[NPInfo] Who Will Be Your Doctor? (Is Mary Mundinger a NP?)
Donna Alden-Bugden
Donna at Alden-Bugden.ca
Thu Nov 29 06:25:21 PST 2007
I'm not sure why we would want to write the medical exam to prove we are
equivalent to an MD...we are not, and I don't want to be an MD. We are just
as good but we are not equivalent because we follow different theories. I
like being a nurse. Besides, why don't they write the NP exam to prove they
are equivalent to an NP? I'm one who is taking the DNP, but I am doing it
for my own satisfaction. I really don't think it will improve my patient
care any more...I am Master's prepared and I feel my education at that level
gave me the clinical skills I need to be where I am today. My DNP has no
clinical in it, so how will it make me more of an expert 'clinician'...the
DNP prepares you to be a leader in clinical practice, ie, develop policies,
programs and use the research that is out there to apply it to your
practice. We already do that now...the DNP is simply a tool to advance those
skills. But taking the DNP won't make me better at diagnosing, prescribing
and doing invasive procedures as the program has no clinical component.
Donna
On 11/29/07, Stephanie Walker <stephanie2u at optonline.net> wrote:
>
> Hm, Calif NP may be onto something though. Despite the statement that
> she was awarded a fellowship to become a NP, she may never have
> completed the training, or if she did, may not have applied for a
> license when licensing legislation was passed in 1989. Or if she was
> licensed as a NP, maybe she let it lapse. Here is NY online license
> verification (where you won't find her listed as currently licensed
> as a NP. You can search under "Registered Professional Nurse" as
> Calif did, and you can also search under "Nurse Practitioner.")
> http://www.op.nysed.gov/opsearches.htm
>
> Just a comment on Calif's snide remark licensing requirements being
> "light" in NY. S/he may be referring to the clause about NP training
> programs prior to 1989. That is just the grandfather clause. There
> was a small minority of certificate program graduates practicing as
> NPs when we got our bill passed. They're probably mostly retired by
> now. For the rest of us, our NP training was just as rigorous then as
> it is now, and is comparable to other states'.
>
> Stephanie Walker, FNP
>
> On Nov 28, 2007, at 10:12 PM, Andy Craig wrote:
>
> > Actually she is an NP, and the author of a landmark study published
> > in JAMA
> > a few years back demonstrating that the quality of NP care is
> > comparable to
> > or better than that of physicians.
> >
> > Found this at
> > http://www.educationupdate.com/archives/2002/oct02/issue/med-
> > columbia.htm --
> >
> > "Raised in Fredonia, New York-a small, rural upstate town-by a
> > mother who
> > was a teacher and a father who was a business executive, Dr.
> > Mundinger grew
> > up with an implicit understanding that her career choices were either
> > nursing or teaching. She began her vocation as an obstetrics/
> > gynecology
> > nurse in Ithaca, New York, moved into intensive care nursing, earned a
> > master's degree in nursing education, and was awarded a fellowship
> > to become
> > a family nurse practitioner."
> >
> > Andy Craig, NP
> > Charlotte, NC
> >
> >
> >
> > -----Original Message-----
> > From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On
> > Behalf
> > Of Calif NP
> > Sent: Wednesday, November 28, 2007 2:24 PM
> > To: repyke at infionline.net; NP Info
> > Subject: Re: [NPInfo] Who Will Be Your Doctor? Here are the
> > requirements
> > forNPs in the State of New York - which,in part may explain why
> > Mary O'Neil
> > Mundinger,Dr.P.H. may believe NPs need more training!
> >
> >
> > First of all, RN Mary O'Neil Mundinger, Dr.P.H. does NOT appear to
> > be a
> > NP....hmmm? Name : MUNDINGER MARY O NEIL Address : RYE NY Profession :
> > REGISTERED PROFESSIONAL NURSING License No: 146499 Date of
> > Licensure : Not
> > on file
> > Additional Qualification : Not applicable in this profession
> > Status : REGISTERED
> > Registered through last day of : 03/10
> >
> > 2nd- at first blush, (and certainly not to defend Ms.
> > Mundinger,RN) the
> > lic. requirements to hold oneself out as a NP in NY appear to be a
> > little on
> > the light side? So, an academic (RN with a doctorate in Public
> > Health such
> > as RN Mundinger) might objectively see some room for improvement of
> > standards...... License Requirements: Nurse Practitioner
> >
> > ----------------------------------------------------------------------
> > ------
> > ----
> >
> > General Requirements
> > To use the title "Nurse Practitioner" in New York State you must be
> > certified.
> >
> > To be certified as a nurse practitioner in New York State you must:
> >
> > a.. have a currently registered New York State license as a
> > Registered
> > Professional Nurse (RN); and
> > b.. meet education requirements
> > A nurse practitioner is certified to practice in a specific
> > specialty area.
