1 00:00:05,000 --> 00:00:07,440 Attention all nurse practitioners and MP students, 2 00:00:07,440 --> 00:00:09,800 Are you tired of feeling the disconnect between clinical 3 00:00:09,800 --> 00:00:14,400 rotations and didactic teaching? Say hello to success in PS 4 00:00:14,400 --> 00:00:18,240 clinical booklet guides. As NPS ourselves, we know how 5 00:00:18,240 --> 00:00:20,520 valuable it is to have a resource that helps bridge the 6 00:00:20,520 --> 00:00:24,080 gap between clinical and class, So we created the digital 7 00:00:24,080 --> 00:00:27,840 resource to do just that. Our clinical booklets cover five 8 00:00:27,840 --> 00:00:32,360 major NP tracks. Psych, adult kids, family and 9 00:00:32,360 --> 00:00:35,720 Women's Health success. NPS wants to create tools and 10 00:00:35,720 --> 00:00:37,800 provide support. NPS need to thrive in their 11 00:00:37,800 --> 00:00:39,800 careers. So why wait? 12 00:00:39,800 --> 00:00:43,600 Check out our Success NP Etsy shop, LinkedIn, the show notes 13 00:00:43,760 --> 00:00:47,520 for our digital guides and other digital clinical resources. 14 00:00:53,440 --> 00:00:57,240 Hey NPS, let me tell you about a game changer in the world of 15 00:00:57,240 --> 00:01:02,440 metabolic medicine, Gobi Meds. If you are offering weight 16 00:01:02,440 --> 00:01:06,720 management care, GLP one therapy or peptide based Wellness 17 00:01:06,720 --> 00:01:10,080 programs, Gobi Meds is a powerful telehealth partner. 18 00:01:10,080 --> 00:01:14,560 They specialize in compounded GLP one medications such as 19 00:01:14,560 --> 00:01:19,280 semaglutide, plus peptides such as NAD Plus. 20 00:01:19,320 --> 00:01:23,280 Here's why Gobi Meds stands out. Patient first onboarding. 21 00:01:24,120 --> 00:01:27,480 Their intake process is smooth and telehealth based. 22 00:01:28,000 --> 00:01:30,080 Patients complete a questionnaire and a clinician 23 00:01:30,080 --> 00:01:32,920 refuse it and then they can prescribe if appropriate. 24 00:01:35,000 --> 00:01:37,520 Transparent pricing, no hidden fees. 25 00:01:37,560 --> 00:01:41,720 For you as an MP, that means you can collaborate with Golby Meds 26 00:01:41,760 --> 00:01:45,400 to expand your metabolic or weight management practice, 27 00:01:45,680 --> 00:01:48,960 offer compounded medication options such as standard 28 00:01:48,960 --> 00:01:52,160 therapies when standard therapies are limited, and 29 00:01:52,160 --> 00:01:55,840 delegate parts or patient onboarding monitoring to a 30 00:01:55,840 --> 00:01:59,200 telehealth team. You will also be able to provide 31 00:01:59,200 --> 00:02:02,880 your patient with access to reliable, transparent GLP One 32 00:02:02,880 --> 00:02:05,560 provider. To learn more, go to 33 00:02:05,560 --> 00:02:14,560 gobimeds.com. 6th Sense be your host here. 34 00:02:14,720 --> 00:02:17,320 Signature Pregenta. And today we are joined by 35 00:02:17,320 --> 00:02:20,080 Reagan Tawney. Hello everybody. 36 00:02:20,760 --> 00:02:25,080 And she is a third year Women's Health DNP student who is 37 00:02:25,080 --> 00:02:28,160 passionate about advancing Women's Health through evidence 38 00:02:28,160 --> 00:02:30,320 based care, mentorship and advocacy. 39 00:02:30,560 --> 00:02:36,240 She is on social media really into changing the landscape of 40 00:02:36,240 --> 00:02:40,040 Women's Health, using her platform to educate, empower and 41 00:02:40,040 --> 00:02:44,640 connect fellow MPs, future nurses and nurse practitioners. 42 00:02:44,680 --> 00:02:47,600 And we are so happy to have you on the podcast today. 43 00:02:47,720 --> 00:02:49,680 Reagan, I just think your name is super cute. 44 00:02:49,680 --> 00:02:52,680 The way you sound you. I've already been like crushing 45 00:02:52,680 --> 00:02:54,280 on your ring. If you're watching this on 46 00:02:54,280 --> 00:02:57,280 YouTube, it'll flash by just in paying attention. 47 00:02:57,640 --> 00:03:00,120 And so we are so happy to have you on today. 48 00:03:00,840 --> 00:03:03,640 I'm so excited to be here. This is just such an incredible 49 00:03:03,640 --> 00:03:06,160 opportunity. I'm so excited to just chat with 50 00:03:06,160 --> 00:03:09,360 you today and let's. Yeah, I'm excited to be here. 51 00:03:09,360 --> 00:03:12,680 That's all I'm saying. Let's go ahead and talk a little 52 00:03:12,680 --> 00:03:17,000 bit about what kind of your nursing career and how you know 53 00:03:17,000 --> 00:03:18,960 where you are in your in your DMP program. 54 00:03:19,720 --> 00:03:22,560 Yeah so I'm currently in 3rd year WHNP student. 55 00:03:22,560 --> 00:03:24,960 I graduate in May who's counting down. 56 00:03:24,960 --> 00:03:28,120 I'm so excited to be done and finally be able to practice. 57 00:03:28,120 --> 00:03:32,520 But I am a solo WHNP student right now and my background is 58 00:03:32,520 --> 00:03:35,560 funky because I feel like when people are in a Women's Health 59 00:03:35,560 --> 00:03:38,160 program, but like my experience is all Women's Health, but mine 60 00:03:38,160 --> 00:03:41,480 is a little different. I have been my primary nursing 61 00:03:41,480 --> 00:03:46,560 experience in the NICU actually. So I was working in the NICU for 62 00:03:46,560 --> 00:03:50,360 about 3 1/2 years and I it was more so just based off of 63 00:03:50,360 --> 00:03:52,400 curiosity. Like in nursing school we didn't 64 00:03:52,400 --> 00:03:56,720 have much experience really in Women's Health or the NICU 65 00:03:56,920 --> 00:03:59,200 Women's Health. You have your LND rotation, but 66 00:03:59,200 --> 00:04:00,840 like my rotation wasn't that great. 