00:01 When I'm talking to my patients about nurse practitioner role, you got to remember it's different for each state. 00:08 Some states have the full practice authority, and unfortunately Oklahoma is not one of them yet. 00:15 We're hoping that'll get there. 00:17 Right now, all nurse practitioners have to have a supervising physician, and that has to be a DO or an MD. 00:28 Our job has to pay that supervising physician a monthly fee, or in private practice, such as myself, I pay a supervising physician a monthly fee just to be available for consults. 00:40 And the biggest thing, as a nurse practitioner, you cannot write Schedule II drugs on your own. 00:47 In psych, that's going to be mostly your ADHD medications, Adderall, Vyvanse, Ritalin, Folkland, all that stuff. 00:56 What I do is I write the prescription, and I pinned it for my supervising physician, and then he comes along and signs that. 01:04 Technically, right now, that's really the only reason I need him. 01:07 Now, when you're talking about the difference between physician assistants and nurse practitioners, physician assistants, they don't specialize the way nurse practitioners do. 01:17 We have to go into a specialty, whether it's family, acute, or psych. 01:23 Physician assistants, they go to a PA school, and they just get their general knowledge, and then they get that specialized training on the job, wherever they work, whether it's cardiology, psych, emergency medicine. 01:36 They get their training there, whereas nurse practitioners, we are board certified for whatever practice that we're doing. 01:43 Now, when you're talking about the difference between an MD, a DO, or a nurse practitioner, of course, they've had a few more years of school. 01:54 They do a rotation. 01:58 Nurse practitioners, I kind of wish we would do that a little bit. 02:01 I wish that we would go in and spend a little more time following a psychiatrist or even a psych nurse practitioner. 02:10 But in Oklahoma, that's not required. 02:11 But I think that most places require about 800 hours of clinical practice, which is very much needed, and then you're still going to learn stuff on the job. 02:23 The school can't teach you everything. 02:24 You have to eventually get in there and do it and learn how to do it. 02:30 Nurse practitioner, MD, and DO, they can write the Schedule II drugs. 02:35 We can't. 02:36 In a lot of the specialties, let's say if you're an acute care nurse practitioner and you work alongside a general surgeon, of course, you're not going to be performing surgeries. 02:45 You may be assisting. 02:47 But in psych, it's interesting because I can do everything a psychiatrist can do except for write the Schedule II drugs. 02:54 I can diagnose ADHD, autism. 02:58 I can treat schizophrenia, bipolar, anxiety, depression. 03:02 So with psych nurse practitioners and a psychiatrist, there's not that much of a difference between us.
The lecture Ask an NP – Differences between MDs, DOs, PAs, and NPs by Jack Wade Lethermon, DNP, PMHNP is from the course Ask an NP: Jack Lethermon, DNP, PMHNP.
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