep up the great work! I was wondering if you could possibly do a video interviewing an oral and maxillofacial surgeon
Could you do a video on how to get through med school with mental health problems? I am afraid my depression will get in the way of my success in med school.
I think this overall a good video, but I dislike that the narrative of the "holistic care" thing went largely unchallenged. It's simply part of the nursing propaganda that doctors treat the disease and not the person. If a doctor sees someone with clear signs of malnutrition and doesn't inquire further or ask no SocHx of patients, they are a poor physician.
I think they made it very clear that it is up to the physician how they choose to practice but rather they were commenting on the differences in the training of each profession. Nurses education focuses largely on the patient as a whole- physical, emotional, etc- whereas an MDs may not necessarily. It is simply a difference in training that may affect how each practice.
Can you possibly do a PM&R physician interview? I'm entering into my Health and Exercise Science bachelors degree soon and am curious to know if they would have any suggestions on the best path for someone interested in that field to take. :)
Hi Dr.Tooley! I follow you on IG and I think you are so awesome and inspiring not just for Med students but all types of healthcare students. :) I'm an RN in a DNP program for Family Nurse Practitioner and was wondering if you could interview Dr.Laurie Anne Ferguson who is a professor at Loyola University in New Orleans. She is a Doctorally prepared NP and has tons of experience, I think she would be a great addition for your channel interviews. Thanks!
***** Wait 4 years after your bachelor's? Then that's 4 years of colleges, 4 years of nursing studies.......... same as medical school??? Why not just become a doctor then? :O
+1MissLovely1 actually I'm in the nursing program which is 1 year only since it includes summer. (4 semesters). And I finished my prereqs for the nursing program in 1 year. So you can be an RN in 2yrs. Most ppl finish in 3yrs.
+1MissLovely1 this is for people who already have a bachelors degree in another field. I'm in a four-year university. When I graduate, I will have my BSN. So that takes out an extra four years
Andrea, I love you, but you should not let a non-physician incorrectly speak about the way medicine is done. A nurse at any level, can only "nurse" a patient. NP's/"Advanced Nurses" should not fool themselves into thinking their training is sufficient enough to replace any board-certified physician in any capacity (even primary care). But if they want to play Doctor, without the Doctor training/education/over-sight, it's gonna suck for their patients.
ow mikeh well that disease-holistic dichotomy is just too simplistic. Medicine is not just about the disease. It's also an art. Medical students also have to know the social determinants of health and biomedical ethics to become a good doctor. The idea that doctors see the patient as "a disease that needs to be cured" is quite preposterous. I honestly feel like this holistic philosophy nurses so heavily put forth is just pure propaganda.
I may have an unpopular opinion here, but I don't think that Robyn should be commenting so much on nursing care, nursing practice, etc. when she hasn't truly practice as an RN, let alone an NP yet. She seems to have a lot of theoretical knowledge and nursing school knowledge, but not much in practice, and it is much, much different in practice. I do appreciate her input on her decisions and what lead her to nursing! Those portions were very insightful.
I agree with your comment. I'm an NP student from Canada and where I'm from, you need to have 4500 practice hours to be considered for NP school.
As a nurse & FNP student I have to disagree with this interview. As a NP you take on the role of a practitioner and focus more on diagnosing and prescribing. Where as an RN you are more trained for the scope of nursing.
The whole bit on pathology vs biosocial model is the reason I want to go the D.O route vs M.D! Well put Robyn!
She's so frank - I love it!! Excellent information, thank you for this video!!!
Can you interview a Certified Registered Nurse Anesthetist (CRNA)? Please and thank you. I love your videos! :)
You should do an anesthesiologist interview next!!!!!
I'd love it too!! 😍
I would love to see an interview with a CRNA!
As a NP you can function as a first assist in surgery as a PA would, you just have to attend a specific program to be able to do that. FNPs are unable to do this, but there are ACNP programs that allow you to do this. And there is a national certification process to do this as an RN as well - RNFA.