67 00:04:01,280 --> 00:04:04,160 So I was curious about the NICU. I got a nursing assistant 68 00:04:04,160 --> 00:04:06,720 position in the NICU and I just fell in love with it. 69 00:04:06,720 --> 00:04:10,200 So I took that and I ran with it after I got my BSN. 70 00:04:10,640 --> 00:04:13,280 But all throughout my time the NICU, there's just like 71 00:04:13,520 --> 00:04:15,640 lingering thoughts of like Women's Health. 72 00:04:15,640 --> 00:04:17,959 And I really thought that I was going to become a midwife. 73 00:04:17,959 --> 00:04:21,120 That was my goal. But I just ultimately was like, 74 00:04:21,279 --> 00:04:25,640 hospital life is not for me. And I just, I didn't need to be 75 00:04:25,640 --> 00:04:28,000 the one delivering the babies. So that's when I started looking 76 00:04:28,000 --> 00:04:32,000 into Women's Health programs because I really like you 77 00:04:32,000 --> 00:04:34,760 mentioned, like I love just educating about Women's Health 78 00:04:34,760 --> 00:04:38,120 and the relationships that you develop with our patients and 79 00:04:38,120 --> 00:04:41,160 focusing on Wellness, Women's Health, Wellness throughout all 80 00:04:41,160 --> 00:04:44,760 aspects of life. So that's really what led me to 81 00:04:44,760 --> 00:04:49,040 my program today. And like, I've always known that 82 00:04:49,040 --> 00:04:50,520 I've wanted to be a nurse practitioner. 83 00:04:50,520 --> 00:04:54,000 I've always known that I wanted to advance my career and be able 84 00:04:54,000 --> 00:04:59,280 to practice independently. But honestly, it's like I love 85 00:04:59,280 --> 00:05:02,920 spending time with my patients and again, educating them and 86 00:05:02,920 --> 00:05:04,960 really being a part of their long term reproductive and 87 00:05:04,960 --> 00:05:07,200 sexual health goes. And I think that's what truly 88 00:05:07,200 --> 00:05:13,160 inspired me to get to where I am today because I've seen just how 89 00:05:13,160 --> 00:05:16,880 much of an impact a good quality provider in Women's Health has. 90 00:05:17,320 --> 00:05:20,480 Being compassionate and knowledgeable can really make a 91 00:05:20,480 --> 00:05:23,920 difference of Women's Health. So that's what I that's why I'm 92 00:05:23,920 --> 00:05:27,680 here today and that's my goal in the future is just be someone 93 00:05:27,680 --> 00:05:31,440 that my patients trust and makes them feel heard and empower. 94 00:05:32,040 --> 00:05:33,440 I love that. I love that. 95 00:05:33,800 --> 00:05:38,160 And so in your DNP program, what are you dealing with? 96 00:05:38,160 --> 00:05:40,960 Where's your snapshot for where you are right now in your DNP 97 00:05:40,960 --> 00:05:44,240 program? That is the question of the past 98 00:05:44,240 --> 00:05:46,720 couple months. I am in the thick of my DNP 99 00:05:46,720 --> 00:05:51,000 project. So something that does yes, that 100 00:05:51,000 --> 00:05:53,680 is the that's the reaction I get to everyone. 101 00:05:53,680 --> 00:05:56,400 I tell us about the main difference between Ms. and the 102 00:05:56,400 --> 00:05:59,800 masters level, a doctor, the doctoral level is really this 103 00:05:59,920 --> 00:06:02,200 big capstone project, the DNP project. 104 00:06:02,760 --> 00:06:06,000 I am in the thick of it. It actually it went live a 105 00:06:06,000 --> 00:06:08,480 couple weeks ago. And for those who don't know, 106 00:06:08,480 --> 00:06:10,800 it's really like a quality improvement project where you 107 00:06:10,800 --> 00:06:15,200 kind of design and implement and then evaluate some sort of 108 00:06:15,200 --> 00:06:17,600 quality improvement in a field of study. 109 00:06:17,600 --> 00:06:20,920 And I, because my passion is really been like menopause, I've 110 00:06:20,920 --> 00:06:23,400 been focusing it on testosterone therapy and creating like a 111 00:06:23,400 --> 00:06:26,480 standardized prescribing process for my providers. 112 00:06:26,920 --> 00:06:29,640 And I'm so excited about it. I'm so passionate about this 113 00:06:29,640 --> 00:06:33,000 topic. But as the DMP project comes 114 00:06:33,000 --> 00:06:39,160 with so many hurdles to jump over and I it's and I feel like 115 00:06:39,160 --> 00:06:41,720 we'll get into this a little bit later, but it's ruined my 116 00:06:41,720 --> 00:06:44,160 passion for quality improvement. I'm not going to lie. 117 00:06:44,160 --> 00:06:46,960 Yeah, we. Got to go ahead, figure out what 118 00:06:46,960 --> 00:06:49,080 it is. So are you working on IRB 119 00:06:49,080 --> 00:06:51,920 approval? Are you working on like protocol 120 00:06:51,920 --> 00:06:54,320 and getting that approved so that you can then implement it? 121 00:06:54,320 --> 00:06:58,160 Because I remember I had to do IRB approval and get them to say 122 00:06:58,160 --> 00:07:01,600 it's OK, you can go and do this. Is that what the stage of your 123 00:07:01,600 --> 00:07:03,720 inner, have you moved past that hurdle you're trying to 124 00:07:03,720 --> 00:07:05,520 implement it and get the data back? 125 00:07:05,840 --> 00:07:07,800 It's a lot. It is a lot. 126 00:07:07,800 --> 00:07:09,600 It is a lot. And luckily, I did not have to 127 00:07:09,600 --> 00:07:12,080 go through the IRB process because I'm not doing anything 128 00:07:12,080 --> 00:07:14,680 with patients. I wanted to avoid that at all 129 00:07:14,680 --> 00:07:18,040 costs just because I've heard just horror stories of people 130 00:07:18,040 --> 00:07:20,400 not getting IRB approval, then they have to change their entire 131 00:07:20,400 --> 00:07:23,160 project. So I really wanted to avoid 132 00:07:23,160 --> 00:07:25,720 that. So I'm only focusing in on 133 00:07:25,720 --> 00:07:27,520 providers. I'm not doing anything with 134 00:07:27,520 --> 00:07:30,800 patient information or patient surveys, anything. 