黑字白字肯定都需要政治正确性，你能查查Washington University School of Medicine in St. Louis这么多年录了几个本科是护理学院毕业的？ chunhuaqiuyue 发表于 2024-06-09 20:54
我自己认识三，一个华二代，一个OBGYN的女儿，一个ICU护士先学的护理本科后上的医学院。所以我才知道有这么回事。 另外在美国护士专业有很多其他发展，所以有的人不学医，学MBA之类做管理，比如原来在杜克大学医院做了8年院长CEO，现在在Johns Hopkins 医疗系统做总裁并管理6家医院还有马里兰 DC地区johns Hopkins 医生，有多重角色，就是护士出身。还有宾夕法尼亚大学医院CEO Regina Cunningham www.hopkinsmedicine.org/about/leadership/kevin-sowers Kevin W. Sowers, M.S.N., R.N., F.A.A.N., is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine. As the second person in Johns Hopkins history to hold these dual roles, Mr. Sowers oversees the health system’s six hospitals – The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital and Johns Hopkins All Children’s Hospital – and sets strategies that advance our mission to deliver outstanding care, train the next generation of leaders and advance research and discovery. He also serves as chair of Johns Hopkins Community Physicians, which has more than 40 primary and specialty care outpatient sites throughout Maryland and the Washington, D.C., area. Mr. Sowers came to Johns Hopkins Medicine after 32 years with the Duke University Health System, the last eight as president and CEO of Duke University Hospital. Regina Cunningham was named Chief Executive Officer at the Hospital of the University of Pennsylvania, and currently serves as Adjunct Professor and Assistant Dean for Clinical Practice at the University of Pennsylvania, School of Nursing. Regina Cunningham, PhD, RN, NEA-BC, FAAN PC3I https://pc3i.upenn.edu › People
hellohey 发表于 2024-06-09 21:19 我自己认识三，一个华二代，一个OBGYN的女儿，一个ICU护士先学的护理本科后上的医学院。所以我才知道有这么回事。 另外在美国护士专业有很多其他发展，所以有的人不学医，学MBA之类做管理，比如原来在杜克大学医院做了8年院长CEO，现在在Johns Hopkins 医疗系统做总裁并管理6家医院还有马里兰 DC地区johns Hopkins 医生，有多重角色，就是护士出身。 www.hopkinsmedicine.org/about/leadership/kevin-sowers Kevin W. Sowers, M.S.N., R.N., F.A.A.N., is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine. As the second person in Johns Hopkins history to hold these dual roles, Mr. Sowers oversees the health system’s six hospitals – The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital and Johns Hopkins All Children’s Hospital – and sets strategies that advance our mission to deliver outstanding care, train the next generation of leaders and advance research and discovery. He also serves as chair of Johns Hopkins Community Physicians, which has more than 40 primary and specialty care outpatient sites throughout Maryland and the Washington, D.C., area. Mr. Sowers came to Johns Hopkins Medicine after 32 years with the Duke University Health System, the last eight as president and CEO of Duke University Hospital.
