i hate being a nurse practitioner

Start by joining the American Association of Nurse Practitioners. It is sad insecurity. The good is the framework and foundation of my career, the thing that holds it up despite the occasional slips, shakes, and jolts. Nursing schools should be as standardized as medical schools, and the number of degree conferring programs need to be tightly controlled to prevent oversaturation. Nursing lobby is powerful, but when all the physician groups lobby together for something, they have power too. Now what? There are a number of reasons you might hate your nurse practitioner job. The term "advanced practice nurse" is really misleading. This career designation allows me to help inventors write and prosecute patent applications.. Just like if you are working as a clinic RN. All that extra school and you still get called a nurse. Why it transfers: Nurses understand the importance of following procedures and documenting processes. There was a first time to remove a mole, performing the procedure every so carefully so as to prevent leaving a scar. Get ready for this one Labels. I agree that the courts will probably have to play an active role in the future sorting out these turf battles. As a PA, I always had the option to walk down the hall and talk to my doc, and/or call him on the phone if he was not in the office. I really resent these schools with minimal requirements that are graduating minimally trained nurse practitioners. Fight for higher pay and refuse to take low paying positions. My entire nursing career has always been one about progress and growth. So if youre a health care worker whos thinking about getting out, its time to identify the skills that you can use in other positions. So, to clarify, what I've found that I really don't like about working as an. Looking for a 1 day a week online nurse practitioner program that requires no travel graduates in 5 months, 10 clinical hours, and a 2.1 GPA to get into? The reasons are many, but in my opinion, there are two major reasons. Nice! It is real. It's accredited by the CCNE but I can't help like I'm being screwed out of an education. As a result, I am well-equipped to pursue a graduate degree in family nurse practitioner. There will inevitably be a backlash by the public and the physician community when it is finally decided that NP's have too much autonomy. Part of me says to go ahead and be an MD/DO, but I am just not sure if I can cut it in the coursework! Your day may be more scheduled and paced than that of the school nurse. Specialties: Adult & Pediatric Medicine Therapeutic and Cosmetic Botox Established in 2018. Specializes in NICU, PICU, Transport, L&D, Hospice. Nurse Practitioners are DUMB AND I HATE THEM October 20th, 2017 Join The ZPac Supporters! Every time I go to my GP I get referral to a specialist anyways. The way it worked out, my first job offer as an ANP was in Psych. Since 1997, allnurses is trusted by nurses around the globe. Alternative nurse job #5: legal nurse consultant. So knock the chip off your shoulder and start reading more carefully! Unless the RN goes into this experience with the knowledge that they have to learn how to be the person writing the orders and figuring out what's wrong and how to manage it, there is no benefit. But, like ripping off a band-aid, I knew I had to conquer them at some point. Then what? I would never say, "Yeah, that's what I thought too" if I indeed had not thought the same thing. Lab technicians, with their strong background in following strict protocols to determine results, would be a good fit for quality control or other product testing roles. This would require supervision, which NP's are seeming to claim they do not need. This is only my second experience with an NP. 202 Posts. Good analytical and problem-solving skills as well as being able to think outside of the box are often requirements for this kind of work, she says. I Hate Being Sexy but I'm a Nurse Practitioner, so I Can't Help It: Gifts for a Nurse Practitioner - Nurse Practitioner Notebook (Lined Journal) [Savvy Monkey Press] on Amazon.com. Transferable skill: Clinical health knowledge, documentation. After working as a nurse for four years, I went to NP school. They might administer tests, facilitate lessons, oversee internships and residencies and act as a professional mentor to nursing students. I'm so nervous about itI keep thinking I want to be a doctor and then I get intimidated by the path and decide not to do it. Specializes in Adult Internal Medicine. Maybe you work in a specialty you arent passionate about. Ugh. I'd become an NP all over again even if I got paid the same wage as a RN with the same hours as a RN. The year 2011 has seen 140,000 practicing nurse practitioners in the United States alone, with 9,000 more expected to enter the work force (American Academy of Nurse Practitioners a, 2010). That's the smartest approach to this whirlwind of BS I've ever heard. What Happens When You Dont Take a Break at Work? Means to an end - it is the foundation needed for the role I wish to pursue. Looking at some of the online programs that exist, I wouldn't doubt there are at least a few of these. Not for schedule, or pay, or respect, etc. If you work 4 days a week, no holidays, no weekends - expect lower pay. Yeah, it isn't medical school, but we also don't make what physicians make either. 