> > You may be certified in more than one specialty, but you must submit a
> > separate application and fee for each specialty and demonstrate
> > that you
> > have satisfied the education requirements specific to that
> > specialty area.
> > Current specialty areas are: Acute Care, Adult Health, College Health,
> > Community Health, Family Health, Gerontology, Holistic Nursing,
> > Neonatology,
> > Obstetrics/Gynecology, Oncology, Pediatrics, Palliative Care,
> > Perinatology,
> > Psychiatry, School Health, Women's Health.
> >
> > You must file an application for certification and the other forms
> > indicated, along with the appropriate fee, to the Office of the
> > Professions
> > at the address specified on each form. It is your responsibility to
> > follow
> > up with anyone you have asked to send us material.
> >
> > The specific requirements for certification are contained in Title 8,
> > Article 139, Section 6910 of New York's Education Law and Part 64
> > of the
> > Commissioner's Regulations. For additional information regarding legal
> > requirements for licensed professionals, see the section below on
> > professional conduct.
> >
> > You should also read the general licensing information applicable
> > for all
> > professions.
> >
> >
> > ----------------------------------------------------------------------
> > ------
> > ----
> >
> > Professional Conduct
> > All licensed practitioners must adhere to rules of professional
> > conduct. The
> > Education Law includes definitions of professional misconduct, and
> > the Board
> > of Regents has adopted rules defining unprofessional conduct for all
> > professions. Every licensee is also governed by a set of laws,
> > rules, and
> > regulations for the practice of that specific profession.
> >
> > See Title 8 of the NYS Education Law and Part 29 of the Rules of
> > the Board
> > of Regents for specific information.
> >
> > Print copies of the relevant sections of the NYS Education Law,
> > Rules of the
> > Board of Regents, and the Commissioner's Regulations are available
> > upon
> > request from opforms at mail.nysed.gov or 518-474-3817 ext. 320.
> >
> > You are also encouraged to review the requirements of Public Health
> > Law,
> > Article 28 - Hospitals, Section 28-03-d, Reporting Abuses of Persons
> > Receiving Care or Services in Residential Health Care Facilities.
> >
> >
> > ----------------------------------------------------------------------
> > ------
> > ----
> >
> > Education Requirements
> > To satisfy the education requirements for certification as a nurse
> > practitioner, you must present evidence of satisfying the
> > requirements of A
> > or B or C below. Additionally, you must meet the requirements for D
> > below.
> >
> > 1.. Completion of a nurse practitioner educational program
> > registered by
> > the New York State Education Department as qualifying for
> > certification, or
> > a program determined by the Department to be equivalent to a
> > registered
> > program, which is designed and conducted to prepare graduates to
> > practice as
> > nurse practitioners.
> >
> >
> > 2.. Certification as a nurse practitioner by one of the following
> > national
> > certifying organizations:
> > American Academy of Nurse Practitioners
> > P.O. Box 12846
> > Austin, TX 78711
> > Phone: 512-442-4262
> > Web: www.aanp.org
> >
> > Pediatric Nursing Certification Board
> > 800 South Frederick Avenue
> > Suite 104
> > Gaithersburg, MD 20877-4150
> > Phone: 301-330-2921 or 888-641-2767
> > Web: www.pncb.org
> >
> > American Nurses Credentialing Center
> > ATT: Verification Specialist
> > PO Box 791321
> > Baltimore, MD 21279-1321
> > Phone: 800-284-2378
> > Web: www.nursecredentialing.org
> >
> > National Certification Corporation
> > (Formerly NAACOG)
> > P.O. Box 11082
> > Chicago, IL 60611-0082
> > Phone: 312-951-0207
> > Web: www.nccnet.org (Certification for women's health, neonatal
> > and
> > gynecologic/reproductive nurse practitioners.)
> >
> > Oncology Nursing Certification Corporation
> > 125 Enterprise Drive
> > Pittsburgh, PA 15275-1214
> > Phone: 877-769-6622
> > Web: www.oncc.org
> > 3.. Satisfaction of alternative certification requirements for
> > graduates
> > of nurse practitioner programs prior to April 1, 1989, as follows:
> >
> >
> > a.. completion of at least a four-week long (full-time) nurse
> > practitioner program prior to April 1, 1989;
> >
> > and either
> >
> >
> > b.. two years of experience prior to April 1, 1989, of which
> > one year
> > must be after April 1, 1986, in the provision of primary health care
> > services in a health care facility licensed pursuant to Article 28
> > of the
> > Public Health Law or in a school health demonstration project;
> >
> > or
> >
> >
> > c.. completion of a supplemental educational program
> > culminating in the
> > successful completion of a comprehensive examination or clinical
> > evaluation.
