DNP and myself walk into a patient's room. She introduces herself as Dr. Jane Doe. Of course the patient is going to think that you are a physician if you use the term doctor in a clinical setting. The patient asks "so are both of you my surgeons?" She states that she is just the doctor that is following her other medical conditions. Please alleviate this confusion by stating that you are the nurse practitioner. I understand that it is a doctorate degree but in a clinical setting it is implied that you are the physician.

@JessicaNishikawa

7 жыл бұрын

Aloha! Thanks for taking the time to watch and comment. While reading your message I was reminded of a friend of mine who, while in college, used to think everyone was looking at her every time we went out. Even though we traveled in a group of between 3 and 10 pretty gals, she was convinced and would tells us "oh my gosh, everyone is looking me!". Most of us would shake our heads knowing that they were more than likely looking at our scantily clad group as a whole... I don't think she is conceited necessarily, she just lacked a broader perspective. I don't think that patients assume all "doctors" are the surgeons. Anyone who has spent any time in the hospital knows you end up seeing multiple providers; hospitalist, surgeon, multiple consults from other specialties, maybe even a clinical pharmacist and physical/occupational therapists. Any of these providers could be doctors. Saying the term "doctor" implies physician sounds a little... not conceited, but lacking of a broader perspective.

@cliffrodgers1674

7 жыл бұрын

With all due respect...You have to be kidding me if you are saying that introducing yourself as doctor in the hospital does not imply physician. I understand that there are different types of doctoral degrees (my wife is a DNP in surgical oncology for 14 years now and many of my friends have PhDs in biological sciences). That doesn't change the fact that it implies physician in a hospital/clinical setting. Why do nurses act like this is complicated. If you (or anyone with a PhD in anything other than medicine) take a plane somewhere and while on that flight someone has a heart attack and they yell out "is there a doctor on the plane?!" I will bet my bottom dollar that they will be implying a physician...not a PhD in English, ect. Now I'm not saying that a DNP could not help in this situation, just saying not to act like that title doesn't imply physician in certain contexts and environments.

@JessicaNishikawa

7 жыл бұрын

Hi again @ Neurosurgery Texas! I see your point and I agree that there are some parochial places that still think the term doctor (in clinical settings) belongs to physicians. But just like the flight attendants in your story, they require education in order to evolve in our current complex healthcare environment. I happen to fly all the time and have noticed an increasing call for “is there a doctor or a nurse” on the plane, which more accurately represents what is meant, which is “is there someone educated to help in this emergency.” Similarly, patients are more interested in what a provider is going to do for them and they understand that there are eye doctors, foot doctors, surgeons, primary care providers, etc. I’m curious to know if you have similar concerns with doctors of podiatric, optometrists, clinical pharmacists, introducing themselves as “Doctor Doe?”

@cliffrodgers1674

7 жыл бұрын

Hi Jessica, I personally have no concern until it causes confusion with the patient. This has happened a few times but they are far and in between. Where I practice DNPs and CRNAs would introduce themselves to patients as Dr. Doe from surgery/anesthesia. No one cared until patients found out that that person was not the surgeon or anesthesiologist after the physician met with the patient and introduced themselves. It just caused too much confusion (even though, yes, if you have a PhD in shoemaking you are a doctor) in a hospital setting. I think it makes more sense to use the term in a clinical setting if you went to an actual medical school ie Veterinarian medicine, Podiatric Medicine, Osteopathic Medicine , Allopathic Medicine, Dental Medicine, ect.

@MHSMagicLuver

5 жыл бұрын

As a PA student I agree. Our director is a Dr by education but she is a PA. She always says if you get to that point.. in clinical settings you (and her) refer as a PA in practice. And we as students refer to her as doctor. But she never ever refers to herself as a Dr in clinical practice because of the confusingness. And I understand. I will willingly correct people and let them know what a PA is and slowly but surely we are getting more people to understand what we do.

So bad. So misleading. You cannot equate 4 years B.S. degree plus 4 years of M.D. Medical Curriculum and 4-7 years of residency training specific to your respective specialty to a B.S. in nursing and some graduate classes.

@JessicaNishikawa

3 жыл бұрын

I am not equating the two degrees. Just because they are both doctorate level degrees does not mean that they are the same. Sorry for the confusion.

@montycobra7340

3 жыл бұрын

@@JessicaNishikawa Physicians need to just do a better job of identifying themselves as Physician instead of Doctor. Then there will be no confusion and you can call yourself whatever you want.

@JessicaNishikawa

3 жыл бұрын

@@montycobra7340 I agree! Thanks for watching and engaging in discussion over this sometimes heated topic.

@tigerkenshi

3 жыл бұрын

@@montycobra7340 If NP identify themselves as a nurse, then there will be no confusion.

@DrCureAging

3 жыл бұрын

@@montycobra7340 A DNP shouldn't be a thing in the first place. That's like calling yourself a Kung Fu Masterapprentice. It's an oxymoron.

holy cow, referring to yourself as a "doctor and a nurse", as if you have the total experience and education of both, is incredibly misleading. yes, there are many types of doctorates, but within the realm of medicine, patients will interpret doctor to mean physician. there are specific educational standards set in place for one to attain an MD/DO and become a physician. i respect nurses who want to advance their education and scope of practice by becoming NPs, but we need to be careful about the language we use as to not confuse others.

@moyo6166

3 жыл бұрын

The confusion of patients, and ignorance of individuals who do not understand the definition of the term "doctor", is not our problem. MDs are physicians who have a doctorate degree in medicine. DNPs are nurse practitioners who have a doctorate degree in nursing practice. Both are "doctors". The same is for teachers, dentist, scientist and a plethora of other professions who have doctorate degrees in their field. They are doctors. The term "doctor" is not exclusive to physicians. "Hi, my name is Dr. Carnegie, I am your nurse practitioner". "Hi, my name is Dr. Carnegie. I am your physician." "Hi, my name is Dr. Carnegie, I am your instructor." All are fine, legally, and ethically correct.

@lolalolalola3801

3 жыл бұрын

@@moyo6166 sorry NPs are noctors

@moyo6166

3 жыл бұрын

@@lolalolalola3801 With that flawed logic...physicians are poctors, teachers are toctors, and scientists are soctors 😂😂😂😂 makes perfect sense!

@tigerkenshi

3 жыл бұрын

@@moyo6166 Dude NPs are nurses. Advance practice nurse to be exact.

@moyo6166

3 жыл бұрын

@@tigerkenshi Uh...Duh. That's exactly what DNP stands for. Doctor of NURSING Practice. Doctor is a degree, not a profession.

So as an attending MD at our medical school, I walk to the hospitalized patient’s bedside and introduce the Ph.D. Nutritionist, the Ph.D Biostatistician, the DNP Nurse Practitioner, the first-year resident in the team and myself all as “Dr.” so-and-so? Sorry, that would be confusing for your mom and the other members of the care team. The patient deserves to know everyone’s roles and expertise. In the medical environment, the ones who get introduced as “doctor” are physicians; the resident gets introduced as a resident doctor in training. Maybe when society substitutes the word “physician”, colloquially, we could swing calling DNPs “doctor” in the health care setting. We wouldn’t want Mrs. Doe’s spouse turning to the Doctor of Ministry when she goes hypoxic, would we?

@yurigiron6802

4 жыл бұрын

facts

In the US people people have a hard time understanding the terms. Many professions are doctorate professionals but a medical doctor is a physician.

