I had a similar problem in my community. We were in desperate need of a diabetic educator, yet to become certified I need 1000 teaching hours. I solved the problem by convincing my hospital to let me teach free classes and free one on one sessions. It gives them a way to advertise to the community and in the process cut down on useless ER visits, and it give me practice and hours. I am just getting started, but the hours quickly add up. I just do it two days a week and continue my regular staff nurse position part time as well.