Comments on: Is becoming a Nurse Practitioner an easier route into medicine? Your blueprint for medical school entry Fri, 11 Aug 2017 11:30:00 +0000 hourly 1 By: Alex Kanaan Sun, 09 Jul 2017 13:29:00 +0000 This is an old thread but I think I can help clarify this a bit as well. There are only 4 professions at this time that can autonomously practice medicine at varying degrees: MD, DO, Advanced Practice Nurses (i.e., NP, CRNA, CNM, CNS), & PA.

MD & DO have gone to medical school and have completed residency’s in their respected specialties. They typically have undergraduate degrees in science majors (e.g., biology). Medical school, regardless of your desire to be a family physician or a cardiac surgeon, is the same for all students. Differences lie in a students grades in medical school, and their STEP examination scores that allow for them to differentiate and be more competitive in choosing a residency. Higher performers in medical school will typically go on to specialize if they choose, and lower performers will be left with fewer options for residency and a desired specialty. For that reason, medical school is so rigorous. Students can potentially become highly specialized, or remain broadly focused such as family medicine.

For nursing (in particular, nurse practitioners), they aren’t trained to specialize in a single area of medicine (e.g., cardiac, neuro, etc); but are population focused. That is, NP school does not train for potential surgeons or neurologist. All students will finish with the same expected scope of practice and abilities in their chosen population focus. Do not get it confused: though NP school may not train students at the level of medical school training (because of what I said before), NPs are well trained (depending on the school you go to) for practicing medicine in primary care areas for their chosen population focus (i.e., pediatrics, older adult, adult, women’s health). NPs do not have a formal residency program. However, they do have clinical rotations (varies between 500-1000 hours) and typically have years of previous clinical experiences as registered nurses. The average NP has 10-11 years of experience as a registered nurse and a bachelors of science in nursing (BSN).

Hope this helps.
– Alex, FNP

By: Confused Sun, 07 Jun 2015 12:16:00 +0000 I have worked for the NHS in a Band 4 clinical role (non nursing) for the last 18 months. In that time I have come into contact with healthcare professionals of all types. My interactions have confused me…a lot!

I have had NP’s/ANP’s/Specialist Nurses telling me that they know as much as Dr’s, can do anything a Dr can and they can prescribe any drug. If this was the view of a single NP/ANP/SN then I would balance that view against the views of the others. However, every NP/ANP/SN held the same view.

I have also had Specialist Paramedics/Advanced Paramedics tell me that at the scene of incidents they can do everything a Dr can.

Then there is the introduction of PA’s and the recent discussion that, in order to address the GP crisis, PA’s will be introduced to General Practice. Whilst I haven’t come into contact with any PA’s, I have read their views on forums. They believe that because they come from nursing, paramedic, physiotherapy backgrounds and because they have completed further training, they are able to do everything a Dr can do including prescribing.

All of the above believe that they hold the autonomy for their decisions, that they don’t ‘answer’ to Dr’s, and that in reality their roles/decisions are not overseen by Dr’s.

I have applied to Medicine but have started to wonder whether Dr’s have a future with the increased introduction of these roles. Will I find in 10, 20 or 30 years that I have been replaced by these roles as a cheaper way of delivering healthcare (although the NP’s, ANP’s, SP’s and AP’s I have spoken to joke that they are on more money than Doctors (excluding Consultants)).

Overall, I am confused as to the difference between the roles, especially based on the views of those I have spoken to. From my conversations, in order to prepare myself for a medicine interview, it appears there isn’t any! Dr’s have told me that the lines have been blurred and they can’t really tell me what the difference is!

I thought that the difference was between the nursing model and medical model, however, the nurses tell me that they are trained in both.

Is there really a difference? Have or will Doctors become obsolete?

Oh, i’m confused…!

By: doceatdoc Mon, 26 Jan 2015 15:45:00 +0000 Hi Antonie,

I would say that psychology may be a better route to take, especially if you want to go for graduate entry.
It has a similar scientific rigour and a career as a clinical psychologist can have many similarities with similar medical sub-specialties.
I would certainly consider psychology followed by clinical practice (or even graduate entry medicine) over nursing, if you are medically minded and narrowly missed the boat.

By: Antonie - Laurentiu Martiniuc Wed, 21 Jan 2015 21:44:00 +0000 What would you recommend in the case of a psychology student ? ( who narrowly failed to get into a British medical school, but had to choose a different route in the UK due to poor prospects in the home country). In addition, getting into a similar career(clinical psychology) is as competitive as Graduate Entry Medicine.