andersenpa Posted October 1, 2012 Share Posted October 1, 2012 http://www.bartonassociates.com/nurse-practitioners/nurse-practitioner-scope-of-practice-laws/ As fellow nonphysician providers we should each know what's going on in the other's profession This chart details the level of scope/autonomy on a state by state basis Link to comment Share on other sites More sharing options...
BAmirault Posted October 1, 2012 Share Posted October 1, 2012 Thanks for spreading the word! Creating a similar chart for PAs is a great idea. We will look into it and put it on our editorial calendar. Thanks again, Ben Amirault Content Marketing Editor Barton Associates Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted October 1, 2012 Moderator Share Posted October 1, 2012 Awesome chart and PA version would be much appreciated. Link to comment Share on other sites More sharing options...
Contrarian Posted October 2, 2012 Share Posted October 2, 2012 Very cool! I wish PAs had a chart like that. Looks like NPs are LOVED in the north/south west. Great Chart and really illustrates graphically what some of us who live and practice in the "full color states" (ND, IA, VT, RI, NH, DC, ME, NM, AZ, CO HI, and pretty much the entire Northwest- WA, ID, OR, AK, MT, WY) has been writing about. The NPs around me (and jmj11, and EMEDPA, and Andersenpa and Primmadonna when she was home) have FULL autonomy, independence and "plenary authority" everywhere except the inpatient hospital /surgical setting (EMEDPA's , and Andersenpa's practice setting). Therefore they are understandably, correctly and typically considered LESS Liability for the physicians that they work "with/for" and therefore tend to be preferred in all but inpatient hospital /surgical settings in the states listed above. The chart also helps ME understand why many here don't get what we are talking about and can't really see it as a issue/problem/concern (RCdavis, burnpa and others). By looking at the graphic, those of you who live and practice in the Northeast, Southeast, and Midwest wouldn't be able to see first hand what its like competing with a INDEPENDENT provider for a job you are better didactically and clinically trained to perform... and if that is the only place you have EVER practiced... you wouldn't have ever seen this and what it does to the clinical marketplace. Link to comment Share on other sites More sharing options...
treejay Posted October 3, 2012 Share Posted October 3, 2012 wow, NPs in Alabama... Link to comment Share on other sites More sharing options...
mackjacks Posted October 3, 2012 Share Posted October 3, 2012 Interesting, I had no idea there was so much variation with NPs. Also explains why the ones I know personally from living in MI are all in administration. Link to comment Share on other sites More sharing options...
Contrarian Posted October 3, 2012 Share Posted October 3, 2012 Interesting, I had no idea there was so much variation with NPs. Also explains why the ones I know personally from living in MI are all in administration. And why the MAJORITY of NP program graduates never work as NPs... Link to comment Share on other sites More sharing options...
primadonna22274 Posted October 3, 2012 Share Posted October 3, 2012 That is an impressive chart. I know very well the free rein NPs have enjoyed in the NW. At times PAs have been able to piggyback on their success to expand privileges (I recall especially the finally successful movement to earn Schedule II Rx privileges for PAs in Oregon--when was that, 2002 or 3? It was at least a decade and 3 failed tries prior in the making. But more often than not the relationship has been adversarial. It's interesting to see how constrained NPs are in SC. In truth, I don't know how much teeth those antiquated practice laws hold, because I know several capable NPs who operate with remarkable autonomy (one girlfriend even has a satellite office and off-site collaborating physician whom she rarely sees). Chart review in SC is rather nebulous for PAs and NPs in SC (I am still concerned whether appropriate chart review EVER happened for a year of my career, when my SP barely kept up with his own charts!) Seems to be fairly equitable for NPs and PAs in Pennsylvania, although the pay is dismal for both groups ;( Link to comment Share on other sites More sharing options...