135 00:07:31,040 --> 00:07:34,960 So I am currently I'm basically developing like a protocol for 136 00:07:34,960 --> 00:07:37,800 lack of better terms of standardizing testosterone 137 00:07:37,800 --> 00:07:41,800 prescriptions specifically for postmenopausal woman with low 138 00:07:41,800 --> 00:07:44,200 libido or hypoactive sexual desire disorder. 139 00:07:44,200 --> 00:07:48,160 So I'm finalizing my protocol and my toolkit and all these 140 00:07:48,160 --> 00:07:53,160 resources to hopefully actually be implemented into practice 141 00:07:53,160 --> 00:07:56,920 next week if everything right. OK. 142 00:07:57,040 --> 00:08:01,160 And then are you going to be surveying the providers and 143 00:08:01,160 --> 00:08:03,800 asking them like, how do you feel about it? 144 00:08:03,800 --> 00:08:05,600 Do you feel like the process is easier? 145 00:08:05,600 --> 00:08:09,040 Or is it like an algorithm where like you created if then and 146 00:08:09,040 --> 00:08:12,760 then do this and treat that and creating because there really 147 00:08:12,760 --> 00:08:14,880 isn't a protocol, like you're just making it up. 148 00:08:14,880 --> 00:08:17,560 There's certain things you need to be aware of, but what is it 149 00:08:17,560 --> 00:08:20,640 that you are hoping to measure? Yeah. 150 00:08:20,640 --> 00:08:22,840 And I think you nailed the head on that one. 151 00:08:22,840 --> 00:08:25,680 I am. My main goal is to just improve 152 00:08:25,680 --> 00:08:28,000 provider confidence and knowledge surrounding 153 00:08:28,400 --> 00:08:30,720 testosterone prescribing because there is evidence out there, 154 00:08:30,720 --> 00:08:32,799 right? It's newer evidence and there's 155 00:08:32,799 --> 00:08:35,520 a lot of compounding factors in the United States with 156 00:08:35,520 --> 00:08:37,880 testosterone prescription specifically for women. 157 00:08:38,240 --> 00:08:42,559 So my main goal is just to improve access to resources and 158 00:08:42,559 --> 00:08:45,600 improve provider confidence and knowledge surrounding the 159 00:08:45,600 --> 00:08:48,680 prescribing practices. But then it's also with my tool 160 00:08:48,680 --> 00:08:52,200 kit and with my protocols that I'm developing is to assess the 161 00:08:52,200 --> 00:08:56,040 usability and feasibility a bit just to see if this is something 162 00:08:56,040 --> 00:08:58,920 that could continue to be used in the future. 163 00:08:58,920 --> 00:09:02,840 So it is primarily I'm surveying my providers right now, getting 164 00:09:02,840 --> 00:09:06,440 a Capri implementation understanding and then after 165 00:09:06,440 --> 00:09:10,160 implementation I'll be doing a post survey as well as looking 166 00:09:10,160 --> 00:09:13,640 at like number of testosterone prescriptions or how many times 167 00:09:13,640 --> 00:09:15,880 the tool kit was used and stuff like that. 168 00:09:16,680 --> 00:09:21,240 Amazing wow again, that is what's so special about the DNP 169 00:09:21,240 --> 00:09:24,920 project is that really start getting into the nitty gritty 170 00:09:24,920 --> 00:09:27,280 and I know where you are. It's almost like a when you're 171 00:09:27,280 --> 00:09:29,960 planning a wedding, it's like at some phase of the wedding you're 172 00:09:29,960 --> 00:09:34,680 also like let's look like this with so much to be just took a 173 00:09:34,680 --> 00:09:37,360 plane to Ireland, got on a Cliff to got married with a 174 00:09:37,360 --> 00:09:39,240 photographer. That just sounds great because 175 00:09:39,240 --> 00:09:40,400 you're just so in the thick of it. 176 00:09:40,400 --> 00:09:43,560 And then when you look back like right now, hearing you talk 177 00:09:43,560 --> 00:09:46,040 about it, it just I just teleported back to that time 178 00:09:46,040 --> 00:09:49,800 where I was collecting patient data like putting it into 179 00:09:49,800 --> 00:09:51,320 stress. If I wasn't going to get IRB 180 00:09:51,320 --> 00:09:55,200 approval, there was a nurse practitioner that was very good 181 00:09:55,200 --> 00:09:57,320 at like writing things a certain way. 182 00:09:57,480 --> 00:10:00,560 So we got approval super fast. So I can dig in the charts and 183 00:10:00,560 --> 00:10:04,000 find this data. And now looking back, I'm like, 184 00:10:04,440 --> 00:10:06,000 Oh my gosh, I missed that. It was. 185 00:10:06,120 --> 00:10:08,480 It's like a sickness. This is the worst thing ever. 186 00:10:08,480 --> 00:10:10,600 And then now looking back, I'm like that was. 187 00:10:10,600 --> 00:10:12,160 Cool, like I. Was involved in making something 188 00:10:12,160 --> 00:10:15,360 better where I was. And so just to give you maybe a 189 00:10:15,360 --> 00:10:18,240 little bit of hope that at some point you're going to look back 190 00:10:18,240 --> 00:10:22,080 and just be like, that was cool and I enjoyed it, even though in 191 00:10:22,080 --> 00:10:24,600 the moment I hated. It and I think it's like exactly 192 00:10:24,600 --> 00:10:27,560 what I needed to hear right now because I just it, like you 193 00:10:27,560 --> 00:10:30,320 said, like I'm in the thick of it and I think there's so many 194 00:10:30,320 --> 00:10:33,840 little tiny things that goes on with ADMP project and there's 195 00:10:33,840 --> 00:10:36,680 like nitty gritty picky kind of things that you have to do it 196 00:10:36,680 --> 00:10:40,200 one specific way. So, well, you're the one like 197 00:10:40,200 --> 00:10:42,640 implementing these projects and developing these projects. 