Yes you are my living dream Btw RN new graduate am I supposed to start from med surge or er to get used to with body..first.. And then mental health.. My city has Mental Health ER is it going to be good place to learn body and brain all together ? I want to become a psych np eventually..
I remember you saying you are in Cali, does that mean other psych NPs have more autonomy in “full practice states” like Oregon? AkA:They will be able to bill/make more? About to enroll in the course now :)
If you are working for yourself during Telepsych, my guess is you are busy talking to patients and as such don't have time to be answering the phone. Who answers the phone for your practice.
Thanks for another great video! Would you advise against a new-grad PMHNP starting their own telepsych practice or should they gain experience in an established company first? I graduate from my PMHNP program in 1 year and there's some existing telepsych practices that I could potentially be hired by right after graduation. Should I start in these existing practices first while gaining experience and see how they run their practice, while potentially building my own client base?
There's a reason why the credible and established big telemedicine companies require 2-3 years experience before working with them. They know you will be isolated to your home or office, with no "coffee-pot consults" available. New grads need a learning environment that will teach you how much you don't know and what areas of ongoing learning should be the highest priority. (I'm not saying that onsite peers or mentors will necessarily tell you that or help you much; that's a residency! But if you are alert and honest, and listen, you will figure it out, ask questions, and spend the time--or not. Many never do!) I think you should get experience first, aiming for your planned care focus areas (peds, adult, inpatient vs. outpatient, etc.). Now that some schools allow entry without prior RN practice, let alone practice in the planned specialty area of nursing, this becomes even more essential. Not to be mean, and I know this is a touchy topic, but I'm firm on this: I would NEVER let a new grad (first year or 2) without prior RN experience in the specialty be my provider, unless I knew enough to prevent most big mistakes in my own care, AND they had an active, involved supervisor in the specialty. You don't know yet what you don't know, or how bad it can go, either. You won't have had that scary and humbling experience of your first RN year, which is where you learn how much there is left to learn, where to learn it, and how to recognize when you are in over your head. That's the main purpose of MD program's first year internship, too. Without that, you may have little idea of where your knowledge gaps are, and when you should be nervous, and/or seek advice. (See addendum below about the doctorate.) So: Find a mentor(s), which can be an experienced NP or PA. Many new grads never have that luxury, and some are too arrogant to know it would be good to have one. Very few formal physician collaborators and supervisors deliberately mentor. Some are not willing do do that even when the state essentially requires that they do. Those types co-sign charts, do the legal minimum (though not even that is guaranteed unless you insist) and that's all. So a real mentor is much more help. You will also (I pray) spend valuable hours reading and consulting others. Book learning just slows down, not ends, after a year or so. I mean days and weeks, even month's worth of hours the first 2 years (just like school, because this IS your remaining residency). Lots of free overtime at the end of your workday, when you are the last to leave; that's normal. Whenever you expand your focus outside your comfort zone, it's back to more time with the books and websites. If you are going to practice independently outside a multi-specialty group or clinic, consider finding an internal medicine (or pediatric) provider who will talk over questions that don't necessarily require referral but help make decisions and hone/maximize your treatment plan. (Return the favor.) Many never had those early-practice luxuries; they have extra gray hairs and may be still dream of that, years after graduation. Addendum re DNP--does it help you be ready to practice alone right away? NO. Maybe when DNP programs have more clinical hours and education, having that extra "residency" will help. In the meantime, the DNP won't add anything, and may make it worse because the hours of basic A & P, pathophysiology, etc., BSN/MSN clinical education will be slipping farther into the past, with no experience to anchor them and teach you what you still need to learn!. More hours ---not mostly population health, administrative, educational, advocacy, "clinical best practice development" focused hours are needed before a newly minted RN who is also a new APRN can be ready to practice. To be fair to themselves DNPs, should assume they know less than, not more than, an MSN who was an RN first. This was also true of BSNs when well into the 90s, they were the sought-after higher-degreed "RN general clinical leaders". (There were clinical specialists, but they were rare MSN specialists who usually led/educated working nurses in various narrow specialty areas encountered in more general practice.) The last 2 BSN years were not focused on more clinical care knowledge and experience, but leadership, administration, public health, politics, budgets, advocacy, basic research, and nursing theory. Nursing field leaders wanted to make sure that 4-year college grads were taken seriously as having a well-rounded college education, so those prerequisites were beefed up for BSN programs. Their first 2 college years had more general college-level education, such as foreign languages and the arts. They often had FEWER clinical hours before graduation. In the meantime, ADNs/ASNs spent ALL of their time, nearly, working on clinical knowledge and getting residency hours before graduation. Sound familiar? Growing pains in both cases.) Unfortunately, some new DNPs will buy into the notion that the DNP is a higher education in actual "bedside" patient-care, rather than LEADERSHIP of clinical-practice/guideline/standards development. They may believe what the title says, and assume they are better-prepared. That's not the case in the vast majority of schools, especially schools that have popped up in the last 2-3 years and may not have a well-thought out curriculum. (That's just the truth of it. The exceptions are rare. The DNP is still worthwhile, because, ironically, it does tell the public that practice-focused nursing can also be a doctoral-level science, and does support those other aspects of APRN work...It's a work in progress. But it's rarely any help with early practice just yet.)
