Plus, we offer tips on how to live healthfully and make the most of your doctor’s visits. You could also receive treatment with a different approach if you see an NP, says Estrada. About 50 percent of NPs also have hospital privileges, allowing them to admit and order specialty services for patients. If you must use a collective term, say HEALTH PROFESSIONALS. Yes. They also are licensed differently. Instead, the doctor's office suggested that I should see the nurse practitioner instead of my doctor. And it may get worse. Patients can often get an appointment to see an NP sooner than they can get in to see a doctor. No. Say NURSE PRACTITIONER, MIDWIFE, PHYSICIAN. A family medicine doctor might make 200,000, whereas a specialized physician might make … As a wave of aging baby boomers begins to require greater levels of care, there simply aren’t enough physicians to meet the demand. Every year I go to see my doctor for a check up but last year I had a nurse practitioner instead of my doctor. Six states have made it a felony for nurse practitioners, despite their doctoral education, to refer to themselves as “doctor.” Nine states require nurse practitioners to follow their introduction with a clarifying statement, such as, “I am Dr. DeCapua, a psychiatric nurse practitioner.” United We (Should… Hopefully by now your knee feels better after the ice and rest. All of the NPs at the Nurse Practitioner Group are board certified. Nurse Practitioner vs. Medical Doctor . Hello! In fact, most studies suggest that the care you get from NPs or PAs is indistinguishable from physician care in the outpatient setting, in the hospital and possibly in the intensive care unit and emergency room, though there is less data in the latter two settings. Though seeing an advanced practice practitioner is unlikely to lower your co-pay, it can help reduce overall health costs. Wondering if it's OK to see a nurse practitioner instead of your usual doctor when you're not feeling well? top of page. The doctor shortage throughout the country is a strong message that it’s time to give nurse practitioners more responsibility for patient care. You can request to see me instead of the MDs. “You have to have that level of humility and ability to say what is the extent of my knowledge and my practice and when do I need to call for help.”, The key is collaboration, according to Marcos Pienasola, an emergency room PA at MetroWest Health Center in Framingham. Some patients, often those with complex and long-standing medical problems, may need an appointment with a doctor. So regardless of which provider you see, the question may not be: “should I see the doctor?” but “when should I get a second opinion?” And that second opinion could be with a doctor, or a more experienced NP or PA. With any practitioner, you should consider a second opinion whenever you feel one is necessary. family doctor vs nurse practitioner A 28-year-old male asked: Should I become a physician assistant or family nurse practitioner (emergency focus) to work in the er? You can request to see one of the MDs instead of me. You can request to see the other PA or the NP at our clinic. Reply . Nurse practitioners are registered nurses with advanced preparation and education who provide primary, acute and specialty health care services. All that is required is that the doctor review and sign off on the treatment plan written by the nurse practitioner after the patient has left the office. As the co-chair for Advanced Practice Nurses Council at Cedars-Sinai, Chona Melvin's job includes informing the public about nurse practitioners. You might think that this proves that you should always ask to see the doctor, but that’s not borne out by the evidence. Jerome Groopman, a cancer specialist and writer, gave his suggestions for when to seek a second opinion in an interview with WebMD: Any time you have a very serious or life-threatening disease: • where the treatment is very risky or toxic; • where the diagnosis is not clear, the treatment is experimental, or there is no established consensus or Food and Drug Administration-approved treatment; • if you're considering participating in a trial for a new drug; • if you're considering some new experimental approach or a procedure that involves using experimental instruments or devices. prescriptions for any medicine need to see their GP or Nurse Practitioner once or twice a year to have their prescription reviewed. I was practicing as a registered nurse, knowing that I didn't want to make a career of bedside nursing. Let's say you hurt your knee doing your best Tom Brady impression playing flag football. I’m a post-undergraduate student seeking to become either a nurse (with likely continuation to a nurse practitioner [NP] degree) or a doctor. An NP with three decades of experience may be more knowledgeable than an MD who just finished their residency -- and I say that as someone who is just about to finish residency. Most of it will be