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Paradigm Challenge  /  Economics

Giving nurse practitioners more independence is backfiring: they're actually choosing shorter degree programs and spending less time in school.

We usually assume that increased professional responsibility requires more education. However, once a master's degree is legally sufficient to run a private practice, the extra years required for a doctorate become an unnecessary expense with no additional career return.

Original Paper

Occupational Autonomy and Human Capital Investment: Evidence from Nurse Practitioner Practice Authority Reforms

Kihwan Bae

SSRN  ·  6351539

Regulatory reforms can permanently change the economic returns to education. This paper studies whether individuals adjust costly educational investments when regulatory reforms durably alter occupational autonomy and earnings. I examine staggered adoptions of full practice authority (FPA) laws for nurse practitioners (NPs), which increase legally defined job autonomy and expected returns to NP training. Using institution-level data on graduate nursing degree completions, I find that FPA increas