This video was so helpful! I'm in high school and I've been trying to decide if I want to be a doctor, nurse practitioner, or PA, and this video really helped me decide on NP. Thank you so much for the helpful information!
It would be awesome if you could interview a nurse anesthetist (CRNA)! I'm a soon-to-be senior nursing student and after shadowing extensively that is the career path I have decided to take. Thanks for your videos!
Can you do a CRNA interview? Please and thank you.
I second this
Third it.
Yeah, I agree, it would be fascinating for you to interview an experienced MSN or DNP CRNA and an MDA. Maybe they could explain their educational backgrounds/differences/similarities and careers. If you need an SRNA to interview I'll volunteer.
I know the Columbia program she did, and it's for people who truly are committed. A great choice! I was a seasoned RN before I became an NP, but I did meet people with no experience as an RN who became NPs almost overnight - they worked twice as hard and were just as effective as practitioners. I've never seen this done in any other field.
And this is why NP's struggle to get a job, the direct entry option is a curse. While its not as bad for FNP but there are direct entry AGACNP programs and those people hang out in allnurses.com crying about not being able to get a job.
As a college freshman considering a career in medicine but has not clue what path to go on, this video was incredibly helpful and insightful! I've just been feeling so lost lately and stressed about thinking of what I want to do with my life. Thank you Andrea and Robyn for sharing your thoughts and experiences! I definitely found the advice and information I needed at the right time :)
Thank you Dr. Andrea for your useful videos. I would like to see an interview with a neurosurgeon.
That's interesting, but a family medicine residency involves so much more training, the residents rotate through adult inpatient, pediatrics inpatient, different outpatient settings ( sub specialties of family med: dermatology, sports medicine, sleep medicine, psych etc), they deliver their patient's babies, they have to have a certain number of deliveries to graduate. They participate in research, attend lectures and conferences. Do what makes you happy, but one shouldn't take the easier route if they feel they are settling and it's not really the kind of education they want. NP is a good choice if that is what you want, don't compare it to medical school and residency, because it's like you are comparing apples to oranges. Great video though.
Please interview a psychiatrist...specifically correctional/addiction/forensic psychiatrist.
CRNA interview please!!! 🙋🏻
Hey I'm new to your channel, I've watched all your videos and they are great!! I was wondering if you could get an interview with a CRNA?
That's an interesting path. I'm heading to medical school with a bachelor in nursing. I love being a nurse. But i'm so interested in medicine and i thrive in the atmosphere of nonstop studying. I get such gratification from it for some odd reason lol.
Same. My problem is that I can't finish all the premed prereqs and nursing classes without going into a fifth year. Were you able to finish all your classes in four years of nursing school?
+seapinkoyster nop. Also, take advantage of your nursing degree. Get a job and get real world experience. Graduating nursing school doesn't make someone a nurse. Taking care of patients and the clinical experience is what makes you a nurse. It's a wonderful professor and you studied your ass off to get there. Get 2-3 years of experience under your belt then head to medical school. You'd have a much easier time assimilating the material because you've taken care of people with the conditions you'll be studying. You'd know what the pathophysology and treatments of the diseases are before even setting foot in a medical school campus. Get the experience and work on doing volunteer work/research/studying for the MCAT once you graduate college. Either way it's your choice. But taking all the prereqs while in nursing school is really hard. It's a lot of classes to take and nursing school is demanding at is it. And who knows if your schedule would even allow in the first place.
Maybe an advice videos on how to know which medical field is your calling
Honey Lemon yesss! would love to see this. I'm in the process of getting my BSN right now and there's so many things to choose from if I wanted to go further than nursing.. NP, PA, CRNA etc. I feel like a video like that would be super helpful!
adrien daigle agreed! And congratulations on getting this far. Wish ya good luck!