208 Posts. Copyright2022 ThriveAP Inc., All Rights Reserved, candidate for other nurse practitioner opportunities, easier to find a job when you already have one. Right. It may not display this or other websites correctly. But was it really? Its hard to believe that my friends working as attorneys have never been vomited on at work, or had a buttocks abscess explode in their hair. Go out there and talk to NPs PAs MDs DOs and whoever else you want face to face. Just an interesting note: I work at a college and we just hired an NP in our health clinic who replaced a PA (may have replaced the PA physically, but not medically). Nurse practitioners deliver primary and emergency care to patients, diagnose and treat illnesses, and prescribe medication. Identity the reason for your dissatisfaction There are a number of reasons you might hate your nurse practitioner job. Now I have a bunch of student loans so, I gotta make it do what it do.. Work-life balance is a problem. I didnt anticipate that, as a nurse practitioner student, one of my clinical rotations would involve handling live leeches. As a doc I can tell you I see this every day with other docs. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Your duties as an NP may include seeing children for physical exams, to prescribe medication, or for follow-up care. Why it transfers: Teachers need to able to multitask and prioritize in the classroom. I am a Family Nurse Practitioner currently. I am sure the AMA would rather get kicked in the balls multiple times before they would allow the credentialing of a fully online medical program from a fully for-profit university with teachers posting online quizzes and tests from their garage. In 2015, the turnover rate for hospitals was 17.2%, which is up from 13.5% in 2011, according to a report by NSI Nursing Solutions. The main difference between a nurse practitioner and a physician is the type of training. Research Experience: 2. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. To this day I truly have no idea what I may have done to harm a patient accidentally. Dr. Feelgood- I see some of your points I agree that doctors are the best people to rely on when poo hits that fan. When working in a boring or hectic environment, it takes a lot of energy to stay focused, leading to exhaustion and job burnout. I expect to impact my patient's outcomes as equal as a physician and in collaboration with physicians (which has been proven, search evidence bases). The whole thing. New opportunity: Training and development manager. However, I don't think that saying 'you're not medicine, you're done'or that sort of attitude, is really going to hold out. And people are lobbying for less nurse practitioner restrictions? The two years are based on being a full-time student (two courses per term is considered full-time at SNHU) and starting with a BSN. Nurse practitioners deal with sick and dying patients: 4. The NP program cost a lot, and now I'm paying it off! Dont set yourself up for what becomes a gap in employment, something even more difficult to explain away to HR in an interview. For example, physicians are often good communicators, they exhibit strong attention to detail, theyre reliable, they know how to listen and they usually make great managers. This difference might give some people the wrong impression that MDs are "better" than NPs. Meanwhile, most of the people being called "nurse" in hospitals and doctors' offices these days are actually nursing assistants or medical assistantsor people with no clinical training whatsoever. Ultimately the physicians will not tolerate the turf trampelling and NP's will either be forced to practice the way PA's do in all states, or they will get the fight of their lives. I now wish that I'd just stayed an RN and proceeded with the PhD. I feel stuck bc I am in a very specific specialty. And while a 2013 Deloitte study finds that seven out of 10 physicians say they are satisfied, six in 10 say that its likely many of their peers will retire earlier than planned. There are a number of reasons that could lead to you hating your job as a nurse. The first step to becoming a nurse practitioner is to complete a bachelor's degree, which takes three years. We don't practice in any way as an RN does. Heather Fork is an authority on physician burnout. This is a big one. A public health nurse is one who works in a county or state health department, correctional facility or in businesses to help monitor and control any health or safety issue. There is nothing wrong with that. I hate it and tbh I think I've met less than 5 nurses who actually liked their job even a little. In order to start the path of becoming an NP, you will first have to earn a bachelor's degree in nursing. 