“You can get past the dead end. You can break through the ceiling. I did and so have countless others.”

NP Saturation and How to Overcome It

JOBS JOBS JOBS! We have been hearing for years that the job outlook for nurse practitioners is growing strong. Nursing academia, nurse practitioner magazines, our credentialing boards, and various nursing websites (biased entities) continue to say:

“The job outlook looks fantastic and we need to increase enrollment to meet the future demands…”

“There will be vast shortages and all these Baby Boomers are going to need more primary care…”

“More people are getting health coverage and nurse practitioners need to be there to meet the demand…”

And blah blah blah…

So, lets pause here for a second and look at some actual numbers. Remember the whole “evidence based” thing we learned in school? So, the AANP reports that 23,000 nurse practitioners graduated in 2016 and 27,800 graduated in 2018. That is 4,800 more graduates than just a couple years prior. We now have a total of 270,000 NPs in the job market as of 2018. This increases every year…

The sheer number of graduates is frightening but now let’s look at what the United States Department of Labor’s Bureau of Labor Statistics (non-biased entity) has to say. The BLS reports that there were 240,700 advanced nursing jobs in 2018. Okay, so now we have a 30,000 job shortfall already because the AANP states there are 270,000 nurse practitioners. Remember though, this is ADVANCED NURSING jobs… so NPs, CRNAs, CNMs, etc… Not just NPs!

The BLS goes on to state that there will be a 26% increase in jobs over the next 10 years. We can expect 62,000 more jobs in the next 10 years. That sounds great! Wow that is a lot of jobs. The future is bright!

But hold your horses, don’t get to excited because it gets worse. If nurse practitioner programs continue to pump out 27,000 graduates a year over the next 10 years that will be 270,000 nurse practitioners entering the job market with only a projection of 62,000 new jobs being formed. That is a shortage of 208,000 needed jobs! Yes, there will be nurse practitioners retiring and leaving the job market, but I highly doubt there will be enough to offset this. Where are all these people going to work? Please tell me if you know! I would LOVE to know.

In 10 years there will be an estimated 540,000 nurse practitioners in this country based off current statistics and trends. The actual number will likely be higher. If our population stays stagnant and this number remains the same, that means there will be 1 NP for every 600 people in the United States. VERY SATURATED… Of course our population will grow, but not by any significant amount to offset this saturation.

My fellow colleagues, I hope you see what our profession is going to face in the next 10 years. This is what happened to lawyers in the early 2000’s and pharmacists in the mid 2010’s. You are lucky to find a job as a lawyer for more than $50,000 a year when you graduate these days. I have pharmacist friends who state that their salaries have DECREASED in the past 10-15 years and that job opportunities are scarce. One pharmacy student I knew had to move across the country for a job. This is happening to multiple professions, and is now happening to ours.

I personally know nurse practitioners whose salaries have DECREASED in the past 5 years. I have experienced this myself when I lived on the East Coast, which is one of the reasons why I left (independent states are so nice…). I know COUNTLESS nurse practitioner graduates who cannot find a job or can make just as much, if not more, working as a registered nurse because “in home Medicare assessments” just doesn’t pay enough.

Pencil pushers see this saturation occurring. They are not blind to it. They are beginning to take full advantage of the situation to line their own pockets with bigger salaries and bonuses which will result in lower salaries and more hours for us. We are controlled by SHARKS… Additionally, new graduate nurse practitioners will take any job they can find which will lower the salaries even more, simply out of desperation. Further down the rabbit hole we go… Supply goes up, demand goes down, and salaries inevitably decrease.

Now the good news is that this is not happening all over the country, but it is occurring in many areas and will continue to spread. I fear it will be widespread in a matter of 5-10 years.

I hear we need to unionize. We need to make admission standards stricter. The curriculum needs to be more rigorous. You should be an RN for at least 3 years before going back to school. Etc etc etc…

THESE THINGS ARE OUT OF YOUR CONTROL. The only way anything will change is if there is a massive revolt of current nurse practitioners and we bind together and demand change.

