You couldn't have said it better. I currently have my MSN in Executive Leadership and I've been in on med-surg since I began my VA nursing career....going on 10 years. This whole proficiency stuff is a load of crap! Management and those that sit on the board always find way to promote their "buddies" who don't do much of anything but give the ones that work their a$$ for the facility a hard time. Prior to coming to the VA, I already had my BSN as well 4 years of nursing....I was brought in as brand new nurse basically. Had no idea b/c I was just excited to finally be at the VA, so I didn't put up a big fuss. I'm currently a NII L9....Now that I have my MSN, they're still giving me an even harder time to obtain my NIII. It's going on year 6! #uggh!!! Leadership sucks from the ACON for my service line all the way down to the managers and they don't want anyone to get ahead of them, which is horrible! If you don't mind, could you share your proficiency that got you your NIII? or just some tips would help me obtain my NIII...My email is firstname.lastname@example.org. Thanks in advance!