Alex87 Posted October 3, 2012 Share Posted October 3, 2012 That is an impressive chart.I know very well the free rein NPs have enjoyed in the NW. At times PAs have been able to piggyback on their success to expand privileges (I recall especially the finally successful movement to earn Schedule II Rx privileges for PAs in Oregon--when was that, 2002 or 3? It was at least a decade and 3 failed tries prior in the making. But more often than not the relationship has been adversarial. It's interesting to see how constrained NPs are in SC. In truth, I don't know how much teeth those antiquated practice laws hold, because I know several capable NPs who operate with remarkable autonomy (one girlfriend even has a satellite office and off-site collaborating physician whom she rarely sees). Chart review in SC is rather nebulous for PAs and NPs in SC (I am still concerned whether appropriate chart review EVER happened for a year of my career, when my SP barely kept up with his own charts!) Seems to be fairly equitable for NPs and PAs in Pennsylvania, although the pay is dismal for both groups ;( Why is the pay dismal for NP's and PA's in Pennsylvania? I don't get it. Link to comment Share on other sites More sharing options...
Contrarian Posted October 3, 2012 Share Posted October 3, 2012 Why is the pay dismal for NP's and PA's in Pennsylvania? I don't get it. 13 PA programs graduating 50+ PAs each EVERY yr and lord knows how many NP programs = Oversaturation. Link to comment Share on other sites More sharing options...
Alex87 Posted October 3, 2012 Share Posted October 3, 2012 13 PA programs graduating 50+ PAs each EVERY yr and lord knows how many NP programs = Oversaturation. Wow, I had no clue we have that many programs here. I need to leave Pennsylvania. Link to comment Share on other sites More sharing options...
ToppDog Posted October 3, 2012 Share Posted October 3, 2012 Pennsylvania has the third highest amount of colleges in the country behind California & New York, or at least they did some years ago. So, it's not too surprising that they would have a lot of PA schools. But the economy isn't so hot there either, so that may be affecting salaries too. Awesome chart! Bookmarked it for reference. I agree with the others, it would be awesome to see one for PA's. Or, better yet, one that combines both NP & PA for a state to state comparison between the two. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 3, 2012 Moderator Share Posted October 3, 2012 A pa comparison chart to nps might be a tad depressing for PAs. not too bad in a lot of places. many states would have every color except the independence ring(green). Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted October 3, 2012 Moderator Share Posted October 3, 2012 13 PA programs graduating 50+ PAs each EVERY yr and lord knows how many NP programs = Oversaturation. It's even worse than that- last I checked, if you drew a circle around Philadelphia with a radius of 90 miles, there's something like 27 PA programs. However, since most are associated with medical schools, it just follows the saturation of medical schools in this area too. Big difference is that when those medical students graduate, they can go off to residencies anywhere and may not stick around. Obviously, the PA graduates tend to stay put. Link to comment Share on other sites More sharing options...
surgblumm Posted October 3, 2012 Share Posted October 3, 2012 Totally agree with Anderson. Knowledge of each other and our skills makes us part of a team and we do better working together on many issues. bob Link to comment Share on other sites More sharing options...
primadonna22274 Posted October 3, 2012 Share Posted October 3, 2012 Wow, I had no clue we have that many programs here. I need to leave Pennsylvania. I think it's up to 20 now. Another one is starting up in Erie--which absolutely DOES NOT need another PA program. Link to comment Share on other sites More sharing options...
Justeco Posted October 3, 2012 Share Posted October 3, 2012 13 PA programs graduating 50+ PAs each EVERY yr and lord knows how many NP programs = Oversaturation. Do you mind posting the statistics if you have them? I'm curious. Link to comment Share on other sites More sharing options...
Justeco Posted October 4, 2012 Share Posted October 4, 2012 And why the MAJORITY of NP program graduates never work as NPs... My bad. I meant to reply to this post actually. I've heard about NP oversaturation while at the same time people talk about a low graduation and practice rate. Link to comment Share on other sites More sharing options...
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