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Discussion

ACNP program clinical rotations

starting Vanderbilt in the Fall but will begin the ACNP clinical component Fall 2011. I work in 18 bed MICU, 32 bed prog unit. Will do clinicals at Level I trauma center/teaching hospital- we can choose our preceptors or Vandy will arrange.

I would love to hear about the areas you did clinicals! Did you have both MD and NP preceptors?

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    Did clinicals in Internal Medicine, Cardiology, Emergency Medicine, and Pulmonary/Critical Care Medicine.

    Had a primary NP preceptor in all the above areas. NP preceptor supervised procedures such as suturing, lines. However, presented my patients to MD during rounds and discussed assessment and plan with the MD. Notes, H&P's, consults were signed by NP preceptor then attestation by MD (per hospital policy).

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    thanks for the reply Juan! How much time did you spend in each area? Were you able to choose the areas? When you started, did you have a pretty good idea of where you wanted to be after grad?

    How was the Internal Medicine arranged-did you round as a hospitalist/intensivist or on specific different floors under the IM "umbrella"- I'm assuming it was all inpatient?

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    I spent roughly 160 hours/1 to 1.5 months in each area. The program required that students pick an Internal Medicine rotation at least once. The rest we requested per our preference. The IM rotation is a Hospitalist Service with NP's and private practice attendings who cover Medicine patients in multiple floors. I didn't have a job lined up nor an idea where I would work after graduation which was the reason why I tried to diversify my clinicals as much as I could.

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