198 00:10:42,640 --> 00:10:46,120 You're almost like doing it in a specific way for others 199 00:10:46,120 --> 00:10:49,480 satisfaction. So you lose control in the sense 200 00:10:49,480 --> 00:10:51,800 that you're not doing it the way that you really want to do it. 201 00:10:51,800 --> 00:10:56,720 But it is really, really helpful to hear that you look back at 202 00:10:56,720 --> 00:10:59,120 your project and you're like, wait, that was actually like, 203 00:10:59,120 --> 00:11:01,680 cool, because I don't feel that way right now. 204 00:11:01,880 --> 00:11:03,480 I just want to get this thing done. 205 00:11:03,920 --> 00:11:07,000 Yeah, no, I completely hear where you're where you are, like 206 00:11:07,000 --> 00:11:08,840 see where you are. I was there too. 207 00:11:08,880 --> 00:11:12,520 And so I just again, Burnett DMP student out there that's 208 00:11:12,520 --> 00:11:15,880 thinking about or in the same spot that's Oh my gosh, this is 209 00:11:15,880 --> 00:11:17,800 the worst. You are going to look back at it 210 00:11:17,800 --> 00:11:20,160 like you do at your wedding day and think, Oh my God, it all 211 00:11:20,160 --> 00:11:23,440 came together so beautifully. But right now I'm just not 212 00:11:23,440 --> 00:11:25,840 enjoying planning this thing and so I just want to look. 213 00:11:27,600 --> 00:11:30,760 I think now the wedding is like, absolutely perfect. 214 00:11:30,760 --> 00:11:32,720 That's exactly how it feels. Yeah, there's. 215 00:11:33,040 --> 00:11:35,280 Some stages of grief. Oh my God, I just want to look. 216 00:11:35,280 --> 00:11:36,600 So that's how you know you're on the right path. 217 00:11:36,600 --> 00:11:38,160 Just keep going. You're almost there. 218 00:11:38,640 --> 00:11:40,520 Yeah. You're going to look back and 219 00:11:40,520 --> 00:11:43,120 just, I don't know, I just feel like the hurdles that you have 220 00:11:43,120 --> 00:11:47,080 to jump over to for the DNP project really do prepare you 221 00:11:47,080 --> 00:11:49,800 mentally to be a very resilient envy. 222 00:11:49,960 --> 00:11:54,880 And so that is one thing that I will say about the DNP that I 223 00:11:54,880 --> 00:11:57,960 look back with fondness on. And one of the things that you 224 00:11:57,960 --> 00:12:01,360 and I were talking about before the podcast is just the MSN 225 00:12:01,360 --> 00:12:03,800 versus the DNP. So I'm actually unique. 226 00:12:03,800 --> 00:12:07,000 I don't know if this is your story, but I had my master's 227 00:12:07,000 --> 00:12:09,880 degree and I was a nurse practitioner done. 228 00:12:10,240 --> 00:12:12,440 And then I went back for the DNP. 229 00:12:12,520 --> 00:12:17,320 So I did not have to do the DNPI was already a master's prepared. 230 00:12:17,320 --> 00:12:21,360 MPI went back and did it. And you and I were talking a 231 00:12:21,360 --> 00:12:24,120 little bit on about this behind behind the scenes. 232 00:12:24,160 --> 00:12:29,080 How do you feel about the DNP versus getting a master's 233 00:12:29,080 --> 00:12:31,240 degree? What was your, your course? 234 00:12:31,240 --> 00:12:33,480 Did you get a master's degree and then go back, or did you 235 00:12:33,480 --> 00:12:35,280 just get enrolled to the DNP program? 236 00:12:35,840 --> 00:12:40,000 So I went to a direct BSN to DNP program, obviously working in 237 00:12:40,000 --> 00:12:43,600 between getting my BSN and DNP like we already mentioned. 238 00:12:44,000 --> 00:12:47,040 And you know what I will say is I did that because that's what 239 00:12:47,040 --> 00:12:49,440 everyone told me to do. Everyone. 240 00:12:49,440 --> 00:12:52,800 When I was starting to think about going back to school, the 241 00:12:52,800 --> 00:12:56,720 only thing I heard was MSN nurses are being pushed out. 242 00:12:56,840 --> 00:12:58,960 Everyone's focusing on DNP nurses. 243 00:12:59,000 --> 00:13:03,520 Every employer wants a doctorally prepared nurse 244 00:13:03,520 --> 00:13:06,360 practitioner. So I was like say no more twist 245 00:13:06,360 --> 00:13:08,520 my arm, sign me up for ADNP program. 246 00:13:08,920 --> 00:13:12,320 I didn't do my due diligence and I think this is like one of my 247 00:13:12,320 --> 00:13:14,640 biggest regrets. It's like I didn't do my due 248 00:13:14,640 --> 00:13:17,800 diligence to educate myself on really what the difference is 249 00:13:17,800 --> 00:13:21,560 between MSN and DNPI. Just heard DNP. 250 00:13:21,560 --> 00:13:23,760 It's a doctoral level and yeah, it's called getting. 251 00:13:23,800 --> 00:13:25,560 I'm a doctorate of nursing practice. 252 00:13:25,560 --> 00:13:29,520 It's like a cool term to in like name to call yourself, but like 253 00:13:30,320 --> 00:13:34,080 I wish that I would have just done an MSN, I'm not going to 254 00:13:34,080 --> 00:13:37,800 lie. And it's in when I was searching 255 00:13:37,800 --> 00:13:40,560 for schools and everything. The unfortunate thing is there's 256 00:13:40,560 --> 00:13:47,600 not many WHNP master's level programs anymore because they 257 00:13:47,600 --> 00:13:51,160 are being pushed out for lack of better terms and being 258 00:13:51,240 --> 00:13:56,680 transitioned into ADNP programs. I'm here, I graduate in six 259 00:13:56,680 --> 00:13:59,120 months, and I'll be able to be an independent practitioner 260 00:13:59,240 --> 00:14:04,720 regardless, but I do think that an MSN probably would have just 261 00:14:04,720 --> 00:14:07,520 been enough for me. Yeah. 262 00:14:07,640 --> 00:14:11,400 So what makes you, what made you come to that decision you've 263 00:14:11,440 --> 00:14:12,840 you're finishing up in six months. 264 00:14:12,840 --> 00:14:16,240 Why are you just is it because it's this DNC comes to a project 265 00:14:16,280 --> 00:14:21,600 or is it because or is it because you actually are like I 266 00:14:21,600 --> 00:14:25,040 don't know if this is necessary for what we need to do in our 267 00:14:25,040 --> 00:14:27,200 jobs. I think it's both. 268 00:14:27,200 --> 00:14:28,560 It's both. It's probably because I'm in the 269 00:14:28,560 --> 00:14:31,720 thick of ADMP project. I'm just like, what am I doing 270 00:14:31,720 --> 00:14:33,880 with my life? This has this is just whatever. 