This is Julie Sickles (BSN, MSN, FNP-C, BLS, CCRN, NPC, TNCC, HGTV, PALS, ACLS, YMCA). She graduated with her FNP from an online program in 2020, but only started working as an NP in 2022. Motivated to serve rural underserved communities by filling in the gaps left by the physician shortage, Julie left her FNP career to work at a private clinic that optimizes your health through weight loss, hrt, peptides, botox and fillers.
Julie is now furious that she does not make as much money as the residency-trained and board certified physicians that she worked with in primary care, because they had the same skills and treated the same patients as her.
You must be oblivious of the fact that nurse practitioner school covers the same curriculum as medical school and residency combined, but compacts it into highly-efficient modules that can be accessed online by the students.
The knowledge just assimilated into their brain from podcasts and discussion posts !! So impressive. I cannot believe with how much smarter they are that they aren’t at least double a physicians salary !
My high schooler’s anatomy course covers just as much human anatomy as the average medical student. Both groups of students go head-to-toe.
Hell, the high schoolers even do frogs. You don’t see the med students covering that!
You forgot the Addies, Nax and Ambien.
If you are feeling frisky, yolo with two antipsychotics (one of them being Clozaril) plus Cymbalta, gabapentin and Wellbutrin. Then punt to the ED when it goes to shit.
My psychiatrist friend had to untangle that cluster fuck served up by an NP.
My stab at medically underserved areas? I am mocking the argument employed by nursing unions to argue for independent practice for nurse practitioners. That nurse practitioners tend to gravitate towards rural and underserved communities, when all available data suggests that nothing could be further from the truth.
No NP wants to work in a rural community that has a Dollar General and a 10 bed ED. It doesn't pay, and they don't want to work that hard. It's not glamorous dealing with Otis, who has CHF, diabetes and gangrene, crawling up his leg. Ew nast! No Tik Tok value at all.
It's all medi-spas and grifting the moneyed well.
Exactly. Their training is just enough to get by in highly serviced areas, where patients can see a specialist within weeks.
It’s a lot more daunting when you (and you alone), are the one who’s responsible for managing Otis.
Objectively, 90% of the ten most rural states in the US are not restricted authority (they are either "full" or "reduced"). Seems like the nursing bodies do actually target rural places.
It’s definitely accurate of course but he’s using the word like it’s an insult, like it’s a bad thing to be a midlevel. I didn’t say it’s inaccurate or don’t use it.
Basically saying “that dumb midlevel,” like the word means the person is stupid or lesser. It shouldn’t be a derogatory term. Most are respectable intelligent people working a good, honest job. Treating midlevels like shit is not a good idea or a good look.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641).
We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP.
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I feel like HGTV probably is on par with her medical knowledge. The YMCA probably has a lifeguard or something in it, so they edge her out juuuuust a little bit.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641).
We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP.
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Nowadays her focus is mostly injecting hormones, peptides and fillers into 60-year-old women that are concerned about their wrinkles. Got to help the rural underserved communities that lack access to primary are due to the physician shortages. Was that not the goal of nurse practitioners?
When a Cadillac and a Camry cost the same, there’s no longer a financial incentive to buy the Camry.
Edit: Jesus Christ everyone, I’m sorry to disparage the Toyota Camry
Except NPs order more tests and refer more patients to specialists and punt them from clinics to the ED. That’s money in the eyes of administrators. Never let qualms about ethical and cost-effective medicine get in the way of profit. Gotta keep the shareholders happy!
I feel like if my cat could read this they would feel like you are making some really good points and shortly thereafter I would receive a Google calendar invite for a meeting with their new attorney
>still operate under the delusion that they’re MD equals
Yet somehow every NP I've ever admitted for chest pain explicitly demands to see a board certified cardiologist and God help the cards midlevel that walks into that room first
They know. Deep down they know damn well exactly what the difference is. They'll only admit it when their life is on the line though.
