I Quit My Family Nurse Practitioner Job

Four Reasons Why I Quit Family Practice.
Hey friends, I'm Ahmed Mirza - a Family Nurse Practitioner currently practicing in an Emergency Department and a Urgent care.
----------------------------------------------------------------------------------------------------------
Follow me on Instagram: / ​
----------------------------------------------------------------------------------------------------------
Music by: / ikson
----------------------------------------------------------------------------------------------------------
1. Schedule
- Used to working 3 - 12's as a nurse. Going to 8-5 Monday through Friday was a huge shift. 30 min commute back and forth everyday, never got anything done after work. Only days off were the weekends, that means grocery stores, malls, restaurants, are all packed. Having days off in the week means you have time to do things when everyone else is working. Now in the ED/UC I can group my days off together and have extended weekends often. I now work 12-14 shifts a month and have 5-6 days off in a row at least once a month, sometimes twice. This allows me time to travel, work on other stuff, or just hangout with the family.
2. Salary
- Most family practice position as an NP are a set salary. You are expected to see an "X" amount of patients per day. usually 15-25 in an 8 hour day. Not making anything more if you work harder, see more patients, or do more procedures. Some places might offer you incentive pay for productivity but its rare. It's hard to increase your pay unless your contract is up for renewal and you negotiate a higher pay. You are also working 5 days a week so picking up extra somewhere else would be difficult since you only have weekends available. Typical family practice salary for an NP is 80-105k/ year.
3. Flexibility
- Not flexible. Being a full-time employee means you probably have very little flexibility in your schedule. Sure you can take time off or block your schedule for part of a day if there was something you needed to take care. But in general you will be expected to work 5 days a week. In most emergency medicine groups we are required to work a minimum of 120 hours per month to maintain full-time status, that's just under 30 hours per week. If you want to earn more, you can easily work more hours. Makes it much easier to upscale or down scale your work based on how much you want to earn.
4. Work does not end
- In family practice the work does not end when the patients leave. There are always patient messages to respond to, labs and other results to review from days prior. Often times you may find your self coming in to work an hour early or staying an hour late to complete these tasks. Now some position will factor in "admin" time in the contract to allow time to complete these task. For example, you may see patients for 35 hours a week, and have 5 hours paid admin time to work on those other items. Not all practices do offer that, so if you do plan on working in family practice, be sure to negotiate for it. What I love about emergency medicine is when you leave you are done, no call and nothing to follow up on. You give handoff to the next provider and you are done.
BUT, if you love family practice - DO IT!
- If you're interested in family practice, don't let these things stop you. Many providers are thriving in the field, and many nurse practitioner own clinics giving themselves better pay, flexibility, and control. But these are just a few reasons why I decided to leave it.

Пікірлер: 79

  • @laurenchantel1482
    @laurenchantel14822 жыл бұрын

    It's so refreshing to hear others say that shift work is their preferred work schedule, too! I recently started working on an inpatient unit as a TA working 12 hour shifts. I always thought that working 9-5 was the bread & butter... but then I realized it's not all it's cracked up to be. I have such a better work-life balance and life satisfaction doing shift work! It actually inspired me to go back to school to become an RN because I like the pace and style of the work so much more than the 9-5.

  • @birdeyes200

    @birdeyes200

    2 жыл бұрын

    It’s bread and butter in the long run! I’ve worked 12-16+ hrs and it ages you fast! I’ve seen NPs fresh out of school aging 10yrs in the first year working long shifts hrs. 9-5pm is way better for your health long term!

  • @AT-zl6dk
    @AT-zl6dk2 жыл бұрын

    I remember in NP school everyone would ask why I didn’t Pursue FNP . I decided to do adult gerontology because personally I did some preparatory part time work on the side with pedi patient home health agency to see if that was something enjoyable and it wasn’t for me. I enjoyed adults and my gero pt. Also I was groomed in oncology and enjoyed women’s health so started as an RN on this particular unit then after 5 years working and involving myself in leadership opportunities while in NP school transitioned to resource float pool . And People would say I would be limited if I didnt do FNP but I actually found a career quicker than most of my FNP peeps after graduation. I had an oncology background , certifications , leadership and also had experience in other areas since I was float pool. Well I’m happy as a GYN oncology NP and I’m happy with my decision. I was able to round inpatient and outpatient as well when called upon. Basically able to work inpatient and outpatient. I just learned follow your own path and don’t ever listen to people . I never felt limited but people would say all the time Its going be hard to find a job . Actually I do a lot of community outreach as well has practice in my career . Sky is the limit for all of us ! Expand self in various Specialties is key !

  • @sarahshotwell9741
    @sarahshotwell97412 жыл бұрын

    I am in the process of switching from family practice (4 years in) and transitioning to emergency medicine. This said everything I have been feeling. Thanks!

