Nurse Practitioner Residencies

Specialties NP

Updated:   Published

nurse-practitioner-residency-share-experience.jpg.8dd6c9fc7f5eb45a6eb2b234902ddc1c.jpg

I am wondering; are there any current practicing nurse practitioners who have completed a residency/fellowship who would be willing to share about their experience? Thanks in advance!

Yeah my program Is designed for non RN s with a bachelors degree so you don't need any previous RN experience. Its Yale and they've been around for a while and is one of the top schools. There plenty of other programs like it. They also have a high success rate. Thanks for your advice. Am getting mixes advice I know at yale hospital the new NPs get a 6 month training which they told is like residency but with better pay do you think that could be helpful as well rather than residency if that didn't workout?

1
Up Vote Up Vote ×
7 hours ago, Seasea122 said:

Yeah my program Is designed for non RN s with a bachelors degree so you don't need any previous RN experience. Its Yale and they've been around for a while and is one of the top schools. There plenty of other programs like it. They also have a high success rate. Thanks for your advice. Am getting mixes advice I know at yale hospital the new NPs get a 6 month training which they told is like residency but with better pay do you think that could be helpful as well rather than residency if that didn't workout?

Yes most hospitals due some sort of entry training for NPs but it is no where close to a formal year long residency.

I don't know where you live but in my west coast city, new grads NPs are basically never hired to inpatient positions within the city itself. Nee to go rural or suburban.

I don't really know what high success rate means (board exam?), but I was a RN years (ICU for 3) and it was a HUGE learning curve for me when I became an NP. 600-700 clinical hours is just not enough training. Just keep open to moving and apply to every residency you can find.

1
Up Vote Up Vote ×
13 minutes ago, Numenor said:

Yes most hospitals due some sort of entry training for NPs but it is no where close to a formal year long residency.

I don't know where you live but in my west coast city, new grads NPs are basically never hired to inpatient positions within the city itself. Nee to go rural or suburban.

I don't really know what high success rate means (board exam?), but I was a RN years (ICU for 3) and it was a HUGE learning curve for me when I became an NP. 600-700 clinical hours is just not enough training. Just keep open to moving and apply to every residency you can find.

OK, thanks I'll do that for sure, I'll remain full time and try to work now and there to get some type of experience and apply for a residency afterwards. Am from the east coast, I know a lot of ppl who went to my program who work inpatient straight out of school, it could be because they have the YALE name on their resume, but who knows. Again thanks for your advice.

1
Up Vote Up Vote ×
17 minutes ago, Numenor said:

Yes most hospitals due some sort of entry training for NPs but it is no where close to a formal year long residency.

I don't know where you live but in my west coast city, new grads NPs are basically never hired to inpatient positions within the city itself. Nee to go rural or suburban.

I don't really know what high success rate means (board exam?), but I was a RN years (ICU for 3) and it was a HUGE learning curve for me when I became an NP. 600-700 clinical hours is just not enough training. Just keep open to moving and apply to every residency you can find.

We do close to 900 hours of clinical

1
Up Vote Up Vote ×
1 hour ago, Seasea122 said:

We do close to 900 hours of clinical

Even so it is not enough, my year long program was close to 4000 hours on top of my thousands and thousands of RNs hours. PAs do at least a few thousand, MDS have 15000-20000 hours. Being a student just doesn't carry the same weight. Keep on applying to residencies/fellowships.

Good luck, youll be fine. I am honestly not sure how your classmates did that, NP education in general does not prepare someone to function out of school unless they are HEAVILY supervised (I.e. they do they scut work and the MD signs the note). In a hospitalist role I don't really have much oversight so its all on me to not screw up.

2
Up Vote Up Vote ×
Specializes in Psychiatry/Mental Health.
On 4/6/2020 at 7:52 PM, Numenor said:

Even so it is not enough, my year long program was close to 4000 hours on top of my thousands and thousands of RNs hours. PAs do at least a few thousand, MDS have 15000-20000 hours. Being a student just doesn't carry the same weight. Keep on applying to residencies/fellowships.o not screw up.