我是想说在美国护士有很多选择，人家不一定去读医学院，做别的了，除了前边说的这个前杜克大学医院CEO现在Kevin W. Sowers, M.S.N., R.N., F.A.A.N., is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine，He also serves as chair of Johns Hopkins Community Physicians, which has more than 40 primary and specialty care outpatient sites throughout Maryland and the Washington, D.C., area. 还有宾夕法尼亚大学医院CEO也是护士Regina Cunningham was named Chief Executive Officer at the Hospital of the University of Pennsylvania Regina Cunningham, PhD, RN, NEA-BC, FAAN
hellohey 发表于 2024-06-09 21:19 我自己认识三，一个华二代，一个OBGYN的女儿，一个ICU护士先学的护理本科后上的医学院。所以我才知道有这么回事。 另外在美国护士专业有很多其他发展，所以有的人不学医，学MBA之类做管理，比如原来在杜克大学医院做了8年院长CEO，现在在Johns Hopkins 医疗系统做总裁并管理6家医院还有马里兰 DC地区johns Hopkins 医生，有多重角色，就是护士出身。还有宾夕法尼亚大学医院CEO Regina Cunningham www.hopkinsmedicine.org/about/leadership/kevin-sowers Kevin W. Sowers, M.S.N., R.N., F.A.A.N., is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine. As the second person in Johns Hopkins history to hold these dual roles, Mr. Sowers oversees the health system’s six hospitals – The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital and Johns Hopkins All Children’s Hospital – and sets strategies that advance our mission to deliver outstanding care, train the next generation of leaders and advance research and discovery. He also serves as chair of Johns Hopkins Community Physicians, which has more than 40 primary and specialty care outpatient sites throughout Maryland and the Washington, D.C., area. Mr. Sowers came to Johns Hopkins Medicine after 32 years with the Duke University Health System, the last eight as president and CEO of Duke University Hospital. Regina Cunningham was named Chief Executive Officer at the Hospital of the University of Pennsylvania, and currently serves as Adjunct Professor and Assistant Dean for Clinical Practice at the University of Pennsylvania, School of Nursing. Regina Cunningham, PhD, RN, NEA-BC, FAAN PC3I https://pc3i.upenn.edu › People
hellohey 发表于 2024-06-09 21:28 我是想说在美国护士有很多选择，人家不一定去读医学院，做别的了，除了前边说的这个前杜克大学医院CEO现在Kevin W. Sowers, M.S.N., R.N., F.A.A.N., is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine，He also serves as chair of Johns Hopkins Community Physicians, which has more than 40 primary and specialty care outpatient sites throughout Maryland and the Washington, D.C., area. 还有宾夕法尼亚大学医院CEO也是护士Regina Cunningham was named Chief Executive Officer at the Hospital of the University of Pennsylvania Regina Cunningham, PhD, RN, NEA-BC, FAAN
我是想说在美国护士有很多选择，人家不一定去读医学院，做别的了，除了前边说的这个前杜克大学医院CEO现在Kevin W. Sowers, M.S.N., R.N., F.A.A.N., is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine，He also serves as chair of Johns Hopkins Community Physicians, which has more than 40 primary and specialty care outpatient sites throughout Maryland and the Washington, D.C., area. 还有宾夕法尼亚大学医院CEO也是护士Regina Cunningham was named Chief Executive Officer at the Hospital of the University of Pennsylvania Regina Cunningham, PhD, RN, NEA-BC, FAAN
华人网估计都是一些高等教育的，查找资料和解决问题能力都强，有没有想过还有很多under served 或者教育程度不高的人群，他们是需要实实在在的人的医疗帮助的？就拿中国人来说，在纽约费城加州的中国城的移民，他们不认识英文，连开架的药都不会买。 还有，设置一个学科，就是家庭医生一样，职责难道就是只负责你们在电脑上看的那几样？preventive and wellness 是一个国家最最基础和重要的部分，如果小孩子的疫苗，中老年的常见高发心血管疾病和癌症没有人具体负责执行和筛查，你能想象一下这会是什么样子？
我自己是护士。primary care选择了PA, 我老公的primary care 是nurse practitioner. 目前的医疗状况我是清楚的，我有些朋友是NP，水平如何我也知道的。仍是很意外地发现neurology 脑神经科诊所雇请的专家NP占了多数。刚给我老公做了脑神经科的预约，要求约neurologist MD, not NP. 前台说MD的预约排在12月之后，只好继续之前和NP的预约。没办法，我们小城这Neurologist MD只有有限的几位，太难约了。
我自己是护士。primary care选择了PA, 我老公的primary care 是nurse practitioner. 目前的医疗状况我是清楚的，我有些朋友是NP，水平如何我也知道的。仍是很意外地发现neurology 脑神经科诊所雇请的专家NP占了多数。刚给我老公做了脑神经科的预约，要求约neurologist MD, not NP. 前台说MD的预约排在12月之后，只好继续之前和NP的预约。没办法，我们小城这Neurologist MD只有有限的几位，太难约了。 玉兰花儿开 发表于 2024-06-10 14:18
你现在如果不想等可以用网上神经专家，打破地域限制。也可以去著名医院找网上第二诊断，很多牛医院官网都有 这个是online 神经专家网站，你可以找NP把该开的检查单子开了https://neuro2go.com/ https://www.neurox.us/forpatients https://www.neurahealth.co/ We are a virtual neurology clinic connecting you with top neurologists and physician assistants. Our clinicians come from the nation''s top medical systems.
hellohey 发表于 2024-06-10 14:27 你现在如果不想等可以用网上神经专家，打破地域限制。也可以去著名医院找网上第二诊断，很多牛医院官网都有 这个是online 神经专家网站，你可以找NP把该开的检查单子开了https://neuro2go.com/ https://www.neurox.us/forpatients https://www.neurahealth.co/ We are a virtual neurology clinic connecting you with top neurologists and physician assistants. Our clinicians come from the nation''s top medical systems.
