Physician Opinions BSN vs ADsThe survey found that although the majority of surveyed physicians feel that nurses with a BSN are more competent than those with an AD, Sermo.com physicians reported that they often aren’t aware of the educational background (BSN, AD, or Diploma) of the RNs with whom they work closely. Demonstrated skill and knowledge, compassion, efficiency experience and work ethic are valued more by physicians than years of nursing education and caliber of nursing school.