雖然在台灣專師(NP)是一條辛苦又艱難的道路,而專師也是這幾年來才慢慢開始發展,雖然我們現在不能像美國一樣

可以執業的範圍涵蓋較廣,但是一點一滴的累積之下相信不久的將來也能夠朝向美國制度那樣發展.因為以現行的制度來說NP和PA好

像也沒甚麼不一樣,臨床PE,病史詢問,...........好像一般地RN都可以做的, 或許NP目前的角色會被歸於resident的功能取向,但NP應

該有自己的一套訓練方式 ,自己的思想信仰,這些都是需要在學校教育中去培養的,像台灣就是半路出家,並未像美國一項接受正規NP

教育,導致臨床上素質參差不齊,考照合格真能代表NP的適當性嗎?不合格真能代表不適合做NP嗎?或許現階段考試下只能靠這樣分

勝負吧!!

以下文章內容取自美國NP協會(AANP),大家可以參考美國NP的獨特性~~

There are over 125,000 nurse practitioners (NPs) practicing in the United States.(till 2007)

  NP Facts**
• Approximately 6,000 new NPs are prepared each year
• 88% of NPs have graduate degrees(研究所學歷喔)


• 92% of NPs maintain national certification
• 39% of NPs hold hospital privileges; 13% have long term care privileges
• 96.5% of NPs prescribe medications and write an average of 19 prescriptions/day(96.5%可開處方,平均每天開

  立19各處方)
• NPs hold prescriptive privilege in all 50 states, including controlled substances in all but 4
• NPs write over 513 million prescriptions annually
• The average full-time NP base salary is $81,060 across all specialties and settings

• Average full-time NP total income is $87,400(平均年收入87400美金, 約台幣260多萬~~~~)


 62% of NPs see three to four patients per hour; 12% see over five patients per hour
• 20% of NPs practice in rural or frontier settings
• 66% of NPs practice in at least one primary care site; 31% practice in at least one nonprimary
care site (such as inpatient, emergency, surgical, or specialty practice)
• Malpractice rates remain low; only 1.4% have been named as primary defendant in a
malpractice case(誤診比例低;誤診病患中只有1.4%為主要被告者)


 Average NP is female (94%) and 48 years old; she has been in practice for almost 9 years

as a family NP (41%)(美國NP還是以女性為主佔94%,平均48歲;有九年的家醫經驗佔41%)

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