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Explaining to people what exactly you do for a living. Many patients dont know what a nurse practitioner does. People are familiar with the word physician but not the term practitioner. Therefore, they lack confidence at first when you say that you're a nurse practitioner.
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I work with NP's on a regular basis at a cancer center. Sometimes the patients depend more on the NP's than the physicians for emotional support. This can be a heavy load to carry for years on end.
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