Great video!! I'm currently working my way to nursing school but there's still apart of me that wants to go MD. At least I know there are more options out there if I do want to pursue something down that route. Keep up the great videos :')
Same here. Currently in my senior year of Nursing school and contemplating about Medical school or CRNA school.
thank you so much for this video Andrea!! im very much considering a career as a NP and this helped so much! you're the best 👍👍👐👐👏👏
These are so helpful!! Thank you very much I love watching them. You are the sweetest person and such a great role model!!
Hello Andrea! I am in the military and planing to start taking online classes to get my Bachelor's in Psychology, after that I'm not really sure if I want to get a Master's in Social Work or go to medical school to get a Psychiatry degree. The big problem here is that I am planing to start a family soon and feel that it will be extremely overwhelming to deal with all this. Did you meet people in my situation in medical school? And, how did they deal with this? Thanks
I wish she would have spoke of the importance of patient education and the role/importance of the NP connecting to and educating patients.
Now that I'm done with my college application, I am doing a marathon of all the videos that you've uploaded. Your videos are so inspirational and help me understand what it really takes to be a physician. It would be so great if you can do an interview with an international student who went to medical school in the US and became a physician. I am an international student, currently a senior in high school in the States, and going to college this fall. My dream is to take the traditional pre-med path during my undergrad, working hard on both my academics and ECs, go to medical school in the States (fell in love with Perelman School of Medicine at the UPenn) and eventually practice in the US as a pediatric surgeon. Not all medical schools accept internationals, but there are plenty med schools that do accept foreigners. However, internationals are expected to have higher stats in both academics and ECs due to the higher competitions for very limited spots and disadvantages as foreigners during the application process. I would love to see that being a physician in the US without permanent residency and citizenship is possible and get some inspirations from those who have gone through the same path. Thank you again for great videos!
+Sungjae “Luke” Park It is possible. She did a video based on this.If you go abroad you have to come to terms with possibly not getting a specialty of your choice. If its your passion though you could really do it. If you are in high school though I wouldn't even consider the international route. By the time you graduate the whole landscape could be very different.
I am in Canada and the system is a little different here so I was hoping you could give some advice for Canadians
I find it interesting that in Ms. Coale's explanation of how the NP philosophy resonated with her, compared with the "doctor" and PA philosophies and responsibilities, actually describes Osteopathic Medicine and its philosophy! (*see between 7:00min and 8:00min. mark) This causes me to conclude that what Ms. Coale must be refering to with her "doctor" philosophy must be referring to Allopathic Physicians. I wonder what the difference between an NP and a DO would be, other than the fact that one is a nurse and the other a doctor?!?
Hmmm.... That is interesting I always wanted to know the difference between an NP and PA since they are both mid-level healthcare professionals did not realize maybe it's the way they are educated. Maybe the same can be said for a DO and an MD but then there are also NDs lol too many to keep up.
Your interviews are the best that I've found! Thank you!
Omg thank you so much for this video! I am in the middle of deciding between MD, PA and NP and this video just pushed me into the NP direction even more. I will be 30 this year and recently went back to school to get my degree and continue my path to my career. My goal was OB but I love the Midwifery route as well. I think becoming a Certified Nurse Midwife is for me. I live in NYC and thought the Columbia program was a good one. Once again, thank you! I wanted to request an NP video but didn't think it was possible.
This has really helped me, Andrea! I am so glad I came across this video. What you are doing is great and I am sure a lot of your viewers appreciate your videos very much.
I actually have decided to pursue a career as PA because I didn't feel the drive to become a physician. I thought that a PA would be a better alternative. This is mainly because I felt a PA would not only be able to interact with patients and connect on a more personal level but because PA's are able to prescribe medicine. This is important to me because I was always interested in a career where I can connect and socialize with my patients yet feel I am in control and important in other ways.
I'm almost embarrassed to say this but I was not aware that NP's were able to prescribe medicine -- probably because I never experienced it first hand. Nevertheless, I wish I would have researched the medical field overall before choosing my major. I guess I was always using an RN and an NP interchangeably without knowing it, haha.