This is not going to happen… So, what can YOU do about this? Because you are the only one in charge of your own destiny.

You must mitigate this future risk by starting your own business and becoming as financially redundant as you can. You should strive to develop multiple income streams that are outside of the control of an employer. This can be medical practices, rental properties, a franchise, etc… I own 3 medical practices, 2 businesses outside of medicine, a diverse investment portfolio, and let me tell you: it is AWESOME. The entire healthcare system and economy could crash tomorrow and I would be just fine You need this type of redundancy in your life as well. I advocate every nurse practitioner should open their their own practice and develop multiple income streams. The Elite Nurse Practitioner Model advocates this for long term financial and professional security.

You need to have multiple part time side businesses and/or income streams.

You need to live below your means.

If you are in debt, then you need to aggressively pay it off as fast as possible.

You need to consider moving to a rural area or a state with independent practice.

You should be the most skilled and knowledgeable nurse practitioner you can be. This is done through shadowing, taking actionable courses, and venturing out on your own.

There are tough times ahead folks. You might not want to hear it but put on your reality glasses. Don’t stick your head in the sand. Do everything you can NOW to mitigate the FUTURE risk. Our market is saturated, and it will only continue to get worse…

70 Responses

  1. A second job (side gig) or advanced education are very poor comparisons.
    The author is making the assumption that all things will stay as they are and that education “pays off” for all fields.
    Individual interest is what makes doing anything worth while.
    If the author chooses to make choices that interest him should be the only metric he personally needs.
    Don’t be a nay sayer to others choices.

    1. And….at my system our NP salaries and benefits have increased at a nice pace and we have opportunity to do a clinical ladder, new this year that also offers good annual incentives. My inbox is regularly getting lists of openings. The challenge for the upcoming grads in our market will be the experienced Walgreen NPs that are going to hit the market.

      This author should interview administrators and systems advanced practice leaders.

      1. I have called multiple recruiting agencies. They are overwhelmed with applications. 40 applications for 1 position. You must live and work in a great area. It is not that case in many places.

        1. Justin

          It is funny how a circumstance could change everything including your blog and information.
          Covid-19 proves that we all need more NPs , no one saw that there are numbers of Drs and NPs died as a result of COVID and we still dont have enough care provider, to the point that government had to call retired Drs to help them.

          So Trump or upcoming president will change guidelines to let NPs to practice independently,

          This new era , showed everyone not to be sure of your data! One drastic virus or disaster could change everything

          1. Of course, disasters change the course of human history, this is no surprise. But, once things go back to normal, and they will, the saturation will continue and jobs will become scarcer and scarcer. Visit the Facebook group, there are COUNTLESS NPs who have been laid off during this pandemic. Yes, it was bad in SOME parts of the country, but in most, it was nothing other than an economic disaster. There are thousands of NPs out there without work right now. Thank you for your comment.

  2. The Association of American Medical Colleges predicts a shortage of 21,000 to 55,200 primary care physicians by 2032. NPs are going to be used to fill that gap…states will have no other choice to make independent practice a reality for NPs because there will be no one else to take their place.
    Knowing what you don’t know is an important part of being successful. I have physicans come to me for my expertise in ENT. They don’t have the experience or skills to treat some of these patients and they are not afraid to admit it- they collaborate with each other in the best interests of the patient. We need to work alongside of our colleagues in medicine instead of fighting.

    1. Agreed, we need to work with them. But even adding the 55,200 PCP shortage number to the numbers I quoted still puts us at almost a 100,000 job deficit at current rates. Where are these NPs going to work?

      1. Just out of curiosity, do you make money helping NPs open their own business? Are you the owner of Elite NP?

        1. The reason I asked is that I am interested in creating a website/blog to help each other to expand knowledge and exchange expertise, however this can be time consuming. Given you experience is there money (reasonable) in creating such a site/page? I appreciate your thoughts!