  • @gracie2375
    @gracie2375 Жыл бұрын

    Yes, same here, and I still 20K in student loans 12 years after graduation. We work as "physicians" for nurses' pay. Sucks.

  • @SimpleFitNurse
    @SimpleFitNurse3 жыл бұрын

    Great insight! Thank you

  • @ahmedmirza3458

    @ahmedmirza3458

    3 жыл бұрын

    Thanks for watching!

  • @janake7
    @janake72 жыл бұрын

    I work in California through local temens, you have more negotiation power. I do not work 5 days a week I work 4. No holidays or weekends. I will only see 20 patients and no scheduling patients after 4pm. I make way more than what is mentioned. I realize the cost of living plays a role, but there are some clinics that low ball your salary. Just bear in mind we generate 250-350k of revenue for these establishments so why tolerate pinchy compensation?

  • @ahmedmirza3458

    @ahmedmirza3458

    2 жыл бұрын

    Way to go! That's great to hear. Thanks for your input

  • @awadada7
    @awadada73 жыл бұрын

    Thank you for your insight! I'm currently in school for FNP and currently as an ER nurse. I'm very interested in working in urgent care, and I think this would be a great transition from ER nursing to clinical practice.

  • @clg01
    @clg012 жыл бұрын

    Thank you for these very good points about the hours of work. I'm in the NP program and will be looking for a job soon, and you really put things into perspective.

  • @ahmedmirza3458

    @ahmedmirza3458

    2 жыл бұрын

    Glad to hear, good luck!

  • @lovetoshare1979
    @lovetoshare1979 Жыл бұрын

    I am always interested in ER. Now I am now a Telemetry RN. I will move to ER eventually. Thanks for the tip!

  • @fabiovega7955
    @fabiovega79553 жыл бұрын

    Videos are amazing. Thank you for doing this and providing more content for NPs

  • @ahmedmirza3458

    @ahmedmirza3458

    3 жыл бұрын

    Thanks Fabio!

  • @kristania411
    @kristania411 Жыл бұрын

    This is what I’m afraid of deciding which graduate school to go with. Don’t wanna spend time and money and not liking it at the end. Thanks for sharing.

  • @birdeyes200
    @birdeyes2002 жыл бұрын

    In the long run 9-5pm is way better on the mind & body, those long shift hours will wear you out sooner. With 12hr to 16+ hr shifts You will begin to age VERY rapidly!

  • @ivybichon8582

    @ivybichon8582

    Жыл бұрын

    I’ve been a clinician for several years but more recently I’ve worked as a nurse practitioner for over 23 years. 10 of those years have been at an urgent care. I’m burnt out. I’m considering a 9-to-5 position in a specialty

  • @PMHNP101
    @PMHNP1012 жыл бұрын

    Love your videos! Please keep them coming 🙂

  • @MariaMartinez-ul1gc
    @MariaMartinez-ul1gc2 жыл бұрын

    I am close to 3 months practicing as a new FNP. I feel since I started I have no breaks. I come in early and leave late. I go home and I am completing patients charts on my own time. I am an hourly paid employee, I clock in and out. I am not really allowed overtime, I am expected to complete my work regardless of the variability and complexity of the patients. It is very hard. I do not know how much longer I have before I burnout.

  • @ahmedmirza3458

    @ahmedmirza3458

    2 жыл бұрын

    I'd voice these concerns with your employer. First year is always the hardest. You may need to see less patients until you get more comfortable.

  • @marisaperez1318

    @marisaperez1318

    2 жыл бұрын

    @@ahmedmirza3458 they likely will not be very supportive Where I am 2 providers see usually over 100 pts a shift There is CT lab and x-ray so acuity is widely variable We don t get a break there is no lunch time and expected to review and address previous cultures results etc It's nature if the beast We are not even acknowledge d at nurse practitioner week The nurses and ma s received raises nps did not .....there is alot of inequalities in this field and at this level

  • @jamdg54

    @jamdg54

    2 жыл бұрын

    @@marisaperez1318 not getting a break is an issue and not sure if that is even legal. Seeing 50 patients a day is not sustainable and anyone will burnout with that. You have to set limits and include in contract what administration time to finish charting. NP’s have been accepting this which is why we are being overworked. People treat us the way we allow them. Other profesional does not allow this. Left a job that was doing this. Employer was saying after I left that the other NP’s should work the way I did. I set limits and refused to let them walk over me. Employer tried to get me to work with them again and was like no.

  • @GreenHatAngel
    @GreenHatAngel3 жыл бұрын

    Very informative you deez. Now I certainly don’t want to be an NP based on your assessment (and you make solid assessments)

  • @ahmedmirza3458

    @ahmedmirza3458

    3 жыл бұрын

    It's still a good field, just need to be realistic with your expectations. There are definitely NPs thriving, but it's especially tough for new grads.