你这个广告里面就写着看PA 了，跟NP 没啥区别 之所以现在专科比以前难看上了，其中一个原因就是pcp NP PA 乱refer 造成了资源浪费，搞得真正有病的反而排很久才能看上 当然美国一贯头痛医脚，也不止医疗行业这一个地方这样
. 2017 Jul-Aug;33(4):271-275. doi: 10.1016/j.profnurs.2017.01.002. Epub 2017 Jan 5. Nurse practitioner malpractice data: Informing nursing education Casey Fryer Sweeney 1, Anna LeMahieu 2, George E Fryer 3 ...... Methods: Using National Practitioner Data Bank public use data, years 1990 to 2014, NP malpractice claims were classified by event type, patient outcome, setting, and number of practitioners involved. Results: The greatest proportion of malpractice claims involving nurse practitioners were diagnosis related (41.46%) and treatment related (30.79%). Severe patient outcomes most often occurred in the outpatient setting. Nurse practitioners were independently responsible for the event in the majority of the analyzed claims. Conclusion: Moving forward, nurse practitioner malpractice data should be continuously analyzed and used to inform the development of nurse practitioner education standards and graduate program curriculum to address areas of clinical weakness and improve quality of care and patient safety.
回复 174楼 Simpson2020 的帖子 Vast differences in training Not all nurse practitioners get “a sound, thorough, in-person education,” said Teresa Camp-Rogers, MD, a staff emergency physician at South Central Regional Medical Center in Laurel, Mississippi. “Some NPs receive subpar training. There are NP schools with 100% acceptance rates. Some NP schools have open-book exams. A handful of NP schools, called direct-entry NP schools, will accept applicants even without a nursing degree. Some programs can be completed in as little as 18 months.” Given the duration and lack of rigor in this nurse-practitioner training, “it is not surprising that it is common to see missed diagnoses, incorrectly written prescriptions, and delays in care among patients cared for by NPs,” said Dr. Camp-Rogers, an AMA member who is associate editor of the Journal of the Mississippi State Medical Association. As noted in an AMA explainer (PDF), physician training is comprehensive and requires studying all aspects of the human condition—biological, chemical, pharmacological and behavioral—in the classroom, laboratory and through direct patient care. “We don’t just learn one quick fact about a disease and its most common presentation,” Dr. Camp-Rogers said. “In order to keep patients safe, we learn every single facet of a disease and the less common presentations.” In addition, nurse practitioners may have limited hands-on training, with 60% of nurse-practitioner programs offered completely or partially online, the AMA explainer says. Critically, nurse-practitioner training—in stark contrast to physician education and training—has virtually no standardization for obtaining practical experience in patient care. The type of patient care experiences nurse practitioners get will vary widely from student to student, and the breadth and depth of clinical experience is not guaranteed at the individual lev
我这里有两个进入T10医学院的，当初都是高中第一名，一个男生一个女生
我自己认识三，一个华二代，一个OBGYN的女儿，一个ICU护士先学的护理本科后上的医学院。所以我才知道有这么回事。 另外在美国护士专业有很多其他发展，所以有的人不学医，学MBA之类做管理，比如原来在杜克大学医院做了8年院长CEO，现在在Johns Hopkins 医疗系统做总裁并管理6家医院还有马里兰 DC地区johns Hopkins 医生，有多重角色，就是护士出身。还有宾夕法尼亚大学医院CEO Regina Cunningham www.hopkinsmedicine.org/about/leadership/kevin-sowers Kevin W. Sowers, M.S.N., R.N., F.A.A.N., is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine. As the second person in Johns Hopkins history to hold these dual roles, Mr. Sowers oversees the health system’s six hospitals – The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital and Johns Hopkins All Children’s Hospital – and sets strategies that advance our mission to deliver outstanding care, train the next generation of leaders and advance research and discovery. He also serves as chair of Johns Hopkins Community Physicians, which has more than 40 primary and specialty care outpatient sites throughout Maryland and the Washington, D.C., area. Mr. Sowers came to Johns Hopkins Medicine after 32 years with the Duke University Health System, the last eight as president and CEO of Duke University Hospital.
