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For Nurse Practitioners: MSN vs DNP

I am trying to decide between MSN and DNP on the clinical side. Those that have gotten their MSN vs DNP how do you feel about your decision? #Spring25

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Martin’s Answer

I've opposed making the DNP a mandatory level since it was first suggested. While I think an extra year of clinical training, like an internship, would help everyone, that's not the focus of DNP programs. In my view, DNP programs were created mainly for schools to earn more money and keep certain educators employed. A big issue is that using the title "doctor" can lead to serious problems. If a patient mistakenly thinks you're a medical doctor, despite your explanations, you risk losing your license and facing lawsuits. This has happened many times. Other non-physician providers, like pharmacists and physical therapists, also have doctoral programs, but they usually use the title "doctor" less often than APRNs, and it doesn't seem to cause issues.

If you ask me, I'd recommend finding a master's program with extra clinical training over going for a doctorate. There are key differences between physicians and NPs beyond just titles. I'm an APRN and have pursued more education than any DNP program requires, but I wouldn't go back to school for a DNP. My degrees and experience have served me well for over 25 years, and before I semi-retired, I trusted my care and education over that of a DNP student, except for specialists. The extra time and money spent on a DNP aren't worth it once you start practicing. If you gain extra education and never use it, it doesn't make you a better provider.
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Robin’s Answer

Getting a DNP can open up exciting opportunities, like teaching at the university level. If I were younger, I'd definitely pursue it as a great way to transition into a new phase of my career. My MSN has been a valuable asset for 27 years, helping me achieve so much. Now that I'm retired, I look back with gratitude for all it has allowed me to do.
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