          1. You can monetize a blog if you choose to do so. Is there a lot of money in it? Depends on what you sell through the site. Only piece of advice I can give you is to give it a try.

        2. I do own and operate this blog. I love writing and empowering NPs. I don’t make much off this site. I do consultations as you can see in the page menu.

          1. Justin, Thank you for the article. You nailed it! I have been in practice for over 6 years and I believe current NPs, MDs, PAs need to get together and expose this pseudo-NP schools. This is affecting all of the above and also patients that ultimately suffer from inadequate care.

      2. I would like to see a hard number on how many primary care np students there are. For on-line programs with no in-person meetings and they don’t find preceptors, the only thing that could cap their enrollment is faculty. But the number of DNPs is rising exponentially and they are facing a difficult clinical job market – so many seem to be looking for on-line teaching positions to supplement a dwindling pay. It’s almost like the over-production could be feeding itself.

  3. Also would appreciate it if you let us know how to edit a comment on this blog (sometimes type too fast w/o realizing…). Thanks

  4. Trump just signed a bill to not to expand the scope of practice for a NP or PA. So this does not make it any easier for a NP unless he/she moves to a state that has a law/bill to accept independent practice for NPs.

    1. Yep. I feel sorry for NPs in restrictive states… I moved from one to an independent practice state and it is AMAZING.

    2. Connecticut, Massachusetts have state laws that allow independent practice for NP-BC but it is more than the law. The cost of independent practice is prohibitive. There are so many huge conglomerates in health care that are taking over now there is little room for independent practice.

  5. are you a member of clinical nurse practitioners for change (CNPC) on FB? If so, please join. I would love to have you join me and my fight to update the standards in advanced practice nursing. I am gathering survey data to see where NPs stand on a variety of subjects (ex. only enrolling the students who they can provide clinical sites for, eliminating 3rd party NP sites that make students pay for sites, increasing clinical hour requirements, etc.). I’d love for you to fill it out (https://www.surveymonkey.com/r/LW9Y7JS). It has 10 questions and takes two minutes to complete. After we get the data, I’m sending a revised petition letter to AACN, CCNE and NONPF. Message me back; would love for you to fight this battle with me.


    1. Greetings Jamie, I am not a member but I will reach out to you. I would love to connect to other like minded NPs out there. I created this blog to educate my colleagues on what is going on in our profession.

    2. Hi Jaimie
      I took the survey but couldn’t find the group on Facebook. This is a subject of great interest to me.

    3. Thanks Jamie,
      I find the standards of being an NP are almost non-existent. It is easier to become a nurse than a NP. If the passing rates are very high, that speaks volumes about the quality of these programs. I do have students coming to my practice for their clinical hours (from a very prestigious college) and their knowledge is poor and superficial. This puts the patients’s lives/care in jeopardy, however the colleges won’t stop pumping students as this is now a very profitable business.

    4. How do I join the Facebook group? Couldn’t find it. How do I private message you, Jamie? I’m at Pauleygop@aol.com I so agree with you, I did the survey. I stumbled accross this blog & your post accidentally. (I did sign on to this blog.) I have colleagues in S Florida that agree, & we thought we were alone & marginalized! We see in this area NP graduates that are undercutting experienced APNs & have such poor education & experience that it’s a matter of time before some awful event occurs. There’s a glut of online programs churning out NPs & I think their professional role classes were ineffective to say the least. (I think we all had to take that?) Also, people were attracted to my specialty (Psychiatric Mental Health) for the money, & now that’s become much lower. I agree with the earlier post from Oswaldo in Miami… I too tried to contact the ANCC & was directed to the BON & the college accrediting organizations. There are now Psych NP programs allowing students to do practicum with Master prepared Social Workers – that’s what led to me trying to contact the ANCC a year ago. ! I appreciate this blog, Justin Allan. Thanks!