Hi Jessica, I hate to add to the negativity on here, but I must correct you. This video is highly misleading and borderline dangerous to patient safety. There are many claims made by the nursing lobbies and this video, which are highly erroneous. 1. Being able to be addressed as a doctor in academia. I personally have no deep issue with DNPs being doctors in the academic settings. However, I understand how many people cite the rigor of the DNP as problematic. DNP programs are arguably the easiest doctorate programs that exist with, 900 clinical hour requirements, 2-year coursework w/ a nursing bachelor’s, and at a pace/rigor that is no different from that of most BSNs. Additionally, the number of online DNP programs is more than 50, roughly half the number of programs that award the MD in the US. I do not know of another program/discipline that awards doctorates online, other than 2 D. Pharm programs. It is easily understandable why academics are having a visceral reaction to DNPs addressing themselves as doctors. 2. Being able to be addressed as a doctor in the clinic. DNPs have no business referring themselves as doctors in the medical clinic. The word doctor, absolutely implies a physician who leads the patient care team, and is the person ultimately responsible for patient outcome. The statement that DNPs and MD/DOs are equal pieces in a puzzle is ridiculous. In that case, nurse practitioners will need to accept the same amount of responsibility for patient outcomes, pay the same malpractice insurance rates that we do. 3. The DNP takes away talented floor nurses, endangering patient safety I love nurses. One more time, I LOVE NURSES! An experienced Med-Surg nurse is worth his/her weight in gold. I can’t even begin to sing the praises of the experienced/wizend nurses that showed me the ropes when I was young and naïve. The nurses that saved me from an ass-chewing when I forgot to give vanco at 3 am ½ asleep answering a page. There’s a huge shortage of nurses. I can’t tell you how many ICU/CC rounds that I went on, where the attending and residents were lamenting another great nurse quitting to go to a DNP. These nurses are the backbone of healthcare. But at the current trend. The floor RN/BSN is simply becoming a 2 year stopover point in one’s career. We need talented nurses. If the DNP’s purpose is to address the shortage of physicians and help patients, then what it’s doing to the profession of nursing surely goes against the spirit. 4. Nurse practitioner autonomy The argument for autonomy centers around these points: 1) there’s a primary care shortage, 2) NPs have similar outcomes to MD’s in outpt primary care, 3) NP are poised to go to rural/underserved places and must have autonomy because there are no MD’s. Studies have shown that there is no statistical difference between the location of MD/DO and NP practice. NPs practice in the same places that MD’s do. If we wanted MD/DO’s in the high need areas, I suggest strengthening the loan-repayment programs. It would be a much more cost effective way to increase rural primary care. The studies that show similar outcomes are highly flawed. www.mc.vanderbilt.edu/documents/nursingoap/files/Quality%20of%20Primary%20Care%20Advanced%20Practice%20Nurses.pdf. Was a review study that I found by Swan et al. that has been cited time and time again. It is highly irregular for the following reasons: 1) it reviews 7 clinical studies, of which 1 has been conducted in the US. 2) The single US clinical study was done and written by Mary Mundinger, the inventor of the DNP degree, and the foremost advocate for NP/MD equivalence, 3) the authors of the review article were students of Columbia nursing, where Mundinger served as the dean, 4) The single US study follows a group of just 6 NPs, serving an urban 93% Hispanic population, which is very different than the US population, 5) The metrics it uses are patient satisfaction scores, which are very subjective, and 6) the study doesn’t follow practitioners long enough to have a true picture at outcomes. Most research into this matter are: 1) funded by the nursing lobby, 2) poorly conducted, 3) politically motivated, and 4) border quasi-science at best. MOST IMPORTANTLY, the studies fail to acknowledge the difficult of cases are different for MDs and NPs. MD's see the sickest of the sick, while midlevels see mostly your everyday cases. Also, most research into patient safety cite malpractice rates, claiming that MD’s have 20X more grievances against them than NPs. Therefore, NPs provide safer care. This is nonsense. MDs are responsible for the care the NPs provide, and MDs are the ones that get sued, for any and all mistakes that NPs make. I can tell you of a respected attending who was the defendant of a multimillion dollar lawsuit, for a mistake than his midlevel made. It was his career and life that got destroyed, while the midlevel simply found a new job. 5. Claims of NP and physician equivalence in scope of practice. No. In terms of training hours, a family practice MD has 4X more hours. This is absurd. 7. Assertion that MD pushback is detrimental to team based medicine. Physicians are not the ones rocking the boat here. It is the nurses. While unprofessional and demeaning behavior is unnecessary, it is the nurses and nursing lobbies that are doing the real, aggressively destructive actions. Physicians are simply defending ourselves. 8. The devaluation of the MD. No one will question the knowledge/training gap between DNPs and MDs. There's a reason why we spend our 20's in a library. DNPs have very valuable experiential knowledge. DNPs are effective in treating commonly seen ailments. MD are trained to understand the broad spectrum of human disease. Medical knowledge, has been developed by physicians over centuries, and have been handed down from generation to generation. This knowledge and training process, must continue on for the survival of the human race. If DNPs gain parity with MDs in terms of practice scope and income, what fool would spend a lifetime in medical training? Who with sound mind would spend their best years in agonizing and life-consuming hardship? Go through the rigorous undergrad, selection process, medical school, residency, fellowship, and research required to become an attending physician? The aggressive DNP assertion that by virtue of their experiential knowledge and continuing education, they are entitled to be attendings and eat from the same plate as physicians is absolutely ridiculous. 9. Inconsistencies in DNP programs Medical education (MD/DO) is highly regulated in the United States and Canada. The LCME and the AOA are lions that keep curriculums, board pass rates, and the overall quality of education consistent throughout all US/Canadian schools. DNPs programs lack the quality control mechanisms that are seen in medical education. There is no strong, central accrediting agency. There have been 100+ institution that have begun offering the DNP in the last 15 years. Many of them are on-line. I do not understand how it is possible to guarantee the quality of education at this explosive growth rate. 10. Future of medicine and it's applications to physicians and DNPs Medicine, as it's currently practiced will be turned upside down by the explosions in scientific translational research that is coming down the pipeline. To name a few examples: 1) genetics, in the near future, it will become a standard of care that every patient will get their genome sequenced, and any and all treatments will be personalized to the patient's genetic info. This will mean minimized adverse reactions to drugs, selection of anesthetics based on liver enzymes, and treatment specifically tailored to the patient. What used to be let's-use-this-and-see-what-happens will be replaced by highly specialized treatment based on genetic certainty. 2) Molecular biological therapeutics: Crisper/Cas 9 system, an adapted bacterial enzyme systems used to treat genetic diseases such as cystic fibrosis that arise from single base pair to short chain length nucleotide mutations. We've only scratched the surface. With the coming years, we will be able to treat complex genetic diseases, which are exponentially more difficult to diagnose and treat. American trained physicians, are scientists before they are physicians. In undergrad, I like most of my former classmates and colleagues, got a chemistry, biology, or physics degree and completed a 2-3 year bench-top research project that was funded by the NIH or the NSF. Nursing curriculums are not basic sciences based. Undergrad nursing majors take brief courses into high-school level chemistry, and an introduction into microbiology. And then, they're off to the clinically applicable material, learning the hands-on skills and the applied medical materials, which are vital to team-based healthcare. Nurses are in no position to lead the patient care team at any levels in this new paradigm. These deep understandings in molecular biology takes years of training to develop. All patients in the future will need a primary care or specialist physician who is deeply comfortable with the underlying scientific principles. Please, us physicians are fighting for patient safety, the value of our degrees, and our livelihoods, just as anyone else would. We are not greedy parasites. You would be shocked at what many academic attendings earn. I can tell you my plumber and car salesman make more money. Jessica, if you would like to be an attending, then please, go to medical school. I am sure you would be a wonderful candidate, and any school would be fortunate to have you. Best wishes, T Mac.

@JessicaNishikawa

7 жыл бұрын

Hi T.Mac, You put a lot of time and effort into that post! Thank you for watching and taking the time to comment so thoroughly. I can tell you care deeply about this issue. My biggest concern is that some of what you wrote is incorrect and propagates common misconceptions. For example in your very first discussion point regarding the rigor of the DNP degree you've incorrectly cited the clinical hour requirements and course-work duration. You've also implied that BSN programs are not rigorous. I know physician education is grueling, but it is offensive and unsupported to imply that physicians (as a whole) are smarter, better at providing medical care, or more dedicated to the profession/patients than nurses. Thank you for fighting for patient safety, the value of your degree, and your livelihood, Nurse Practitioners, even those with a doctoral level education, are not a threat to any of those things. And thank you for your suggestion to return to a medical program, but I made that choice long ago, and like you, I feel that I choose correctly. Aloha, Jess

@kennysimmons4762

6 жыл бұрын

Hi T.mac, I'm only commenting on here because I'm currently in the process of earning my DNP, and while you made some great points regarding the rigors of medical school, I was surprised you left out having to take your step 1, score well enough to match into a decent residency program, then go on to take step 2-3, then go on to do 1 year of internship, and then three years of residency. With all the training and BS I would be pissed too. But, I hate to be a downer, a lot that you learn while in medical has no relevance to the type of clinician you are. It's a lot of fluff and painstaking studying you won't truly retain due to the sheer insane volume of material most physicians forget after they sit for their boards, or start practicing in a certain field...... I can guarantee most physicians couldn't explain the kreb cycle, or the 9 basic amino acids. I attended medical school, completed my first year and then decided to say fuck this noise (excuse my language). I decided to leave after I was disappointed with the way our healthcare system was treating doctors, and decided I wanted to practice medicine but not find myself in 250k+ debt, with a slim chance of matching into the residency of my choosing. I want to backtrack to medical school education. I found that taking biochemistry, histology, pathophysiology and so forth was such a waste of time. Everything you really need to become a great physician will be taught once you reach your designated field of medicine. Either way, you're never going to practice derm if you end up doing an Obgyn residency. No denying what you learn along the way will build some building blocks for concepts you're taught, the majority of it is crap. Honestly your idiotic comment on the DNP degree being the easiest doctorate to obtain was foolish. Coming from medical school then going to do a super intense accelerated BSN program really opened my eyes up to the difficulties of nursing school, and education. I was I'm impressed with that eduction enough to decide on pursing my DNP. I'm sure you wouldn't know, but most DNP programs require you to maintain a very high GPA avg. In addition to having to maintain an 84 avg to pass my course work, I'm still working per diem as a nurse and doing research, which not that many medical students do unless doing a joint MPH, or Phd program. Medical school passing is a 70, not so tough to maintain if you study 3-4 hours a night. Also, there are a number of MD programs in the caribbean that will take your money and not require any science pre reqs or an MCAT score. Some will push you through, or eventually you get the exams from people that have taken the course and they slide through the cracks. I have buddies practicing medicine that cheated throughout medical school, its honestly comical that you left that out. I have more to say, but this rant is probably pointless. I just commented because your comment was significantly incorrect, and I'm sure was from a place of agitation. I'm sure you killed yourself to obtain a medical degree, whether it be DO or MD and as DNP's we will reach a level of near identical equivalence going a different and quicker route. But the care we give, will absolutely equal that of any family doctor. Side note, whats the deal with optometrist/ ophthalmologist, podiatrist and orthopedic surgeons. etc.... they call themselves doctor, yet do the same role of their counterpart physicians but on a lesser level. I think you know healthcare is changing, and i'm sure glad i didn't waste my time pursing my DO degree. Btw, saying I'm Dr whatever, I'm a doctor of nursing practice board certified as a family practitioner is by no means misleading. I think saying you're a physician is obviously a lie and wrong. The term doctor doesn't indicate you're a physician, even in the clinical setting. Psychologist, and podiatrist are running around the hospital too, time to stop being petty. Retire if you aren't happy, become a plumber if they make more than you. All the best. Kenny

@lady3aj

5 жыл бұрын

Kenny Simmons thank you so much for your comment. I was taught that anyone who gets a PhD in anything is considered a doctor but your explanation definitely made sense. I’m in a accelerated BSN hoping to soon obtain my doctorate in nursing practice. Thank you

@lady3aj

5 жыл бұрын

relax people in the emergency room we have emergency psychiatric department and we have a Dr. who is a psychiatrist. he got his doctorate in psychology and we refer to him as doctor. geez doctors/physicians really get butt hurt when someone else with a doctorate degree gets called dr.

@almy75

5 жыл бұрын

T. Mac ...you forgot to mention that a doctor will treat you with more respect, more compassion than any nurse will ever do! All my experiences I have had with nurses were very disappointing...always in a rush, always in a bitchy mood , very impatient.

A Physician is not someone with a phd, misinformation here, A physician has a Degree of Medicine usually "Doctor of Medicine". Nurse Practitioners receive the "Doctor of Nurse Practice" or DNP they are different focus and different experience hence not the same.

@JessicaNishikawa

6 жыл бұрын

Aloha Howdr1, I don't believe the video says a physician is someone with a PhD. I've reviewed it many times. If I'm mistaken, please let me know where and I'll review. But as for the rest of your post, I agree and that is pretty much what the video is about. Thanks for re-stating in a way that maybe more people will understand :) Thanks for watching, Jess

I don’t understand the need for a DNP when there are NPs. Why not just go to medical school and become an MD? It seems like the school timing is just the same for some specialities.

@jimmycmartinez

4 жыл бұрын

One main possibility is the costs. For example, in a clinical setting, it is more affordable for insurance companies to reimburse DNPs or PAs versus MD/DOs. If you have an HMO insurance plan, you probably have been directed to a physician assistant or a nurse practitioner rather than a physician. That is because it is cheaper for insurance companies to pay out the PA or NP than the MD.