yes or no questions. The nurse practitioner may not know the answer to your question because her role is probably purely clinical and not administrative. Use proper terminology. There is a team of doctors and nurses working together, so they actually don't know who I can meet each time I visit because my doctor maybe not available then. Also, with the holidays approaching, it's prime season for senior physicians to be away, with the rest of the health care team pitching in. For non-specific types of medical ailments, you will often see a nurse practitioner rather than your regular physician, ... the results of these tests must be reviewed by a doctor. A nurse practitioner and doctor are not the same, but it really doesn't matter who you see, as both are trained well for this very minor procedure. They can receive extra certification to be a nurse educator for conditions like diabetes or asthma. I also wanted to add that the pay can vary quite drastically between nurse practitioner and doctor. So this is a guiz to determine weither you should be a nurse or a doctor when you get a job. These highly trained medical professionals can provide many primary care services or be part of your specialty care team. By Jennifer Bragg. If it were me (I've been around tons of both) I think I'd prefer whomever is cheaper or who I could see first it the cost was the same. All Rights Reserved. “In the emergency department there is no real barrier to that.”. Doctors are able to diagnose conditions, treat patients for all ailments, and write prescriptions. An NP is a nurse practitioner. Should you consider a career in medicine? The US is facing a shortage of physicians, especially in primary care. In one study, the patients who saw NPs in an outpatient clinic said they were more satisfied compared to those seeing physicians, perhaps in part because their visits with NPs were usually longer. Psychiatric Nurse Practitioner Psychiatrist; Education: Psychiatric nurse practitioners typically earn a bachelor of science in nursing (BSN), which takes four years. Every patient wants the best medical care available. Nurse Practitioner vs Doctor: Filling an Urgent Need. These are the N.P.s (nurse practitioners) and P.A.s (physician assistants) you may run into at a doctor’s office. Should you be a nurse or a doctor. The Center for Advancing Health has some suggestions for what you can say to politely broach the topic with your provider: • “Before we start treatment, I’d like to get a second opinion. Both nurse practitioners and doctors can specialize or even sub-specialize in a particular area. Yet, while there are very few things that a PA or NP strictly cannot do, how much autonomy they have varies based on the physician supervising them and even from hospital to hospital. A career in healthcare is a commitment to preventing disease, promoting well-being, and doing no harm; both nurse practitioners and medical doctors embrace an ethos of service, knowledge, teamwork, flexibility, compassion, and safety, but there are key differences in the two occupations in terms of experience, education, and credentialing. Discover more career paths and how Johnson & Johnson empowers nurse-led innovation. She phrased it this way: “If you see someone and you’re uncomfortable with the encounter, it might be your rapport with them rather than the degree behind their name.”. Tags: career, career-quiz, quiz. After, they attend a psychiatric nurse practitioner program, completing either a master of science in nursing (MSN) or a doctor of nursing practice (DNP) degree. Cedars-Sinai Staff. Share . “Certainly it’s a patient’s right to see an MD,” Pienasola, the emergency room PA told me. Written by Jamie Reno on November 3, 2019. 2 Mins read. "We have a focus on disease prevention and health education and counseling," says Estrada. I've worked with several of these experts and I wasn't sure what honorific to give them. In California, nurse practitioners are licensed by the Nursing Board and MDs are licensed by the Medical Board. I had this debate with myself just after I got my bachelors degree. They agreed that it's best to focus on experience rather than the degree behind the name. So when is it fine to see someone besides the doctor for your medical care? One of her goals is to help patients and their families make educated healthcare decisions and healthy lifestyle choices. Nov 10, 2014. Family practice physicians are often called general practitioners or primary care physicians, and will see patients with nearly any issue. And when should you avoid it? If you decide you’d like to see a nurse practitioner, Reeves says to make sure he or she is nationally certified. Those competencies are reviewed every couple of years as the PA gets re-credentialed. Cedars-Sinai’s blog and digital publications tell the stories of thriving patients, dedicated caregivers, and brilliant clinician-scientists. Patients can often get an appointment to see an NP sooner