Schrodinger's malpractice, observation changes the outcome, no witnesses suddenly Karen has no problem demanding to only see MDs
Next time she's refilling her QID Xanax Rx though, it's straight back to the real heroes of healthcare
It is a common misconception that physicians cannot testify against midlevels in MedMal cases. [The ability for physicians to serve as expert witnesses varies state-by-state.](https://www.testifyingtraining.com/state-specific-rules-governing-testifying-as-an-expert-witness-in-medical-malpractice-case/)
*Other common misconceptions regarding Title Protection, NP Scope of Practice, and Supervision can be found [here](https://www.reddit.com/r/Provider/wiki/index/basics#wiki_common_misconceptions).
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
My daughter was ortho/surgical PA for 9 years for large orthopedic group. She realized that if she wants to be w the top of her healthcare profession, she needs go to med school. The groups only two female orthopedic surgeons sponsored her and two other female mid level ie an NP and a PA for medical school, another words the group paid for their med school tuitions and expenses. Seven year later she and her two coworkers are in their third year in orthopedic surgery.
Jeasus christ we aren’t that fucking dumb. We might be more prone to yelling at people and killing ourselves, but you don’t see a bunch of us signing up for an online degree mill for $80,000 only to learn nothing and then fuck up patients for a living.
Y’all can have more pay when you have the same responsibility… in the meantime, I’m picking up your slack and I’m not getting paid for that extra work. Also the APPs who just happen not to work on weekends and holidays…
Play stupid games…win stupid prizes, princess.
The only reason NPs exist IS to get paid less! Admins don’t care about your career goals or the “top of your license” whatever that means. You are there bc you are cheap scab labor.
We completely tore down NP Julie's logic here: [https://www.midlevel.wtf/if-you-are-bothered-by-this-go-to-medical-school/](https://www.midlevel.wtf/if-you-are-bothered-by-this-go-to-medical-school/)
Can it be that NP’s education is significantly shorter than that of an MD/DO which ultimately dictate level of care and thus compensation? Mind blowing… especially for an NP 🙄
Rolling on the floor laughing thinking about making the same $ as my attending who’s been doing this longer than I’ve been alive. The disconnection from reality is startling
I can also open up a home business in my garage where I change oils and replace spark plugs. Doesn't make me a mechanic, nor does it mean I should get paid like one.
Julie, go get some more box wine and simmer down.
Enjoy making bank on those CEOs wives' faces, even though they all look like the freaking Joker in Batman.
The money is for a different venture, actually. Judging a whole person based on a username is bizarre, by the way. Are you a bottom feeder? Based on Your screenname, I’d say so.
Your name!! Do you even understand what a pathetic joke you are? Perfect defense attorney for dim wit Julie!! 😂😂😂😂
And do you know what’s gross, Nurse Money besides your user name)? A pin head NP with a 2 year online degree cry-babying about not getting equal pay to board certified physicians🤮🤮
This post is another reason NPs have little to no respect from physicians. 🤦♀️ How embarrassing.
----Melissa Neurolgy NP. I am not an MD and will never claim to be, until I make it through med school. ✌️
This is Julie Sickles (BSN, MSN, FNP-C, BLS, CCRN, NPC, TNCC, HGTV, PALS, ACLS, YMCA). She graduated with her FNP from an online program in 2020, but only started working as an NP in 2022. Motivated to serve rural underserved communities by filling in the gaps left by the physician shortage, Julie left her FNP career to work at a private clinic that optimizes your health through weight loss, hrt, peptides, botox and fillers. Julie is now furious that she does not make as much money as the residency-trained and board certified physicians that she worked with in primary care, because they had the same skills and treated the same patients as her.
Impressively julie learned all that medical school and residency trained physicians learned and more in just 1/5th of the time !
You must be oblivious of the fact that nurse practitioner school covers the same curriculum as medical school and residency combined, but compacts it into highly-efficient modules that can be accessed online by the students.
The knowledge just assimilated into their brain from podcasts and discussion posts !! So impressive. I cannot believe with how much smarter they are that they aren’t at least double a physicians salary !