@macyliz8632

4 жыл бұрын

The training of MD vs a DNP is vastly different. The cost is also very different. Medical school can cost anywhere from 200K-500K. You have to have a bachelors (4 years), Doctor of Medicine (4 years), Residency (3-7 years), Fellowship (1-3 years). You gain well over 20,000 clinical hours before practicing independently. NPs can earn their degree online and have around 500 hours of clinical training. DNPs can also earn their degree in a substantially shorter amount of time with less debt, with 1000 hours of clinical practice. To compare the two is a huge disservice to all those who have made it through medical school. NPs/DNPs play a vital role in health care, but they are not the same. There is also a huge difference in "specializing." For a physician to specialize in a field such as rheumatology, we have to get a bachelors (4 years), graduate medical school (4 years), Residency (3 years), fellowship (3 years).. Not to mention multiple board exams lasting well over 8 hours a peice. THats 14 years of training to become Dr. so and so, Rheumatologist. For an NP to "specialize" they can get an online certificate in a matter for TWO-THREE DAYS. So, would you rather place your care in the hands of the Physician (MD/DO) who trained well over a decade to deliver proper diagnostic care, or the NP with a certificate from an online course. To me the decision is quite simple. MDs/DOs are irreplaceable in the health care setting. To compare DNPS or NPs to MDs/DOs is a complete slap in the face to all those who endure the financial hardships and sacrifices, in order to become a physician. Why do you think people who can't pass the MCAT go to nursing school, it is easier. That doesn't lessen the value of an NP or DNP, but the training doesn't compare. End. of. Story.

@ricardorodriguesrr18

4 жыл бұрын

@@macyliz8632 I don't get why you guys like to count the 4 years of bachelors as the time of a doctor's training since is completely irrelevant for the medical career.If that's the case you should count the time of high school and primary school too. And. Fellowship is not required so not all doctor are gonna do a fellowship.

@macyliz8632

4 жыл бұрын

Rick Rodz I counted the four years of undergrad because 1. It’s required for all MDs prior to entering medical school and 2. There are NP programs out there that don’t require a bachelors and you can bridge lpn to np. It’s to clarify the difference in training/standards. And the reason I brought up fellowships, is to demonstrate again how differ MD vs NP training is. If an MD wants to specialize.. they go through YEARS of training. If an NP wants to specialize they can do so online in a matter of TWO TO THREE DAYS. the care that someone gives you from an online training course over 2-3 days is going to be much different than the care from someone who spent years learning about said specialty. Not every doctor goes through a fellowship, but I did mention it to demonstrate the difference in knowledge with specializations.

What is wrong with telling the truth that you are a nurse practitioner? If you get sued, at least they would not claim that you were misrepresenting yourself as a physician too.

@JessicaNishikawa

5 жыл бұрын

Aloha VRS Kingsport Tennessee, Nothing is wrong with saying you're a nurse practitioner if you are. In fact, I recommend it. For NPs who have an earned clinical doctorate, I don't think there is anything wrong with saying, I'm doctor Betty Smith, a nurse practitioner here at the hospital. To my knowledge there have been no malpractice lawsuits for NPs misrepresenting themselves as a physician for calling themselves doctor. Thanks for your interest in this topic and for watching, happy holidays!

@pawnhandler7775

5 жыл бұрын

@@JessicaNishikawa Because instead of a patient or their attorney, you are someone with a need to be called a doctor, of course you would not think anything wrong with it. Just hope that one day you are not trying to make you case in a courtroom. Defending medical claims are just about impossible half of the time. Billing yourself as doctor only increases your risk, not manages it.

@pawnhandler7775

5 жыл бұрын

Out of courtsey, or habit, most patients call their Midlevel providers "doctor" anyway, even in conversations away at home or in society, without regard to them having a doctorate or not. They respect you already. No need to sweeten it up another notch.

@JessicaNishikawa

5 жыл бұрын

Aloha @@pawnhandler7775, I'm not sure I'm following you on the "you are someone with a need to be called a doctor". I don't recall saying I need to be called anything. I also hope to never be in a courtroom, for any reason! I'd also like to point out that there is a large difference between introducing yourself as "Doctor Smith" and "billing yourself as a doctor". As for your last comment, if it is indeed accurate, further demonstrates the need for providers to educate their patients about who we are, what we do, and what role we play in meeting their healthcare needs.

A doctorate in nursing practice DNP. Many DNP programs do not place focus on obtaining an NP-C, thus these DNPs remain in academia, and leadership positions. Provide a DNP program that places a its focus on medical specialization for current masters prepared NPs, instead of education, academia, or research, and many more NPs with masters degrees will follow.

You neglected to mention that nursing practitioners are not trained as physicians are. They do not complete a formal medical residency in the United States. You also neglected to mention that both MD and DO, even DPM and DMD, are formally trained under the residency model, and thus have earned the title of physician (the culturally accepted meaning of 'doctor' in the physician community). As it stands, nurse practitioners do not hold medical licensure, but nursing licensure. The meaning of nursing licensure changes depending on the state. Sometimes it means that nurses can practice medicine independently without overtly stating this. Eventually medical boards may decide that the definition of nursing is too vague and overlaps with medicine to the degree that a lawsuit will happen in these states. I have several times myself attempted to pull apart the privileges granted by nursing licensure in different states, and found it impossible. As the nursing profession currently exists now the definition is too vague to fully understand what role nursing practitioners have in medical practice. Nurses and Nurse practitioners are not leaders of the healthcare team. They are not trained to be leaders, and I have no idea why you would suggest this. It is blatantly misleading.

@JessicaNishikawa

6 жыл бұрын

Aloha Kevin, Sorry it took me awhile to get back to you. I just got back from an amazing vacation and am just getting around to clearing out emails. Thanks for watching and taking the time to comment, unfortunately it doesn't sound like much was absorbed. The video does mention the differences in NP and Physician training. You are correct that NPs have advanced nursing degrees, and in some cases, clinical doctoral degrees (DNP.. it's pretty much what the entire video is about). Medical boards can decide whatever they want, but unfortunately, they do not get to dictate what nurses can do, that's up to nursing :) You are also correct in that a lot of what NPs do is very similar to primary care physicians. Good thing too because as the video points out, there are increasing numbers of primary care NPs and decreasing numbers of primary care physicians. Your last three comments demonstrate a lack of insight into healthcare and NP education. It's okay though, it can be confusing even for marginally intelligent folks.

@alewis02

5 жыл бұрын

Jessica Nishikawa you claim to want to be respectful but your comment about this writer being “marginally intelligent” just reinforces the underhanded game you and many NPs are playing. If you want to continue misleading patients by calling yourself doctor in a clinical setting go ahead but unless you are following it with the fact that you are actually a nurse practitioner you are intentionally misleading patients and you know it. If you are so proud of your profession clearly identify yourself and let your patients make informed choices. All of this obfuscation is just silly.

@JessicaNishikawa

5 жыл бұрын

Hi @@alewis02! Another post from you! Does this make us almost friends? :) Thanks for you comments ang engaging in conversations about this important topic. I totally agree that I was a bit snarky in that previous post. I really try not to be, but its pretty much my baseline, so it's a challenge, especially when responding to people that clearly didn't watch or want to contribute to any real discussion. Regarding the body of your comment, again I totally agree with you and have said the same thing all throughout these posts, "doctor" does not tell anyone WHAT you do, so it should always be clarified. "Hi I'm Doctor Betty Smith, one of the oncology nurse practitioners here at the hospital". Just as when physicians introduce themselves they should say what they do, Ie: cardiologist, surgeon, anesthesia. I am not trying to confuse you or anyone else. In fact, the opposite, I'm talking about it and discussing it in efforts to educate. I am very proud of my profession and I'm very proud that I completed 8 years of challenging coursework culminating in a clinical doctorate. Aloha and happy holidays.

@almy75

5 жыл бұрын

Jessica Nishikawa ..... A bitchy nurse with an ego bigger than her own bonehead calls an MD marginally intelligent! Yeah woman, I am really looking forward to replace my ' marginally intelligent' family doc with a twit like you! You are giving a bad name to all those np, bitchy witch

@JessicaNishikawa

5 жыл бұрын

Whoa Almira Nakicevic / @@almy75, Language! lol, lets keep this PG :) I can tell from your response that this is an emotionally charged issue for you, as is it for many. It's unfortunate that the presentation of your position is offensive and contributes to many of the interprofessional collaborative issues plaguing healthcare. I don't see where "Kevin" says he is an MD and I don't call him marginally intelligent. Although rereading the post, his comments do lack sagacity. Thanks again for watching and taking the time to comment, hopefully next time they are comments a little more conducive to conversation.

This is a great video. I just became an FNP with a masters' degree and my mom is always asking me what are you going to be doing? So thanks for creating a video that sums up what an NP is.

@JessicaNishikawa

7 жыл бұрын

Hi Kimberly. You are welcome! And I STILL get those questions from my family :) Congrats on finishing school and passing your boards!

Great overview! It would have been best to compare Nursing vs Medicine instead of Nurse vs Doctor. Doctor is a specific title that everyone with any form of doctoral degree shares. Physicians are doctors who practice medicine/osteopathy. The DNP is a generalist degree for APRNs. It is not the combination of "doctor(physician)" and "nurse" that makes a Nurse Practitioner with a DNP. Incorporating the APRN consensus model and definition of DNP curriculum would help to clarify the confusion around the differences between role vs license vs title vs degree vs certification.

@JessicaNishikawa

7 жыл бұрын

Great ideas! You should make one!! Thanks for watching and the feedback.

Hi. I'm an International student. I'm thinking about what major I should take. I have a couple questions. Can I study nursing before doctor? Get the 4-years degree of nursing. And finish the 4-years nursing can I study doctor? Or I have to take biology for the main major in university? I'm so confused. My final goal is to be a doctor. I'm looking forward to your reply. I will appreciate it.

@JessicaNishikawa

8 жыл бұрын

Hi Meiyi tan. Thanks for watching. The answer to your question depends on what you mean when you use the term "doctor". The Doctor of Nursing Practice degree is a terminal, doctorate level, nursing degree. So you are studying nursing while becoming a doctor. If you are referring to a medical doctor (MD) or a physician, then yes you could also study nursing prior to going to medical school, although that is not a typical track. It is an interesting model to consider though! Best of luck to you!

No honey, Neither NPs nor PAs are DOCTORS

@michaelreyes2301

4 жыл бұрын

Right, even if there were to be a Doctorate of Physician Assistant, the only reason I would want that is if I want to get into academia...but if I am in the hospital, no need to say "hello, I am Doctor of Physician Assistant Reyes."