After watching this video, I realized that an NP might be better suited for me actually. I honestly don't care much for medicine. Don't get me wrong, I find it intriguing but the main reason why I wanted to be in the medical field was to make my parents sacrifices worth something, yet be able to emphasize my own aspirations by interacting and assisting patients not only externally but internally and emotionally. Considering an NP is more emphasized in what I truly am passionate about, I think I FINALLY know what I want to do and pursue!!! This feels so great. Thank you again.
yea..... NP is definitively for me because thats how i view everything even tho im not a professional. every time im sick i always think if is cause of stress? am i not eating right? i always do those things first and if i dont get better than thats where ill go to the doctor but it sucks for me because im already a junior in a Biology program so ill have to do to the entry msn and so far the ones i have seen are soooo expensive compare to PA where is one price covering the whole 2 years.
The fallacy is to think that physicians don't treat patients, "holistically." That's called "a good social history." This Holistic vs. Medical comparison is a false dichotomy. Hopefully I'm wrong, but it seems this is done to refute the rather obvious expertise that comes from 20k hrs of education.
This was so so so helpful! Thank you so much for interviewing her!!
Thank you so much for this interview. It was very informative and answered a lot of questions that I've been having trying to decipher between N.P and P.A.
Great interview! I have always wanted to be a nurse and then move on to midwifery and this has been a great help to me!
Go to a doctor; finds lung cancer.
NP: have you changed your air filter? Your lungs sound silly.
This is wildly inaccurate. As a medical student, we are trained CONSTANTLY to discover all aspects that may contribute to pathology. Mind, body, and spirit.
NP: 500 clinical hours minimum. 1 board exam that takes 2 hours. Never re-certify. Practice in any speciality without more training. Demand greater scope. Get “doctorate” in NP which adds no clinical training and then put “doctor” on their “white coat” and fools patients. Meanwhile, the AANP lobbies for greater scope and independence of tests. There are several 100% acceptance ONLINE NP programs that require ZERO clinical experience. Why would that person be qualified to do anything beyond take vitals? They aren’t.
MD/DO: 6,000 hours IN MED SCHOOL clinical hours in all major specialties. Then 15,000-20,000 clinical hours in residency SUPERVISED before you can touch a patient independently. Cannot switch to a other specialty without ANOTHER residency. 5 FULL DAYS of board examinations taken in 3 different exams. Must retake every 10 years. Takes liability for NPs when they screw up and kill patients.
DO NOT ALLOW AN NP OR PA TO TREAT YOU OR YOUR FAMILIES.
www.ama-assn.org/practice-management/scope-practice/3-year-study-nps-ed-worse-outcomes-higher-costs
“PMHNP aren’t trained in the ‘medical’ side.. just the psychiatric side.” Yeah- psychiatrist go through medical school and DO understand the entire patient.. why would you see a mental health NP?
Why are hospitals hiring so many NP/PAs? Because they can pay them 1/3 the salary. Period. This needs to change.
This was so helpful omg
I'm a RN who is considering going into anesthesia. I along with many others often vacillate between pursing nurse anesthesia and anesthesiologist. If you could find a CRNA that became a MDA that would be phenomenal.
Hello Dr. Tooley! Would it be possible for you to interview an ENT specialist? I believe it is a highly interesting field and the videos I could find were no match for your interviews
I just started going to school, im still an undergraduate student but i don't know if i should do a nursing major or biology pre med major. I am on the fence about going full out to med school but also interested in NP, I'm thinking if med school fails I can go to NP but what would be the best undergrad route and most beneficial? I dont want to have to do double the prerequisites in the end if that makes sense. ADVICE PLEASE.
itsbeccala I have the same dilema
& I can't decide between NP or MD
I have to say that, at least in Canada, becoming a Nurse Practitioner appears to have several practical advantages compared to going into medicine. The money is quite good; not as much as a doctor, but you also don't have the same level of responsibility so that's totally reasonable. It's much more affordable; the cost of medical education is especially bad up here (although I know that it's extremely high no matter where you go). At 8-9 years it doesn't take as long to complete the NP certificate; 4 year degree + 2 years clinical experience + 2-3 year program, and you're also making money for those two years that you're working for the clinical experience. The grades and number of applicants also aren't as competitive as medical school (although to be sure, they're still very competitive by any other measure).