4000 hours? That's almost 80 hours per week! How did you survive?

1
Up Vote Up Vote ×
Specializes in Psychiatry/Mental Health.

After graduating with my DNP I completed one of the PMHNP Residency programs at the VA (there are several: Boston, Sacramento, Salt Lake City, San Francisco, there are more that I can't remember, and more are being added every year). It was one of the best decisions I could have made to start my career. Each residency is a little different from what I understand and is determined by the site. It provided me with a year of on the job experience that was designed to give me exposure to multiple settings: multiple outpatient psych clinics, inpatient psych, psych emergency (to name a few); multiple patient populations within the VA: Transgender health, addiction programming; almost every setting I was in I was part of a multidisciplinary team of APNs, social workers, psychologists, and physicians; I was able to get a varied experience in prescribing, group psychotherapy, and individual psychotherapy; and there is a requirement for all sites to provide weekly didactic lectures. My VA had a wide range of topics from food/sugar addiction, benzo sparing alcohol withdrawal treatment, LGBTQ+ health, PTSD treatment, minority stress, (again this is just a few of the many topics); there are opportunities to teach with the university we are partnered with (e.g., one day presentations, or being a guest in a seminar on interview building skills). The amount of growth and knowledge I received in that one year alone. I am still learning so much. Every patient encounter is supervised and the the educators I had were adept at teaching learners.

There are also some pretty great perks too, you can get medical and life insurance, 13 days of vacation, 13 sick days, 11 paid holidays. You won't get to participate dental, vision, or the retirement during residency. Three is a significant amount of free training available throughout the year. Did I make significantly less than I would have if I went to work for a psychiatrist in a private practice doing nothing but prescribing adderall and ativan? YES! Did I gain experience that far outweighed that? Also, YES! When I finished the residency and became staff I got a significant raise and access to the full benefits package the VA offers (which is huge!).

There are residencies around the country, I think Mayo, Duke, Rush universities, and some community settings have them. The great thing about being at the VA is that if you graduate in one state you can still apply for a VA residency in any state because you only need one licence in any state. I graduated in Illinois, if I wanted to go to Mayo or Duke I would have to pass my boards, get my licence in IL, then apply for a licence by endorsement before I could start working. Depending on that state's board of nursing that can be a nightmare. Also, you can graduate and be eligible for licensure to start the VA residency. You then have 90 days to pass your boards and get your state license.

This might be an unpopular opinion--residency should be a requirement for NPs. Especially in states where full practice authority is allowed. (But that might be a different post)

7
Up Vote Up Vote ×
On 8/10/2020 at 3:44 PM, Psych-DNP said:

4000 hours? That's almost 80 hours per week! How did you survive?

I had literally no life for a year. We had the same schedules as resident MDs

2
Up Vote Up Vote ×
Specializes in Vascular Neurology and Neurocritical Care.
18 hours ago, Numenor said:

I had literally no life for a year. We had the same schedules as resident MDs

Same for 2 years but I'm sure you'll agree it was worthwhile!

3
Up Vote Up Vote ×
Specializes in Psychiatry/Mental Health.

Oh my!

My program was 40 hours a week, with required times for multidisciplinary seminars and didactic sessions (10 hours every week).

The MD residents don't even do 80 hours per week. However, they are covered by a union out here in California.

2
Up Vote Up Vote ×

I see that most of the discussion here is about ACNP residencies. Does anyone have experience with FNP residencies/fellowships? I am interested in applying, but am curious about how competitive these programs are, and what they're like?

1
Up Vote Up Vote ×
Specializes in ICU, Triage, Home Health, primary care FNP.
On 2/27/2021 at 12:36 PM, SN2751 said:

I see that most of the discussion here is about ACNP residencies. Does anyone have experience with FNP residencies/fellowships? I am interested in applying, but am curious about how competitive these programs are, and what they're like?

I am waiting to hear from one this week and will let you know. There are a couple of them in my area and are all reputable. I am an FNP student graduating in June. My plan B is if I don't get this residency, I will do a self-enroll with ThriveAP while working as a new NP.

Up Vote Up Vote ×
+ Add a Comment