@Jdelli0916

3 жыл бұрын

Doctor simply means they went through a doctorate degree program. Philosophers, Phychologists, Engineers, so on and so forth, and yes, nurses can all be Doctors. That title is not exclusive for MD's.

@moyo6166

3 жыл бұрын

The ignorance of individuals who do not understand the definition of the term "doctor" is not our problem. MDs are physicians who have a doctorate degree in medicine. DNPs are nurse practitioners who have a doctorate degree in nursing practice. Both are "doctors". The same is for teachers, dentist, scientist and a plethora of other professions who have doctorate degrees in their field. They are doctors. The term "doctor" is not exclusive to physicians. "Hi, my name is Dr. Carnegie, I am your nurse practitioner". "Hi, my name is Dr. Carnegie. I am your physician." "Hi, my name is Dr. Carnegie, I am your instructor." All are fine, legally, and ethically correct.

@DrCureAging

3 жыл бұрын

@@moyo6166 No one who has any bit of knowledge of the system is misunderstanding anyone at the doctorate level can call themselves "doctor" even the BS "doctors" like ND's and DC's. You need to understand that context matters. A DNP referring to themselves as "doctor" is deliberately playing on the lameman/patient's ignorance. In the clinical setting patients understand "doctor" to be equal to a physician. End of story.

@moyo6166

3 жыл бұрын

@@DrCureAgingIf you actually read, there are many people who are confused by the term "doctor" and think it means and only applies to physicians, thus my clarification. Context does matter. That's why if you actually read my statement, I said, "Hi, my name is Dr. Carnegie, I am your Nurse Practitioner" is correct, legal, ethical, clear, and in perfect "context". End of story. Your "opinion" on this issue is irrelevant. I'm stating facts.

Hi jessica i would like to share it. and i am Phd adult nursing student and i would like to see curriculum for DNP and what differ from PHD curriculum. Amer,BSCN,MSNG,RN,Phd nursing,Iraq.

@jessnishikawanursing570

8 жыл бұрын

+Amer Mohamed Hi Amer, here is the link to our main DNP info page: www.nursing.hawaii.edu/graduate/dnp. You might also be interested in our comparison of the two terminal degrees, which can be found at www.nursing.hawaii.edu/graduate.

I have no medical degree, but a lot of experience being a patient. DNPs are NOT doctors. They are not qualified to provide the same care MDs or DOs.

@moyo6166

3 жыл бұрын

The confusion of patients, and ignorance of individuals who do not understand the definition of the term "doctor", is not our problem. MDs are physicians who have a doctorate degree in medicine. DNPs are nurse practitioners who have a doctorate degree in nursing practice. Both are "doctors". The same is for teachers, dentist, scientist and a plethora of other professions who have doctorate degrees in their field. They are doctors. The term "doctor" is not exclusive to physicians. "Hi, my name is Dr. Carnegie, I am your nurse practitioner". "Hi, my name is Dr. Carnegie. I am your physician." "Hi, my name is Dr. Carnegie, I am your instructor." All are fine, legally, and ethically correct.

Come on, now. Referencing yourself as "doctor", even "doctor nurse" or "nurse doctor" to a patient feels unethical. Why not say an "advanced practice nurse" or "advanced nurse" if NP doesn't make sense? NPs know better than any provider that patients who hear any "doctor" language during a discussion of the NP role will assume MD (or possibly a DO). Most patients have zero idea that you are referencing your doctorate.

@JessicaNishikawa

4 жыл бұрын

Aloha! Thanks for watching and furthering the discussion on this topic. I agree that the healthcare teams can get complicated, especially when a few of us do the same thing. If and when I introduce myself as "Dr Nishikawa", I always include my job title as well, as I believe, everyone should.

@BeneathTheRomance

4 жыл бұрын

There are doctorate programs in nurse practitioner...

@tigerkenshi

3 жыл бұрын

A stubborn lady worked her ass off during schooling she wants return on her investment so bad and make everyone known what she got. Respectful people do not ask others to respect them. They earn respect via respectful behavior.

@akutenshi6946

3 жыл бұрын

@@BeneathTheRomance but general public will always assume "doctor" to be a "medical doctor ". By doing so in a clinical setting you're essentially taking advantage of your patient's misinformation or lack of it therefore.

So then what is the point of being a physician or a nurse? Why not just have everyone trained as an NP? As a first year medical student this is a question I wrestle with every single day. Ever since I was young, Ive dreamed of becoming a doctor; but even i considered dropping out of medical school to try to become an NP or PA if I could do the same things I would be doing as a doctor with less debt and less time. However I love medical school and I love the things I'm learning and the opportunities I'm getting, so I'm happily choosing to stay. Still, I can't help but wonder: what do physicians gain from the extra 4-10 years of training between years of schooling, residency, fellowship, and even "super fellowships?" Why bother if NPs and PAs can do the same things as a physician with relatively less time in school and training?

@JessicaNishikawa

6 жыл бұрын

Aloha jackofmanytrades927. My belief is that healthcare needs team members of all varieties. We all play different but equally important parts in patient care. Given the trends that have occurred over the last decades, it looks like physicians will continue to move toward specialty care and surgical practices while NPs will continue to work in primary care. My best guess is that NPs will one day provide most primary care. Let me be clear though that NPs cannot do what most physicians can do given that most physicians are specialists these days. There is very little difference in the scope of practice between MDs and NPs in primary care, but the length of training and cost of education between primary care MD and primary care NPs (especially those NPs with a DNP) is not as far off as you might think. At our university both the MD and the BS to DNP NP program are 4 years long and the MD program is only a few thousands dollars more per year. Regardless of your path, I think it is great that you challenge your beliefs, it'll strengthen your resolve and help you become a great clinician. I wish you the best of luck in your program. Jess

@jackofmanytrades927

6 жыл бұрын

Jessica Nishikawa Thank you Dr. Nishikawa, thank you so much.

@MHSMagicLuver

5 жыл бұрын

I’m a PA student and I knew from my first year of college when I heard about a PA that’s what i want to do. Right now we dont have complete autonomy and I’m fine with that! I don’t know if we even had that option if I would want that. I like working as a team and having someone else there for you. We have came a long way in the recent years and I am very proud to be a PA student and be done in a little less than 2 years now. :) I have worked with MDs, PAs and NPs in my pediatric office where I was a MA and in that setting they all do the exact same things except the MD was the only one who could do pre ops and ADHD visits. Other than that in clinic they did exactly the same so I definitely see your point.

@alewis02

5 жыл бұрын

jackofmanytrades927 As a physician who has actually completed her training I can tell you the extra time makes a world of difference in understanding disease processes when treating complicated patients and even those who on first glance appear to be simple . NPs will continue to push the falsehood that extra training doesn’t matter, but when you have completed your studies, you will be equipped to treat a wide range of patients and do critical decision marking to a much greater extent because you will have developed the experience of actually making medical decisions over years and hundreds of patients. 500-1000 hr of shadowing after years of simply following physician orders will never be equivalent to 20, 000 hours of hands on clinical decision making. Just how you would want the pilot who actually had hands experience flying a plane and not someone who simply watched others do it, you should also want to be a physician that has the appropriate experience. Many NPs I have worked with continue to refer simple patient problems to specialist physicians for management long after they have obtained their degrees because their training was inadequate to properly treat diseases. This is why many insecurely try to refer to themselves as Dr in the clinical setting instead of showing pride in their profession and letting patients know exactly what kind of provider they are.

@JessicaNishikawa

5 жыл бұрын

@@alewis02, please don't belittle nurse practitioners and np education. I certainly have never done that to physicians. As for your post, primary care has changed dramatically in the last 50 years. Specialty care has also changed dramatically in that time and finally, PATIENT OUTCOMES have changed dramatically. Healthcare will continue to evolve and it will need leaders from all fields to help navigate these changes. I hope you are going to be one of those leaders. Fighting about titles of people with earned clinical doctor degrees is not a way to demonstrate that leadership.

Which sort of diseases/illnesses do they treat? Like diabetes and stuff Or minor things like colds and so forth? And the uni I have applied for does it for one year so do I have to learn diseases/ilnessss and what to prescribe people in one year? I live in the U.K. Btw. Only 16 though. I haven't applied yet obviously but In 2 years I am. And medicine involves a lot of chemistry so does nurse practioner do the same??? Xx

@JessicaNishikawa

7 жыл бұрын

Hi Najama, Thanks for watching! As clinicians, NPs manage a broad range of chronic and episodic conditions. It depends somewhat on the pathway chosen. The UK laws are different though, so I would find a local NP to ask. In order to become an NP, the clinician must first be a nurse and has to maintain a nursing license. Best of luck to you!

Didn’t the DNP degree sort of appear out of nowhere? Maybe I’m just becoming more aware of it now that there are so many money hungry online “schools” that take people with no clinical experience at all and pump them out to be DNPs. The DO degree took about 70 years to get recognized in all 50 states, but they didn’t have as good of a lobby. I know a ton of good nurses with vast clinical experience that would be superb NPs, but they’re all over the age of 30-35 and have worked at the bedside for many years and hence have had time to develop clinical acumen. You can’t just start with no experience and complete an “accelerated” program and have ~1500 hrs of clinical experience which can be simply “shadowing” and just step out into independent practice, at least not in a place where there’s a decent chance someone could be actually sick. An above poster seemed to think the DNP would devalue the MD degree, I disagree. I think that initially there could be some confusion around the degree. I do think this could hit the Caribbean medical schools as it’s “Doctor” and people who wouldn’t have been able to get into a US medical school would take this option instead of going offshore, but I think that it will unfortunately devalue the DNP degree itself.

@michaelhankins5309

3 жыл бұрын

the DNP title is just a push to get NPs a "doctorate" the same with the PA's DMSc degree. It's so they can push their agenda of being "called doctor" and grey the line between physicians and non-physicians. My opinion anyway, although I know many share it.

thanks for information and given by knowldge ..... its very useful for our life... and thanks...

I am torn and confused, I would like to know if there is a real difference between a masters prepared NP and a doctorate prepared NP

@cm2973

7 жыл бұрын

Mostly research material. Not a lot of difference clinically.

@JessicaNishikawa

7 жыл бұрын

Hi Freddy, Masters prepared nurse practitioners are already expert clinicians. The DNP degree adds evidence based practice application, systems leadership, and organizational change, among other things. The DNP prepared NP is still very involved with direct patient care but has the education and skill to affect healthcare change on a broader scale as well. Aloha- Jess

@paigykim981

5 жыл бұрын

I heard all nurse practitioners are required to obtain doctorate degree from 2020.