Regina Cunningham was named Chief Executive Officer at the Hospital of the University of Pennsylvania, and currently serves as Adjunct Professor and Assistant Dean for Clinical Practice at the University of Pennsylvania, School of Nursing. Regina Cunningham, PhD, RN, NEA-BC, FAAN
你举例的这个人能说明护理学院毕业的人更容易去医学院吗？他整个人就是出类拔萃的佼佼者，现在在医生里面都做到顶级了，book smart和stree smart都是杠杆的厉害的人。你举例的你周围三个人我就不说了，你就说十个出来也没法证明护理学院毕业的人更容易去医学院
我是想说在美国护士有很多选择，人家不一定去读医学院，做别的了，除了前边说的这个前杜克大学医院CEO现在Kevin W. Sowers, M.S.N., R.N., F.A.A.N., is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine，He also serves as chair of Johns Hopkins Community Physicians, which has more than 40 primary and specialty care outpatient sites throughout Maryland and the Washington, D.C., area. 还有宾夕法尼亚大学医院CEO也是护士Regina Cunningham was named Chief Executive Officer at the Hospital of the University of Pennsylvania Regina Cunningham, PhD, RN, NEA-BC, FAAN
你说的这两个人都是人中龙凤，不管他们以前是学什么专业的，只要想学医都会做到现在这样，不具备代表性，我们讨论不是护士能不能申请医学院，而是护士并没有更大的优势申请医学院和医学院不太喜欢招护士专业的，对于你说的这两个人，我相信他们做护士的时候整个package都是吓死人了，去申请医学院完全没问题
我是想说在美国护士有很多选择，人家不一定去都医学院，做别的了
你这句话是不是有歧义啊？好像他们想去医学院就能去似的，没去是做别的了
CEO是护士怎么了？你看了她title没有，博士，美国护理学院院士, 美国护理认证中心（ANCC）授予的高级护理管理认证, 全美护士里面最顶尖人物之一
各行各业做到顶级的都是超级牛人，那这些超级牛人来证明一般人就没啥意义了啊
这样问呢，如果这个人一开始就打算申请医学院，只是把当护士作为本科攒临床经验的途径，其他premed的课照样修，research经验也有，这样的人在申请的时候会有优势吗
没优势，我一直不觉得护士的临床经验对医生申请是优势，我觉得反而是劣势，这个id的老公说得很清楚了
是的， thought process不一样，面试的时候是劣质。
临床经验并不是单指照顾病人，医生的order是护士在执行，到哪一步给什么药，开什么样的检查，相当于你还没开始学，就已经可以见到各种状况
有啥用啊，其他专业的去了医学院，护士这点经验还有什么优势？
美国护士还真是有很多选择，一种就是可以开处方NP干活类似医生但待遇比同科医生差很多。还有就是前边那些医院CEO，还有就是RN Nurse attorneys 处理一些医疗有关的，没有护士证还不行。 也有做Informatics Nurse 没有护士经验也做不了，这个也可以在家上班。
做CEO的还是很少，做管理层的肯定有一些的，我妈的那个NP就做管理层了，看病水死，估计street smart厉害
你之前说这些经验没用，是因为跟医生无关，可是事实证明是相关的。 你依然觉得无用，我也无意反驳你，你觉得无用就无用吧。
如果能保持好的GPA及其他都是高分，肯定有优势，但美国护士本科读起来很累相对西班牙语及心理学之类的，外加GPA也很难高，对申医学院相对其他容易拿高GPA的专业没有优势，但对动手能力是个锻炼，比如我前边提的OBGYN的孩子，她读的护士本科外加在产科当护士时的训练，让她知道怎么指检病人宫口开多少，外加听心肺，及胎心，摸胎位及产后病人子宫位置，及观察出血量，这些对她都是很好的训练比别的只在医院做义工啥也不能上手的强多了，她现在也是一名出色的OBGYN。
你既然说事实证明是相关的，那你就让你女儿学护士走医生这条路啊，我没说这条路一定不能走出来
如果一开始就认定要读医学院，不太会选择护士专业作为本科。因为这个专业不容易拿高GPA。临床经验不一定要通过护士实习来实现，不值得冒风险。
你在哪里听到的心理学专业的好申请医学院？
看到你说的让她知道怎么指检病人，外加听心肺，及胎心，摸胎位及产后病人子宫位置，及观察出血量，这些对她都是很好的训练比别的只在医院做义工啥也不能上手的强多了，我觉得你是不是拍一下脑袋，网上查一下就写下来了，不好意思，我在国内做过妇产科医生，你说得这些在产科都简单的不行了，一个医学生很快就能学会