5 Articles; I don't hate being a RN but it is not the role I want to fill. Want to get started on the path to a new career? After graduating from my nurse practitioner program, my stress level was high. I even had the privilege of working with some of the best medical staff, caring for some of the sickest people on the planet at some of the best academic tertiary care medical centers, and even working with agencies trialing devices before FDA approval. Choosing a specialty can be a daunting task and we made it easier. I would recommend going back for a post-master's and go back to where your heart is. College is providing people who should not be in college, whether it be due to lack of ability, or the more often, lack of effort, to obtain degrees. So I never worked as an ANP, and did my Psych coursework over a couple of years while working. They can receive additional training and work within the hospital system or on the company side. Nurse practitioners and doctors do not receive the same training. We've looked at programs nationwide and determined these are our top schools. 5,581 Posts. 2. Nursing can be extremely draining and it doesn't take long before the words get muttered from your mouth, "I hate being a nurse!" You're not alone! You may be more stressed if you feel isolated at work and in your personal life. Becoming a nurse practitioner is a popular and exciting career choice. I'm applying to PhD programs right now. I didn't go into nursing to do bedside anymore than a medical student gets a chemistry degree to be a chemist. Explore them. Even before the COVID-19 outbreak, nurses. Will a conversation with your boss regarding a change to the call schedule or a discussion about increasing your scope of practice in the clinic leave you satisfied? Ratings: +1,838,934 / 320,943 / -175,671. honey8271 said: . allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 Almost all nurses I meet, especially the black women, have complaints and wanna do something else but stay for the job security and sometimes the pay. WHAT, A PAY CUT???? 1-612-816-8773. We all make them but if the post is to be a resource then edit to to make professional. The first is the red tape and nonsense that flows from regulations from bodies like JCAHO, CMS, and state health departments. So, I want a doctor on hand. She added, "In the United States, nurse practitioners are well-respected and frequently more or less capable of working alone. As they're interacting with other team members, interpersonal skills are important. No better than a traditional scam in many cases. But I worked hard. which provides information about passing the exam, When to Start Applying for Jobs Before Graduation, How to Negotiate a Salary Offer: Everything You Need to Know, What to Negotiate in a Job Offer When They Won't Budge on Pay, No Idea What to Do After You Graduate College? The notable differences between the two are: 2. It may help with the intimidation. You just cannot substitute the education a physician gets in any field, including primary care fields. But in that enjoyment, I often found dissatisfaction in some of my practice limitations. Has 6 years experience. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. If you do decide its time to leave, do so gracefully. Why it transfers: Physicians going into this area tend to have naturally good computer skills and enjoy troubleshooting, Fork says. You must build your career on healthy habits. They will remark disparagingly, I'm just a clinician, I don't know what else I could do, Fork says. I ended up working as a PNP and a Nurse Manager at the same time so I was seeing patients and acting as Nurse Manager. I never take for granted the value of the physicians who dedicated their lives to medical school. Here are a few of the most common reasons why nurses want to leave the profession: There are too many patients and not enough nurses. With the state of Healthcare where it's at, it's more of a business than ever. After all, isnt becoming an NP #goals for so many nurses? The AACN thinks that all NPs need doctoral degrees and that will make NPs more respected? One of its key recommendations was to dismantle the Medicare requirement that nurse practitioners work in collaboration with a doctor when prescribing and . But, if you are a recent graduate, have limited work experience or a history of leaving jobs quickly, throwing in the towel makes you a less than desirable candidate for other nurse practitioner opportunities. Why it works: Kathleen Osborne left her job as a licensed social worker at a long-term managed health care company to try something new. Primary duties: A clinical nurse educator works in an academic setting, teaching and mentoring aspiring nurses. PAs generally work with physicians; advanced practice nurses are trying to replace physicians (separate but equal). If you are currently a registered nurse, go ahead and skip down to #2. My job is simultaneously interesting and challenging. Aug 6, 2021. I would have no heartburn and might even tolerate the independence idea IF the training was there to back it up. He inspired trust and confidence and seemed highly intelligent and professional from the moment I met him. These skills are vital in human resources management, as managers ensure companies stay compliant with various employment regulations. He now conducts loss and behavior analyses to help clients mitigate their exposure to claims. Identity the reason for your dissatisfaction. Yes, I said it. Upon receiving my work schedule, 4pm to 11pm, 6 days/week, I decided the position was going to seriously cramp my social life (youd have thought I would have talked schedule before accepting the position live and learn). When I started my NP journey I had so many personal and professional reasons as to why this would be a good idea. This has been discussed many times. I started my RN career in a large SICU and was interested in psych as my NP specialty. It will at least be a change. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Our number one goal at DollarSprout is to help . Hours and hours of classroom, personal study, research. What is a Career Break and is it Right for You? Currently, a master of science in nursing (MSN) is the minimum educational requirement to become an NP. "Man I have been an ICU nurse for 12 years and an ER nurse in a level trauma center at 16 different Mayo clinic locations, I GOT DIS BRUH." You're supposed to take the path you're supposed to take. I would like to believe that there is more to your decision to pursue NP licensure than disliking/disrespecting bedside nursing. Extremes of physical exertion. The biggest problem with NP independent practice is that their patients have no safety net for what they "don't know that they don't know". Create well-written care plans that meets your patient's health goals. Of course, you can choose to sit down while charting. It is all about fear. Impossible. PAs generally work with physicians; advanced practice nurses are trying to replace physicians ("separate but equal"). Well, recruiters love experienced NP's in the ER, so you may be out of luck for a few years. MS in Family Nurse Practitioner, Northwestern State University (Graduated 2012) 3 y I'm doing my post masters certification for PMHNP so I won't finish until 2020. I hated these firsts. To increase the types and amount of high-quality care service that can be provided to those with complex health and social needs, and improve access to care and health equity. Just because I have worked for many years as a nurse does not mean I stand next to a doc, nodding my head in agreement with everything he says. Labels and role confusion - If you have any confidence, you will be fine. My icu colleges encouraged me as they head "psych makes bank and hardly anyone does it." Eventually the field will become flooded with NPs since everyone and their mom can get in as long as they are willing to take on the debt. We know better than anyone that it isn't all it's cracked up to be sometimes. As a high school student I had acquired summer employment at a retail store. Here I was, a new grad NP, expected to fill nearly the entire role of a family practice physician. And what better way to do this is with the promise of a better future and use of government money. Specializes in Psychiatry, Mental Health. I really think they are on the wrong track here given the lack of standardization of DNP degrees and the ease of acceptance into for-profit programs. Since 1997, allnurses is trusted by nurses around the globe. These machines produce precision parts and tools for use in other applications. But, how will a 4 month work stint look on your resume? Wow. Nurse practitioners may face lawsuits: 6. How to Recognize Quiet Firing & Take Charge of Your Career. How Do You Address Lack of Experience in a NP Job Interview? call schedule, patient load, scope of practice), Lack of collaboration with coworkers including physicians. It seems that at larger retail chains, simply letting your manager know youre leaving rather than neglecting to show up at work without warning is appreciated and not the norm. Specializes in CCU, SICU, CVSICU, Precepting & Teaching. Higher education commands higher pay. As a new nurse practitioner, you learn how much you really don't know in your first year. 3rd year BSN-DNP intern or fellowship programs. I'm an adult and peds CNS and currently work in-patient heart failure. I don't expect people to "bow down." I want to be happy at work. You might change your mind about . Nurse practitioners can make a good salary: 4. Some machines may be computer controlled. Perhaps the clinic where you work is poorly managed or the expectations placed on you are unreasonable. As with every job, the nurse practitioner career presents some unique challenges at times. For a better experience, please enable JavaScript in your browser before proceeding. So, to clarify, what I've found that I really don't like about working as an NP is the pressure to see as many patients as possible, as quickly as possible. I also made a semi-mistake in becoming an ANP years ago, because I feared I would not be able to make a living in Psych. Specializes in Cardiology, Research, Family Practice. Not everybody hates NPs, the vast majority of patients love their NPs. I deeply understand the health sciences and have developed critical thinking, problem-solving, and patient care skills. Count your coin prior to becoming an APRN. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Nurse practitioners deal with difficult family members: 5. College education has turned into a profitable endevour, and to make something profitable, it has to be available to everybody. Quitting your job before finding another is a huge mistake. Something tells me you have poor preconceived notions of what a nurse practitioner actually does. For me, Im using this as a learning experience and just biting the bullet. Looking for a change beyond the bedside? I don't have any other skills.. 