Love your videos. I see they are a couple years old. I hope you make more in the future!

Dr. Nishikawa, how long does it take to become a DNP if you do an accelerated bsn to dnp? And I am currently a nutrition dietetics student trying to get my R.D after I graduate and do an internship next year. Then I plan on working for a year for expierience then doing an accelerated bsn to dnp. The nurses at my college are just UNBELIEVABLY amazing and happy and sweet. I just love the community, thier passion and knowledge. Its not every man for themselves like med school. Also, do you think I would have time to imcorpoarte nutrition into treating patients as an Rd or have a tiny private practice on the side ?

@JessicaNishikawa

5 жыл бұрын

Hi Heal-Thy Life, first of all, congrats on almost completing R.D school! As an NP educated in nutrition, you'll have many opportunities :) The BSN to DNP programs are typically 4 years. There are still MSN programs that would be about 3 years typically. Wish you the best in whatever you decide to do. You really can't go wrong in any field in healthcare. J

I do see how the term "doctor" can be very generalized. I am currently enrolled in an FNP program and plan on getting a post masters in acute care NP and DNP. Thanks for clarifying the role of a doctoral prepared nurse.

@JessicaNishikawa

7 жыл бұрын

Hey Chris - good luck! Continue on! We need more of you in the workforce!

This video was BEAUTIFULLY MADE!

@JessicaNishikawa

8 жыл бұрын

Hi Agnes, Thank you :) And thanks for watching!

please Dr.Jessica ,can i work research with you and do you have some research problem to work togather. Amer

@jessnishikawanursing570

8 жыл бұрын

+Amer Mohamed Hi Amer, thank you for asking. One of the main differences between DNP and PhD is in terms of the projects we do. While some DNPs do research, the majority of us focus our efforts on clinical outcomes and patient centered Evidence Based Practice projects. You can more information about that on those sites I provided above. Best of luck to you as you complete your program!

@hollywoodwear123

7 жыл бұрын

Although a clinician, a nurse practitioner with a doctorate is not a doctor of medicine.

@JessicaNishikawa

7 жыл бұрын

Hi Davide Giudea. Correct! A nurse practitioner with a doctorate is a doctor of nursing. It also happens to be what the acronym stands for DNP (doctor of nursing practice). Sorry if this was confusing!

Thank you mam..for great information..

This is propaganda. The rest of the world generally doesn't let nurses play doctor (exception of the UK which is in a race to the bottom).

Thank you for helping to look clearly about what DNP is all about. Will be pursuing DNP after my BSN in nursing. ;)

i watch all your videos as templates for NP school. you are well known with students for excellent clinical skills. Thank you!!!

I loved the video. nicely done and informative. I'm in rn-bsn program. 1 more semester... can't wait. I want to go forward and be an NP. any tips in regards to going for NP? like choosing the right school, specialty, and other considerations?

@JessicaNishikawa

7 жыл бұрын

Aloha Jeth, Thanks for watching and for the kind words. If you know you want to be an APRN then go for it. The track you choose depends on what the schools near you offer and if you're willing to move away, as well as what your passion is - peds, adult/gero, inpatient vs outpatient. The largest need is for primary care and hospitals type positions. With older adults being the most rapidly growing segment you can't go wrong with an AGNP or Acute Care AGNP program. FNP programs give you the most flexibility... ultimately depends on what you see yourself doing in the future :) Whatever you decide, I wish you the best!

You are an asset to the nursing profession! Thank you for your videos! :) -NP student

@JessicaNishikawa

8 жыл бұрын

+Matthew Andrew Thank you very much! Happy you find the videos helpful :) Best of luck in the rest of your program.

@amermohamed8004

8 жыл бұрын

+Jessica Nishikawa please how we can get curriculum for dnp. Amer. phd student nursing

@JessicaNishikawa

8 жыл бұрын

Hi Amer, I'm not sure what you mean. I could share our current curriculum at the University if you are interested in seeing the courses that are required. Or could direct you to the Essentials for DNP education which informs curriculum development.

@freddymedina7430

7 жыл бұрын

where are you getting your NP are you doing the masters or the doctorate?

We were referred to this video for a clinical team assignment in my DNP program at Robert Morris University. I found this video very helpful and supportive to those of us pursuing this degree. Thank for addressing this issue and allowing those of us with misgivings to freely refer to ourselves as "Dr." I am working hard to earn my credentials and would like to be able to use them appropriately.

@conraderb

4 жыл бұрын

Great. Congrats. Appropriately means never introducing yourself as "Dr. ____" in a clinical setting. Nurse/NP with doctoral research degree in ____.

awesome!

@JessicaNishikawa

8 жыл бұрын

Thanks Joe! :-)

So in the clinical setting are you addressed as Doctor ?

@conraderb

4 жыл бұрын

@Jo Angela A felony in some states, in fact.

Why would I want someone to be my primary care doctor to be a nurse who has completed 2.5 years after a bachelors degree, vs 7 year long MD and medical residency?

@JessicaNishikawa

5 жыл бұрын

Hi Aiden, thanks for watching and taking the time to comment. If there were enough MDs to see all the patients in the world then an MD wouldn't have started the first NP program. Unfortunately, there are significant gaps in healthcare and many underserved populations. Physicians over the years have gravitated toward the higher paying residency programs and NPs were designed to help fill those gaps that were created. Sometimes it's not a "want' but more of a "need".

@Justmemy12

5 жыл бұрын

Well if you compare a 4 years bsn that have take chemistry, human anatomy, pediatrics, adult, cardiac etc nursing education with medical base in his program, also passing the nclex( a pharmacology and patofisiology massive exam that prove that you are a safe educated health provider. Also that you can know what is priority and manage it without an MD) then have experience with a lot of diagnostics and treatments as nurse. Then 2.5 years NP program understanding all that diagnostics in deep how to select the best treatment and how to make differential diagnosis. Vs 1.5years premed + mcat( a science test that have been prove no correlation with medical success) if your school ask for it, why some Caribbean MD programs do not ask for MCAT Scores. then 4 years MD education ( first year reviewing anatomy,physiology and other basics science ) 2 -3 year learning differential diagnosis and medicine and then 1 years in a shadowing ) I know this why my roommate was a 3rd year md student. So basically MD have really clinical education 2-3 years counting the shadowing one. Both take boards to license themselves and some state ask NP for extra education before practice.

Hello Dr. Nishikawa, My name is Razan and I am currently finishing up my last semester of nursing school. I stumbled upon your video and it truly cleared my thoughts and helped me lay out my options. Whenever I visit the hospital for clinicals, I guess you can say I feel discouraged or in some way motivated to leave nursing and pursue medical school. But then I think realistically and figure that would going back to school to take pre reqs for med school really be worth it? And that is when I discovered DNP, I have so many questions for someone who is a DNP and its quite difficult to find proper information. Can you practice in a hospital? Can you practice with pediatrics or neo natal care? Many say DNPs focus mainly on research and are not as involved in patient care like in a hospital. I would truly appreciate any advice you have to give me!! :)

@JessicaNishikawa

7 жыл бұрын

Aloha Razan Habash, The DNP might be just what you are looking for. DNPs are nurses with an additional 3-4 years of advanced education depending on the program they enroll in. There are different pathways as well. Acute care nurse practitioners often work in emergency departments or as hospitalists. There are acute care pediatric programs if you are interested in being a provider in the NICU. There are primary care programs if your focus is more in the community. The best part is once you graduate nursing school, you are already qualified to enter DNP school. You don't need additional prerequisites or to take any other exams (some schools require the GRE, but many do not). DNPs typically don't do research the way PhD educated nurse-doctors do. Our efforts are focused on evidence based practice and quality improvement in order to improve patient outcomes. Some are involved with policy and other healthcare improvement efforts. But all our efforts are geared toward improving the care of our patients, communities, and population. Thanks for watching and I'm glad you found the vidoes useful. And CONGRATULATIONS on nearly completing nursing school!

Love this video! ❤️❤️❤️

wow you're very informative. thank you.

@JessicaNishikawa

7 жыл бұрын

Thanks for watching Janeth!

What is the most elite NP??? The critical care NP???

@elverdad6805

3 жыл бұрын

They're actually all just nurse practitioners with the same "education" which may be only two years online from a diploma mill, after never having even set foot in nursing school. Their graduate degree could be in Art, and they can attend a "100% acceptance" NP diploma mill and go on to call themselves "Doctor". If, when they are arranging their own (minimum 500 hour) practicums, or after they finish their NP program, they get experience in a certain department, they can then add that area of "expertise" to their title; for example "Cardiology NP/DNP". Both of whom can can refer to themselves as "Doctor" and "Cardiology Specialist", as far as the nursing field is concerned. Now imagine, your child is at death's door, you run into the emergency department, you meet a confident looking woman who identifies herself as a "Doctor"... and a "Specialist in Pediatrics"... Just FYI, an example of a "Nursing Diagnosis" is "Imbalanced Energy Field".

you are the amazing personality...your vedio more helps full to nursing students..its more inspire me....thank you...god bless you...

@JessicaNishikawa

7 жыл бұрын

Thank you @Muhammed! Many blessings!

@mylifeinnz

7 жыл бұрын

you are welcome

u r really brave to rake up the topic here!

@JessicaNishikawa

Жыл бұрын

ha! glutton for punishment :)

Dr. Nishikawa, great video. You are def. a leader and an inspiration in the nursing profession.

Well done. Great stats. Broadening perspective.

I have always wanted to chime in conversations where most people seem to completely mis-understand professions and stick to their own POV without understanding the root of the terms. To quote captain Raymond Holt from the TV show Brooklyn 99, S. 5 Ep. 14, medical professionals have co-opted the term Doctor. A doctorate is an achievement of the highest degree the field of practice. This however, does not mean that all 'Terminal degrees' are considered doctoral degrees because of the level of hierarchy the degree reached - meaning if the educational level of that field stops at the point of being considered a part of the degree classification. That being said, in the medical field, there are Physicians, Osteopathic physicians, dental surgeon etc, are all Doctors of that specific branch of medicine if you may. Then why should nurses not have the same distinction of reaching the highest educational hierarchy in the nursing field for obtaining this degree which is Doctor or Nurse Practice?

@JessicaNishikawa

4 жыл бұрын

Someone should make a KZread video about it :)

Fremulon

In response to all debates- There are doctors who don’t care about patients and just want career development and there are nurses who don’t care about patients and just want career development. Although the use of the word doctor can be debated ; how much energy, time, commitment and effort a Healthcare professional has put into the well being of a patient , shouldn’t be called less than in an argument to justify the term: “doctor”.