我认识学心理学本科当医生的挺多的，老外家娃。 GPA很重要，外加心理学可以帮助人家知道顾客心理。 其实本科学啥在美国都可以考医学院，而医学知识都是在进入医学院之后才学的，临床本事是在住院医阶段学的，跟你能去哪个住院医训练地点很有关系，而match是跟你在医学院是不是该医学院 TOP学生有关。 大学专业选自己最喜欢，最感兴趣，最能拿到高GPA专业就好，有的人喜欢化学，就选化学，有的人觉得自己想更好的服务西班牙裔，本科就选的西班牙语（有的医学院入学要求也有西班牙语你没学就不符合人家要求），选啥都可以，关键医学院入学要求那些科都考好，入学考试考分高，入学要求的影子医生之类按要求做完，推荐信及其他能说服AO觉得你该学医就好了。有的高中就选的premed track很多课程设置就按医学院要求那些来的，包含医学英语，有机化学之类除草课，影子医生安排等，让很多孩子不会有GAPyear，很早就开始按医学院要求准备了。
其他族裔那是和我们不一样啊，录取就不是一个标准。 是学啥专业都可以考医学院的 我这里有个墨西哥的MD，现在做PA，唯一的原因应该是board没考过
我前面车轱辘话，就是表达这个意思. ☺️
真不一定是为了多收费，主要是看病看不明白，又怕出事，只能多检查来保护自己的执照。就跟差生文具多一个道理
有道理😊
我的家庭医生也说我有杂音，心脏科医生听了不到五秒钟就说没事，彩超心电图都正常
握个手。 我娃等见专科医生时，我老公请教一个胸外科医生朋友。对方问了几个问题就说应该没事。 NP 就是能力不够，宁愿给false positive 的结论。 至于给病人和家属增加多少麻烦，他们才不管，只要他们自己工作保得住就行。
是啊，烦死人了，做心电图和彩超还不是同一天，为这个事情去了三次专科诊所
最主要智商高，做事非常认真的，才进得了医学院学习吧？各种素质能一样吗？
我也觉得rutine体检和一些不是很紧急的症状的问诊，NP比医生好。
但是大部分临床行医的医生哪有那个本事？能细心倾听病人，综合分析，不要头痛医头脚痛医脚就好了。新的治疗方案和手段基本都是靠药物研发和医疗器械的突破。
专科医生能力强过家庭医生，支持这句。（虽然这个应该是常识，但是我遇到的这个家庭医生真的蛮水的。。）
NP本科毕业吧？国内护士以前是护校毕业，现在是本科了吗？
NP要么是master要么是Doctoral Degree，后者很少就是，后者分两种 DNP (Doctor of Nursing Practice) 和 PhD (Doctor of Philosophy in Nursing)（PhD非常少）
是的，有医生干嘛要找NP。
按你的逻辑是不是国内人更可怜？NP是硕士毕业， 国内本科就做医生了。医生本来就是工作经验， 谁见得多谁就牛， 楼主的中心思想就是这个
从来没听说 在美国成绩不好还能学医做医生的
那也不能这么说，有的学医认为疾病的预防和宣教科普非常重要，把慢性疾病比如糖尿病，高血压控制在最初阶段比病重或弄成很多并发症成需要去专科医生那更重要，他们更喜欢做Primary Care家庭医生这种，而不是去选专科专攻一类疾病。不存在什么底层啥的，对病人来说都是最重要的care team。你如果从挣钱角度，的确每小时工钱少。
一个在同一科室10多年20年经验的np 和医生其实没多大区别了，这些的确属于经验越多越好的工作，当然也看那个NP和医生是不是热爱自己的工作，愿意长期不断学习。
现在有的NP属于18个月就可以网课毕业当家庭NP的，那么就更需要自己多学习积累了。不过NP属于必须是护士才能读，在护士期间已经会了抢救病人心脏按压，听心肺功能，简单查体看脚有没有肿，按压查找产后子宫复位，产前听胎心，摸胎儿位置朝上还是下，指尖宫口开多少，观察病人出血量，伤口恢复情况，药物禁忌搭配，什么药不能一起用，要隔开多久，血压低的情况不能给什么药物，血压低，高时怎么处理，病人吃饭不行应该找 speech therapist 评估病人吞咽改变饮食，找营养师，病人痰多血氧下降及时找呼吸治疗师评估给予吸痰，改变体位，给氧气，病人走路有问题会让医生order 物理治疗师帮助走路肌肉锻炼，OT帮助洗脸刷牙上身肌肉锻炼及如厕等日常生活。糖尿病饮食运动宣教，及时找营养师沟通，及糖尿病患者病情观察，伤口换药等。懂得三分治疗7分调理，病人治疗需要整个医疗team的努力。
关于年度体检order 血检查尿检及糖尿病及高血压之类慢性病控制也正好是家庭NP最主要的责任。在整个社区中还是非常需要耐心解说的NP的，对疫病的预防和把疫病控制在最初阶段是整个医疗体系很重要的环节。
菲律宾家庭进medical field的是很多，但是很多是做了药剂师，理疗师。还有CS。很大部分从菲律宾过来美国是靠工作visa的，所以很多人考护士。
不分裂啊。开发AI的人应该是比NP水平高得多。板上的人很多都是学生物学制药的搞研发的phd，会查资料读paper，会critical thinking，加上AI辅助，看病超过NP是有可能的。
你现在如果不想等可以用网上神经专家，打破地域限制。也可以去著名医院找网上第二诊断，很多牛医院官网都有 这个是online 神经专家网站，你可以找NP把该开的检查单子开了https://neuro2go.com/ https://www.neurox.us/forpatients https://www.neurahealth.co/ We are a virtual neurology clinic connecting you with top neurologists and physician assistants. Our clinicians come from the nation''s top medical systems.