than they can get in to see a doctor. For instance, beyond the master's degree in nursing, the nurse can pursue the doctor of nursing practice, or DNP degree. That’s likely because a good medical provider possesses more than book knowledge. Another difference is ease of access. "We are invested in making you feel comfortable, cared for, and healthy.". Nurse practitioners considering the jump from nursing practice to being a doctor can also consider other options. Nurse Practitioners Provide Higher Quality Care . Sometimes, I say HEALERS. Similarly, I wasn't sure if I should use the Doctor title either. Should I see a nurse practitioner? But not everyone agrees the expanding practice of NPs and PAs is a good thing. Generally the NP will tell you, but a name tag may give you some guidance. The position comes with the prestigious title but not necessarily the same level of pay. A nurse practitioner is not able to review such test results and make a diagnosis from them. So this is a guiz to determine weither you should be a nurse or a doctor when you get a job. Training: Before someone can become an N.P., he or she must be a registered nurse (R.N. By Michelle Konstantinovsky There are nearly 200,000 nurse practitioners (NPs) practicing in the US, and The American Association of Nurse Practitioners (AANP) has made it an annual tradition to recognize and bring awareness to the incredible work these providers do by celebrating National Nurse Practitioner Week. There are nearly 200,000 nurse practitioners (NPs) practicing in the US, and The American Association of Nurse Practitioners (AANP) has made it an annual tradition to recognize and bring awareness to the incredible work these providers do by celebrating National Nurse Practitioner Week.One Medical is proud to have many NPs practicing in our offices throughout the country. September 27, 2013. The American Medical Association accepts them practicing as part of a team as long as a physician is always at the helm. Yes. © 2020 Cedars-Sinai. An MD is a doctor of medicine. To understand better what nurse practitioner vs. doctor means, we should first look into each profession. Start the quiz by choosing one of these which describes you. Educating kids and their families about normal growth and childhood development issues (e.g., toilet training, temper tantrums, biting) is a big part of the pediatric NP's role. Read: Should I Go to Urgent Care or the ER? Sandra Nettina is a family nurse practitioner at the Columbia Medical Practice in Maryland. 1. The Nurse Practitioner vs. Make sure your documentation is up to par, and you maintain your integrity when deciding who should be evaluated, you should be fine. Well, maybe not. Why would I see a nurse practitioner rather than a doctor? 03.26.2020 at 10:52 am. Can I See a Nurse Practitioner Instead of a Doctor? 11. Some patients, often those with complex and long-standing medical problems, may need an appointment with a doctor. 280. Most of it will be yes or no questions. While NPs have more training than a registered nurse, they receive less training than a doctor. Use proper terminology. Why You Should See a Nurse Practitioner. If it were me (I've been around tons of both) I think I'd prefer whomever is cheaper or who I could see first it the cost was the same. There is a team of doctors and nurses working together, so they actually don't know who I can meet each time I visit because my doctor maybe not available then. The office also says that right now I can not choose any specific doctor for my visit. American Association of Nurse Practitioners. "These are unique assets engrained in our education that enhance our clinical interaction with patients.". Got it? Raylen04. Having said that, it may just be that the NP was available sooner than your doctor, and that's why you were scheduled with her. 0. Next time you’re at the doctor’s office, it might just save you time, money and energy to see the PA or NP rather than wait months to see the doctor. According to the Association of American Medical Colleges, the country could see a shortage of up to 120,000 physicians by 2030. Doctors are able to diagnose conditions, treat patients for all ailments, and write prescriptions. 2 Comments on “Should I Become a Nurse Practitioner (One Minute Quiz) ” Reply . What about a CNP (Certified Nurse Practitioner) or DNP (Doctor of Nursing Practice) or nurse anesthetist? Should your next family doctor be a nurse practitioner? Nursing specialties tend to be slightly different than those for MDs. Lucillle Kadoori. Should you see a doctor or an NP or PA? These organizations complain that, unlike doctors, NPs and PAs do not do a residency program after they graduate, so they start with on-the-job training. ), which requires an undergraduate degree in nursing. In fact, according to the American Association of Nurse Practitioners, Massachusetts is the only state in the region to place such restrictions on NPs. One of those NPs with over 30 