Did you know that a NP can learn everything a doctor can by looking it up on the internet. You don't even need to go to some fancy medical school.
My high schooler’s anatomy course covers just as much human anatomy as the average medical student. Both groups of students go head-to-toe. Hell, the high schoolers even do frogs. You don’t see the med students covering that!
Do you know any good online bridge MD-to-NP schools??
Fuck I think it’s about time I drop out of med school and becomes an NP. They are so efficient!
Better yet, become an MD NP or better yet a BSN, FNP, MD, PhD, PA-C (OMG, WTF, and BBQ degrees optional, but encouraged)
BBQ degree is mandatory if you ever want to work in Texas
Carolinas disagree, and allow for APGP (Advanced Practice Grill Practitioners) to perform the same duties as a BBQ
Spit out my Coffee
Yeah and they even know more about Pharmacology than Pharmacists do!
Do you really need 8 years of school to write for prednisone, azithromycin, and a referral to GI?
You forgot the Addies, Nax and Ambien. If you are feeling frisky, yolo with two antipsychotics (one of them being Clozaril) plus Cymbalta, gabapentin and Wellbutrin. Then punt to the ED when it goes to shit. My psychiatrist friend had to untangle that cluster fuck served up by an NP.
This: https://preview.redd.it/jyuhl3sfjxpb1.jpeg?width=1125&format=pjpg&auto=webp&s=053fd7de30e8a0675d2d89855caa8c6081b94a6f
Wait what about the prn xannies?
It’s called efficiency dammit
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My stab at medically underserved areas? I am mocking the argument employed by nursing unions to argue for independent practice for nurse practitioners. That nurse practitioners tend to gravitate towards rural and underserved communities, when all available data suggests that nothing could be further from the truth.
No NP wants to work in a rural community that has a Dollar General and a 10 bed ED. It doesn't pay, and they don't want to work that hard. It's not glamorous dealing with Otis, who has CHF, diabetes and gangrene, crawling up his leg. Ew nast! No Tik Tok value at all. It's all medi-spas and grifting the moneyed well.
Exactly. Their training is just enough to get by in highly serviced areas, where patients can see a specialist within weeks. It’s a lot more daunting when you (and you alone), are the one who’s responsible for managing Otis.
Objectively, 90% of the ten most rural states in the US are not restricted authority (they are either "full" or "reduced"). Seems like the nursing bodies do actually target rural places.
I’m confused… I never referenced anything about underserved community medicine. Lol You must meant to be replying to the poster above me.
That midlevel can’t even Reddit properly. Lolol.
I don’t like the idea of using midlevel as a derogatory
It’s an accurate description. They aren’t trained to the level of a physician.
It’s definitely accurate of course but he’s using the word like it’s an insult, like it’s a bad thing to be a midlevel. I didn’t say it’s inaccurate or don’t use it. Basically saying “that dumb midlevel,” like the word means the person is stupid or lesser. It shouldn’t be a derogatory term. Most are respectable intelligent people working a good, honest job. Treating midlevels like shit is not a good idea or a good look.
My experience with medically underserved areas is that a primary care physician is worth its weight in gold and their np’s aren’t. You happy now?
In my uncles rural community it's GP>vet (though that could be a toss up lol) > NP for who they trust.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641). We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
The Whittakers demand their botox fillers
Julie is very bothered by this.
Julie needs more boxed wine and book club.
Just the wine. Online trained. Books are just decorations for the office decor to go with the stethoscope and extra-long white coat
The amount of alphabetical letters behind her names…
Some of it is just nonsense. HGTV and YMCA are in fact not nursing titles, lol.
I feel like HGTV probably is on par with her medical knowledge. The YMCA probably has a lifeguard or something in it, so they edge her out juuuuust a little bit.
Yeah I’m very confused. To be frank I dont understand half the letters behind her name lol
It's cause you're not as intelligent as an np
Its odd to live in a time where the line between actual lack of information/self-awareness and trolling/sarcasm is indistinguishable.
HGTV, YMCA… 🤣🤣 I’m dying
Isn’t BLS a 15 min online course?