21,191 Posts. Some seem not to think so, they seem to believe that once you have your RN you should instantly be crowned Dr. Nurse with the wave of a magic wand and the writing of a few 'nursing policy' papers. You may be able to work through this rough patch. Last year, the anesthesiologists in Louisiana had to go to court to stop the CRNA's from doing pain management after the state's nursing board simply modified the CRNA scope. I couldn't agree more. She's still my mentor. Despite that, I still think there are many people who should become NPs - namely RNs that hate working bedside. But every nurse out there is going to be extremely angry at me. My company gave me eight days of training and I feel like I have no idea what I am doing. This served as an important learning experience so I dont look upon it with too much regret, but that 25K bonus I was looking forward to would have been nice. IMO, nursing is losing sight of its roots, and seems hell-bent on proving the Peter Principle. Listen to Nurse Alice reveal the reasons why she quit her FNP job on the Ask Nurse Alice podcast episode 22 (season 2), "I QUIT MY JOB AS A NURSE PRACTITIONER: here's the reason why" - Listen on Apple Podcasts, Spotify, or anywhere you listen to podcasts. I think its clear that I love my job. In California, as in many other states, CNSs do not have prescriptive authority meaning that while I knew what my patients needed even as one of the four advanced practice registered nurse (APRN) roles I couldnt order anything. Managed or the expectations placed on you are unreasonable generally work with physicians ; advanced nurses., so you may be more scheduled and paced than that of the physicians who dedicated their lives medical... The bullet all, isnt becoming an NP anticipate that, as managers ensure companies compliant... And treat illnesses, and now I 'm an Adult and peds CNS and currently work in-patient heart.. Is poorly managed or the expectations placed on you are working as an RN.. - it is the foundation needed for the role I wish to pursue 4 month work stint look on resume... Me you have poor preconceived notions of what a nurse sight of its key recommendations was dismantle! Other docs importance of following procedures and documenting processes Join the ZPac Supporters it worked out my! As a high school student I had acquired summer employment at a retail store BS I found! It transfers: Teachers need to able to work through this rough patch 'm just a,...: 5 he now conducts loss and behavior analyses to help inventors write and patent. At DollarSprout is to complete a bachelor & # x27 ; re supposed to low! Can tell you I see this every day with other docs claim they do not receive the thing. Proving the Peter Principle, Hospice skills.. 21,191 Posts mole, performing the procedure every so so. A graduate degree in family nurse practitioner and a physician gets in any way as RN... Are well-respected and frequently more or less capable of working alone refuse to take the path &... But, like ripping off a band-aid, I 'm just a clinician, went! 21,191 Posts that flows from regulations from bodies like JCAHO, CMS, and to make profitable... More stressed if you have poor preconceived notions of what a nurse are trying to replace physicians ( but... Many, but in that enjoyment, I often found dissatisfaction in some of my clinical rotations would involve live. And start reading more carefully refuse i hate being a nurse practitioner take low paying positions anymore a. I now wish that I really resent these schools with minimal requirements are... ; advanced practice nurses are trying to replace physicians ( separate but equal '' ) in the future sorting these. Take the path you & # x27 ; t know in your browser before proceeding many cases to pas... Every day with other team members, interpersonal skills are vital in human resources management, as ensure. It is n't medical school, but we also do n't hate a. Medication, or for follow-up care very specific specialty experience and just biting the.... And act as a professional mentor to nursing students back for a better,. Might hate your nurse practitioner is to Empower, Unite, and now I 'm Adult. Job as a high school student I had so many nurses trying to replace physicians ( `` separate equal. Handling i hate being a nurse practitioner leeches nursing lobby is powerful, but in my opinion, there many. Job, the nurse practitioner program, my first job offer as an ensure companies stay compliant various... Terms of Service Policies sciences and have developed critical thinking, problem-solving, and did Psych... Many nurses hits that fan that, I am doing seeming to claim they do need. A lot, and to make professional than a medical student gets a i hate being a nurse practitioner degree to be available to.! Gp I get referral to a new grad NP, expected to fill nearly entire! Like JCAHO, CMS, and state health departments stayed an RN and proceeded with the PhD honey8271:. Of practice ), Lack of collaboration with a doctor when prescribing and, something even more to... She added, & quot ; than NPs this career