  6. I’ve noticed this as well. I’ve been a practicing NP for 15 years. There was no problem obtaining a good position before graduation in 2004, and salary negotiations were not difficult. The NP’s now, experienced or not, are facing hundreds of other applicants for one ..often not so great..position. Many positions are paying less, or offering no benefits. I have seen this in the southeast and midwest, and heard as well from countless colleagues in various environments and specialties. I agree, you have to seek out states with independent practice, provider shortage areas, or develop a side business or two. Having worked as a FNP for both practice and hospital environments I do not see a difference in where one practices as far as this issue is concerned. I also don’t believe this is strictly an NP issue..many professions are becoming over saturated, and with an ever increasing population I see no end honestly. Have a back up plan.

  7. I think the authors is pretty accurate. I know NPs who left town for NP jobs, stay in their current positions, or gave up looking because the Chicago area is saturated with NPs. I personally was laid off twice in 3 years and being single it was no fun financially. Most of the jobs are PT, no benefits, or 1099. There are many RNs who stay at their job because they don’t want to lose their benefits. There is no practice requirement for entry into an NP program. I have to ask why the municipalities have allowed so many NP programs within the same area, not to mention all the online programs. I have been told a large Chicago area Hospital chain has offered new NPs 40$/hour. Most RNs make more than this. The saturation of the profession is decreasing our demand and diluted our worth.

  8. Hi Justin
    Please keep me connected also. I recently had to go through the process of finding a job. I have one now but it is 1099. I find the work satisfying and the pay is good so I’ll stay until someone can meet my salary needs. Fortunately l don’t need benefits.

  9. I worked as an FNP in a variety of settings for almost 25 years. Generally practicing autonomously, I gained a valuable wealth of experience. My practice record was exemplary, no malpractice or reprimands. However, I always had to struggle to find work, traveling far and wide all over the country while my family remained in Tennessee. I am now almost 68 years old, and have been unable to find a job that matches my skill level without leaving home again.

    With people in desperate need of healthcare and willing capable healthcare providers who are underutilized, it tells me that serious problems exist in a US healthcare system that doesn’t/can’t match supply with need/demand. Many of the issues have to do with politics, money and perception. Until that is corrected the US healthcare system will fall behind other countries on cornerstone issues like accessibility, affordability and quality of care.

    1. I agree there has an increase in NP programs & a decrease in quality. I’ve read and heard comments by faculty & students that the faculty look to the preceptor for teaching. Students are told their questions or some topics will be covered by their preceptor–this does not happen. I was never told this as a student 7 years ago. Then students take a review course to pass the certification exam. The school is basically just a necessity only to confirm successful completion of the program as required by AACN in order to take the certification test.

    2. As for shortages of providers, the health insurance companies when trying to credential with them as an independent provider will say they have a saturation of providers in the area you are applying for. When in reality there is not one provider anywhere near where you are located. This happened to me and I was forced out of the area.
      I have been in private practice for over 5 years performing all my own credentialing, negotiating, billing, and fighting with insurances to get paid for work done.
      Health insurances can limit the amount of providers on their panel by refusing to credential them. Why?? They don’t want patients to use their insurance benefits. They like to keep the money.
      And, because of this, yes, a back up job is sensible.
      And, if you think Medicare for all would be nice, oh gee, wait till you deal with that entity. This week I had a patient with Medicare (it only pays 80%) and a supplement to pay the other 20%. Her claim was sent to Medicaid (yes, Medicaid) 6 times, and I received 6 letters from Medicaid saying the member was unknown. Called Medicare and after finally talking to someone I was constantly told Medicare is always a secondary. I tried to teach her the job she is to be performing but I lost. She could not explain why it was sent to Medicaid. Oh, heaven, help us all. I won’t quit because of the work ever. I will quit because of the insurance entities.