The main advantage is that, in today's world of staff shortages and budget cuts, nurse practitioners provide bean counters with an attractive alternative to doctors simply because they don't cost as much. They can't replace doctors entirely, but they don't need to; as long as they can save the institution money there will always be a place for them. I don't know if the same can be said of doctors; in Ontario, the province where I live (it's the administrative equivalent of an American state), we're perpetually short of doctors, but just last year the provincial government actually cut 50 residency spots. So from where I'm standing (just starting nursing school) the NP certificate looks like an increasingly attractive and more realistic option. Also, with the scope of practice for NP's slowly being expanded, it's possible that in the next 10-20 years NP's may be allowed to write certification exams like the USMLE (similar to how DO's were), or at least be given a faster route to become MD's. Knowing my luck, I'd probably be in my 3rd-4th year of medical school when they did this.
In Canada we unfortunately don't have the entry to practice program mentioned here; once you get your bachelors degree you need a minimum of two years experience in a clinical setting before you're eligible to apply to an NP program. The clinical experience is probably a huge help though.
I'm a high school student in Canada hoping to become an NP, how many years of school is required and do I need to be an RN first ?
+Ezinwa Agokei You need to be an RN with at least two years of full time clinical experience to apply to an NP program. To become an RN you need either a Bachelor of Nursing (BN) or Bachelor of Science in Nursing (BScN) degree. This is a 4 year degree that involves a number of science, humanities, and administrative courses, and clinical placements (I'm doing the BScN at Ryerson)
Also, the two NP programs I've looked into (at Ryerson and U of T), both give preference to students who can maintain an overall average of A- in years 3 and 4 of their nursing degree program. If you're in high school, make sure you're taking biology, chemistry, English, and math at the academic level in grades 11 and 12, and try to get at least mid-80's in all of them. That will give you a competitive average for most programs.
+DWSimmy Thank you so much this was very helpful 😊 I really appreciate it.
Wow I loved this! You guys really know what you are talking about
do you think I should major in biomolecular science or nursing to prepare for medical school?
This was an excellent video. I have been trying to decide on what path to go in medicine. And this video gave a very nice and clear description of the two paths I was trying to decide between (doctor, NP, or pharmacsit). Even though you didn't interview a pharmacist-- wish you should :)-- the comaprsion between the two fields was tremoundsly helpful. God Bless. I think I know what I want to do now. I also like the questions and the answers. And the fact that the answers were uniuqe not the same generic answers everyoe else says. Thanks again to both of you!
Do you think you could do a video with an engineering or computer science pre med? I feel they might have a different story as opposed to other pre med paths. Just a thought.
Can you do a video on some of the sacrifices that you had to make choosing the path of being a physician. IK that as a female we have to think about stuff like putting off having kids until the end of residency for example. So maybe a video on some of the challenges that you had to overcome to become a doctor, etc.
this answers my question, thank you for this! Andrea, I have a question for you. Do you ever wish you went the midlevel route? Or being an MD is still the decision you would make if you had to do it again?
I just came across this channel and have truly enjoyed your interview videos because they have exposed me to so many lesser known health professions! Can you please interview a pharmacist next? Thank you :)
--Thank you so much for this - I really needed to hear this.
Thank you so much for the video!! I'm really looking into becoming a np even though I'm still a junior in high school...never too early to start thinking I'm thinking of doing my bsn first and then going off to np school but going to see how life takes me
How do you know whether to do the nursing route (and become a NP) or to do the medical school route?
