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Welcome to the ADVANCE for NPs & PAs blogs, part of the Healthcare POV: Blog and Forum Community from ADVANCE. Our blogs offer posts covering timely questions, advice and opinions about nurse practitioners and physician assistants, including career issues, education information, and help for new and student NPs and PAs. A list of our most active posts keeps you abreast of the latest discussions. We tag posts by topic so you can easily find posts that interest you. You can also edit your profile to make it uniquely your own to interact with your colleagues on the blogs. We look forward to hearing your voice.
October 29, 2014 3:43 PM by Julie Schreiner of DNP Answers

In August 2013, California's SB 491 bill - which would allow full practice authority to California nurse practitioners - failed to get out of the Assembly Appropriations Committee. Senator Ed Hernandez took to the stand and fought for the SB 491 bill. Unfortunately, it was turned down and unable to advance in the Committee due to the strong opposition from the California Medical Association who spent over $1.2 million ...

October 29, 2014 3:11 PM by Renee Dahring of Career Coach

Time flies and memory fades. Remember that Seinfeld episode where the character lost one old piece of information in order to make room for every new piece of information learned? At least I think it was Seinfeld, I can't remember for sure...

I'm sure you have all had the experience of filling out a job application and found yourself struggling to recall specific dates. Most of us can remember an event, but ...

October 23, 2014 2:11 PM by Debra Shelby of Dermatology Practice Today

I always compare the "language" of dermatology to visiting a foreign country: if you don't speak the same language, you stand out to people as an outsider. It's the same with using the correct terms when practicing dermatology. Describing lesions and rashes has its own terminology. It is imperative to learn the language of dermatology if you want to practice the specialty, but it also important even if you are in a ...

October 22, 2014 1:48 PM by Walton Reddish of DNP Answers

Ultimately, it is the job of the nurse to ascertain the wants and needs of the patient and, if legal, fair, and feasible, meet those wants and needs. In other words, find out what the patient wants (or needs) and give it to them. That job does not change as we move into advanced practice and the DNP is faced with that same task. The challenge comes when the patient can't or won't follow the treatment regimen that ...

October 16, 2014 10:27 AM by Amy Gouley of Dermatology Practice Today

This 41-year-old navy pilot patient presented to our clinic stating his wife says a mole on his nose is changing. The lesion appeared in the man's mid 20's along with some "uneven skin" on his forehead. The patient denies pain or discharge but does report the nose lesion enlarging when he is in the sun. 

A punch biopsy was performed in two locations to confirm a Nevus Sebaceous and rule out a Basal Cell ...

October 15, 2014 12:49 PM by Keischa Cash of DNP Answers

Well I have told you about everything that I have gone through at the place where I work. I've been battling for recognition and respect, but when it came down to it I realized it was happiness that I wanted - a place where I could enjoy my profession and the patients I serve without any drama. Sadly, after many hard fought battle, this was not that place.

I have embarked on a new mission. I have left my previous ...

October 15, 2014 11:54 AM by Renee Dahring of Career Coach

CAUTION! You could be one status update or tweet away from losing your job. 

Now that I have your attention, I would like to remind everyone that what you choose to share on social media can have a negative impact on your employment. We live in an age where we are more connected than ever so you need to think carefully before you hit the "post" button. One of the most seductive things about social media ...

October 14, 2014 4:32 PM by Kimberly Cray of Aesthetics Practice Today

Just like one pair of jeans may fit someone perfectly, the chances of that same pair being right for the next person that walks through the door are, well, pretty much zero

One of the most important factors in considering an aesthetic treatment is what it will do for your skin. The same treatment that helped a friend may or may not be the best treatment for you. I can't tell you how often people ...

October 9, 2014 4:26 PM by Debra Shelby of Dermatology Practice Today

COMING SOON!  MAY 11-16th, 2015. Registration will be open in November 15, 2014!

Course fees: $2,850* includes course texts and materials, membership for 1 year, NADNP annual dermatology conference registration, basic procedures and wound care workshops.
*Does not include: transportation, hotel, flights, or meals.

Location: Sheraton Sand Key ...

October 8, 2014 2:56 PM by Deanna McCarthy of DNP Answers

"Epidemiology" and "Health Indices of Urban Populations": these are the names of the two courses I am taking this semester. At first, I thought, What does this have to do with being an DNP?

I am learning that it has a lot to do with being a DNP. You need to know what is happening in the health of the community around you so that you can be prepared to take care of that community. This message could ...

October 8, 2014 1:12 PM by Renee Dahring of Career Coach

Here are some sure ways to sabotage your next position while job hunting:

  1. Applying for a new job until you are clear about what it would take for you to leave your present job. Employers hate fishing expeditions. Before you start sending out applications ask yourself what it will take for you to make the move. Is it salary or schedule? What exactly is it that you want to change? Before you submit ...

October 7, 2014 3:23 PM by Mina Grasso of Aesthetics Practice Today

Wardrobe frustrations and an endless search for the perfect bra, spanx or other compression material to conceal fat bulges around the bra go on. A particularly challenging fat bulge is the anterior and posterior axillary fat pad area (armpit fat). This fashion-limiting issue is something that many patients often demand a solution for.

Injectable RF (radiofrequency) using a procedure called Thermi-Tight may be a ...

October 3, 2014 11:06 AM by Deonne Benedict of DNP Answers

Since I seem to have lost a host of readers last post in my discussion of what we can learn from history, I will proceed with... more lessons from history. Never fear, I expect the next couple posts will be about nurse entrepreneurship, which seems to garner more enthusiasm. 

As philosopher George Santayana said, "Those who cannot remember the past are condemned to repeat it." Until more recently, I would suggest ...

