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4 hours ago, JohnGrisham said:

Except most of the NPs don't want to live their either. Hence why most very rural outposts are serviced by RNs of variable quality.   I don't like the concept of NPs having too much expanded scope just because its a very rural/isolated area, as then they start to say "well we do xyz in this place, why can't we do it in Scarborough?"

I also agree that scope creep could be a concern.

For the record, in my health region, we definitely have an easier time getting NPs to go to very rural small population areas than MDs. Part of it may be the fact that there aren't a ton of NP jobs around here so if they do want to work as an NP, they end up going to a very rural location. I'm sure the independence is appealing for them too. 

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