  10. I have written to several local, state and national level NP organizations about this disaster. All they say is to contact the Board of Nursing. All of these organizations are controlled by faculty members from NP schools and they just want job security and business. I became an NP 13 years ago and my income keeps shrinking. NP schools are popping up all over town here in South Florida. I know of NP’s making $100 per day here in Miami.

  11. I submit that this hasty response is written without due diligence for building a balanced and defensible argument; however, that is about the effort that seems to have gone into thinking this blog post through, creating what seems like a pretty lazy and self-serving presentation geared to create fear in the hearts of NPs about their future, and maybe while doing that also drum up some consulting business for the author. The author does a poor job of presenting the case that there will be a huge surplus of jobs. There is a mention that there will be retirements, but no hard-numbered prediction of how many NPs might be leaving. There is no delineation regarding if the number of jobs is related solely to primary care, or if it includes all possible jobs in specialty areas as well (are there more jobs hiding below the surface?). Additionally, the author does show how a 26% increase in job numbers becomes the declaration of 62,000 jobs over ten years, but instead just drops that number in the reader’s lap. The author also ignores the possibility that if indeed jobs become scarce or not financially rewarding, the number of graduates will decline because the number of people wanting to go to graduate school and spend money on a graduate school education will decrease. Medical schools churn out over 20,000 grads a year and yet, apparently, there is still a deficit of physicians…
    While I agree that the standards of NP schools don’t seem to set the bar high enough, the sky isn’t falling and we as NPs are doing exactly what we accuse the medical community of – guarding our turf. Only we are doing it against our own. Bettering the NP curriculum should be about bettering the care that patients receive from our community, not about gluttonously eating as many pieces of the pie as we can. It may be that as the number of NPs grows so will the strength of our community and the strength of NP political action committees, which will benefit us, and as the number of NPs grows there will be more NPs employed in positions of leadership that will allow them to create and nurture more opportunities for NPs. There are scenarios where things are looking good.

    1. The number “62,000” was pulled directly from the bureau of labor statistics and is their prediction on current trends for the next 10 years. The total number of jobs was actually for advanced practice nursing as a whole, therefore the actual number of NP jobs is likely lower. In terms of NPs leaving? I highly doubt it will be equal to those coming into the market with the current trends. These are predictions based off current numbers and what the market is like for many NPs in certain parts of the country, not a hard study.

    2. Please, understand that the number of NPs employed is decided by big organizations. Not shortages. Also, if the insurance won’t credential you and the billing under the physicians stops, jobs for NPs will definitely decrease. Why have an NP reimbursed only 85% when a physician can bring in 100%. NPs are reimbursed by insurance aprox 85% or less of what the physician is reimbursed. And, lastly it is the insurance entities that credential us and allows us to work. Otherwise, you are out there on your own not able to take insurances.

      1. Which is fine. I advocate for starting cash only practices. Taking insurance is moderate slavery for the medical provider. Not taking insurance is one of the most freeing things a NP can do in their own practice.

        1. Then you would have only high income patients who can afford to pay cash. Most people cannot afford to pay cash. I have a private psych practice and struggle with insurance but I want to take care of all socioeconomic levels not just the wealthy. People will private pay for the psychiatrists – most in this area are cash only except for community mental health clinics – but I doubt I would have very many clients if I was cash pay only.

          1. You might be surprised. If you provide a niche service outside of general psychiatric care and make yourself the specialist in that niche service in your area, the patients and money will come.

  12. All of these comments are very interesting. One of the things that needs to change is the educational institutions need to be stopped from producing so many graduates. The standards for getting into a NP program are low to non existent.
    For example: Vanderbilt University actually advertises a NP program for students that have never worked as a RN. There curriculum allows for the student to earn their RN and immediately afterward their NP, then straight to the DNP.
    We are called NURSE Practitioner for a reason.
    It becomes very obvious in practice, when a NP has not worked as a RN for more than 2 years. We all have to start somewhere, but those basic nursing skills can not be taught in NP school. The NP degree is meant to build off the foundation of being a RN.
    That being said, in my program there were 78 FNP and only 6 PMHNP in my cohort.