I'm interested in this career, Vanderbilt has a program where you can become a pych NP in 2 years even if your bachelors is in a non nursing field. Do yu think a prgram like that would work? I mean its Vanderbilt and thought of as a top program.
It's uncommon as most require at least 1-3 years of experience. But many community clinics cover outlying areas via telemedicine from an office in the on-site clinic, and you can gain experience in that way while you're getting the 1-3 years. New grads can get those jobs, which may be as much as 40% telemedicine (usually more like 10-20%).
Thank you Darby! I will sign up for that course! I'm about to pass the PMHNP board exam next Monday 04/26/2021!
You're welcome! Congrats, will be rooting for you
Congrats!!!!!!!🎊🎉🎈🍾
You’re living my dream: owning my own telepsych company. I will be there soon. Thank you for this video. It was reassuring!
Yes you are my living dream
Btw RN new graduate am
I supposed to start from med surge or er to get used to with body..first..
And then mental health..
My city has Mental Health ER is it going to be good place to learn body and brain all together ?
I want to become a psych np eventually..
I remember you saying you are in Cali, does that mean other psych NPs have more autonomy in “full practice states” like Oregon? AkA:They will be able to bill/make more?
About to enroll in the course now :)
Yes, other psych nps have more autonomy in independent states like Oregon! Yayy thank you, please let me know how you like it
Hey friend!! I’ve been watching you since I started school. I graduate May 2022 and telehealth is what I want to do. Thanks for all the great videos!
Me too! I finish my psych NP program in December but have an extra semester since I’m doing my DNP as well. 😃
I sure will consider this. Thank you for thr information
If you are working for yourself during Telepsych, my guess is you are busy talking to patients and as such don't have time to be answering the phone. Who answers the phone for your practice.
Thanks for the info Darby! Good to know! I’m working in your hometown these days😊
I will be taking the course as well closer to the fall next year
Awesome just did a project about this in class. thanks for the information
Thank you so much!😊
Thank you!!! I love this idea.
Thanks...considering doing this soon:)!
Hi, Darby. Where is your course listed?
it should be in my description but here it is also thepsychnpgroup.teachable.com/p/how-to-start-a-telepsychiatry-practice
Do you have any coupon codes now? Also what city do you practice out of?
How does it work with patients that need injections? Is it risky never seeing patients in person when prescribing medications?
what about phone calls? who is accepting phone calls?
Can you start a practice with a psych np masters degree? Or is a doctorate degree needed ?
You got me thinking Darby 🤫🤔
Great videos! Does the course offer a discussion board too?
Thanks for another great video! Would you advise against a new-grad PMHNP starting their own telepsych practice or should they gain experience in an established company first? I graduate from my PMHNP program in 1 year and there's some existing telepsych practices that I could potentially be hired by right after graduation. Should I start in these existing practices first while gaining experience and see how they run their practice, while potentially building my own client base?