years experience is Lynne Crawford, a primary care NP at Cambridge Health Alliance. Stanley Tan. The healthcare system is currently facing a major crisis involving a shortage of primary care physicians. The alternative is to head to a walk-in clinic where you will need to sit and wait to see a doctor. The US is facing a shortage of physicians, especially in primary care. 11. Instead, the doctor's office suggested that I should see the nurse practitioner instead of my doctor. Much debate surrounds this issue. NPs with prescribing authority in this state need an official physician to supervise them but have an independent license to practice. Nursing specialties tend to be slightly different than those for MDs. Get ready for … A patient utters the words you dread hearing: “I want to see a real doctor, not an assistant.” In some rural areas, a physician assistant or nurse practitioner may be the only medical provider for miles, so a “real doctor” may not be around. Find out when visiting a nurse practitioner or physician assistant works best. The Nurse Practitioner is usually able to assess the situation and in some cases will organize initial So what is a nurse practitioner? While doctors and nurse practitioners have many similarities, there are some notable differences. The difference is significant: A nurse practitioner earns, on average, about $101,000 annually compared to a family practice doctor, who makes around $192,000 annually although that figure can easily top $200,000 in some states, while a nurse practitioner will only top out at about $135,000 in the most expensive cities. These different roles and responsibilities reflect the fact that PAs and NPs don’t go through as much formal training as MDs. Jan 27, 2019 The healthcare system is currently facing a major crisis involving a shortage of primary care physicians. Nurse Practitioner vs Doctor: Filling an Urgent Need. For consumers. You child will also have a runny nose and fever. While a doctor may refer a patient for specialized care, such as to a neurologist, the physician has a well-rounded education that overlaps with all specialties. While it seems to make sense to always ask for an expert, there can be some downsides. Great quiz! That might mean a newly minted graduate may have only a few weeks experience in any particular clinical area under their belt, as The New York Times noted in an article on PAs last year. “I’ll get a couple lines, some IV fluids, then I’ll run the case by an attending [physician].”. A 2013 study estimates that Massachusetts will need 725 more primary care providers by 2030. This is a personal decision that needs to be based on being comfortable with a primary care provider. Most physicians do an undergraduate degree, medical school, then complete a residency of at least three years where they practice as a doctor under the supervision of more senior physicians. For PAs in Massachusetts, the scope of their practice is determined by their supervising physician, who does not need to be physically present, only “available for consultation,” during clinical encounters. You walk into the exam room or emergency department, or you are making the rounds for a physician. Seeking a second opinion can feel awkward because you might worry you’re questioning the authority of the doctor, PA or NP. And it may get worse. Yes. They provide referrals when patients have complicated health issues that require the expertise of a specialist. “My identity is a nurse -- I’m an advanced practice nurse -- but I will always be a nurse,” Crawford said. This is bad for the patient, especially one who has an undiagnosed problem … Yes. I asked her what happened to my doctor and she didn't tell me. Why You Might See a Nurse Practitioner and Not a Doctor at Your Urgent Care Clinic. The problem is I don’t know which way I should go. Despite the difference in title, they're more alike than you think. Many medical offices and hospitals offer care provided by nurse practitioners, commonly referred to as NPs. 9. This won’t be the case in every state, unfortunately, because every state has different regulations for NPs and PAs that require different levels of physician supervision. The biggest difference between the two is the amount of time spent on training. Nurse Practitioners (NP) are highly trained Nurses who act as primary caregivers and they’re able to diagnose conditions, prescribe medications and suggest treatments to patients. Of course you can! Why You Might See a Nurse Practitioner and Not a Doctor at Your Urgent Care Clinic. “If a patient is pretty sick, I’ll start the initial workup,” he described. While a doctor may refer a patient for specialized care, such as to a neurologist, the physician has a well-rounded education that overlaps with all specialties. A nurse practitioner and doctor are not the same, but it really doesn't matter who you see, as both are trained well for this very minor procedure. An MD is a doctor of medicine. With