> > (Registered nurses should contact currently registered nurse
> > practitioner
> > programs for information about admission to their programs with
> > advanced
> > placement.)
> >
> >
> > AND
> >
> > 4.. Satisfaction of the pharmacotherapeutic requirement (for all
> > applicants, regardless of whether A, B, or C above was completed).
> > You must
> > document:
> >
> >
> > a.. completion of not less than three semester hours, or the
> > equivalent,
> > in pharmacotherapeutics to include instruction in drug management
> > of clients
> > in the nurse practitioner specialty area and instruction in New
> > York State
> > and Federal laws and regulations relating to prescriptions and record
> > keeping;
> >
> > or
> >
> >
> > b.. completion of an educational program or a combination of
> > courses
> > which is the substantial equivalent in content and scope to the
> > pharmacotherapeutics course listed above;
> >
> > or
> >
> >
> > c.. satisfactory completion of an examination in
> > pharmacotherapeutics
> > acceptable to the Department;
> >
> > or
> >
> >
> > d.. satisfactory completion of a nationally recognized examination
> > acceptable for licensure in New York State as a physician assistant
> > or for
> > certification as a nurse midwife.
> >
> >
> > Please Note: If you have completed a program other than a New
> > York State
> > licensure-qualifying program and/or your pharmacotherapeutics
> > course did not
> > include instruction in New York State and Federal laws and regulations
> > related to prescriptions and record keeping, you may contact the
> > following
> > professional association's for required instruction:
> > The Nurse Practitioner Association of New York State
> > 12 Corporate Drive
> > Clifton Park, NY 12065
> > Phone: 518-348-0719
> > Web: www.thenpa.org
> > The New York State Nurses Association
> > 11 Cornell Road
> > Latham, NY, 12210-1499
> > Phone: 518-782-9400 ext. 288
> > Web: www.nysna.org
> > Online course: New York Prescribing Information for Nurse
> > Practitioners
> >
> > ----------------------------------------------------------------------
> > ------
> > ----
> >
> > Certification by Endorsement
> > If you are licensed or certified as a nurse practitioner in another
> > state or
> > country, the Department may certify you upon receipt of satisfactory
> > evidence that you have met the substantial equivalent of the New York
> > requirements for certification. If you do not have the substantial
> > equivalent of all the New York requirements, you will be required
> > to make up
> > specific deficiencies and/or pass a proficiency examination.
> >
> >
> > ----------------------------------------------------------------------
> > ------
> > ----
> >
> > Prescriptive Privilige
> > If you satisfy all requirements for certification as a nurse
> > practitioner,
> > you will be authorized to issue prescriptions pursuant to Section
> > 6902 (3)
> > (b) of the Education Law.
> >
> >
> > ----------------------------------------------------------------------
> > ------
> > ----
> >
> > Issuance of Federal Drug Enforcement Administration (DEA) Number A
> > Federal
> > Drug Enforcement Administration (DEA) Number is required to
> > prescribe and
> > dispense narcotic and dangerous drugs. Controlled Substance
> > Prescription
> > Forms may be obtained from:
> >
> >
> > ----------------------------------------------------------------------
> > ------
> > --
> >
> > Nurse Practitioner Certification in Additional Specialty Areas of
> > Practice
> > If you are certified as a nurse practitioner in one specialty area,
> > you may
> > be certified in one or more additional specialties by submitting
> > evidence
> > satisfactory to the Department that the criteria for initial
> > certification
> > in the additional specialty or specialties has been met, or that
> > you have
> > met the following alternative education and experience requirements by
> > September 15, 2007. Applications to meet alternative education
> > requirements
> > must be submitted no later than September 15, 2006 in order to
> > qualify. The
> > window of opportunity to obtain a second specialty by the alternative
> > criteria option will formally end on September 15, 2007.
> >
> > 1.. Alternative education requirements. The Department may accept 60
> > contact hours of continuing education in the specialty area of
> > practice in
> > which certification is sought. It may be obtained through the
> > completion of
> > any combination of the following:
> >
> >
> > 1.. Academic courses or continuing education programs approved
> > by the
> > Department or by a nursing or medical organization or accrediting
> > agency
> > acceptable to the Department.
> > 2.. Evidence of preparation for the specialty by service as a
> > presenter
> > or lecturer in an academic or continuing education program, or by the
> > publication in a professional journal of clinical information
> > related to the
> > specialty. Credit for such services or publication may not exceed
> > 30 contact
> > hours.
> > 3.. Up to 12 contact hours of independent study in an academic
> > course or
> > continuing education program may be accepted.
> >
> >
> > NOTE: One contact hour includes at least 50 minutes of study and one
> > academic semester hour equals 15 contact hours and one academic
> > quarter hour
> > equals 12.5 contact hours.
