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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.
May 20, 2016 10:02 AM by Mina Grasso of Aesthetics Practice Today

Hair loss can be devastating to both men and women, affecting self-esteem and self-confidence. Various genetic and environmental factors can cause hair-loss.  Environmental factors may include chemotherapy, diet & nutrition, stress, hormonal shifts and autoimmune disorders and various illnesses due to imbalances.

Treatment options can be found from "magical" topical lotions and potions, prescription medication ...

May 18, 2016 9:21 AM by Rebecca Bates of DNP Discussions

As I reflect over the past legislative session and more recently over my past week as I met with each of my bosses and collaborators as well as legislators and other elected officials, I thought I would share a helpful communication tool I learned while completing my DNP.

As we learned about organizational development and self-reflection on our behavioral tendencies, we also learned strategies for communication, ...

May 18, 2016 9:04 AM by Renee Dahring of Career Coach

We are halfway through 2016 and I figured you might be ready for a little market update. Let's look at a few trends.

Market Strength

Generally speaking, the job outlook remains quite strong. There are plenty of job openings and most folks seeking a job will likely land a position in a reasonable amount of time. However, even in a strong market you shouldn't get the idea that jobs are super ...

May 10, 2016 9:25 AM by Mina Grasso of Aesthetics Practice Today

Athletic men often look older than their peers the same age due to facial volume loss. Some men with wrinkles between their brows and across their foreheads are often mistaken to appear angry or stressed. Volume loss under the eyes and mid face creates a "tired look." After hundreds of dollars spent on skin care products, men can appreciate some skin quality improvement, however, comments on appearing angry or tired, ...

April 27, 2016 3:34 PM by Renee Dahring of Career Coach

I have been hearing the "B" word in relation to advanced practice more frequently lately and it's beginning to worry me. Not because burnout is new, it isn't, we have been talking about burnout for years, but usually in the context of how we can fill the void of physicians deciding to leave practice. In fact, if we are completely honest, physician burnout has probably indirectly been a benefit to our profession. Remember, ...

April 26, 2016 9:51 AM by Mina Grasso of Aesthetics Practice Today

Men are becoming more focused on their appearance. This is especially true for those in a work environment where younger, equally qualified attractive males make for a more competitive arena. As a result there have been an increased number of male visits to online aesthetic websites, including online review sites of surgical and nonsurgical procedures. 

Going to the gym is no longer just a place to workout, ...

April 13, 2016 8:15 AM by Renee Dahring of Career Coach

Dear Career Coach: I am a new graduate and recently had a preliminary screening interview for an NP position. I met with one of the providers and the interview generally went well, I liked them and they liked me. After the first interview I compiled a list of about 15-20 additional questions I would like to ask about the position. Now I have received an invitation to have a lunch meeting with a few of the other ...

April 12, 2016 9:25 AM by Mina Grasso of Aesthetics Practice Today

With the desire for aesthetic enhancement, there are many that have contemplated a surgical procedure called rhinoplasty. Rhinoplasty is one of the most popular plastic surgery procedures. However, some patients are not willing to undergo a surgical procedure with fear of pain and the downtime of redness, bruising and swelling. The cost of surgery prohibits others.

A non-surgical nose job, an alternative to surgery, ...

April 6, 2016 8:38 AM by Rebecca Bates of DNP Discussions

In Virginia, our Legislative session ended two weeks ago. We have made some subtle progress in our move to full practice authority, but we still have many challenges. Our task is now to regroup and to plan a path forward in preparation for the next legislative session.

Nurses at all levels should be prepared to engage in healthcare policy and advocacy.1 However, nursing is under-represented in our political ...


The National Academy of Dermatology Nurse Practitioners and the American College of Dermatology Nurse Practitioners are pleased to announce our new collaboration with the National Institute for Dermatology (NID).

In response to the needs of our national NP and PA communities, we have joined forces with NID to bring you comprehensive dermatology education that is convenient for you. We will be traveling to states ...

March 30, 2016 7:35 AM by Renee Dahring of Career Coach

I am often asked for pre-interview advice, especially by new graduates. It's natural to worry about interviews, but new grads feel extra anxious.  They want to impress, but feel a little like they won't measure up because they have no work experience yet. 

Let me try to help alleviate some anxiety with this quick inside advice about interviews. 

First of all, the interview is as much about ...

March 29, 2016 7:50 AM by Mina Grasso of Aesthetics Practice Today

When seeking rejuvenation, patients usually present with multiple concerns on various parts of their face. Rejuvenation around the eyes is what I like to start with. The eyes reflect personality and character of an individual. It is what engages individuals verbally and nonverbally. The eyes are the focal point of beauty. 

Changes in the skin, fat and bone contribute to the aging appearance of the peri-orbital ...

March 16, 2016 8:18 AM by Renee Dahring of Career Coach

The answer is "a definite maybe." 

I was approached after a resume writing talk I gave by a soon-to-be graduate. Seems he had a dilemma.  He told me he had applied for a job and was fairly certain he would be offered the position.  Right about now you are probably wondering "how is this a dilemma?" Many new grads would love to be in his shoes 3 months before graduation.  A job offer is ...