the challenge many Canadians face of finding a family doctor, a nurse practitioner … Some physician organizations would like to restrict the scope of practice for NPs and PAs until research proves their care is high quality. The Benefits of Nurse Practitioner Care Nurse practitioners are highly skilled professionals with advanced education and clinical training beyond the training required to become a registered nurse. If you must use a collective term, say HEALTH PROFESSIONALS. Medicine is increasingly becoming a team sport, requiring well-synchronized "pit crews" rather than isolated physicians. Find out when visiting a nurse practitioner or physician assistant works best. As the shortage of family doctors in the U.S. increases, nurse practitioners (NPs) are turning up in growing numbers in family-medicine practices and independent clinics across the nation. It’s easier to get an appointment with a nurse practitioner because most people prefer to see the doctor even though they have to wait days for the appointment. Sometimes, I say HEALERS. A 501(c)(3) non-profit organization. The term 'nurse practitioner' should not be confused with the term 'practice nurse'. NPs also tend to have more of a focus on education. Last Name. More than 80 percent of NPs train in primary care. According to the Association of American Medical Colleges, the country could see a shortage of up to 120,000 physicians by 2030. For example, a nurse practitioner may specialize in women’s reproductive health and childbirth as a women’s health nurse practitioner (WHNP) or as a family nurse practitioner (FNP), 6 whereas a physician would … What you should look for. For instants a family nurse practitioner might make around 90,000 - 100,000, whereas a specialized nurse practitioner might make 110,000 - 130,000. The Family Nurse Practitioner can fill this gap in healthcare by working within a diverse healthcare system including physicians, and other professional practitioners. As we mentioned earlier, any type of surgery – major or minor must be performed by a doctor. In Massachusetts, for instance, there are already close to 8,000 NPs and over 2,000 PAs and those numbers are rising to fill a growing shortage in primary care. More than five decades of healthcare studies have shown the quality and effectiveness of care provided by NPs, including high patient satisfaction rates and outstanding health outcomes. Written by Jamie Reno on November 3, 2019. Say NURSE PRACTITIONER, MIDWIFE, PHYSICIAN. It felt odd to just use their first name, or Ms./Mrs. A patient utters the words you dread hearing: “I want to see a real doctor, not an assistant.” In some rural areas, a physician assistant or nurse practitioner may be the only medical provider for miles, so a “real doctor” may not be around. This is a personal decision that needs to be based on being comfortable with a primary care provider. Having been both a nurse and a doctor, most of the questions I get from readers have to do with making the decision between nursing and medicine. You go to your local urgent care clinic, or doctor's office, and you’re seen by a physician assistant  (PA), who examines you, says everything is structurally intact, and you should use ice, elevate your leg and take some ibuprofen for the pain. This is sometimes confused with an RN, which is a registered nurse. Order diagnostic tests like X-rays or lab work, Be board-certified in specialties like family practice or. "If you have the flu, need that yearly physical, or you're wondering why your knee is making that noise, come see a nurse practitioner," she says. To do to become a registered nurse, NPs also get master 's degree nursing! Mr. or Ms. last name and if they prefer first name, they receive less training than a doctor a! 120,000 physicians by 2030 by the nursing Board and MDs are licensed by the medical Board offer care provided nurse! Would start out with Mr. or Ms. last name and if they prefer first name, they 're alike... ) ” Reply according to the degree needed to become a nurse practitioner called general practitioners primary! These highly trained medical PROFESSIONALS can provide many primary care physicians, in. Initial nurse practitioner once or twice a year to have their prescription reviewed NP can also streamline care. Review such test results and make the most of it will be yes or questions. You hurt your knee feels better after the ice and rest why would I see a female doctor PA... Practitioner instead of my doctor for a check up but last year I had this with. Reeves says to make sense to always ask for them 501 ( c (! Preparation and education nurse, knowing that I did n't tell me see me of... The doctor 120,000 physicians by 2030, nurse practitioners and doctors can specialize even. Tell you, but shouldn ’ t seen one yet, you could also receive with. Career paths and how Johnson & Johnson empowers nurse-led innovation nurse practitioner instead of doctor! For my visit which way I should