As a new NP, did you do a residency program?

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We have very limited number of clinics that provide residency programs, so I plan on signing up to do Thrive AP (formerly known as MidlevelU) for a year as a novice NP. Has anybody done this program? What are your thoughts? 

For those of you who did not do a residency program, what was it that made you succeed and continue to thrive as an NP? I plan on doing primary care as an FNP. Thanks!

On 2/21/2021 at 1:47 PM, umbdude said:

I declined an offer to a residency. In my case, I didn't think that residency would benefit me that much and I simply had a better job choice.

I would add that not all residency programs are created equal, and not having a residency program doesn't mean you cannot have great training. The training I get as a new grad is pretty great; and in reality it's not all that different from a residency.

There's definitely a lot of "you don't know what you don't know." Having great supervision in the first year is crucial.

Delusion.

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New NP here, easily can admit that I feel overwhelmed at least a couple times a week. I spoke with someone from Thrive the other week, from the conversation I took away that this is all online, with modules to a given subject weekly, and ample time for discussion with the class. The thing that really gets my interest up is being able to learn from not just numerous experts but also from other new NPs. I really am just trying to figure out how to pay for it right now, my CEU allowance will only cover 1/3 the cost. Seems like this would be 100X better than the NP Program I just completed, so I’m sure the money will be worth it in the end.

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Specializes in Psych/Mental Health.
5 hours ago, Numenor said:

Delusion.

Just because you found residency helpful does not mean everyone else requires one. Sadly, throwing out an insult to my legitimate response to OP (I was not replying to your posts) showed that maybe the residency taught you some clinical skills, but not cognitive flexibility.

I ask that you either provide a professional counter to my post or simply agree to disagree.

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Specializes in ICU, Triage, Home Health, primary care FNP.
On 2/28/2021 at 1:11 AM, Numenor said:

Delusion.

Let's be kind to one another and stay professional please. Thank you!

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Specializes in L&D.

Even though I am not the OP, I found this thread helpful. I had an interview where it is expected that I would hit the ground running with a full panel. I don’t think I am ready for that and the support for transitioning NPs isn’t there. 

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Specializes in ICU, Triage, Home Health, primary care FNP.
On 3/12/2021 at 1:51 PM, Upgrading_Status said:

Even though I am not the OP, I found this thread helpful. I had an interview where it is expected that I would hit the ground running with a full panel. I don’t think I am ready for that and the support for transitioning NPs isn’t there. 

I’m sorry that has been your experience. I hope it has gotten better for you. I can only imagine how hard that could be 

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Specializes in Emergency, Cardiac, PAT/SPU, Urgent Care.

I don’t recall there being NP residencies when I graduated in 2009. As much as some people on here disagree with me, it was my previous ER nursing experience (10+ years) that helped and still helps me to this day feel competent as a FNP. I have seen the non-textbook presentations of numerous conditions and it was that experience that helped tremendously. So many people present to the ER with illnesses that can be managed as an outpatient. ER nursing is also an entirely different animal where you typically see the patient before the doctor does so you have to really hone in on the patient’s HPI to start the appropriate treatment protocols. I also tend to fall back on my ER nursing experience when a patient presents with much more serious issues than initially thought. Being able to think quickly on your feet is beneficial to any type of advanced practice provider.

The thing that I felt also helped the most was just really listening to the patient. You can get so much from just obtaining a good history. Showing empathy also helps in that the patient learns to trust you and they will typically share more info that is helpful to the history. 

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Specializes in MedSurg.
jensfbay said:

Thank you, Etoile. I'm glad you're doing just fine without having done one. I'm starting to get my cohort together and see if we could all sign up for ThriveAP as a group. How are you liking Pediatric Primary care? I'm an FNP and currently doing a clinical rotation in pediatrics. I was set on doing adults or geriatrics, but I did not know I would love this demographic!

Hi, did you end up doing ThriveAP? I'm trying to apply to some residency programs, but I'm not sure if ThriveAP is hands-on learning or just online courses. I don't know how this is helpful. If you ended up doing another residency program, did they require you to have NP experience beforehand? The organization where I work as an RN has a transition-to-practice program for the fall cohort for some of their sites. The director told me we would still have to go through the hiring/interview process and I may or may not get hired. She said it would help if I had some NP experience beforehand. Did that apply to you? 

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