I am an FNP working in Orthopedics. I have been an FNP in Ortho for 6 months now. Prior to NP school I was an RN on a joint replacement floor. We took care of mostly hip, knee and shoulder replacement post operative patients. Once I graduated I got a job at the Sports Medicine clinic where the joint replacement surgeons work. In addition to these guys there are sports medicine surgeons and foot and ankle as well as spine and hand surgeonns. Between the 17, yes 17 partners, they care for every body part! Needless to say I had and still have A LOT to learn. It's not impossible, but in NP school we learn how to care for common orthopedic injuries one may encounter in family practice. I mistakenly thought it was going to take some time to learn, but not a lot of time. Boy was I wrong! There's a completely different language in ortho. There are more things that can be wrong with one body part than I ever imagined. Just make sure you take advantage while in the ED to look at X-rays and collaborate the images with the radiology report and read some of the physicians notes for some good practice. Oh, and really pay attention to and review your A&P! Ortho is a specialty where knowing the actual names of the parts of the long bones WILL come in handy. Also, pay attention to muscles, tendons and ligaments, where they are and how they allow that body part to move. So, YES it's A LOT, but if you love it as I do, you won't let that discourage you. Just understand you will feel lost for a while in ortho even after you are practicing. Make sure you are hired by a very supportive practice. I've been pretty fortunate because my biggest resource is my boyfriend. He's an orthopedic surgeon. Good LUCK!!!