  • @dreeze982
    @dreeze9822 жыл бұрын

    Good video!

  • @Summer-ju4pj
    @Summer-ju4pj3 жыл бұрын

    I over 12 hours shifts . And often working weekends and nightshifts

  • @Dee-oq5ms
    @Dee-oq5ms3 жыл бұрын

    I wanna do emergency medicine too, I don’t see myself doing family. I work in dialysis so maybe I’ll do nephrology to gain my year of experience.

  • @SarahRN
    @SarahRN2 жыл бұрын

    so true

  • @collincurry1575
    @collincurry1575 Жыл бұрын

    Worked as a FNP for one year in an outpatient neurology clinic. Underpaid, overworked. Burned out quick and realized It wasn’t for me fast. went back to travel RN and for now 3x my pay. Will go back to FNP eventually but would have to be a 3x12 hourly position.

  • @watching789

    @watching789

    Жыл бұрын

    You could also work telehealth part time know a friend who prescribes male enhancement pills through zoom

  • @npspace4889
    @npspace48892 жыл бұрын

    I love family medicine!

  • @mkim0713
    @mkim07132 жыл бұрын

    I am an FNP with 7 years of exp. Very well said

  • @keneilclarke8306

    @keneilclarke8306

    2 жыл бұрын

    whats your annual pay like with that amount of experience if you dont mind me asking

  • @marisaperez1318
    @marisaperez13182 жыл бұрын

    Yes! I was internal medicine with call and hospital rounds ....it never stopped ..did it 3 years and left for many of the reasons u mentioned My main rn background was ER that's what I wanted and got ...loved it Did it 12 years then covid hit after they used us they got rid of us due to financial issues so then went to urgent immediate care ..it's been 1 year COVID changed everything Been an NP 14 years My back ge

  • @ahmedmirza3458

    @ahmedmirza3458

    2 жыл бұрын

    I agree, covid has changed everything. Unfortunately seems like the ER has been most effected. I hope you found something you like.

  • @marisaperez1318

    @marisaperez1318

    2 жыл бұрын

    @@ahmedmirza3458 doing urgent/ immediate care it's ok ....many things like er tons of covid ....since er is always hammered and on by pass lots of pathology comes our way ..we have lab x-ray CT so can do alot ...dx many pulmonary embolism s Acute abdomens etc ....as u know our whole system has been ravaged

  • @janetboaitey-adjei4582
    @janetboaitey-adjei45823 жыл бұрын

    Am 5 months into my NP practice and am having the same issues with the hours and salary .☹

  • @ahmedmirza3458

    @ahmedmirza3458

    3 жыл бұрын

    Get 1-2 yrs experience and more options will open up. You're already in the right direction by finding a job and working as an NP. Keep at it!

  • @gilbertvinzon3017
    @gilbertvinzon30173 жыл бұрын

    Can you make a video about starting your own clinic and challenges of it compare to MD’s owned clinics.

  • @lilkz1593
    @lilkz15932 жыл бұрын

    Hi! Great video. Are you working in the ER with your FNP? Or did you have to go back to get the ERNP?

  • @ahmedmirza3458

    @ahmedmirza3458

    2 жыл бұрын

    Yes, with my FNP only. After 2000 hrs working in the ED and a certain amount of ER realted CME credits a FNP can sit for the ENP certification exam.

  • @ivydeangelis9121

    @ivydeangelis9121

    2 жыл бұрын

    But you weren’t trained in emergency medicine . Just saying . I am a AG-ACNP

  • @higherkite
    @higherkite10 ай бұрын

    Im an FNP working in fam practice... Yeah I feel you, this M-F is not my jam. Thinking about leaving which is probably why I KZread "different np opportunities".

  • @zincman1995
    @zincman19953 жыл бұрын

    Seems like many NP's here on YT regret perusing FNP careers. I wasn't able to get in a program, sound like my MSN in nurse education was best after all; good luck in the future.

  • @yuanyuan602
    @yuanyuan602 Жыл бұрын

    I am a new NP and will go to quit tomorrow. Too much overtime. No work life balance

  • @Cheyf97
    @Cheyf973 жыл бұрын

    Do you think the DNP will be required and are you seeing this degree preference in ERs? Also are you only assigned to fast track? Thank you

  • @ahmedmirza3458

    @ahmedmirza3458

    3 жыл бұрын

    I've read that DNP may be required for NPs in the future but there has not been anything set in stone yet. In the workforce I don't see any indication that a DNP is preferred. It's usually all about experience. The only place I see a push for DNP is academia. Currently I do "fast-track" and the main ED, just depends on what shift I'm scheduled for the day.