你说话粗俗，知识水平低下。很惊讶华人上你这样的大妈出来蹦跶的紧
我孩子是打算MD和PHD一起读 你孩子上了吗？ 你孩子有你这么偏激，爱显摆，低素质的妈妈真是可怜，pathetic and deplorable. Period.
你这个广告里面就写着看PA 了，跟NP 没啥区别 之所以现在专科比以前难看上了，其中一个原因就是pcp NP PA 乱refer 造成了资源浪费，搞得真正有病的反而排很久才能看上 当然美国一贯头痛医脚，也不止医疗行业这一个地方这样
不refer，病人说没有得到合理照顾；refer了，是乱refer，导致specialist更难约上！ 只能说，大家水平都很高啊！dr google比啥都好用。
做mid level的各位或者family practice的各位，也别在这里说啥了。爱谁谁，预祝大家身体健康就好了
mark
我读了ABSN，本打算继续读NP的，读了两个学期ABSN后感觉护理不是医学，查看了NP的课程，医学课程很少很浅，主要集中在管理政策上，所以申请了医学院，原因很简单，我想要practice medicine，而不是护理。 这个NP之所以说停药，是因为护理教育的原因，护理学里，如果病人遇到药物不良反应，处理办法是立刻stop，这是NP受到护理教育的第一反应，但如果你问她，为啥停药，她大概率说不出来药物作用原理。 那么医生为啥就不会叫停呢，因为医学院教育主要是药物的作用机制，很可能医生认为从药物作用机制上说大概率不会引起这样的副反应，或者不会有这种交叉反应。当然每个人的反应都可能不一样，可以理解。要么再有一个可能，这人真是水平不咋地的医生…… 那么这个问题很可能就变成了既不是护理也不是医学的范畴了，有可能是药理学，制造工艺或者是遗传学的问题了…… 总之，护理再怎么念到博士，方向还是护理，我自己不太能接受没有经过医学培训就practice medicine 的，也怕耽误病人，有句开玩笑的话，护理学是越学越有信心，医学是越学越如屡薄冰。 当然这不是NP自己的错，我感觉美国的NP教育还是需要严格一点。NP自己也抱怨课程设置。我的很多ABSN同学，学了四五个学期的护理，没有任何临床经验，毕业后直接申请NP，而很多NP都是online 的。反观PA，入学严格很多，也重点在医学教育上，所以如果必须在NP和PA中选一个看病，我可能会选PA吧……
这个我不太赞同，传统本科护理后面两年，好多临床实习，而且护理学院刷人很厉害，很多学生毕不了业，为了不被刷，根本没时间去复习MCAT，做社区服务，而且护理修的那些science 的课程，医学院都不认的，全要重新修。所以修护理本科比修其他本科要额外付出很多时间和精力才能申请医学院。
真不是这样，每个医学院都会招几个护理本科的学生，我自己是BSN，我们班也有一个是BSN。我工作的地方也有个在读医学院，兼职做RN的，只能说护理和非护理学位申请，一视同仁。
看到人家说孩子打算做什么，你就开始攻击人显摆低素质，你以为你是高素质？还酸溜溜的来一句你孩子上了吗？我就觉得你这人很奇怪，很大可能性就是孩子有可能是个学渣，看到别的孩子有志向就很不舒服，不然你怎么会像被踩了尾巴一样，一蹦三丈高啊 我通篇都没看不上护士或者NP，只是不觉得他们比别的专业更容易申请医学院而已，难道这就是偏激？ 你再喜欢pua人，也改变不了你家的智商基因，我家孩子有我这样的妈妈，至少是个智商高的孩子，所以，少pua人，少攻击人，看到人家比你强的时候要接受人和人的智商是不一样的现实。 你要觉得我说你不舒服，那都是你先攻击我和我孩子，自找的。
J Prof Nurs
. 2017 Jul-Aug;33(4):271-275. doi: 10.1016/j.profnurs.2017.01.002. Epub 2017 Jan 5. Nurse practitioner malpractice data: Informing nursing education Casey Fryer Sweeney 1, Anna LeMahieu 2, George E Fryer 3 ...... Methods: Using National Practitioner Data Bank public use data, years 1990 to 2014, NP malpractice claims were classified by event type, patient outcome, setting, and number of practitioners involved. Results: The greatest proportion of malpractice claims involving nurse practitioners were diagnosis related (41.46%) and treatment related (30.79%). Severe patient outcomes most often occurred in the outpatient setting. Nurse