271 00:14:34,080 --> 00:14:37,640 I will say just to kind of preface this conversation, in my 272 00:14:37,640 --> 00:14:40,400 job in the NICU, I was involved in some quality improvement 273 00:14:40,400 --> 00:14:45,160 projects and I really loved the whole idea of translating like 274 00:14:45,480 --> 00:14:48,800 research into practice and like using the evidence based 275 00:14:48,800 --> 00:14:52,280 research that is found and translating that into practice 276 00:14:52,280 --> 00:14:55,560 to improve the quality of care for our patients and improve 277 00:14:55,680 --> 00:14:57,160 provider practices and everything. 278 00:14:57,160 --> 00:15:01,200 Like I love the idea of that. So that's where like the DNP did 279 00:15:01,200 --> 00:15:03,760 make sense for me, right? So I was like, I love this. 280 00:15:03,760 --> 00:15:06,800 I could see myself doing this in the future and I always want to 281 00:15:07,280 --> 00:15:10,760 improve the way that we practice, but I also now 282 00:15:10,760 --> 00:15:15,680 learning more about it and going through the DNP project process. 283 00:15:15,720 --> 00:15:19,920 It's more so just I've come to the realization that even as a 284 00:15:19,920 --> 00:15:23,640 master, as a masters level prepared nurse practitioner, you 285 00:15:23,640 --> 00:15:24,960 can still do quality improvement. 286 00:15:25,280 --> 00:15:27,920 No one's going to be like, sorry you don't have DNP after your 287 00:15:27,920 --> 00:15:29,880 name. You cannot do anything 288 00:15:30,120 --> 00:15:32,760 associated with translating evidence based into practice. 289 00:15:33,120 --> 00:15:36,960 So I've just started questioning like why is there so much push 290 00:15:36,960 --> 00:15:38,600 to get ADNPU? Hey. 291 00:15:38,760 --> 00:15:42,840 MP student or NP graduate? Yes, you ever freeze when it's 292 00:15:42,840 --> 00:15:45,880 time to present your patient case to your preceptor. 293 00:15:46,200 --> 00:15:50,120 Suddenly you're rambling about the thing that happened and the 294 00:15:50,120 --> 00:15:51,880 preceptor gives you a puzzled look. 295 00:15:53,080 --> 00:15:55,120 Winging it is no longer an option. 296 00:15:55,280 --> 00:15:59,400 Introducing the Case Presentation Guide, a free step 297 00:15:59,400 --> 00:16:03,680 by step framework made by experienced NPS for NP students 298 00:16:03,680 --> 00:16:07,240 and new grads. Learn what to say and what to 299 00:16:07,240 --> 00:16:10,480 skip, how to keep it concise, and how to sound like you 300 00:16:10,680 --> 00:16:13,960 actually know what you're doing. Nail your assessments with 301 00:16:13,960 --> 00:16:17,800 clarity, move through the history, and plan like a pro. 302 00:16:18,080 --> 00:16:21,040 The best part of the Case Presentation module is that it's 303 00:16:21,160 --> 00:16:27,000 free 99, so make sure to click the link in the show notes. 304 00:16:27,400 --> 00:16:32,520 This is all a part of our course launching January of 2026 called 305 00:16:32,520 --> 00:16:36,720 the Success NP Academy. It is your step by step guide to 306 00:16:36,720 --> 00:16:41,200 launching your MP career with confidence will help you go from 307 00:16:41,280 --> 00:16:45,560 overwhelmed to organized with lessons on charting, case 308 00:16:45,560 --> 00:16:50,560 presentation, job hunting, and actually feeling ready for day 309 00:16:50,560 --> 00:16:53,920 one in practice. Because let's be honest, they 310 00:16:53,920 --> 00:16:57,840 taught you how to diagnose pneumonia, not how to negotiate 311 00:16:57,840 --> 00:17:01,120 a contract or figure out malpractice insurance you've 312 00:17:01,120 --> 00:17:03,160 got. The degree will help you get the 313 00:17:03,160 --> 00:17:11,520 direction. Hey NPS, let me tell you about a 314 00:17:11,520 --> 00:17:15,839 game changer in the world of metabolic medicine, Gobi Meds. 315 00:17:16,200 --> 00:17:21,200 If you are offering weight management care, GLP one therapy 316 00:17:21,200 --> 00:17:24,440 or peptide based Wellness programs, Gobi Meds is a 317 00:17:24,440 --> 00:17:27,920 powerful telehealth partner. They specialize in compounded 318 00:17:27,920 --> 00:17:33,960 GLP one medications such as semaglutide, plus peptides such 319 00:17:33,960 --> 00:17:37,200 as NAD plus. Here's why Gobi Meds stands out. 320 00:17:37,200 --> 00:17:42,280 Patient first onboarding. Their intake process is smooth 321 00:17:42,360 --> 00:17:44,720 and telehealth based. Patients complete a 322 00:17:44,720 --> 00:17:47,320 questionnaire and a clinician refuse it and then they can 323 00:17:47,320 --> 00:17:53,080 prescribe if appropriate. Transparent pricing, no hidden 324 00:17:53,080 --> 00:17:55,880 fees. For you as an MP, that means you 325 00:17:55,880 --> 00:18:00,000 can collaborate with Gobi Meds to expand your your metabolic or 326 00:18:00,000 --> 00:18:03,360 weight management practice, offer compounded medication 327 00:18:03,360 --> 00:18:06,440 options such as standard therapies when standard 328 00:18:06,440 --> 00:18:10,280 therapies are limited, and delegate parts or patient 329 00:18:10,280 --> 00:18:12,800 onboarding monitoring to a telehealth team. 330 00:18:13,760 --> 00:18:16,400 You will also be able to provide your patient with access to 331 00:18:16,400 --> 00:18:19,480 reliable, transparent GLP One provider. 332 00:18:20,320 --> 00:18:23,440 To learn more, go to gobimeds.com. 333 00:18:23,720 --> 00:18:26,040 Now let's get back to the conversation. 