So you want a challenge, eh? You want that "extra push"? Not sure how challenging it'll be to buy an NP degree from a 100% online, for-profit diploma mill program. May we suggest the challenge of four years of medical school, followed by a 5 (or more)-year general surgery residency where you work 80+ hours a week instead? Oh, and you want to work full-time while doing school? My my my. Have you ever heard of a medical student working a full-time job while in medical school? Say what you want about student loans, but they exist for a reason. How can you expect to be taken seriously in medicine - let alone surgery - when your idea of education and training is to "work full time while doing school [online]"? Get real.