October 1, 2014 4:04 PM by Julie Schreiner of DNP Answers

When I became a nurse practitioner, I was overwhelmed with the amount of information I had to retain from school. On top of that, keeping up with the most up-to-date research to support my clinical practice was hard, too. Now, as a Doctor of Nursing I am overtaken by the amount of research, policy updates, world news and continuing education I must maintain in order to sustain my credibility in this position. How ...

September 30, 2014 12:51 PM by Rachel Matson of NP & PA Student Blog

Ladies and gentleman, I need a vacation. As term two of my NP journey comes to an end, I realize that I have spent way too much time on work and school. While I'm happy with my 4.0, my brain has that fuzzy, fried feeling. The kiddo is showing signs of neglect (or at least his laundry is).  Hubby is claiming he doesn't remember what a meal tastes like that didn't come from the crockpot.

I have decided going ...

September 24, 2014 10:46 AM by Walton Reddish of DNP Answers

For many DNPs - and nurses in general - politics and policy making are important tasks best left to someone else. As clinical nurse leaders, however, who is better suited to shape help medical policy than the DNP? Nurses are already well placed in various government agencies and organizations, but the grass root effort is often lacking (Milstead, 2013). For the most part, DNPs are experienced clinicians with years ...

September 23, 2014 4:16 PM by Johanna Golston of NP & PA Student Blog

In my last blog post I described the tests, StrengthFinder 2.0 and Emotional Intelligence 2.0, and shared my personal results from these tests. Today I would like to introduce you to the book, Leading with Soul: An Uncommon Journey of Spirit by Lee G. Bolman and Terrence E. Deal. ...

September 22, 2014 12:41 PM by Katrin Moskowitz of First Year NP

One year ago I was offered the wonderful opportunity to blog for ADVANCE for NPs & PAs. I was unsure if I would be able to provide any words that would be beneficial to the community, as I was having a hard time even thinking of myself as a practitioner. One year later, many things have changed.

I enjoy going to work every single day. The challenges and learning opportunities continue to occur on a daily ...

September 19, 2014 3:05 PM by Amy Gouley of Dermatology Practice Today

Last week I was fortunate enough to participate in my fourth CareHarborLA event. The CareHarbor free clinic is held annually in the fall at the Los Angeles Sports Arena.

This four day event is offered to ...

September 19, 2014 2:01 PM by Renee Dahring of Career Coach

Proceed carefully when considering a position with a new clinic or practice that is not yet open or established, especially if the clinic is embarking on a "non-traditional" or "new healthcare model." Jobs like these can turn out to be the best thing you ever did or the biggest nightmare of your career. 

The sales pitch for these types of jobs can be intoxicating. Owners or investors are obviously excited ...

September 19, 2014 12:46 PM by Keischa Cash of DNP Answers

Sometimes being the first of your kind is exciting, and sometimes it can be daunting and confusing. When I received my DNP I felt empowered, but I did not know where I would find my niche in an organization where there were no other doctoral-prepared NPs or PAs. My niche became a satellite clinic where I am the sole provider for health services to clients between the ages of 2 and above. I have a supervising physician ...

September 15, 2014 3:28 PM by Caroline Pilgrim of First Year PA

For the past couple weeks, I have been catching myself in the middle of an encounter and realizing, "Wow, I know what I'm going to do for this patient." I tell them their diagnosis, call in their scripts and make a solid follow-up plan. I walk out of the exam room and wonder, "So is this what being a PA feels like?"

Maybe, but then ten minutes later there's a COPD, CHF patient with some strange neurologic ...

September 10, 2014 11:28 AM by Debra Shelby of Dermatology Practice Today

Recently, I received an evaluation from one the registrants criticizing the NADNP's President's Party given each year at the annual conference. While I feel that I do not need to defend what we do at the conference, I did want to address what I feel is the bigger issue. Each year, NP education is supported by vendors who make it possible for free student registrations, low registration fees, meals, speaker support, etc. ...

September 10, 2014 10:48 AM by Deanna McCarthy of DNP Answers

BSN nurses are getting DNP degrees. What do you think about this? Personally, I am not happy about this fact. I have had my BSN since 1987 and my MSN since 1992. I don't think that a nurse who has had their BSN for only 5 years should be getting the same degree, a DNP, as I am getting when I complete this program.

In trying to rationalize this to myself, I understand that the BSN students have to go ...



The ADVANCE for NPs & PAs blog offers analysis of and links to NP and PA professional issues and current healthcare events.

Share the trials and triumphs on the journey from rookie new graduate to experienced PA.

By reflecting on her own experiences as a PA student, Jenna hopes to reach others interested in the day-to-day life of a PA student.

Share the trials and triumphs of the journey to becoming an experienced NP.

If you're looking for your dream job or just want to know what's out there for NPs today, start here with the expert advice of nurse practitioners who specialize in placing NPs in good jobs.

This blog will highlight the latest technical tools that can be used in clinical medicine as well as tools for teaching clinical medicine in an academic setting.

DNPs and DNP students will share their experience with the doctor of nursing practice.

Read about new technologies that affect you in daily practice.

What are the latest trends in aesthetics? Our bloggers share their insight and experiences in this growing specialty.

Interested in dermatology or challenged by skin presentations in your practice setting? Dermatology Practice Today examines issues in skin care and skin disease.

NP and PA students have a clear voice here. Find out what your student colleagues are experiencing in their programs. Feel free to post comments and questions to add to the discussions.

This new NP will share the ups and downs of her first year in practice.

Share the excitement and nerves of the first year on the job with this new physician assistant.

The Politics of Healthcare covers the latest developments in healthcare policy and legislation.