334 00:18:26,080 --> 00:18:30,720 Why can't we just do an MSN? Like it's 18 to 24 months for an 335 00:18:30,720 --> 00:18:33,640 MSN for most programs compared to three years. 336 00:18:33,640 --> 00:18:37,080 And like that actual year for ADNP is very expensive. 337 00:18:37,120 --> 00:18:40,880 So that's where I've just been like really, what is the point 338 00:18:40,880 --> 00:18:44,640 to do a whole extra year of school, do this DNP project when 339 00:18:44,640 --> 00:18:49,000 I could have just done it post grad as a master's level nurse 340 00:18:49,000 --> 00:18:51,560 practitioner? Yes, exactly. 341 00:18:51,880 --> 00:18:55,280 And then I also feel like I agree with everything you just 342 00:18:55,280 --> 00:18:56,640 said. I think everything you just said 343 00:18:56,640 --> 00:18:58,880 is spot on. I've been very vocal on this 344 00:18:58,880 --> 00:19:01,880 podcast and feeling like. I'm proud of my. 345 00:19:01,880 --> 00:19:04,360 Work as a DNPI, do not believe that. 346 00:19:04,360 --> 00:19:10,360 My work for the DNP was 100% fruitful in the fact that it 347 00:19:10,360 --> 00:19:13,160 created no additional opportunities for me in my 348 00:19:13,160 --> 00:19:15,880 workplace. And I don't really think that 349 00:19:15,880 --> 00:19:18,600 people are talking about that and they're just doing what 350 00:19:18,600 --> 00:19:20,840 you're saying. They're going to shop masters 351 00:19:20,840 --> 00:19:22,960 prepared nurses. I've seen this many masters 352 00:19:22,960 --> 00:19:25,200 prepared nurses pushed out of their jobs because they had a 353 00:19:25,200 --> 00:19:29,960 master's, not one. And so I don't and I meet 354 00:19:30,360 --> 00:19:34,440 fabulous nurse practitioners that have master's degree and 355 00:19:34,440 --> 00:19:38,320 they don't have a doctorate and they do excellent autonomous 356 00:19:38,320 --> 00:19:43,320 practice care as providers. So I don't believe the DNP is 357 00:19:43,320 --> 00:19:48,080 necessarily facilitating any additional opportunities in the 358 00:19:48,080 --> 00:19:52,120 clinical setting, especially because our job at that time is 359 00:19:52,120 --> 00:19:55,880 to take care of patients. Now what you just said is key. 360 00:19:56,120 --> 00:20:00,360 We want to deliver the best quality care that we can for our 361 00:20:00,360 --> 00:20:02,760 patients. But you were already doing that 362 00:20:02,760 --> 00:20:06,200 as a nurse like you are involved in that with ABN. 363 00:20:06,920 --> 00:20:11,440 So getting ADNP and then not having a part of my practice 364 00:20:12,560 --> 00:20:16,680 even being a section of. Hey, we have a doctorally 365 00:20:16,680 --> 00:20:19,360 preparing nurse practitioner. She's going to see patients 366 00:20:19,360 --> 00:20:21,920 three days a week and then she's going to go around the practice 367 00:20:22,200 --> 00:20:24,080 and identify ways to improve quality. 368 00:20:24,320 --> 00:20:26,600 That's not how my job has been split up. 369 00:20:26,600 --> 00:20:29,040 It's been just 100% patient care. 370 00:20:29,320 --> 00:20:33,480 So this CMP and this focus on the quality improvement doesn't 371 00:20:33,480 --> 00:20:36,680 actually end up translating into something I do in practice. 372 00:20:36,760 --> 00:20:44,040 And so it just feels a little bit like a waste of time and a 373 00:20:44,040 --> 00:20:47,280 waste of money because like you said, now I've got to pay this 374 00:20:47,280 --> 00:20:52,320 back at an interest rate that is compounding and it's crazy. 375 00:20:52,320 --> 00:20:55,120 And so that extra year, I could have been working and paying 376 00:20:55,120 --> 00:20:58,680 down my debt faster and becoming financially free, which is 377 00:20:58,720 --> 00:21:00,960 another thing I talk about all the time on this podcast, that 378 00:21:01,200 --> 00:21:04,280 nurse practitioners, just because you choose to become a 379 00:21:04,280 --> 00:21:06,280 nurse practitioner doesn't mean you're going to run away from 380 00:21:06,280 --> 00:21:09,160 burnout because our jobs are equally as demanding and 381 00:21:09,160 --> 00:21:11,760 stressful. And now you've got the extra 382 00:21:12,000 --> 00:21:15,800 debt that's compounding that you need to pay off so that you can 383 00:21:15,880 --> 00:21:18,440 then create different opportunities for yourself. 384 00:21:19,640 --> 00:21:22,760 Yeah. And I that like you're just 385 00:21:22,760 --> 00:21:25,640 taking all of my thoughts that I've had over the past 2 1/2 386 00:21:25,640 --> 00:21:27,200 years and just like spewing them out. 387 00:21:27,200 --> 00:21:32,040 And I think just a circle back on what you said, ADNP adopt 388 00:21:32,040 --> 00:21:34,400 horribly prepared nurse practitioners not paid any 389 00:21:34,400 --> 00:21:37,840 different from an MSN. So it's, that's where it's 390 00:21:37,840 --> 00:21:40,720 challenging to be like, hey, you're signing up for ADNP 391 00:21:40,720 --> 00:21:43,480 program, which is great. You're signing yourself up for 392 00:21:43,480 --> 00:21:46,360 another year of schooling, but your pay is not different from 393 00:21:46,360 --> 00:21:49,560 anyone who has a master's level, but you're going to have that 394 00:21:49,560 --> 00:21:52,520 much more debt. And I think that it's like even 395 00:21:52,520 --> 00:21:55,160 in, I mean, granted, I think you can speak more on to this, but 396 00:21:55,160 --> 00:21:57,720 what I'm assuming with the master's level program as well 397 00:21:57,720 --> 00:22:01,040 is like what you are taught is still evidence based practice. 398 00:22:01,040 --> 00:22:04,200 You are taught to be an evidence based practice provider to be 399 00:22:04,280 --> 00:22:07,400 like taking the evidence and translating that into practice. 