    1. Insanity… Vanderbilt is a degree mill. If you are willing to pay $80k you get a NP degree. What nursing academia is doing to our profession is a crime!

  13. I personally believe that the system has pushed our role in this situation. They have reduced the requirements to get into school and it has shown in the product put out. I personally precept NPs acute care and family and have to say that every year the ability of the students have declined. There is less ability to to give differential diagnosis as well as treatment plan. I do feel that the push to have specialist to only work in the areas trained and the need for a “residency ” should be inforced to make our role as a provider strong and set apart from P.A.’s. The more we increase the education demands as well as experience the better our NPs become and the ability to push for better wages, complete autonomy nationally, and the want for companies to hire NPs over other providers will come.

    1. I am concerned with the quality of the educational programs that are turning out large numbers of NP’s. I’m also concerned that so many NP students are choosing educational programs based on convenience, not quality. The number of online NP programs that require students all over the country to find their own preceptors for their clinical experience is appalling. I’m a PMH APRN who precepts students on a regular basis. The lack of involvement/oversight by faculty from online programs is disconcerting. I will not precept theses students. I’m also concerned that schools are using faculty who are FNP’s to teach PMH NP students. There is no comparison in the highly specialized care provided by PMH APRN’s with that provided by FNP’s. Because most psychiatric care begins in the primary care setting, we get the most complex cases in our practices. There is no way FNP’s can prepare PMH NP’s for the pts they will need to treat. I find it very presumptuous of the schools and FNP faculty to think they are able to provide the education these students need. There is a new PMH NP program in the Austin, Texas area that is lead by an FNP with 18 years experience who got her PMH NP credentials right before the program opened in August after our PMH professional organization complained. As an organization, we are developing a statement to send to all schools in Texas who employ FNP’s to teach PMH NP’s stating we will not precept their students. We are filing a complaint with the Texas Board of Nursing and the Commission on Collegiate Nursing Education (CCNE) as well. Our complaint to the Board of Nursing includes FNP’s practicing outside of their scope of practice in psychiatric settings. It’s disconcerting to see PA’s and FNP’s with approximately 4 weeks of psychiatric clinical experience work in positions that should be filled by PMH APRN’s.

      All of these issues will impact the quality of care provided, the salary of APRN’s and give physicians more reason to question the competency of APRN’s in states where we are still fighting for independent practice.

      1. Well said. It is a money racket and a total scam! These NPs are dangerous and have no idea what they are doing. It is not their fault, it is the garbage education they received. These schools are doing a tremendous disservice to our profession.

  14. I am an experienced psych NP of 11 years. Rn for 11 years before that. When I graduated NP school in 2007 the starting salary was 110, 00 with 30K benefits. Easily making 130K-150K per year since then. Now all the psych private practices are being bought by corporate clinics that come in and “renegotiate” contracts with the existing NP for 110,000K take it or leave it, practice cookie cutter with the new owners policies. They are all hiring new grads at 90-100K seeing 25-30 patients a day. 10 min per visit. These new grads come from mostly online schools. I have precepted students for years, currently precepting two on line school students. Very different experiences with students from brick and mortar schools verses on-line school. The online students are so short changed, they are given books, a syllabus and then they take a test. NO in class instruction. This is watering down the profession unbelievably. Can you imagine if all you had to do to become an MD was take an online class like that. So they are supposed to get experience via the clinical rotations. Well Guess what, no one wants to precept them so they are scraping the bottom of the barrel just to get hours. Sitting at PHP programs just listening. Then if they pass the boards they are hired and start seeing patients. Mark my words in about 5 years when peoples experience with NP’s changes from our current providers to this next group of students the malpractice cases with go through the roof and our great NP reputations will tank. I am not blaming these students they simply don’t know any better. Then the MD will howl that they were correct all along in us needing supervision. I blame these on line schools. I feel so sorry for these students. They are woefully unprepared and they know it and are terrified to start practice.