> >
> >
> > 2.. Alternative experience. The Department may accept either:
> >
> >
> > 1.. 1000 hours of clinical practice after April 1, 1986 in the
> > specialty
> > for which additional certification is sought, in a health care
> > facility
> > licensed pursuant to Article 28 of the Public Health Law or in a
> > school
> > health demonstration project,
> >
> > or
> >
> >
> > 2.. 300 hours of clinical practice as part of a clinical practicum
> > affiliated with a nurse practitioner program registered by the
> > Department,
> > or accredited by an accrediting agency acceptable to the Department.
> >
> >
> > Evidence of completion of educational programs, experience and
> > examinations
> > submitted to meet alternative criteria for certification as a nurse
> > practitioner must be satisfactory to the Department, and the overall
> > preparation of the applicant must be comparable by assessment and
> > substantially equivalent to the preparation provided through a
> > registered or
> > approved program. The Department may require verification of the
> > content and
> > completion of the program or experience and of the satisfactory
> > performance
> > of the applicant by the person or institution conducting the
> > program or in
> > which the experience was acquired.
> >
> > You must submit a separate application and $80 certification and
> > registration fee for each specialty area for which you are seeking
> > certification.
> >
> >
> > ----------------------------------------------------------------------
> > ------
> > ----
> >
> > Practice Agreements and Practice Protocols
> > You must establish a practice protocol from the approved list prior to
> > beginning practice and maintain it in the practice settings for you
> > and your
> > collaborating physician where it will be available to the State
> > Education
> > Department for inspection. You must submit Form 4NP-Verification of
> > Practice
> > Protocol to the Office of the Professions no later than 90 days after
> > beginning practice.
> >
> > Practice agreements must include provisions for referral and
> > consultation,
> > coverage for emergency absences of either the nurse practitioner or
> > collaborating physician, resolution of disagreements between the nurse
> > practitioner and collaborating physician regarding matters of
> > diagnosis and
> > treatment, and the review of patient records at least every three
> > months by
> > the collaborating physician; and may include such other provisions as
> > determined by the nurse practitioner and collaborating physician to be
> > appropriate.
> >
> > Practice protocols must identify the area of practice to be
> > performed by the
> > nurse practitioner in collaboration with the physician and reflect
> > accepted
> > standards of nursing and medical practice. Protocols shall include
> > provisions for case management, including diagnosis, treatment, and
> > appropriate recordkeeping by the nurse practitioner; and may
> > include other
> > provisions determined to be appropriate by the nurse practitioner and
> > collaborating physician.
> >
> > Questions about practice agreements and practice protocols should be
> > referred to the State Board for Nursing at 518-474-3817 ext. 120, Fax:
> > 518-474-3706, or e-mail: nursebd at mail.nysed.gov.
> >
> > * * * * * * * *
> > License Statistics
> > New York State Nursing Licenses Issued, Past 5 Calendar Years
> > Profession Title 2002 2003 2004 2005 2006
> > Registered Professional Nurse 8,598 9,311 10,582 11,576 13,609
> > Licensed Practical Nurse 3,055 3,657 4,027 4,068 4,494
> > Nurse Practitioner 937 784 825 700 884
> >
> >
> > Name : MUNDINGER MARY O NEIL
> > Address : RYE NY
> > Profession : REGISTERED PROFESSIONAL NURSING
> > License No: 146499
> > Date of Licensure : Not on file
> > Additional Qualification : Not applicable in this profession
> > Status : REGISTERED
> > Registered through last day of : 03/10
> >
> >
> >
> >
> > ----- Original Message -----
> > From: <repyke at infionline.net>
> > To: "NP Info" <npinfo at nurse.net>
> > Sent: Wednesday, November 28, 2007 3:26 AM
> > Subject: [NPInfo] Who Will Be Your Doctor?
> >
> >> Who Will Be Your Doctor?
> >> In the future, indeed now, it may well be a nurse with a doctoral
> >> degree. Click the link below to read the full story:
> >>
> > http://www.forbes.com/2007/11/27/nurses-doctors-practice-oped-
> > cx_mom_1128nur
> > ses.html?partner=alerts
> >>
> >
> > _______________________________________________
> > NPInfo mailing list
> > NPInfo at nurse.net
> > http://lists.nurse.net/mailman/listinfo/npinfo
> > *****************************
> >
> >
> >
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> > *****************************
>
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>
--
**********************************************************
Donna Alden-Bugden, RN(EP), MN, DNP-Student
Primary Care Nurse Practitioner
Doctor of Nursing Practice Student - Cleveland, OH
Winnipeg, Manitoba
http://www.NPCanada.ca
Donna at Alden-Bugden.ca
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