400 00:22:07,840 --> 00:22:09,720 I just, that's where I also agree with you. 401 00:22:09,720 --> 00:22:13,880 It's like, what is truly what is the point of ADNP if masters 402 00:22:13,880 --> 00:22:16,720 level providers are also being taught evidence based practice 403 00:22:16,720 --> 00:22:18,720 and translating that evidence into practice? 404 00:22:18,720 --> 00:22:22,320 Like what is the point of take doing an entire extra year of 405 00:22:22,320 --> 00:22:26,160 school to translate evidence into practice when masters level 406 00:22:26,880 --> 00:22:30,240 masters prepared nurses are also doing that right? 407 00:22:31,240 --> 00:22:34,040 It's really. Having your focus, it just 408 00:22:34,040 --> 00:22:38,480 requires you to do this super tedious project that to a 409 00:22:38,480 --> 00:22:43,040 certain extent too, may or may not even play into what you do 410 00:22:43,040 --> 00:22:46,520 when you go into work. If the if the quality 411 00:22:46,520 --> 00:22:48,480 improvement does change something, great. 412 00:22:48,480 --> 00:22:51,240 But then if you go to another facility, are they going to take 413 00:22:51,240 --> 00:22:53,040 the work that you did and actually implement it? 414 00:22:53,040 --> 00:22:55,840 Like what happens to that work that I just did? 415 00:22:56,240 --> 00:22:58,240 Does that actually equate to change? 416 00:22:58,320 --> 00:23:02,160 And so I think that DNP students need to maybe push back a little 417 00:23:02,160 --> 00:23:06,000 bit on faculty and ask these questions of the faculty. 418 00:23:06,040 --> 00:23:09,360 Faculty just ask what is what are we doing with this? 419 00:23:09,360 --> 00:23:13,520 Because I think that there might need to be either an opt in or 420 00:23:13,520 --> 00:23:16,040 an opt out type thing that you can create. 421 00:23:16,040 --> 00:23:20,720 I don't understand why we have to pigeonhole nurses into you 422 00:23:20,720 --> 00:23:25,880 need the DNP when we were practicing as MSNS without it 423 00:23:25,880 --> 00:23:28,160 just fine. And now we've created this extra 424 00:23:28,160 --> 00:23:29,880 work. And one of the things that I 425 00:23:29,880 --> 00:23:33,160 even have even shared when I found out when I was in my DNP 426 00:23:33,160 --> 00:23:36,560 program, they had actually shortened it. 427 00:23:36,720 --> 00:23:38,240 I was shocked. I've never, I don't think I've 428 00:23:38,240 --> 00:23:40,960 ever spoken about this. They had cut a bunch of classes 429 00:23:41,080 --> 00:23:45,200 from because it was like brand new the DNP back when I got I 430 00:23:45,200 --> 00:23:47,680 was starting to go through it and they cut a bunch of 431 00:23:47,680 --> 00:23:52,600 programs, like two or three semesters worth of curriculum. 432 00:23:52,600 --> 00:23:54,800 They were like, oh, these aren't needed and they cut them. 433 00:23:55,160 --> 00:23:56,720 Problem is I had already done that. 434 00:23:57,600 --> 00:24:00,720 So I was like, wait a minute, you just now made these 435 00:24:00,880 --> 00:24:03,400 curriculum obsolete? For the other. 436 00:24:04,080 --> 00:24:07,720 NPS but I did them so I have a longer DNP. 437 00:24:08,000 --> 00:24:10,680 Are you kidding me? And I just remember being so 438 00:24:10,680 --> 00:24:13,800 enraged. I'm like 27, no 28 years old 439 00:24:14,840 --> 00:24:17,800 again. Like I'm working, going to 440 00:24:17,800 --> 00:24:20,480 school. I wasn't married. 441 00:24:20,480 --> 00:24:25,320 And I remember just shouting at the I put advisor, you stole my 442 00:24:25,320 --> 00:24:26,480 youth. That's all I said. 443 00:24:26,520 --> 00:24:28,000 Like I just said it like it came out. 444 00:24:28,480 --> 00:24:33,040 Yeah, it's like. It came out. 445 00:24:33,040 --> 00:24:35,360 I couldn't even get the work. Like it was like, just stop my 446 00:24:35,360 --> 00:24:36,640 youth. And then like I was like, Oh my 447 00:24:36,640 --> 00:24:38,880 God, she's me. No, but you learned extra. 448 00:24:38,880 --> 00:24:41,080 And I was like, no. Don't. 449 00:24:41,880 --> 00:24:45,040 Like this was like, what is this a PhD level work? 450 00:24:45,040 --> 00:24:49,320 Like I don't understand. And so I think what we're 451 00:24:49,320 --> 00:24:55,240 talking about is when we create sometimes in nursing these extra 452 00:24:56,040 --> 00:25:00,080 requirements, I just want to know that it's purposeful and 453 00:25:00,080 --> 00:25:03,480 it's meaningful and that it's going to actually change the 454 00:25:03,480 --> 00:25:06,360 landscape of nursing, especially for nurse practitioners because 455 00:25:06,360 --> 00:25:10,080 we're in a tough spot already. We're not in these, we're not 456 00:25:10,080 --> 00:25:12,840 nurses anymore. We're in this hybrid role. 457 00:25:13,160 --> 00:25:15,880 And then they're creating all these extra hoops to get there 458 00:25:16,160 --> 00:25:20,640 and do these hoops to really equate to better providers 459 00:25:20,680 --> 00:25:22,560 because that I think is what we're doing. 460 00:25:22,560 --> 00:25:26,560 We're providing care. I don't know if these extra 461 00:25:26,560 --> 00:25:28,880 hoops necessarily make us better. 462 00:25:29,280 --> 00:25:31,800 And one of the things we were talking about before the podcast 463 00:25:31,800 --> 00:25:34,920 too, was about the use of the doctor just said it. 464 00:25:34,920 --> 00:25:36,800 You said it was you were talking, you're like something 465 00:25:36,800 --> 00:25:38,320 about it. Like they tell you like you're 466 00:25:38,320 --> 00:25:41,080 going to be a doctor and you can say that you're a doctor. 