    1. This comment has inspired me to go brick-and-mortar instead on online for my PMHNP degree. Also, I will seek a government position with the VA for job security and benefits. Many professions have been destroyed by oversaturation of graduates. NP is just the latest. Blame the for-profit nature of education and healthcare in this country.

      1. Good for you. And you are spot on… Our profession has become saturated and it will only continue to get worse.

  15. A lot of the comments here remind me of the people who move to fast growing areas and then want to stop growth once they arrive. Prior to nursing I was in IT, prior to IT, I was in the fitness industry, and prior to that, I was in the Coast Guard. My point is, it’s about being open to change, being dynamic, being adaptive, and having a plan B.

    I’m one of those suckers enrolled in an online NP program and it is definitely what you put into it that makes a difference. Tests are challenging, are closed book, and are monitored by webcam, software, etc. I’ve met someone who was completing the same online program and was harassed into enrolling into a “brick and mortar” school, which is considered to be the number one NP school in the country. She thought the online curriculum was more challenging, but felt that the clinical experience was where the “brick and mortar” made up for it.

    Yes, nursing and many other professions are saturated and watered-down and it’s by design. Automation, AI, and technology could wipe out a large percentage of jobs tomorrow, but the powers to be are smart enough to know that won’t work well for anyone. Personally, I don’t worry about what others are doing and try to focus on what I want to do and what I’ll be happy doing.

  16. I am a psychiatric RN and have been for 4 years. I have been an RN for 15 years. I live in MA and work at a wonderful psychiatric hospital. It makes me absolutely ill to see people come through my workplace, working on an NP degree, who had absolutely no interest in the psych nursing field before all the advertising about good pay and demand. Also, I am working with nurses in their mid-20’s who will graduate soon and know less about practical application medication than I do!–not to mention having little idea of knowing how to work with patients. They have little life, job, or nursing experience. Pumping out all these ill prepared NPs is a crime in my opinion…

    1. I agree 100% with you. It should be criminal what schools are doing. The market is becoming more and more saturated. It is only going to get worse.

  17. Thank you all for your comments. Every contributor have something valuable to say. Everybody is concerned with the future of NP profession and how it will be beneficial for every stakeholders involved. I agree that NP curriculum needs to be standardized to meet present demands in healthcare and there is need to regulate admissions into NP schools. For profit only colleges need to be cautioned by AACN, CCNE and Board of Nursing across the nation. This profession has come to stay, we need to keep it alive with quality and skilled providers.

    1. 100% agree, but as more and more for profit schools continue to pump out ill-prepared grads and even non-profit state universities focus on tuition dollars, the problem will persist. Redoing the entire system is a fools errand and will likely result in failure unless you have the power and finances to challenge the status quo. One reason Elite NP was created was to help those that see the reality of the situation better their own life through entrepreneurism. Thank you for the comment!

  18. I am a nurse with 14 years experience and am interested in becoming a psychiatric NP. However, I have seen coworkers graduate NP programs (FNP) and they still do not have a job. These are smart women with years of nursing behind them. Do you think it isn’t worth it? I am not just in this for money but I don’t want to be taken advantage of either. It hard to know what to do.

    I do live in an independent practice state but we’re also pretty small.

    1. Hi Stephanie,

      Yes, the market is awful for many NPs… Is it worth it? I believe it is if you know how to leverage your power. The only way to get around the market saturation issue is by starting your own practice. As a psych NP, you can do this VERY easily and VERY cheaply. So ultimately, it comes down to what your local market looks like. Is it saturated with psych practices or is there an opportunity for growth? If there is an opportunity, I say go for it. If you are willing to relocate, you will definitely have more opportunities as well.

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