7 years later, No need to be a DNP to be an NP

@JessicaNishikawa

Жыл бұрын

Looks like the hand is finally being pushed with the adoption of the 2021 AACN Essentials and NTF Criteria

So will a DNP be paid as much as a general MD? If you expect me to get a DNP then I should be paid the same 🤷🏾‍♀️

@msarielwilliams123

4 жыл бұрын

Kimberly Austin The pay is the same as a NP. This is why I don’t understand the difference. I think it’s just so NP Can use the word doctor.

This video was not helpful at all. Did not finally conclude in the end wether a nurse practitioner is the equivalent of a medical doctor. Still confusing

@JessicaNishikawa

Жыл бұрын

The video was not about weather NPs are "equivalent" to medical doctors.

This video is highly misleading. NPs are NOT physicians. NPs hold doctorate degrees, and can be referred to as doctor in an educational setting. But do not address yourself as Doctor in the hospital/clinic setting to the patients

@JessicaNishikawa

7 жыл бұрын

Hi David, thanks for watching. And you are RIGHT! NPs are not physicians. We are board certified clinicians with a history of providing safe, high quality, cost-effective, comprehensive care grounded in evidence based, patient centered care for over 50 years :) Not all NPs have earned doctorates, but some do. The DNP is a clinical doctorate so they can be called "doctor" in academia and clinical practice. So as not to be confusing, I recommend telling the patient your name followed by other descriptors such as: "Hi Mrs ABC, I'm Dr XYZ, a NP here at the hospital. Dr LMNOP and I will be taking care of you today". Sorry if that wasn't clear to you in the video. Happy Holidays- J

@JessicaNishikawa

7 жыл бұрын

Hi again Lily Ness /Vanessa Grullon, You're not entirely incorrect. Become a doctor does take a lot of debt and extreme sacrifice. I know many physicians and doctorally prepared nurse practitioners that are hundreds of thousands of dollars in debt. I don't think many of them experienced pain and suffering though... The joy and gratification I get from helping patients, their families, and my students, far exceeds any pain and suffering. I'm sure most clinicians feel the same. Thanks for your comments and for watching the videos. I hope you are able to engage in meaningful conversations in the future, Aloha, Dr. J

@JessicaNishikawa

7 жыл бұрын

Hi Lily Ness /Vanessa Grullon, The world is full of different opinions. Its the delivery of your opinion that is of concern. It's easy to say ridiculous things and hide behind an alias. But if you're going to say something and write it down for all to see, you should be able to stand next to it without concern for your privacy.

@PepeOFarrell

7 жыл бұрын

Jessica Nishikawa well, i understand that anyone with a doctorate degree is entitled to use the term doctor. however, in a healthcare setting, your description of a doctor-nurse must be separated from any allusion towards being a "physician-nurse". the same way a lawyer can call themselves a "doctor-lawyer" for holding a JD, DNPs can call themselves doctor-nurses. in short, having a DNP makes you highly qualified in nursing, but does not make you a mixture of a physician and a nurse. the two fields are very much separate and work collaboratively.

@lilyjezebel7444

7 жыл бұрын

Jose Antonio O' Farrell I like what you proposed very much so. I think that this is a pretty fair compromise. It clearly identifies that yes they are Doctors since they hold a Doctorate in Nursing and that aspect yes shouldnt be minimized. Having the title "Doctor Nurse" should be clearly stated and never just "Doctor" in the medical setting because the medical education and curriculum is very very different. This is a fact that exist that shouldn't be minimized either because medical doctors are held to a very high academic standard. In the allopathic path it is expected that in order to move to the different stages within your development as a doctor(physician) that you have achieved mastery in the different levels of knowledge and clinical skills which is heavily tested in the United States licensure exams Step 1, 2, 3 and it is expected that no matter where you got your medical education that if you want to practice medicine in the USA and practice medicine as a doctor you must pass these rigorous 9 hr exams which are really five 9 hr exams that are very difficult in nature. In current times because of the level of competition with the influx of foriegn medical graduates the standards have sky rocketed to an ultimate high. The standards before to become a physician was to just pass with a 70 in the past 20 years. Alot of the doctors that crossed over into residency that currently practicing in lucrative fields just needed to pass and knew nothing about the level of difficulty it is to be a doctor here in the USA in today's times. In the past decade alone, things have changed substantially.Now only the best of the best can go through the portals and earn the title "Doctor" because now your not allowed to fail any of ur board exams on first attempt because to have an opportunity for residency you must obtain 85% to 88% above on first attempt to pass all 9 exams and now scoring in 95-99% on first attempt on all exams are the numbers to guarenteed one or good luck becoming a doctor as it becomes very difficult to do so here in the USA. This is why many of these highly qualified medical graduates are working in dunkin donuts or even some sadly homeless. It is very sad that most people that have given up their life to one day be called doctor have not been even given a chance and have Inherited 300K to 500k in debt. I know someone that owes 5k a month cause he owes 500k in private loans and currently is living out of his car and is still dreaming. Every year the standards continue to be raised. This is what's going on right now. The standards are extremely high and I believe that anyone that wants to be called "just " Doctor" in the medical setting should be held liable to the same academic standard. In my humble opinion, the term "Doctor" in the medical setting is a term that for centuries has been used to represents a certain level of trust that has been earned by allopathic doctors with their patient's health care decisions and as a consequence they have been able to earn a certain level of respect with the knowing that they are highly trained to ensure their health and life is in good hands. Allopathic medical education as difficult as it has a proven track record to work. It will break you in level of difficulty but it will build you from the very bottom so that you can flourish to be of great service to the health and well being of many lives. Medicine was never easy to pursue because it was meant to be very difficult for a reason and only the strong survived the curriculum and many people gave up and went to alternate careers in Healthcare because not many people wanted to give up their life and just study, they wanted instant gratification and have a job that paid, or wanted to start a family early. The list goes on as to the reasons why people chose not to go into medical school and even some werent smart enough or even had to drop out because their fight and desire and passion for medicine wasn't strong enough to allow them to get through this course.We all have free will. But the truth is everyone that went to pursue medical school had 1 thing in common. They were willing to give up their lives for a profession and put everything else second including their children no matter how difficult it was and how much they had to give up just to one day have complete autonomy and make all yhe important medical decision all made it worth the lost time and starting life later while everyone enjoyed it earliar. So it is true that when clinical cases become very difficult and a cure is out of reach, that it is this educational background that becomes an incredible asset and this gratification of being able to impact a patients life between life and death that makes it worth sacrificing your youth and living a limited life because you made the choice long ago to sacrifice your life with all those years of training for the well being of others. This in a nutshell is the reason why the term "doctor" has won admiration because not many people out their were willing to sacrifice their lives to embark in 11 to 15 years plus of education stuck in the library while everyone was living their lives. Like the soldiers that serve this country I give the same comparison, they are willing to sacrifice their lives for the wellbeing of others except for the soldier they give the ultimate sacrifice,which is their life and this is why the term hero has been given to physicians as well, police, fireman, soldiers etc.. As a physician one of the main reasons is because you made the choice to pursue a lifelong profession in exchange for your life and btw any one can be a heroe, I was a heroe as an EMT, there are many professions that hold that title heroe, the whole healthcare community by nature are heroes of mankind. My point is there is always a group that has to make an ultimate sacrifice because someone has to do it! Bottomline, being called just a doctor is truly is no small feat and never should be minimized nor put in a position of comparison because it is an admirable profession because of self sacrfice that is needed to become one. Again I am not trying to minimize other Healthcare professionals that have their special place in healthcare delivery. We all are special and have a role in it. As an MD I must defend the term doctor as I have first hand experience in this process in current times and I am sure my collegues will be ok with the term "Nurse Doctor" but they unfortunately will never be ok with just the term "Doctor" in the medical setting because of the weight they had to go through just to earn that title.

Sadly it’s going to take NPs being allowed to practice independently and killing thousands and running healthcare costs up through unnecessary testing and treatments for America to open their eyes and appreciate the sacrifice we physicians make to become true experts and the significant of the gap between what we are capable of and what these people are capable of. Period.

@SK-kj9mi

3 жыл бұрын

Are you telling me that the physicians aren't renowned for unnecessary tests, diagnostics, and treatments? One of my family members had so many unnecessary test, x-rays, MRIs, CT scans; he might as well be dead with all the radiation exposures. Before you go on trying to blame the NPs, remember Physicians were, are, and will be the drivers in medicine. Instead of blaming others, look into your own practice and see why there is such a huge healthcare cost in this country.

@michaelhankins5309

3 жыл бұрын

@@SK-kj9mi physicians definitely do it. I complain to my colleagues and try to educate them on it all the time. BUT, the data shows that NPs order magnitudes more tests than physicians. So although your family members are unfortunate examples, had they been cared for by NPs in those situations it may have been much worse. I take my share of the blame and want to fix it and continue to be a driver in Medicine and try to deliver the best care for patients with 11+ years of training but NPs are trying to convince others that their couple of yrs of study and fraction of hands-on experiences is equivalent to physicians and should be treating patients with equal independence to that of a physician. Anyone can memorize a treatment algorithm. It is the in depth studying and hardships we have endured that gives of the understanding of why things happen and allows us to make decisions when the patient's complex disease doesn't fit the protocol. NPs are good. They have their place in medicine definitely. But that is not independent treatment of patients. There should always be physician oversight. I was the first in my family to go to college. I don't have the same background many of my entitled colleagues may have. I am in over 250k of med school debt and gave up my 20s. I did this not because it was fun. I did this to put in the work needed to understand the complex human body so that when the time comes I can potentially save a life, or at least make it better. We don't know everything. But we are constantly learning and most of us are putting the work in day in and day out. Despite a lot of society thinking we are profiting off of unnecessary testing, we don't make a dime more if we order extra testing. We aren't pocketing money from big pharma. The debt i have on my back every day is a testament to this. Most of us really just want the best for the patient. And I will upfront apologize for all of us about the difficulties your family has experienced. Also, I am actively trying to do my part in the issue with healthcare costs. I am currently getting my MBA while doing residency (more debt and working 2 full-time jobs basically) so that I can be involved in the administrative aspect of the hospital and try to help with this issue as well as be an active voice in the political realm of healthcare.