practitioners were independently responsible for the event in the majority of the analyzed claims. Conclusion: Moving forward, nurse practitioner malpractice data should be continuously analyzed and used to inform the development of nurse practitioner education standards and graduate program curriculum to address areas of clinical weakness and improve quality of care and patient safety.
Vast differences in training Not all nurse practitioners get “a sound, thorough, in-person education,” said Teresa Camp-Rogers, MD, a staff emergency physician at South Central Regional Medical Center in Laurel, Mississippi. “Some NPs receive subpar training. There are NP schools with 100% acceptance rates. Some NP schools have open-book exams. A handful of NP schools, called direct-entry NP schools, will accept applicants even without a nursing degree. Some programs can be completed in as little as 18 months.” Given the duration and lack of rigor in this nurse-practitioner training, “it is not surprising that it is common to see missed diagnoses, incorrectly written prescriptions, and delays in care among patients cared for by NPs,” said Dr. Camp-Rogers, an AMA member who is associate editor of the Journal of the Mississippi State Medical Association. As noted in an AMA explainer (PDF), physician training is comprehensive and requires studying all aspects of the human condition—biological, chemical, pharmacological and behavioral—in the classroom, laboratory and through direct patient care. “We don’t just learn one quick fact about a disease and its most common presentation,” Dr. Camp-Rogers said. “In order to keep patients safe, we learn every single facet of a disease and the less common presentations.”
In addition, nurse practitioners may have limited hands-on training, with 60% of nurse-practitioner programs offered completely or partially online, the AMA explainer says. Critically, nurse-practitioner training—in stark contrast to physician education and training—has virtually no standardization for obtaining practical experience in patient care. The type of patient care experiences nurse practitioners get will vary widely from student to student, and the breadth and depth of clinical experience is not guaranteed at the individual lev
你像极了村里拍着大腿骂人的大嫂。 娱乐效果 加5分。