Who has transitioned from inpatient to specialty?

[Alicia777, MSN, NP]

Hi all.

I'm in the midst of transitioning from an inpatient surgical NP position (which has unfortunately turning into less operating time and into a ICU role) to a urology clinic position which will be a huge raise, a normal M-F schedule and the benefit of only working for one urologist who I know from my hospital. He is willing to train me and is aware I have no outpatient urology experience. I will be the first (and only NP) for his practice that he has up until now, managed alone. He has told me I will get the least acute and he will be in the office 3/5 days...

 

Those who have followed the inpatient NP to outpatient NP path, any tips? I'm extremely excited about this opportunity but at the same time I have anxiety about being a sole midlevel provider in the office and not fulfilling his expectations.

[Tegridy]

Id just ask him the most common 10-20 topics that will pop up in clinic frequently and read up on them from a more brief urology text/ uptodate. 

 

specialty work will be less familiar to you but pleasantly less broad and probably much less info over all to juggle around in your head. Having inpatient experience will with workflow overall help but it’s just different information so it will be new to you for a while. 
 

elevated PSAs, bladder dysfunction (neurogenic bladder etc) and hematura would probably be my first three topics to read on. Then chronic prostatitis and chronic male pelvic pain. And BPH. and bladder and prostate ca. And I guess kidney stones and stuff
 

 

then just a lot of follow ups from turps and cytoscopies I don’t know the specifics on that part though. 
 

 

[Corey Narry, MSN, RN, NP]

I actually have also transitioned to another role albeit still in acute care. I did look into out-patient specialty practice but ended deciding it's too drastic of a change.  I have worked in Critical Care Medicine for over 15 years and the schedule has started to wear me down though I still absolutely love the mental challenge the field offers.  I am now in Adult Cardiology with a daytime only schedule but still exclusively in the in-patient setting.  I am still working for the same institution so pay is exactly the same.  I have some learning curve in terms of discharge planning and care coordination which wasn't a role I'm familiar with but I'm sure it will work out.  OP, I think you can handle it.