If you don't mind me asking - how long was your wife an RN before becoming an NP? What kind of RN experience did she have? Also, what kind of clinical rotations did she have? Did she arrange them, or did her school arrange them for her? Also, what kind of NP is she? As an FNP, I had clinical rotations in each separate component: Peds, family practice, internal medicine, women's health, OB and geriatrics. I wasn't placed at a family practice office for all of my clinical experiences hoping to see a little bit of peds or some OB (not saying that your wife was). I spent a whole semester (typically 3-4 days per week) in each specialty - for example: during my peds rotation I was with a PNP and a pediatrician - both in low-income urban clinics where I would see many different chronic and acute conditions. For OB/gyn, I was with an NP who worked for an OB/gyn group, so I had more than my fair share of different gyn issues as well as OB patients. I was also at a women's public health clinic in the city. I also spent two semesters with an internal medicine doc who had his own practice and also rounded on patients in a nursing home and in the hospital. While I worked as an RN in the ER, I would spend less busy nights going over labs/X-rays with the docs, or learning from them about the interventions they chose for various conditions. They always loved to teach and would graciously go over things with me if I asked.
When I mentioned to do your research, I meant to really look into the programs to see where the students do their clinical rotations, what their first-time pass rates are on the certifying exams, where their graduates have found jobs (and how long it took). Did many graduating NP students already have offers upon graduation? How many clinical hours are required for graduation? Do they only require the bare minimum to sit for the ANCC/AANP or do they require a lot more? These are answers you most likely WON'T find here on a message board. My 2 cents - if you are not already an RN, then consider going the PA route; if you are already an RN with several years' experience, consider the NP route. Best of luck with which ever you choose.