CRNA! CRNA NEXT PLEASE
Great video, can you please link the first video of this interview, can't find it anywhere.
So as a highschooler trying to decide what they wan to do with there life . I always loved the medical side .And thought I wanted to become a doctor . But when I really thought about it, I don't want to spend my whole life in medical school . Because I have other goals in life beside becoming a doctor . So I think a Nurse Practitioner will be a better choice for me.
LOVE you Andrea!! you're awesome!
Do an interview with a Psych NP please.
This video was extremely helpful...thank you so much!
Any advice for choosing between becoming a Mental Health Nurse Practitioner and going into a field like neuropsychology? I believe in the holistic model, and want to one day have a practice where I can offer therapy/medicine. I have such a fascination in neuroscience; I started as a psychology major but recently switched to pre-nursing and am one semester away from clinicals. I am having a difficult time deciding whether to stick with nursing or continue onward with psychology/neuroscience (have been offered a full scholarship to a prestigious school) I know it's a lot more time and less financial return going into psychology, but I want to have a practice where I can spend time with patients and focus on holistic well-being. Any advice would be appreciated! Thanks!
so how many years did it take you to do both BSN and NP degree?
Is it hard to become Sports Medicine Physician for Professional basketball team? NBA specifically?
+Keishawn Roye My sister knows an nba team surgeon. It is difficult because of the amount of jobs there are. Often times you go to med school but you may have had a background in sports management before. There is sports medicine as a specialty. If you have done research in your field it helps a lot. You could even start after your training is done by networking with the right people and offering to do college and high school teams.
Can you do an interview with someone who has gone through the military HPSP program?
Thank you for this!
watching video now.
Wonder hows the job market for this.
what is the name of the school Robyn mentioned with the double FNP-Nurse Midwife program? I'd never heard of it so I can't quite make out what she says. thanks!!
Emory. It's in Georgia.
Thank you for this episode!! So helpful to me! :)
I'm so glad I found your channel! I love the advice you're giving in your videos and the interviews with people in different areas and professions of the medical field!
I was wondering if you could do a video talking about Mayo Clinic? Like did you go to Mayo Clinic med school or did you go somewhere else and are doing your residency at Mayo? Whats living in Minnesota like (I'm new to your channel so forgive me if I'm wrong about you being there now)? What's different about the program compared to others? Etc. Thank you!!
Yessssss! Thank you for this!
Please help I have a question! A nurse practitioner can prescribe medication correct? What if a nurse practitioner is at a house party where people are drinking. Just a normal house party. No illegal drugs. And there is someone at the party who is 18 and underaged. This nurse practitioner has nothing to do with the underaged drinker at the party. If the party got busted and a cop found the underaged drinker could that nurse practitioner get into trouble? I only ask because I was told they will get in trouble if this situation happened. But I think that's total bullshit and they wouldn't get into trouble at all. Someone please give me a simple answer to this.
So glad I watched this video. I have a BS and MS in another field but I'm taking nursing prerequisites now. I definitely want to take the NP route, so it's good to know about the MDE/DNP programs. Love your videos by the way.
AWESOME!!!! exactly what I was asking!! Thank you! Helped a lot!
RIGHT
I totally agree with her! As a nurse I work in oncology with many MDs and ARNPs and her opinion resonates. Nursing training is very person oriented instead of pathology oriented. Overall assessment skills are emphasized in NP training. Awesome interview. Thank you!
Thank you, this was so helpful. I now have a better idea of what I have to do. :D
Hey Andrea !! Love your videos, keep up the great work!
I was wondering if you could possibly do a video interviewing an oral and maxillofacial surgeon
Can you interview a physiotherapist? Please and thank you. Love your videos!! :)
Could you do a video on how to get through med school with mental health problems? I am afraid my depression will get in the way of my success in med school.
