Additional certifications for NPs

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there has been a debate about ancc vs. aanp for certification. currently both are recognized by states and medicare. so are ncc and pncb

in the past few years there have been new np post professional certifications creeping into the world. these require post graduate experience which is a good thing. however most are not accepted by states or medicare.

ones i know include:

oncology- accepted by some states and medicare

hospice- accepted by medicare

urology- not accepted that i know of

orthopedics- not accepted that i know of

dermatology- very new not accepted that i know of

nephrology- not accepted that i know of

diabetes- through ancc not sure if states will recognize it

i am wondering if there needs to be a change in eligibility to sit for these exams. this could work great into the residency idea but some require 500 hours experience some require 1 or more years work experience.

does any one have an understanding on how these new certifications attempt to be accepted by states or medicare?

jeremy

there has been a debate about ancc vs. aanp for certification. currently both are recognized by states and medicare. so are ncc and pncb

in the past few years there have been new np post professional certifications creeping into the world. these require post graduate experience which is a good thing. however most are not accepted by states or medicare.

ones i know include:

oncology- accepted by some states and medicare

hospice- accepted by medicare

urology- not accepted that i know of

orthopedics- not accepted that i know of

dermatology- very new not accepted that i know of

nephrology- not accepted that i know of

diabetes- through ancc not sure if states will recognize it

i am wondering if there needs to be a change in eligibility to sit for these exams. this could work great into the residency idea but some require 500 hours experience some require 1 or more years work experience.

does any one have an understanding on how these new certifications attempt to be accepted by states or medicare?

jeremy

the medicare addition of hospice nursing puzzles everyone. it doesn't meet any of the requirements that the sbons put out. as far as i know its not recognized by any state so you still cannot bill since you need to be within your states scope of practice to bill.

generally the certficications that you listed all have the same problem. they allow someone to become certified without going through a specific program of didactic and clinical training. most of them allow an np that has practiced within the field for 500 hours to test. generally to be accepted you have to have a formal course of didactic instruction and then a period of supervised clinical education under the auspices of an educational program. the major np domains have this. the ones that are not recognized do not. the oncology np is kind of the bastard child. there are oncology np programs that fulfill the requirements but the oncology np certification also allows nps to certify without going through a formal didactic program. also if you look at most of the programs they actually issue an anp:oncology np. this has led to problems getting certified in some states since they do not complete the full domain of the anp. in addition there is not public representation on all of the certification boards and some of them have less than full independence from their respective bodies.

as has been discussed in other threads in reference to lack of trust by state bons that the certifying are properly monitoring the students and lack of a consistent accredidation program to make sure that programs are following all the rules. almost all states have a mechanism to add additional certifications. however, none has really met the criteria.

as usual tx has model rule making on this:

http://www.bon.state.tx.us/practice/pdfs/apn-xmrvcrfl.pdf

look on page 2

david carpenter, pa-c

there has been a debate about ancc vs. aanp for certification. currently both are recognized by states and medicare. so are ncc and pncb

in the past few years there have been new np post professional certifications creeping into the world. these require post graduate experience which is a good thing. however most are not accepted by states or medicare.

ones i know include:

oncology- accepted by some states and medicare

hospice- accepted by medicare

urology- not accepted that i know of

orthopedics- not accepted that i know of

dermatology- very new not accepted that i know of

nephrology- not accepted that i know of

diabetes- through ancc not sure if states will recognize it

i am wondering if there needs to be a change in eligibility to sit for these exams. this could work great into the residency idea but some require 500 hours experience some require 1 or more years work experience.

does any one have an understanding on how these new certifications attempt to be accepted by states or medicare?

jeremy

the ancc is now allowing np's with experience in geriatrics to take the gnp exam. however, even though a np may be certified by the ancc, they will have to graduate from a gnp program in order to get licensed/recognized as a gnp in the state of tx.

i graduated from a dual anp/gnp program and the tx board of nursing made me choose between the two, even though i'm certified by the ancc in both. however, i heard that they are considering accepting the anp/gnp dual programs in light of the fact that few students are entering into geriatrics b/c of the age limitations. i guess i'll just have to wait, until then i can't list gnp after my name in this state.

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