Nurse Practitioner Residencies

Guest1144461 · Apr 9, 2021

23 hours ago, jensfbay said:

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.

Hold out for a real residency. I checked Thrive out, its a joke and cash grab. A real residency is 80-90 hour weeks for a year training alongside MDs and residents. Not half *** "live" seminars with a 2 day suturing and chest xray reading session...funny how they don't post pricing publicly as well.

riverforever, MSN · Jun 4, 2021

Hi!

I am trying to choose between the new grad FNP residency at UC Davis and the residency with the community health center of New York city in Queens. I am wondering if anyone has experience with either program and is willing to share their experience!

Thank you!

SanDiFrangles, RN, NP, CNS · Aug 21, 2021

So going against the grain here …

I looked into a ACNP residency for close to a year, and applied to a bunch but never heard back, so I started applying for a staff NP positions and got offered three positions. I’m about six months into my role now and feel comfortable and don’t regret not attending a residency or fellowship.

In my role, its a pain management consult / perioperative service, see patients on my own, bill and practice independently, so it’s a bit different then what I trained for in school which was mostly working in ICUs and with the hospitalist and surgery teams. Although we have anesthesiology attending as resources, most of the time they like prefer to be independent and so they can focus on the OR cases.

My background is 13 years as a ICU nurse in academic medical centers and 3 years as a critical care CNS, but initially still have issues with time management as one would expect. I think for me is truly being on my own and being confident in my plan is the hardest part since as a new grad you tend to second guess yourself a lot. Maybe a residency or fellowship would have helped with that, I’m unsure. But I had a decent three month training and I felt good to go when I was done with that three months. Still obviously have lot to learn, I saw 26 patients yesterday writing notes until 9 pm and that was a little rough, but overall I feel like I’m on solid footing.

MentalKlarity, BSN, NP · Aug 22, 2021

7 hours ago, SanDiFrangles said:

So going against the grain here …

I looked into a ACNP residency for close to a year, and applied to a bunch but never heard back, so I started applying for a staff NP positions and got offered three positions. I’m about six months into my role now and feel comfortable and don’t regret not attending a residency or fellowship.

In my role, its a pain management consult / perioperative service, see patients on my own, bill and practice independently, so it’s a bit different then what I trained for in school which was mostly working in ICUs and with the hospitalist and surgery teams. Although we have anesthesiology attending as resources, most of the time they like prefer to be independent and so they can focus on the OR cases.

My background is 13 years as a ICU nurse in academic medical centers and 3 years as a critical care CNS, but initially still have issues with time management as one would expect. I think for me is truly being on my own and being confident in my plan is the hardest part since as a new grad you tend to second guess yourself a lot. Maybe a residency or fellowship would have helped with that, I’m unsure. But I had a decent three month training and I felt good to go when I was done with that three months. Still obviously have lot to learn, I saw 26 patients yesterday writing notes until 9 pm and that was a little rough, but overall I feel like I’m on solid footing.

Your 13 years of experience made a HUGE difference in transition to practice. For newbies with less experience a residency makes more sense. Glad you're feeling so competent already and congrats on the great job!

Guest1144461 · Sep 9, 2021

On 8/21/2021 at 2:37 PM, SanDiFrangles said:

So going against the grain here …

I looked into a ACNP residency for close to a year, and applied to a bunch but never heard back, so I started applying for a staff NP positions and got offered three positions. I’m about six months into my role now and feel comfortable and don’t regret not attending a residency or fellowship.

In my role, its a pain management consult / perioperative service, see patients on my own, bill and practice independently, so it’s a bit different then what I trained for in school which was mostly working in ICUs and with the hospitalist and surgery teams. Although we have anesthesiology attending as resources, most of the time they like prefer to be independent and so they can focus on the OR cases.

My background is 13 years as a ICU nurse in academic medical centers and 3 years as a critical care CNS, but initially still have issues with time management as one would expect. I think for me is truly being on my own and being confident in my plan is the hardest part since as a new grad you tend to second guess yourself a lot. Maybe a residency or fellowship would have helped with that, I’m unsure. But I had a decent three month training and I felt good to go when I was done with that three months. Still obviously have lot to learn, I saw 26 patients yesterday writing notes until 9 pm and that was a little rough, but overall I feel like I’m on solid footing.

I mean I am not trying to be an *** but I was a CCU nurse for years and it didn't help me a lick in a hospitalist role where the learning curve is high. I would say for your specific role, which is kind of algorithmic in many ways, no specific fellowship or residency is needed.

I just know my hospital won't touch an NP unless they have serious hospitalist experience or did a fellowship/residency.

Bluefamily, MSN · Nov 7, 2021

On 4/8/2021 at 2:03 AM, jensfbay said:

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.

It's been a while since you posted. What did you find out? I'm interested in the ThriveAP program as well.

jensfbay, BSN, DNP · Nov 7, 2021

I fortunately got into a residency program, so I’m in the middle of it right now. It’s tough but im learning so much! Good luck on your future endeavors

Sun1 · Nov 7, 2021

36 minutes ago, jensfbay said:

I fortunately got into a residency program, so I’m in the middle of it right now. It’s tough but im learning so much! Good luck on your future endeavors

That is great. Congratulations! Can you please share what type of residency is this? Also, what makes it tough? schedule? exams? Can you please share your typical day? Thanks!

Seasea122 · Nov 7, 2021

I applied to so many and didn't get in, any one in particular, should I keep trying or should I just look for a job

Tegridy · Nov 7, 2021

On 9/9/2021 at 1:12 AM, Numenor said:

I mean I am not trying to be an *** but I was a CCU nurse for years and it didn't help me a lick in a hospitalist role where the learning curve is high. I would say for your specific role, which is kind of algorithmic in many ways, no specific fellowship or residency is needed.

I just know my hospital won't touch an NP unless they have serious hospitalist experience or did a fellowship/residency.

Hospital medicine is so broad its insane. I feel a lot of people think if they can do ICU they can do anything, but they forget the ICU is a pretty narrow niche, even if the stakes are higher and patient’s are sicker. Then again when we rotate through the ICU most of the nurses are very valuable and super helpful.

It’s just hard to get good at things without actually doing the things in general.

On 3/8/2019 at 6:07 PM, Neuro Guy NP said:

I completed one in Vascular Neurology and Neurocritical Care. Incised lectures during the week, clinical immersion, and rotations through neuro ICU and other ICUs, stroke, ER, and made me more marketable and command a higher salary. Hands down the best decision I ever made coming out of school. Even though for the duration of the program how was making what resident physicians made, it has more than paid off now that I am in the real world practicing.

If only the neuro NPs where I work did the same most of them are worthless

MGMargolis · Dec 16, 2021

Does anyone know of sample Personal Statement essays for NP residencies, or have any advice as to how they should be approached?

Guest603994 · Dec 28, 2021

On 8/10/2020 at 4:49 PM, Psych-DNP said:

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)

@Psych-DNP I was hoping to pick your brain about your acceptance into the VA residency program. What did you experience look like before? Are you a veteran? I’d love any information. I’m originally from CA and before spending time applying to all of these residencies and planning to uproot my family to another state, I’d love to weigh my chances! Thanks in advance!