@SK-kj9mi

3 жыл бұрын

@@michaelhankins5309 Your debt is your chosen debt. No one made you take student loans and its not just pertinent to you individually. I have had my student loans, so do millions of students who chose to go to colleges here. It's the system as a whole that is to be blamed (too many too discuss here). My family's story is not isolated one, I have seen and experienced how expensive and unorganized healthcare system as a whole is in this country. I have not had any experience with NPs, so I can not talk about them. However, I have met some NPs, and they have never introduced themselves as physicians. Besides, I have dealt with physicians most of my life who graduated abroad and local (chronic diseases in immediate and extended families-story of this country) treating patients who should have gone to hospice or involved palliative team even when I asked them to do so while my loved ones were getting poked, undergoing tests after tests. When asked why, some physicians told my family that they think they can keep them alive. "Alive" is not equivalent to "quality of life". We have the most expensive healthcare system in the world and ranked 27th in the world. Can you show me the research done on the NPs order vs Physicians orders? I did a quick one and there are number of them came up. I just want to see which one you chose. I am glad you are doing your MBA, we need more administrative with medical background. I just wish primary care is prioritize /emphasized more than tertiary care but it is not profitable for many.

@michaelhankins5309

3 жыл бұрын

@@SK-kj9mi True I did choose it. But the amount is much higher than most. And if my career falls through, not many other jobs allow me to repay the debt in any reasonable amount of time and the opportunity cost of the money I could've earned in my 20s adds a significantly larger amount to that. I agree our healthcare system is garbage compared to the rest of the developed world. I don't think physicians are the major issue. I think admin, corporations, and insurance companies are the problem. They don't care about patients. I don't think replacing us with less qualified and educated primary care people will fix anything. I'm hoping we can have some positive political change in the near future. I definitely don't agree with keeping people alive because we are able to. Huge difference in can and should. Hopefully, that line of thinking is changing with more emphasis on quality of life. I am definitely not painting the picture that physicians are perfect or never mess up. I am really just trying to say that it will be much worse if we let corporations try to replace us with midlevels (NPs, PAs) so they can write themselves bigger end of the year bonuses (even though the cost of extra testing, delayed diagnosis, more frequent office visits, etc by mid-levels actually increases the strain on the American healthcare system and will only make an already crazy expensive system worse. There's a lot of studies I was referencing. I wish I could upload a pic or something instead of typing them all. If the topic is interesting there's a book called Patients at Risk: The rise of nurse practitioners and physician assistants in healthcare and there's a lot of good references in it to many of the best studies done. The references are numbered in the back of the book and the ones I recommend are numbered 425-435 although there are more listed. If aren't interested in the book I can try to type some of them out on here or link them when I get a moment.

@SoloAnn

3 жыл бұрын

@@michaelhankins5309 You sound like we should feel sorry for you for being in debt and working 2 full-time jobs. You seem to be acting all superior and important because you went to Medical school and working two jobs etc...

Dr. Nishikawa, I watched and enjoyed your video! The intent of the video was to be informative; however, reading the comments from the original post in 2015 has generated a debacle! The critics are bent out of shape on the use of the title doctor, which only describes the level of education a clinician has and not the practice. It is not confusing to the patient if you identify your practice after your title. The hospital where I worked had many podiatrists who earned their right to be called doctor. I don't see what the issue is! He/She earned their doctorate degree in Podiatric Medicine, it would be inappropriate to call either ma'am/mister. To call a nurse practitioner a nurse, devalues the training and education an APRN has received. To best sum your role to a patient, an analogy of bearing the experience of having the compassion as a nurse, but the knowledge to diagnose, treat acute and chronic illnesses, consult, and prescribe medications like a doctor....wouldn't it be easier to say I'm your nurse-doctor.....lol. Some of you American trained MD's need to get off your high horse... Many of you bash IMGs and DOs, because they found another way to do exactly what you do. Now the NP is your arch nemesis. The affairs associated with Allopathic Medicine has changed over the last decade! Many For-Profit Caribbean Schools are popping up like wildfire with little success in guaranteeing USMLE mastery, green book placement, and low match rates. Naive or unprepared MD hopefuls are becoming duped under the name of Medicine. Seems like their is a bigger issue to worry about than who bares the title Doctor, IMO! Residency programs have diminished in size, mainly due to lack of Medicare/Medicaid Funding? Ever stop... and ask why? Let's not even throw in the AOA merger, that gives your D.O. a shot at previously coveted positions by your IMG. The growing need for equal accessible health care has not diminished, but grown.

The best explanation!!!!

Nurse Practitioner or Advance Practice Nurses are still a “nurse”regardless of their degree and they should be proud of their profession and do not pretend or wanna be a doctor. If so, they should went to medical school. In my opinion, they should not have made NP degree doctorate at first place to distinguish between doctors and nurses and eliminate unnecessary confusion. Master degree NP are good just as doctorate degree NP. I feel same for the PT. You do not call physical therapist a “doctor” because they have doctorate degree.

I was so confused by your last name omg 😂I feel stupid now

I feel like they should be called Health Practitioners by now. To alleviate the need to clarify the difference between nurse and NP. Just my opinion 🤷‍♂️

Can't wait to start the DNP program! Thanks for the video.

Hi @lily ness / Vanessa Grullon I can tell from your response that this is an emotionally charged issue for you, as is it for many. It's unfortunate that the presentation of your position is offensive and contributes to many of the interprofessional collaborative issues plaguing healthcare. I'll direct your attention to the reference list I have included, which supports many of the statements in the video. And I encourage you to consider the factual content in your own post. Taking time to reflect and research beyond your opinion will be more enlightening than if I highlight the numerous incorrect statements for you. Aloha, Dr. Jess Nishikawa

The pharmacists have doctorates but you don’t see clinical pharmacist going to patients and saying hey I, doctor so and so to patients.

@JessicaNishikawa

6 жыл бұрын

Hi Med Ed. Thanks for watching and taking the time to comment! Many pharmacists have doctorates, not all. "Hi I'm Dr. Smith, your pharmacist. I'm here to go over your medications with you"... sounds pretty clear and not at all confusing to me.

@JetBrews

5 жыл бұрын

Hi I'm Dr. Smith - no i'm not a doctor. i'm your dentist.

well all the people who is debating that a dnp is not a doctor I am currently receiving care by one and I call that person doctor so

@DrCureAging

3 жыл бұрын

^^^ Ignorant people like this one is EXACTLY the problem with the existence of DNP. Most people don't know better and think the level of training is the same and this is one example.

Yikes

If nurses want to be accepted as doctors they should get medical degrees! I would never take my children to see a "nurse practioner"! Why would you see someone who isike a doctor - but not as good as one?! The world is going mad!!!

@JessicaNishikawa

4 жыл бұрын

Hi Susan. That certainly is one way to look at it. Another way is to view NPs for what they are -- the most educated nurses in the country. There are over 3.8 million nurses in the US, only a small percentage of those become NPs and even smaller percentage go on for additional education to earn a doctorate. Good thing we are all entitled to our own view points. I would challenge you to consider changing the way in which you share your opinions, it seems a bit abrasive! I'm sorry if the video upset you, it certainly wasn't meant to. Best, Jess

Whenever MD's get uppity, remind them that their profession used to think that eugenics was a great idea, as was involuntary gender reassignment surgery on infants. MDs in the USA are NOT "Doctors" by classical definition (A doctorate, or PhD, is the highest degree a university can give) but are medical professionals who are traditionally called "Doctors" because English carries a dual meaning for the word. In Germany, PhD holders are called "Doktors" and medical professionals are called "Arzt". You can also get BS, MS and PhD-level degrees in medicine in other countries, causing further confusion. In most other countries, it takes 10+ years to become a medical professional that is granted the equivalent of a PhD in Medicine (clinical + research), making them a true DOCTOR of Medicine. It used to be like that in the US, so a Doctor of Medicine was a real doctorate holder who had extensive schooling and research experience. The US system of letting Underwater Basketweaving majors get into a 4 year, multiple-choice question medical school and gaining 0 expertise until residency was a way to generate large numbers of MDs quickly and it was thought that, instead of pursuing higher degrees within medicine, it would be better for the newly-minted, totally incompetent MDs to learn on the job for 10 or so years before they were really proficient. They also removed the research requirement. The name "doctor" stuck, however,from tradition. PharmDs, JDs and DPTs and such are also professional degrees (not true doctorates) but we do not have enough nuance in English to express the differences between traditional "Doktors" and "Arzt", so to speak. An MD ranks lower than an MS, so if you get an MD/MPH degree, you are required to wear the MPH hood. I really don't know why MDs are so arrogant that they require everyone to call them Doctor even if they are grilling out on the pool deck. The fact that a Nurse can do the majority of a GP's job at a lower salary is more a reflection on the sorry state of the medical system than a personal insult. We need to, as a culture, come up with new words or borrow that could reflect the different backgrounds of medical professionals while avoiding confusion in emergencies. I, for one, enjoy using Dr. Nishikawa's videos to show my medical students how medicine differs in the US versus Japan. I call her "Doctor" in class.

@JessicaNishikawa

6 жыл бұрын

Just coming across this post... I find it refreshing mostly as it touches on another one of my "soapboxes" which is the use of the word doctor and how it varies in different countries. Thanks for watching and glad you find them useful in some capacity.

@alewis02

5 жыл бұрын

Flight Nurse MD it’s not about being uppity it’s about being truthful and not confusing the patient. If you are proud of your profession say who you are don’t try to intentionally mislead patients which is what this does. Also no PAs are doctors unless they have another doctoral degrees so stop trying create a false equivalence. Also not all NPs are DNPs so not all of them are doctors. Be proud of who and what you are and stop trying to confuse the public to piggyback off the good name Physicians have built from decades of very hard work.

@JessicaNishikawa

5 жыл бұрын

@@alewis02, You've been busy! Thank you for taking the time to comment on so many of these posts. This must be an important concern for you! Unfortunately, change is inevitable. In this case it is a good thing. NPs will continue to fill primary care gaps and unless something drastic changes, physicians will continue to choose higher paying specialty residencies. Many of those that do go into primary care complete specialty fellowships. So the percentage of NPs with DNPs are increasing, percentage of NPs in primary care are increasing, percentage of MDs in primary care is decreasing. Of course, I'm not speaking for all physicians here, I'm strictly speaking about statistics. If an NP has an earned clinical doctorate (DNP) then he or she is a doctor. He or She will never be a physician though, that term can be all yours. I wish you all the best in your clinical practice and in your relationships with your non-physician colleagues.