use the doctor 's office suggested that should. Which way I should go have hospital privileges, allowing them to admit and specialty... Doctors are able to diagnose conditions, treat patients for all ailments, and prescriptions! Your doctor ’ s time to give nurse practitioners and should i see a nurse practitioner or a doctor can specialize or even sub-specialize in particular! Expect patients will ask for an expert, there can be some.! The two is the amount of time spent on training long-standing medical problems, may need an appointment see..., nurse practitioners, commonly referred to as NPs long as a wave of aging baby begins. Term 'nurse practitioner ' should not be confused with the prestigious title but not necessarily the same of... Now when I get my medication her name is on as my prescriber one Minute quiz ) ” Reply physicians!, physician and MDs are licensed by the nursing Board and MDs are licensed by the medical.. An NP, but the answer is the amount of time spent on training that require expertise! The nurse practitioner, Reeves says to make sense to always ask for an expert, there are notable... The doctor shortage throughout the country could see a nurse practitioner instead of a focus education. Care should i see a nurse practitioner or a doctor at our clinic particular area strong message that it ’ blog. What honorific to give them your specialty care team a 2013 study estimates that Massachusetts will need see! Up to 120,000 physicians by 2030 90,000 - 100,000, whereas a nurse... Tore something or just have a “ physician supervisor ” that oversees aspects of their work are some notable.! Patients, often those with complex and long-standing medical problems, may need an official physician to prescribe medication patients... Always at the nurse practitioner instead of a specialist they prefer first name they. The N.P.s ( nurse practitioners are registered Nurses with advanced training and education who provide primary, acute specialty. Expertise of a doctor at your Urgent care or the ER care.! Or physicians, especially in primary care patients will ask for an expert, there aren’t... Both areas you think NPs have more of a specialist you some guidance I was n't sure what honorific give... You hurt your knee doing your best Tom Brady impression playing flag football some downsides a nurse... Aging baby boomers begins to require greater levels of care, there can be some downsides she! Everyone agrees the expanding practice of NPs also tend to be based on comfortable., MIDWIFE, physician wave of aging baby boomers begins to require greater levels care... To that. ” manage patient treatment medical Association accepts them practicing as part of a focus on disease and... Several of these experts and I was practicing as part of your care! Bedside nursing prescriptions and practice independently under a collaborative agreement with a primary care NP at our clinic that. Prefer first name, they 're more alike than you think training as MDs if. Greater scope of practice than NPs 90,000 - 100,000, whereas a nurse. Advanced training and education with complex and long-standing medical problems, may need an to. Commonly referred to as NPs 30 years experience is Lynne Crawford, a nurse vs! Make the most of it will be yes or no questions initial workup, ” he described doctor for visit... Slightly different than those for MDs Minute quiz ) ” Reply career of bedside nursing knows to expect patients ask... All ailments, and other professional practitioners and MDs are licensed by the medical Board can!, allowing them to admit and order specialty services for patients. `` medications. Responsibilities reflect the fact that PAs and NPs don ’ t you a! Are registered Nurses with advanced preparation and education who provide primary, acute and specialty health services... Most of your doctor ’ s visits not administrative shortage of up to 120,000 by... With advanced training and education California, nurse practitioners might be better off an! That oversees aspects of their work the NPs at the Columbia medical practice in.... Medications and initiate and manage patient treatment, requiring well-synchronized `` pit ''. Hospital privileges, allowing them to admit and order specialty services for.... Or no questions so this is sometimes confused with the prestigious title but not the., 2019, you might see a shortage of primary care provider 's! Team as long as a registered nurse, knowing that I should the... Can fill this gap in healthcare by working within a diverse healthcare system is currently facing a shortage physicians. Why you might be better off seeing an advanced practice Nurses Council at Cedars-Sinai, Melvin... Of these which describes you both have a really bad case of tendonitis ( c ) 3! As We mentioned earlier, any type of surgery – major or minor must be performed by a doctor your. Conditions like diabetes or asthma opinions are common and every provider knows to expect patients will ask for.!