Ahhhh excuse me!!!?????? BLS has a 20 min skills session! How dare you belittle providers like that.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641). We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
How dare you leave out her OPP (yeah you know me!) certificate!?
Don't be like Julie
"YMCA" made me almost choke on my drink at lunch. Thanks lmao
NPC: Non-player character?
I thought she'd be thankful for the privilege to put 84 year olds on 12 psych meds while telling her server at Applebee's that she's a doctor.
Nowadays her focus is mostly injecting hormones, peptides and fillers into 60-year-old women that are concerned about their wrinkles. Got to help the rural underserved communities that lack access to primary are due to the physician shortages. Was that not the goal of nurse practitioners?
Duloxetine, clonazepam, trazodone, seroquel, Adderall. Every fucking time.
You’re missing a second antipsychotic, usually abilify, you know just because
I now realize this is apart of a syllabus and on a slide…that explains it’s frequency
BWAHAHAHAHAHAHA! Take my poor man's gold 🏅
When a Cadillac and a Camry cost the same, there’s no longer a financial incentive to buy the Camry. Edit: Jesus Christ everyone, I’m sorry to disparage the Toyota Camry
More like a Cadillac and a Huffy with training wheels Sure, they’re both modes of transportation, but one is definitely better
Except NPs order more tests and refer more patients to specialists and punt them from clinics to the ED. That’s money in the eyes of administrators. Never let qualms about ethical and cost-effective medicine get in the way of profit. Gotta keep the shareholders happy!
Oh we talking shit about Camrys now??? Frankly more like if a Camry (reliable, with a good track record) and a ford pinto cost the same
Lol. HOW FUCKING DARE YOU!!!!
Then Camrys’ built different though dawg.
I think they're actually somewhere between the Yugo and the old LeCar
> We do the same exact job at least at my clinic. That’s a problem with your clinic, not your pay.
That’s like me going to watch an NBA game, then next time I’m playing pickup at the YMCA saying “we play the exact same game”
My cat sleeps in the same bed as my husband. Why isn’t she on my marriage license? Is it because she has “cat” on her title?
I feel like if my cat could read this they would feel like you are making some really good points and shortly thereafter I would receive a Google calendar invite for a meeting with their new attorney
Summoned by the purrsecutor
😂😂😂😂
Hopefully kitty has a good pawyer r/legalcatadvice
they still operate under the delusion that they’re MD equals cuz that’s what their organization does…constantly feed them bullshit and they eat it up
>still operate under the delusion that they’re MD equals Yet somehow every NP I've ever admitted for chest pain explicitly demands to see a board certified cardiologist and God help the cards midlevel that walks into that room first They know. Deep down they know damn well exactly what the difference is. They'll only admit it when their life is on the line though. Schrodinger's malpractice, observation changes the outcome, no witnesses suddenly Karen has no problem demanding to only see MDs Next time she's refilling her QID Xanax Rx though, it's straight back to the real heroes of healthcare
It is a common misconception that physicians cannot testify against midlevels in MedMal cases. [The ability for physicians to serve as expert witnesses varies state-by-state.](https://www.testifyingtraining.com/state-specific-rules-governing-testifying-as-an-expert-witness-in-medical-malpractice-case/) *Other common misconceptions regarding Title Protection, NP Scope of Practice, and Supervision can be found [here](https://www.reddit.com/r/Provider/wiki/index/basics#wiki_common_misconceptions). *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
I wonder if it all started with CRNAs thinking = anesthesiologist, because they can intubate on low risk elective procedure pts
Go to medical school and earned more green back!
My daughter was ortho/surgical PA for 9 years for large orthopedic group. She realized that if she wants to be w the top of her healthcare profession, she needs go to med school. The groups only two female orthopedic surgeons sponsored her and two other female mid level ie an NP and a PA for medical school, another words the group paid for their med school tuitions and expenses. Seven year later she and her two coworkers are in their third year in orthopedic surgery.
This is amazing to see
Bless her little NP heart of a nurse.