467 00:25:41,360 --> 00:25:45,680 And yet just recently rolled in California, there was a nurse 468 00:25:45,680 --> 00:25:47,800 practitioner, I think it was 3 nurse practitioners or three 469 00:25:47,800 --> 00:25:51,680 providers that had sued the state of California for freedom 470 00:25:51,680 --> 00:25:54,280 of speech. They felt like they were should 471 00:25:54,280 --> 00:25:56,240 be allowed to call themselves doctors. 472 00:25:56,240 --> 00:25:58,680 And I don't know all the details of the case, but you and I were 473 00:25:58,680 --> 00:26:03,080 talking before that you pursue the doctorate and then you come 474 00:26:03,080 --> 00:26:06,120 out, you get no additional pay for it, especially in the 475 00:26:06,120 --> 00:26:08,160 clinical setting, maybe in the academic setting, but you're in 476 00:26:08,160 --> 00:26:09,760 the clinical setting. We're not seeing that. 477 00:26:10,120 --> 00:26:14,720 And then you can't even use the title that you spent an extra 478 00:26:14,720 --> 00:26:17,680 year, quote UN quote. She's not here. 479 00:26:17,720 --> 00:26:22,760 Go and then you and paper nothing like try to use it. 480 00:26:22,840 --> 00:26:25,760 We're going to sue you. It's oh, oh, OK. 481 00:26:26,200 --> 00:26:29,240 So what's your thoughts on that as you're in the DNP 482 00:26:29,240 --> 00:26:31,000 programming, you're seeing this play out? 483 00:26:31,840 --> 00:26:35,200 Yeah, I think it just all comes back to then again, what's the 484 00:26:35,200 --> 00:26:37,040 point? What's the point of doing all 485 00:26:37,040 --> 00:26:39,880 this school, paying all this money and doing all these extra 486 00:26:39,880 --> 00:26:43,720 classes and projects and everything to get a title that 487 00:26:43,720 --> 00:26:46,320 we're not even able to use? And then coming from me in the 488 00:26:46,320 --> 00:26:49,560 state that I live in, Like I haven't had that come through 489 00:26:49,600 --> 00:26:51,840 yet, but I feel like it's a domino effect. 490 00:26:51,840 --> 00:26:55,400 Once one state does it, all the states follow in suit as well. 491 00:26:55,960 --> 00:27:02,320 But what I see is DNP prepared nurse practitioners just don't 492 00:27:02,320 --> 00:27:06,000 use the term doctorate just because of the pushback from 493 00:27:06,360 --> 00:27:09,560 those above us who are actual doctors, who are the MD's or 494 00:27:09,560 --> 00:27:13,520 DO's and have that doctoral like doctor title because they don't 495 00:27:13,520 --> 00:27:16,320 want to confuse the patients. And in some aspects, yes, I can. 496 00:27:16,320 --> 00:27:18,520 Like I understand that perspective. 497 00:27:18,520 --> 00:27:22,400 Like absolutely I don't want to. I'm not posing as an MD, right? 498 00:27:23,040 --> 00:27:27,200 But I do push back at that because it's one I have hard 499 00:27:27,200 --> 00:27:32,800 earned that title of doctor. But also the nurse practitioners 500 00:27:32,800 --> 00:27:36,720 who are using the term doctor, I will say most of them of the DNP 501 00:27:36,720 --> 00:27:39,920 prepared nurse practitioners who are using doctor so and so in 502 00:27:39,920 --> 00:27:43,920 their name, they are not posing as MD or DO doctors. 503 00:27:43,920 --> 00:27:47,280 They are explicitly stating I am doctor so and so I'm ADNP 504 00:27:47,280 --> 00:27:51,800 prepared nurse practitioner. They're not using that term to 505 00:27:52,360 --> 00:27:54,520 pose as anyone. They are not. 506 00:27:54,520 --> 00:27:58,800 So that's where I'm just confused of why there's so much 507 00:27:58,800 --> 00:28:03,160 pushback now that we're not able to use the title that we earned 508 00:28:03,160 --> 00:28:05,560 with her blood, sweat and tears. Exactly. 509 00:28:05,880 --> 00:28:08,720 Thanks for tuning into another episode of Success and P. 510 00:28:08,800 --> 00:28:11,880 We hope today's discussion has shed some light on the diverse 511 00:28:11,920 --> 00:28:14,960 career options or taught you how to improve your clinical 512 00:28:14,960 --> 00:28:16,520 practice as a nurse practitioner. 513 00:28:16,880 --> 00:28:19,400 Remember, whether you're considering a specialization, 514 00:28:19,480 --> 00:28:22,400 pursuing advanced certifications, or exploring non 515 00:28:22,400 --> 00:28:25,200 traditional roles, there's a wealth of opportunities out 516 00:28:25,200 --> 00:28:28,120 there waiting for you. Be sure to subscribe to the show 517 00:28:28,120 --> 00:28:30,800 so you don't miss an episode and leave us a five star review. 518 00:28:31,040 --> 00:28:34,440 It helps the podcast grow. The Success and Peace Podcast is 519 00:28:34,440 --> 00:28:38,840 on the World Wide Web, YouTube, Instagram, Facebook, and X, so 520 00:28:38,840 --> 00:28:41,760 subscribe to our newsletter for updates on new podcast episodes 521 00:28:41,760 --> 00:28:44,240 and other information to help you on your own NP journey. 522 00:28:44,680 --> 00:28:48,120 You can always message us at successandpeacepodcast@gmail.com 523 00:28:48,440 --> 00:28:51,680 with any NP podcast episodes or topics you'd like us to discuss. 524 00:28:51,960 --> 00:28:55,400 Until next time, take care, stay curious and keep advancing your 525 00:28:55,400 --> 00:28:58,440 careers as a nurse practitioner. And just a friendly reminder, 526 00:28:58,640 --> 00:29:01,360 the information on this podcast is for educational purposes 527 00:29:01,360 --> 00:29:03,080 only. The information should not be 528 00:29:03,080 --> 00:29:05,680 used and substitute for professional care by medical 529 00:29:05,680 --> 00:29:07,800 provider. The information on this podcast 530 00:29:07,800 --> 00:29:10,880 does not represent medical or professional advice or services. 531 00:29:10,880 --> 00:29:11,640 Bye for now.