@alewis02

5 жыл бұрын

Jessica Nishikawa thank you for so kindly ignoring every point I made and deflecting. While you may think a rapid rise in often questionably trained practitioners is good thing those of us who believe in the sanctity of medicine don’t think that’s the case. I would hope you will work with you non- physician providers to improve the quality of training for those who seek to care for our fellow man. If I didn’t feel strongly about the field of medicine I wouldn’t do it. For most of us physicians medicine is a calling that took years of sacrifice to prepare for, not something we decided to on a whim after watching a KZread video. Best of luck to you in your journey!

@JessicaNishikawa

5 жыл бұрын

Aloha @@alewis02, I'm sorry you feel ignored! I certainly wasn't meaning to ignore the points you were trying to make. I'm reading your previous post and it seems we've already covered most of that information. I personally am proud of being a Nurse Practitioner, I say it often. I'm also proud of completing 8 years of higher education and earning a clinical doctorate. Maybe my patients are just exceptionally smart, or maybe I spend time discussing the differences between MD and NPs, but all of my patients (the lucid ones) know that I am a nurse practitioner and not a physician. I have been working to help educate patients, the community, and the next wave of nurse practitioners to ensure that they continue to provide excellent care, as NPs have done for the last 50 years. NPs will continue to play a role in healthcare. As a concerned stakeholder, might I suggest that instead of complaining about their education that you take action. Precept, teach, and lead with kindness. Healthcare is big and complex with plenty of room for all of us :)

Why don't you address the 100% acceptance rates, the 100% online education, and the only 500 hours of clinical training. Standardization of education is not meant for the people who are intrinsically motivated, like you probably are, they are made for people who are trying to cheat the system. I have worked with competent NPs of the old school variety who worked for a decade or longer as a nurse and then worked with physicians to deliver great care. However, you are being willfully blind if you don't see that this is no longer the case for many, if not most, NPs being educated today, who are maybe 1 or 2 years out of college, or are part of direct entry programs. Until NPs have stringent educational standards, then they will forever be marred by these terrible institutions that you are implicitly defending. I'm 100% certain that in the NP community it is well known that you shouldn't go to Walden, but Walden is far from the only school that delivers poor education. You can claim all you want that NPs are “similarly educated”, but you are wrong. If this is the case, no physician should ever take the time out of their schedule to help “educate” an NP in clinical knowledge or understanding. If you want to claim to be just as good as a doctor without going to med school, then NPs can train their own people without the help of physicians, who you see as inferior to you anyway. Very sad indeed. You are misleading people who do not know the vast difference in education. Have a good life, and regardless of everything I just said, I hope that you are a good person, and a good clinician.

@JessicaNishikawa

Жыл бұрын

There are many things I could address. Like why don't people use their actual names when they post to online forums? Are they ashamed of the way they communicate? I would guess it's embarrassing to make false, inflammatory, and non-productive comments and associate your name with it, especially when you are suppose to be a professional. I would like to point out just a few of your errors in your argument: 1) Re: 100% acceptance rates. Where is this reference? I am the Associate Dean of a School of Nursing and we do not have 100% acceptance rate. 2) Re: 100% online education. While there certainly are online programs, there are also residential, in-person programs. Regardless of the program modality, the clinical education requirements are the same, they must be directly supervised patient care hours. 3) Re: 500 hours of clinical training. The current requirement per the new ESSENTIALS for nursing education is 750 hours. This is the MINIMUM hours required. Many programs require many more hours. This is also in addition to the clinical requirements for nursing programs and years of clinical nursing experience. Some programs require no nursing experience, but most require a minimum of at least 2 years bedside nursing care. These address only the errors mentioned in your first sentence. It is glaringly clear that you do not know much about NP education, perhaps you should educate yourself, or defer to those who are experts.

@PS-jp1lc

Жыл бұрын

@@JessicaNishikawa I don't see how I am being disrespectful at all in my comment. You are the one who has said that family med docs have lower average step scores so they are lesser. This is mind boggling to me because by the time a FM doc gets out of medical school and residency, they will have had thousands and thousands of hours of training. You did not address any of my points about standardization. I am glad that you take your job seriously and went to a good school, but if there are no standards set that make it so that NPs are taught in-depth pathophysiology for years and have thousands of hours in the clinic, they will never be as good of diagnosticians as physicians. Which is OK, because NPs are not physicians. In fact, they do not even practice medicine, but "advanced practice nursing", which no one has been able to properly define for me. As long as a single school like Walden exists, the NP degree will be diluted and not trustworthy. This is why ACGME/COCA standards are so high for medical school accreditation. Even someone from a bottom tier medical school must still meet very high standards to not only be admitted but to get through school and residency. I don't understand why there isn't a movement from within the NP community to shut down diploma mill schools and place educational quality standards. It is sad.

@SHANNONCOLEMAN-vz4of

Жыл бұрын

PA's and Nurse Practioners provide a valuable service for rural communities where there are shortages of MD or DO . My small rural communities such as where I live where the NP or PA are avaliable. I believe the NP and PA are similar in what they can do. They are smart and the training is not easy , you still have to earn your degree and pass certification exams. They would tell you this themselves I believe most would tell you they are not doctors , the physician training is more difficult but the training they have is also not easy and they provide a needed service. The NP and PA is considered a mid-level practioner while the MD is a top level practioner.

If you want to be called doctor, go to medical school. Done.

@JessicaNishikawa

7 жыл бұрын

Hi David, thanks for watching! Just to clarify: A person who goes to medical school is a medical doctor. A person who goes to DO school is a doctor of osteopathy. A person who goes to dental school is a doctor of dental surgery. A person who goes to podiatric medical school is a doctor of podiatry. And finally, a person who goes to DNP school is a doctor of nursing practice. This is not a comprehensive list but hopefully illustrates the point that there are many clinical doctors in healthcare all working together to improve access and quality of healthcare to the population.

@xerxescroes2281

7 жыл бұрын

Jessica Nishikawa np is not a doctor; is not a physician.

@JessicaNishikawa

7 жыл бұрын

Xerxes Croes Hi Xerxes, thanks for taking time to view and comment. You are correct that I am not a physician but you are also incorrect in that I have an earned clinical doctorate and therefor am a doctor. I think you are confusing the word doctor with physician. I could suggest additional videos or readings if you'd like to learn more. Happy New Years!

@Alexander-mk9kg

7 жыл бұрын

David Smith and Xerxes Croes, You both are idiots and completely missed the point while simultaneously insulting Dr. Nishilkawa. Just because someone is not a doctor of medicine or osteopathy doesn't mean you are not a doctor. There are many clinical doctorates as she stated. You clearly have zero knowledge of the medical industry and the different professionals that exist.

@DavidSmith-zf9lh

7 жыл бұрын

Alexander Kanaan it is perfectly acceptable to have a discussion without resorting to name-calling. With that said, while DNP is a doctorate degree, it more so is applied in the academic setting. In fact, traditionally, PhD "doctor" is a more highly respected title compared to the clinician MD/DO. PhD is the highest accolade that one may receive and generally requires contribution to their respective field. While I recognize OP's title as doctor, I disagree that introducing oneself as Dr. to a patient in the hospital is a bit misleading. But, like I said, feel free to do so on academic campus, and being called Doctor while in the classroom is more respectable. I mean no disrespect to OP with my succinctly stated point. But I am just stating how we can avoid confusion among patients. Source: I am a 3rd year medical student who is keenly aware of the medical field Addendum: maybe OP can educate me on whether DNP is equivalent to PhD...

Reading the chat box I noticed a lot of people have issues with nursing practitioners using the title Dr. and they want nursing not to use the title or stop their education in a masterate degree just not to confuse patients forgetting that the more educated a person is in a profession the better and saver the practice and skill of that person and better care. The title Dr. for nursing practitioners is an educational achievement and not a professional achievement to which they are entitled to by law and constitution and they should not be challenged or questioned about how they use their title. While the title Dr. for physicians is a professional achievement rather than an educational achievement though it has been in existence since the 18th century From my perspective physician should either make their degree a PhD just like the UK or they should do a masters degree and PhD in medicine to be called a doctor. Academically speaking, the PhD is regarded across the world as higher than the MD. That doesn't mean the MD is easier, but the creation of knowledge is seen as higher than the learning of knowledge which means DNP create knowledge by doing research, writing articles and journals while MD mostly learn (Robert Minchin 1year ago). So if you want a DNP to say I’m a Dr. in nursing likewise should be said to a physician and he or she must say I’m a Dr. in medicine likewise all other health professions. Nursing practitioners aren’t confusing people of their profession it’s the physician that is confusing everybody. This issue is not only affecting nursing practitioners but also pharmacists, medical lab, PR, radiologist, and pathologist. So respect nurse practitioners with PhD when he or she walk in, stand, sit and speak cause they know what they are saying. Love them cause they care for you. Nursing practitioners went an extra step just to give you the best knowledge, care you can achieve in nursing. Great nurses and nursing practitioners

@mynameisminenotyours1184

Жыл бұрын

The problem is nurse practitioners with Dr. degrees aren’t walking into clinical rooms and educating on the theory of nursing. They are providing patient care. Saying you are a doctor in this role is attributing a level of medical knowledge you do not have.

@daramolaaramide887

Жыл бұрын

Aramide Daramola I am not a Nurse Practitioner, but I know that in the spirit of fairness, everyone should say Dr... NP, or Dr... MD, or DR... PHARM in the hospital setting, then outside the hospital setting DR. what I listed above can still be used. If we are to go by your example, If NP can't use Dr in the hospital setting, then MD should not use DR outside the hospital setting and that will include social media and social gatherings too.

You people in the comment section seem to think that the title "Doctor" is exclusive to MD's. If you successfully complete a doctoral program, you have earned the title "Doctor". Simple as that.

@lolalolalola3801

3 жыл бұрын

Not in a clinical setting. Calling yourself a doctor makes patients assume you went to med school and residency which you didn't. Some NP diploma mills literally require as little as 500 hours of "clinical training" - what a joke! You're knowledge base isn't at the same level so you are noctors at best. Sorry that if that hurts your fragile feelings but it's fucking true

@JessicaNishikawa

3 жыл бұрын

It is the way of the future so we should do what we can to education our patients now, while doing what we can to decrease confusion by explaining to the patients what we do and how we are going to serve them.

@tigerkenshi

3 жыл бұрын

In clinical setting, doctor = physician. Do not be so obsessed with doctor title but be humble and be proud of being a nurse. I understand you invested extra year of schooling for that title, but DNP is just an another degree you earned.

@ronspaulding5902

3 жыл бұрын

Let’s see, is a Doctor of Naturopathy, Doctor of Chiropractic Medicine, Doctor of Veterinary Medicine or Doctor of Cultural Studies the same in your world?