In my area, they are programs that have geared to doctorate nursing. A few have the BSN-DNP component where you get your MSN in a NP program, then proceed to the doctorate level. MSN programs have advanced patho, pharmacology, and assessment in them i.e. breast exams, pap exams, rectals etc...the "practitioner assessments"in their coursework.
This program I'm referring to has a 3 year-5 year completion time frame.
Historically, doctorate nursing has been in practice for decades. The Dean at my PN school was a doctorate since the 1980s, at that was in 2004 I went in my PN program. A CEO at one of the area hospitals I worked for was inspired to be a Dr because of his aunt who was a APN who had her doctorate. "They called her Dr.", he said, "she saw patients, took care of patients...if I figured out then she was a Doctor in nursing, I would have preferred to go that route instead of medical school!"
Most Drs in my area, desire for Medical School to be tailored like nursing school...if there are ones who have the insecurity of an NP, that is those particular Dr's issues. My metro area has been a driving force for research, technology and complex care, so the state has been pretty CRNP friendly and nurse friendly in broadening the scope of care. CRNP's have been writing prescriptions for years in my state, and recently adopted the authority to sign vital records. More is to come in the scope of CRNPs in my states and surrounding states.