Residency programs for NP graduates?

[bodango]

I am planning on going back to school for my MSN/ACNP or to a PA program.

I am very disappointed in the limited amount of clinical hours offered in the NP programs 700 or less as compared to the PA programs 2000 or more. Since I already have my BSN I would like to stick with the nursing education . My question is are there any post graduate NP "residency" programs available for more specialized clinical training? Any help would be appreciated.

[istat]

In my experience this has been a chronic problem with virtually all levels of nursing education/training. Your exposed to the basics. Then whoever hires you is supposed to provide on the job upgrading. This is OK to a point. But when your getting 600-700 hours of clinical, you just don't have the experience/exposure to really be up to speed. Hopefully the new DNP's will have a significantly greater level of time working the patient.

I'm a dual cert NP/PA. I did the PA emergency residency at LA County General as a PA. It was an additional (approx) 4000 hr clinical, along with about 400 hr specialty didactic plus modules, presentations to the residents, lectures. I was much better prepared after, along with being more efficient and proficient. Picking this up on the job would have taken many years and not been anywhere close to as standardized. It was one of the finest experiences that I had ever had (also damn near killed me-lol).

But please remember this. This is what worked for me. Not everyone has the same goals or needs. But nursing does need to start exploring the concept. (And for christ sake don't make it mandatory-we'll never get out of school).

[ghillbert, MSN, NP]

Recently heard about ACNP fellowship/residency in Texas: The Methodist Hospital - Dept. of Nursing

[Le-Lee_FNP, MSN, RN, NP]

also take into account that PAs have more clinical hours because they have to rotate through various specialties as they are generalists. NPs specialize in one focus area (family, peds, acute, care, psych, etc).

[kerrybamrick]

[color=#333333]hi. i’m the program coordinator for the nurse practitioner residency program at chc, that was referenced above in one of the earlier posts. our program is a 12 month, full time, salaried position intended for fnps who are committed to developing careers as pcps in the challenging setting of community health centers and other safety net systems. the program structure includes: precepted primary care sessions, specialty rotations, independent clinics and didactic sessions. we're starting to receive applications for four positions to the 2011-2012 residency class. the application deadline is april 1, 2011. if you want to know more, please drop me a note. you may also visit our website at www.npresidency.com

[nomadcrna, DNP, CRNA, NP]

You can work in surgery the same way PAs do as a FNP. You don't need to be a RNFA.

We have a few FNPs that work with the Ortho guys in the OR.

Ron

Cardiology uses nurse practitioners. To assist in the OR you are talking about RNFAs. That requires two years of experience as an OR nurse, 2000 hours of time in the job category, as well as writing an exam. Most RNFAs are not NPs.

You normally do not see cardiologists in the OR, only at some facilities where the AICD is implanted in the OR. Then they are there with the CV surgeon. But again, this depends on the facility.

Hope that this helps.................

[nomadcrna, DNP, CRNA, NP]

FNPs are the generalists, just as PAs are.

Ron

also take into account that PAs have more clinical hours because they have to rotate through various specialties as they are generalists. NPs specialize in one focus area (family, peds, acute, care, psych, etc).

[Annaiya, NP]

FNPs are the generalists, just as PAs are.

Ron

This isn't true for all states. It is my understanding that FNPs can only work in primary care in TX, therefore they could not work in the OR. I have a feeling that more states will start to follow this pattern as there are more NPs and more specialties.

[nomadcrna, DNP, CRNA, NP]

Actually, they are getting away from that model. See the consensus model the organizations have come up with.

Texas is one of the most restrictive states for a NP to practice in. I would avoid it like the plague.

[nomadcrna, DNP, CRNA, NP]

From a bit of reseach, it appears only Maryland and Texas place these limitations on FNPs.

I doubt many other states, at least in the west and north will do this as to many rural ERs are covered by FNPs.

Ron

This isn't true for all states. It is my understanding that FNPs can only work in primary care in TX, therefore they could not work in the OR. I have a feeling that more states will start to follow this pattern as there are more NPs and more specialties.