March 14, 2016 2:12 PM by Mina Grasso of Aesthetics Practice Today

Fashion surrounds and influences our everyday life. Advertisements in magazines and commercials featuring fashionable clothing, jewelry, clutch purses, hair, makeup and more, which draws attention to the beauty of the part of the body that shows off these items.

Beauty and fashion go hand in hand. Makeup and photo editing can enhance images of the body part displaying the fashionable product. Thousands of dollars ...

March 9, 2016 10:12 AM by Rebecca Bates of DNP Discussions

Have you ever wanted to be part of something bigger than yourself? Have you ever dreamed of changing the world? Advocating for health policy that directly affects the health of individuals and communities as well as our profession is one of the easiest and most important ways to do this.

Earlier this week, I spent a day advocating on Capitol Hill. I met with the staff of my senators and representative in Congress ...

March 7, 2016 2:55 PM by Mina Grasso of Aesthetics Practice Today

Body shaping procedures continue to increase in popularity. More options are becoming available for various parts of the body. However, it is becoming more complicated and confusing to consumers. 

One of the most popular aesthetic procedures that patients are seeking is Coolsculpting. Coolsculpting is a state of the art procedure using cryolipolysis that permanently destroys unwanted fat buldges such as the ...


By Darrel Arthurs, ARNP, DCNP

Last month, we discussed basic skin care and some of the over the counter treatments available for the eczema patient. In this blog I will discuss more treatments available as well as topical treatments, which can be helpful getting a more severe condition under control.

Wet Wrap Therapy

A patient with a significant flare or a very recalcitrant ...

February 24, 2016 8:43 AM by Renee Dahring of Career Coach

Dear NP Career Coach: I am having difficulty with my cover letter. I am an NP who graduated in 2007 and became ANCC certified in 2013. As a nurse I have worked in many care environments and I have also held several leadership jobs such as nurse manager and clinical leader. I am determined now to transition into NP practice. I have recently taken a NP Practice Update and Pharm update. How do I find the balance ...

February 17, 2016 10:19 AM by Rebecca Bates of DNP Discussions

As we move through the legislative session in Virginia, I am reminded that there are multiple sides to each issue. As an APRN, I have worked in "green" states with full practice authority (FPA) and "red" states with restrictive practice regulations. The uphill battle to gain FPA in Virginia is constantly blocked by the Medical Society of Virginia and other groups who perceive the push for FPA as a threat to their income ...

February 16, 2016 12:10 PM by Mina Grasso of Aesthetics Practice Today

Treatment of brown spots is the most common condition patients inquire about during a consultation. Appropriate assessment and diagnosis of what the patient calls "brown spots" is essential to developing an appropriate treatment plan.

Brown spots may include but are not limited to:

  • Birthmarks
  • Freckles
  • Brown patches
  • Melasma
  • Moles
  • PIH (post ...

February 10, 2016 2:47 PM by Renee Dahring of Career Coach

Dear NP Career Coach:  I am considering doing a locum tenens assignment. I have over 2 years of experience as a NP in urgent care where I treat some very high acuity patients. I am wondering what you think is a reasonable hourly rate? Can I also ask for all expenses such as travel, rental car, food, etc. to be paid? What about CME?

Dear Job Seeker:  Your hourly wage will really depend on ...

February 4, 2016 11:18 AM by Mina Grasso of Aesthetics Practice Today

It is exciting to reflect back over the past 20 years on the evolution of non-surgical aesthetics in our practice.   Non-surgical aesthetic procedures now address fine lines, wrinkles, volume loss, irregular pigment, loose skin, veins, tattoo and hair removal, scar reduction, body contouring for fat and cellulite. In our practice we have incorporated bio-identical hormones and sexual health now to include vaginal ...


By Darrel Arthurs, ARNP, DCNP

This month some of the treatment options available to the nurse practitioner in treating atopic dermatitis (AD) will be reviewed. One of the cardinal features of AD is dry skin or xerosis. Using topical moisturizers reverses this dryness of the skin by increasing hydration.

Over the years a number of clinical trials have concluded topical moisturizers lessen ...

January 27, 2016 9:25 AM by Renee Dahring of Career Coach

Are you graduating this spring? Now is the time to identify your references. Before you begin your search for your first job, fill out an application or send out your first resume you should know by now who you plan to use as your references. Actually, let me go a step further, you should also have confirmed with them whether or not they are willing to be a reference for you. 

New grads often put off creating ...

January 19, 2016 8:18 AM by Mina Grasso of Aesthetics Practice Today

Skin quality improvement can be accomplished in a variety of methods. Skin is the first line of beauty. It is one of the first clues to our age and general health. Skin hydration, reflection of light, tone, texture, pigmentation, fine lines and wrinkles can be addressed with specific therapeutic, cosmeceutical and prescription skin care ingredients to enhance the health of the skin. Combined with laser and light ...



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

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.

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

NADNP serves as a resource and supports all NPs with an interest in dermatology.