I think this overall a good video, but I dislike that the narrative of the "holistic care" thing went largely unchallenged. It's simply part of the nursing propaganda that doctors treat the disease and not the person. If a doctor sees someone with clear signs of malnutrition and doesn't inquire further or ask no SocHx of patients, they are a poor physician.
I think they made it very clear that it is up to the physician how they choose to practice but rather they were commenting on the differences in the training of each profession. Nurses education focuses largely on the patient as a whole- physical, emotional, etc- whereas an MDs may not necessarily. It is simply a difference in training that may affect how each practice.
+Kelsey Jameson Only if you've never been to medical school do you buy that propaganda.
Thank you so much. Very Informative
What about being an integrative NP? Going to naturopathy school?
Really awesome video it gave me so much insight!
Can you possibly do a PM&R physician interview? I'm entering into my Health and Exercise Science bachelors degree soon and am curious to know if they would have any suggestions on the best path for someone interested in that field to take. :)
this was so helpful..thank you!
Hi Dr.Tooley! I follow you on IG and I think you are so awesome and inspiring not just for Med students but all types of healthcare students. :) I'm an RN in a DNP program for Family Nurse Practitioner and was wondering if you could interview Dr.Laurie Anne Ferguson who is a professor at Loyola University in New Orleans. She is a Doctorally prepared NP and has tons of experience, I think she would be a great addition for your channel interviews. Thanks!
Laura Torres Garcia how is the DNP program like? The workload? Just the overall experience please ☺️
Could you possibly do an interview with a CRNA with a MSN and/or a DNP/DNAP?
Wonderful. I'm thinking about being a np but wanting to do a online nursing program
This was very helpful thank you !
THANK YOU FOR THIS VIDEO
Thank you so much for this video! It really helped (:
I love Robyn's mind! So knowledgeable!!!!
This is great!!! Great video! :)
I am confused about one thing though.
What if I have a bachelor's degree in biology? How do I become an NP?
+1MissLovely1 I'm almost positive a master's degree in nursing is required for NP
***** Wait 4 years after your bachelor's? Then that's 4 years of colleges, 4 years of nursing studies.......... same as medical school??? Why not just become a doctor then? :O
+1MissLovely1 actually I'm in the nursing program which is 1 year only since it includes summer. (4 semesters). And I finished my prereqs for the nursing program in 1 year. So you can be an RN in 2yrs. Most ppl finish in 3yrs.
+1MissLovely1 this is for people who already have a bachelors degree in another field. I'm in a four-year university. When I graduate, I will have my BSN. So that takes out an extra four years
Andrea, I love you, but you should not let a non-physician incorrectly speak about the way medicine is done. A nurse at any level, can only "nurse" a patient. NP's/"Advanced Nurses" should not fool themselves into thinking their training is sufficient enough to replace any board-certified physician in any capacity (even primary care). But if they want to play Doctor, without the Doctor training/education/over-sight, it's gonna suck for their patients.
This is awesome!! Could you do a Podiatrist (DPM) interview if you have time?
As an NP, do you have to take a board exam each year to keep your certification?
No, boards are taken once. You do have to renew every 5 years and there are various ways to renew your certification
Thank you so much for your time!
yes! so true about the Social Workers! good video. very helpful :)
that terse "hmm" and "sure" following the np attempting to differentiate an np model from a md model.
loool
ow mikeh well that disease-holistic dichotomy is just too simplistic. Medicine is not just about the disease. It's also an art. Medical students also have to know the social determinants of health and biomedical ethics to become a good doctor. The idea that doctors see the patient as "a disease that needs to be cured" is quite preposterous. I honestly feel like this holistic philosophy nurses so heavily put forth is just pure propaganda.
Can we get an interview with an ER physician?
how can i contact you. i have some questions.
definitely nurse anesthetist next please! !!
Social work???
Do Nurse Practitioner's re-certify their license every 5 years?
Board certification every 5 years. RN license renewal varies by state, but usually every two years
Great interview!