There's a reason why the credible and established big telemedicine companies require 2-3 years experience before working with them. They know you will be isolated to your home or office, with no "coffee-pot consults" available. New grads need a learning environment that will teach you how much you don't know and what areas of ongoing learning should be the highest priority. (I'm not saying that onsite peers or mentors will necessarily tell you that or help you much; that's a residency! But if you are alert and honest, and listen, you will figure it out, ask questions, and spend the time--or not. Many never do!) I think you should get experience first, aiming for your planned care focus areas (peds, adult, inpatient vs. outpatient, etc.). Now that some schools allow entry without prior RN practice, let alone practice in the planned specialty area of nursing, this becomes even more essential. Not to be mean, and I know this is a touchy topic, but I'm firm on this: I would NEVER let a new grad (first year or 2) without prior RN experience in the specialty be my provider, unless I knew enough to prevent most big mistakes in my own care, AND they had an active, involved supervisor in the specialty. You don't know yet what you don't know, or how bad it can go, either. You won't have had that scary and humbling experience of your first RN year, which is where you learn how much there is left to learn, where to learn it, and how to recognize when you are in over your head. That's the main purpose of MD program's first year internship, too. Without that, you may have little idea of where your knowledge gaps are, and when you should be nervous, and/or seek advice. (See addendum below about the doctorate.) So: Find a mentor(s), which can be an experienced NP or PA. Many new grads never have that luxury, and some are too arrogant to know it would be good to have one. Very few formal physician collaborators and supervisors deliberately mentor. Some are not willing do do that even when the state essentially requires that they do. Those types co-sign charts, do the legal minimum (though not even that is guaranteed unless you insist) and that's all. So a real mentor is much more help. You will also (I pray) spend valuable hours reading and consulting others. Book learning just slows down, not ends, after a year or so. I mean days and weeks, even month's worth of hours the first 2 years (just like school, because this IS your remaining residency). Lots of free overtime at the end of your workday, when you are the last to leave; that's normal. Whenever you expand your focus outside your comfort zone, it's back to more time with the books and websites. If you are going to practice independently outside a multi-specialty group or clinic, consider finding an internal medicine (or pediatric) provider who will talk over questions that don't necessarily require referral but help make decisions and hone/maximize your treatment plan. (Return the favor.) Many never had those early-practice luxuries; they have extra gray hairs and may be still dream of that, years after graduation. Addendum re DNP--does it help you be ready to practice alone right away? NO. Maybe when DNP programs have more clinical hours and education, having that extra "residency" will help. In the meantime, the DNP won't add anything, and may make it worse because the hours of basic A & P, pathophysiology, etc., BSN/MSN clinical education will be slipping farther into the past, with no experience to anchor them and teach you what you still need to learn!. More hours ---not mostly population health, administrative, educational, advocacy, "clinical best practice development" focused hours are needed before a newly minted RN who is also a new APRN can be ready to practice. To be fair to themselves DNPs, should assume they know less than, not more than, an MSN who was an RN first. This was also true of BSNs when well into the 90s, they were the sought-after higher-degreed "RN general clinical leaders". (There were clinical specialists, but they were rare MSN specialists who usually led/educated working nurses in various narrow specialty areas encountered in more general practice.) The last 2 BSN years were not focused on more clinical care knowledge and experience, but leadership, administration, public health, politics, budgets, advocacy, basic research, and nursing theory. Nursing field leaders wanted to make sure that 4-year college grads were taken seriously as having a well-rounded college education, so those prerequisites were beefed up for BSN programs. Their first 2 college years had more general college-level education, such as foreign languages and the arts. They often had FEWER clinical hours before graduation. In the meantime, ADNs/ASNs spent ALL of their time, nearly, working on clinical knowledge and getting residency hours before graduation. Sound familiar? Growing pains in both cases.) Unfortunately, some new DNPs will buy into the notion that the DNP is a higher education in actual "bedside" patient-care, rather than LEADERSHIP of clinical-practice/guideline/standards development. They may believe what the title says, and assume they are better-prepared. That's not the case in the vast majority of schools, especially schools that have popped up in the last 2-3 years and may not have a well-thought out curriculum. (That's just the truth of it. The exceptions are rare. The DNP is still worthwhile, because, ironically, it does tell the public that practice-focused nursing can also be a doctoral-level science, and does support those other aspects of APRN work...It's a work in progress. But it's rarely any help with early practice just yet.)
Is this class still being offered? How can I sign up?
I'm interested in this career, Vanderbilt has a program where you can become a pych NP in 2 years even if your bachelors is in a non nursing field. Do yu think a prgram like that would work? I mean its Vanderbilt and thought of as a top program.
how many patients you see a day?
Does your course offer info on platform/software options as well? I've been thinking of starting my own practice, and this is exciting!
Yes, it goes over ehr options, telehealth options, and more. We go over a lot
@@LifeofaPsychNP awesome!!!
Is it possible to go into telepsych right out of NP school? Not necessarily my own practice, but a telepsych job in general.
It's uncommon as most require at least 1-3 years of experience. But many community clinics cover outlying areas via telemedicine from an office in the on-site clinic, and you can gain experience in that way while you're getting the 1-3 years. New grads can get those jobs, which may be as much as 40% telemedicine (usually more like 10-20%).
Would not recommend that
Is the course still offered? I'll like to take it
Will there be an opportunity to ask questions in the course?
Yes, you can email us personally at thepsychnpgroup@gmail.com and we will be more than welcome to answer questions or you can schedule a call with us
Thank you :)
I joined last night!
First to comment. 🙌
I live in CA
$400? Really
It’s a fair price. My friend paid for one that was $3000! And course material seemed very similar