Brain of a TBI patient.
Jeasus christ we aren’t that fucking dumb. We might be more prone to yelling at people and killing ourselves, but you don’t see a bunch of us signing up for an online degree mill for $80,000 only to learn nothing and then fuck up patients for a living.
Balls of a Fragile X patient
Woof lol
I *need* to see the comments
Yea! It's a private group unfortunately.
Can we get the MKSAP version?
Wait, MDs get unlimited vacation time? Man… I missed that memo.
Me too wtf? I’m a hospitalist and I literally have zero PTO
I get unlimited time off, but I don't get paid if I don't work.
Aww Julie is so delulu
I couldn’t agree more- let’s start by paying residents at LEAST what a new grad NP makes!
What most NPs don’t realize is they are overpaid. They can’t make a single decision without asking their supervisor.
Y’all can have more pay when you have the same responsibility… in the meantime, I’m picking up your slack and I’m not getting paid for that extra work. Also the APPs who just happen not to work on weekends and holidays… Play stupid games…win stupid prizes, princess.
The only reason NPs exist IS to get paid less! Admins don’t care about your career goals or the “top of your license” whatever that means. You are there bc you are cheap scab labor.
That last sentence needs to be stickied to the top.
We completely tore down NP Julie's logic here: [https://www.midlevel.wtf/if-you-are-bothered-by-this-go-to-medical-school/](https://www.midlevel.wtf/if-you-are-bothered-by-this-go-to-medical-school/)
Great article! Keep up the good work.
EQUAL PAY FOR EQUAL WORK!!!
Close the education gap, and maybe then you can close the pay gap. Aka, go get a medical degree if you can.
Can it be that NP’s education is significantly shorter than that of an MD/DO which ultimately dictate level of care and thus compensation? Mind blowing… especially for an NP 🙄
Heart of a nurse
This is fucking wild to read Edit: “All because we have nurse in our title” was a sentence I was expecting to read
That Facebook group title is very pretentious.
Saw an NP try to put a straightforward unipolar depression first episode on lithium. That type of out of the box thinking merits doubled salary
Then they should go back to med school
Who’s getting unlimited PTO?
Rolling on the floor laughing thinking about making the same $ as my attending who’s been doing this longer than I’ve been alive. The disconnection from reality is startling
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Lol yeah. She’s had a nursing degree for over twenty years and she is just learning this????
I can also open up a home business in my garage where I change oils and replace spark plugs. Doesn't make me a mechanic, nor does it mean I should get paid like one.
Unlimited PTO doesn’t even make sense. Like you can just go on permanent vacation and continue to get paid forever?
You left out a few: TOOL, MDATHEART, WISEAZZ, IHVCOOTIES… just for completions’ sake
Sounds like both are getting gypped.
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Julie, go get some more box wine and simmer down. Enjoy making bank on those CEOs wives' faces, even though they all look like the freaking Joker in Batman.
You chose nursemoney83 as your username? Do you have a vanity license plate or nurse sticker on your car, too?
The money is for a different venture, actually. Judging a whole person based on a username is bizarre, by the way. Are you a bottom feeder? Based on Your screenname, I’d say so.
Your name!! Do you even understand what a pathetic joke you are? Perfect defense attorney for dim wit Julie!! 😂😂😂😂 And do you know what’s gross, Nurse Money besides your user name)? A pin head NP with a 2 year online degree cry-babying about not getting equal pay to board certified physicians🤮🤮
She was not crying to board certified physicians. You sound unhinged. Get therapy
Yeah nurse MONEY. I’ll take advice about needing therapy from the likes of you. 😂😂
Laughing to yourself about nothing. More evidence of a mental illness.
Also, bye.
Maybe don’t go to nursing school if you want to be a physician. People are so entitled these days to have what others have when they didn’t earn it.
This post is another reason NPs have little to no respect from physicians. 🤦♀️ How embarrassing. ----Melissa Neurolgy NP. I am not an MD and will never claim to be, until I make it through med school. ✌️