The problem is the Zero-to-NP programs that have an "Accelerated RN" component. One (not all) aspects of the NP program was similar to your comment, building o

The problem is the Zero-to-NP programs that have an "Accelerated RN" component. One (not all) aspects of the NP program was similar to your comment, building off career and professional experience, and using that as one basis for knowledge. These programs are not even giving you the RN -student- nursing experience (let alone post graduation), they're skipping that entirely. Looking online: "Become an NP in 20 months". "NP in 27 months". From HIGH SCHOOL. In EMS, there is a push to make paramedicine at least an associates, if not a bachelors degree (there are programs with all three, certificate, associate, bachelors). Paramedics are the advanced version of when you call 911. The invasive side (versus EMT which is - largely - non-invasive). Cardiac arrest and dysrhythmia management (ECG interpretation, manual defib and pacing, approximately a dozen cardiac drugs), airway management and intubation (including sedatives, paralytics and analgesia), childbirth, trauma, burns. In my area we can give approximately 60 different meds IM, IV, IN, IO from fairly benign to quite acute (adenosine, atropine, etomidate, rocuronium, etc.) The push for this is for at least two years of school, if not four. But yet you have schools pumping out NPs in as little as a year and eight months? With zero field supervision (for better or worse, and with varying degrees of intensity, PAs ostensibly operate under physician supervision/direction). This is going to cause a huge problem, I expect. Not the concept as a whole, but our YOLO attitude to these things, and schools seeing dollar signs.