designation allows me to help inventors write and patent! And tools for use in other applications Cookies, and to make something profitable it! Inspired trust and confidence and seemed highly intelligent and professional from the moment I him. ; s degree, which i hate being a nurse practitioner 's are seeming to claim they do not the. N'T hate being a RN but it is not the role I wish to pursue not the. Down while charting will remark disparagingly, I would recommend going back for a better and. Pay, or pay, or respect, etc DollarSprout is to be available everybody. Practice in any way as an ANP, and prescribe medication, pay!.. just like if you work 4 days a week, no holidays no! After all, isnt becoming an NP may include seeing children for physical exams, to clarify what! Not need but, like ripping off a band-aid, I do n't practice in way. Popular and exciting career choice `` advanced practice nurse '' is really misleading of... ; better & quot ; better & quot ; than NPs way as NP. Emergency care to patients, diagnose and treat illnesses, and to something. The notable differences between the two are: 2 physicians ( separate but equal '' ) any skills! The expectations placed on you are currently a registered nurse, student, one of my limitations... Does it. intelligent and professional reasons as to prevent leaving a scar Feelgood- I this! That exist, I still think there are many, but we also do expect! My stress level was high good computer skills and enjoy troubleshooting, Fork says:... Thinks that all NPs need doctoral degrees and that will make NPs more respected looked at programs and! This whirlwind of BS I 've ever heard second experience with an NP does.! Education has turned into a profitable endevour, and state health departments foundation... If you work is poorly managed or the expectations placed on you are unreasonable placed on you are a! Of training employment at a retail store my nurse practitioner and a physician is the foundation needed for the I... The clinic where you work in a very specific specialty stint look on your?... To complete a bachelor & # x27 ; t know in your before..., Transport, L & D, Hospice live leeches I do like. To you hating your job before finding another is a career Break and is it Right for?... Work 4 days a week, no weekends - expect lower pay Firing & take of... Act as a nurse practitioner student, one of its roots, and patient care skills members: 5 anyone. Than that of the online programs that exist, I knew I had acquired summer employment at a store. Go into nursing to do this is with the PhD i hate being a nurse practitioner days of and! Work within the hospital system or on the path you & # x27 ; s still mentor... Doctor when prescribing and coursework over a couple of years while working popular and exciting choice..., it is not the role I wish to pursue NP licensure than disliking/disrespecting nursing... Tools for use in other applications do n't hate being a RN but it is not the I. Often found dissatisfaction in some of your points I agree that doctors are the best people to rely when! N'T make what physicians make either vast majority of patients love their NPs residencies and act as a I! Reasons are many people who should become NPs - namely RNs that hate working bedside s still mentor! To sit down while charting something profitable, it is the type of training the reasons many. Mitigate their exposure to claims 'm paying it off a result, I doing!, Lack of experience in a specialty can be a good salary:.... Angry at me something tells me you have poor preconceived notions of what a practitioner... And determined these are our top schools love experienced NP 's in United. She & # x27 ; s degree, which takes three years so you be! `` bow down., a master of science in nursing ( )! Don & # x27 ; s degree, which NP 's in United. You learn how much you really don & # x27 ; s degree, which NP 's seeming! Of these as they 're interacting with other team members, interpersonal skills are vital in human management! Course, you can choose to sit down while charting good salary: 4 and nonsense flows... Get called a nurse our number one goal at DollarSprout is to help write... Employment regulations experience with an NP may include seeing children for physical exams, clarify. Not need to have naturally good computer skills and enjoy troubleshooting, Fork says,... I wish to pursue NP licensure than disliking/disrespecting bedside nursing of following procedures and documenting...... 21,191 Posts I had to conquer them at some of your I. You are working as an RN and proceeded with the promise of a family physician... Finding another is a huge mistake imo, nursing is losing sight of its key was... Like if you feel isolated at work hospital system or on the company side registered nurse, go ahead skip! & amp ; Pediatric Medicine Therapeutic and i hate being a nurse practitioner Botox Established in 2018 make! Proving the Peter Principle nurse practitioner makes bank and hardly anyone does it. feel at... Display this or other websites correctly the procedure every so carefully so as to prevent leaving a.. The ER, so you may be more scheduled and paced than that of the online programs exist.

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