  • @Cheyf97

    @Cheyf97

    3 жыл бұрын

    @@ahmedmirza3458 Thank you for the response!:)

  • @minamikhaeil9314
    @minamikhaeil93143 жыл бұрын

    Can critical nurse practitioner do nerve blocks such as knee block sciatic nerve block for local anesthesia? I m not talking about crna I mean np

  • @ahmedmirza3458

    @ahmedmirza3458

    3 жыл бұрын

    Yes, you'll just have to learn it either on the job or from a CME course. In school np's are taught the basic blocks, like a finger digital block.

  • @minamikhaeil9314

    @minamikhaeil9314

    3 жыл бұрын

    @@ahmedmirza3458 thanks I give u like

  • @johannaj7429
    @johannaj74292 жыл бұрын

    Hi, What’s the average number of patients you see at the urgent care? Were you the only provider? Did you take a skills course for procedures? Thank you!

  • @ahmedmirza3458

    @ahmedmirza3458

    2 жыл бұрын

    Average is 3-4 an hour and yes only provider. I did take a skills course

  • @Teaslime96

    @Teaslime96

    2 жыл бұрын

    @@ahmedmirza3458 What do you think about an emergency medicine NP residency?

  • @birdeyes200

    @birdeyes200

    2 жыл бұрын

    @@ahmedmirza3458 that’s almost 50pts a day! Realistically this is not sustainable….you will age faster than a 9-5pm job!

  • @gjimip
    @gjimip Жыл бұрын

    Hi Ahmed, I wanted to ask to work in urgent care and ED would Family NP work? Thanks man

  • @ahmedmirza3458

    @ahmedmirza3458

    Жыл бұрын

    Hello, yes FNP is most accepted

  • @gjimip

    @gjimip

    Жыл бұрын

    @@ahmedmirza3458 good to know. Thanks man

  • @Promiseland2024
    @Promiseland20243 жыл бұрын

    I like your videos, 😊

  • @ahmedmirza3458

    @ahmedmirza3458

    3 жыл бұрын

    Thank you!

  • @yvrosebrown9242

    @yvrosebrown9242

    2 жыл бұрын

    Hi I took my exams last week and I checked my results after and found out I passed . I'm so happy and willing to share study materials, interested once can Pv me

  • @Promiseland2024

    @Promiseland2024

    2 жыл бұрын

    @@yvrosebrown9242 congratulations!!!🎊🎉 i appreciate it. 🙏 i am not in a program, i was thinking about that route but, i am still not sure. Best of luck!

  • @tomr6866
    @tomr68662 жыл бұрын

    Where did you get your MSN?

  • @ahmedmirza3458

    @ahmedmirza3458

    2 жыл бұрын

    UTMB Galveston

  • @duke01000
    @duke01000 Жыл бұрын

    Hi, Great video. I'm curious what state are you? I'm very suprised the low salary

  • @ahmedmirza3458

    @ahmedmirza3458

    Жыл бұрын

    I've practiced in Texas and Michigan

  • @MyMalachi2010
    @MyMalachi20103 жыл бұрын

    So what's your plan now?

  • @ahmedmirza3458

    @ahmedmirza3458

    3 жыл бұрын

    I'm doing emergency medicine

  • @MyMalachi2010

    @MyMalachi2010

    3 жыл бұрын

    @@ahmedmirza3458 Do you have acute care/emergency certification? My apologies if you already mentioned it in the video

  • @tiffanybrown1715
    @tiffanybrown17152 жыл бұрын

    I am confused...??? how can you be a FNP and work in emergency medicine. Don't you need an acute care np degree for that...???

  • @erichuang6472

    @erichuang6472

    Жыл бұрын

    get a certificate

  • @ivydeangelis9121
    @ivydeangelis91212 жыл бұрын

    So your not a people’s person ? I thought you said FNP shouldn’t be in the hospital ?

  • @nudawn110
    @nudawn1102 жыл бұрын

    is an NP working independently a quack act. do you have the scientific foundation to accept such a responsibility

  • @carlososcarcomedy
    @carlososcarcomedy Жыл бұрын

    Bro you coulda got that info out in 1min. Stick to your day job.

  • @Americanpatriot-zo2tk
    @Americanpatriot-zo2tk Жыл бұрын

    Well I’m only gonna make $105,000 a year I won’t beat my head against a brick wall for that looks like this year I’m on course I do and 50 yards of 130,000 a year as a registered nurse.

  • @Americanpatriot-zo2tk
    @Americanpatriot-zo2tk Жыл бұрын

    Yes I have when I first became a registered nurse in 1988 the doctor hated it now they love it because you do the weekends the holidays the Nike do all the prep work and then I want to pay for it every doctor asked to make 1 million a year and they don’t care if you’re making 110,000 a year I am leaving kiss my nurse practitioner ass on that one.