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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.
August 26, 2015 7:41 AM by Renee Dahring of Career Coach

Demand for NPs or PAs to fill permanent or direct hire positions fluctuates wildly. In the past decade I have seen both boom and bust markets. The economy most directly drives the ability of employers to hire. During the recession we saw a marked decrease in the number of open positions. Healthcare organizations were feeling the squeeze of falling revenue because they were unable to collect on outstanding bills and consumers ...

August 18, 2015 10:31 AM by Mina Grasso of Aesthetics Practice Today

Aesthetic concerns of women go beyond the face and common body treatments.   Over the last decade the term "Mommy Makeover" has increased in popularity.  Going beyond that women have sought solutions to restore feminine youthfulness.   Many don't bother reporting issues because they have accepted it as part of the aging process. Others due to cultural reasons are horrified to consider discussion ...


By Darrel Arthurs, ARNP, DCNP


A literature review was conducted to determine, "What is the best biopsy method for pathology diagnosis of malignant melanoma?"

There are three types of biopsies that can be performed in the office, which will aid ...

August 12, 2015 8:05 AM by Renee Dahring of Career Coach

I am often asked why an employer would chose to hire a locum tenens or temporary NP or PA rather than just hiring someone for the position. Job seekers often are quick to jump to conclusions and assume that an employer is forced to seek temporary help out of desperation because they are not a good employer. This certainly can be the case but it doesn't happen as often as you might think. 

At first glance, ...

August 4, 2015 3:20 PM by Mina Grasso of Aesthetics Practice Today

Even among the healthiest women 75-85% suffer from the unsightly appearance of cellulite. It can even be seen in young teens and even infants. The cause of cellulite is not fully understood. It is virtually non-existent in men due to the thickness and structure of skin as influenced by male sex hormones. Some common theories include the following: poor circulation, herniated fat cells, water retention, fibrosis of connective ...

July 29, 2015 8:16 AM by Renee Dahring of Career Coach

New grad NPs usually have a pretty specific idea in mind of where they would like to work after graduation, especially those who come out of a program that emphasized primary care. After all, you have spent the last two to three years learning how NPs are the solution to the primary care shortage so now you are excited to get out there and increase access! And many of you ...



July 21, 2015 9:47 AM by Mina Grasso of Aesthetics Practice Today

The new buzz in advanced permanent eyebrows is modern microblading micropigmentation also known as 3D Eyebrows, Eyebrow Embroidery or Feathering. Microblading is one of the oldest techniques used for cosmetic tattooing. In the last few years advanced modern tools have been developed making this technique a very sought after procedure that promotes a natural appearance.    A small pencil-shaped hand instrument ...

July 15, 2015 8:23 AM by Renee Dahring of Career Coach

If I want information about you the first place I turn to is the internet. This is where I will find out what you didn't tell me in your resume or interview. You might be surprised what I can learn with one quick Google search. 

My first stop is going to be your social media page(s). As your potential employer I want to see what image you are projecting to the world. Why? If I can find you so can your ...

July 7, 2015 12:29 PM by Mina Grasso of Aesthetics Practice Today

Stretch marks can be found on various parts of the body including the abdomen, thighs, hips, breasts, and arms, behind the knees, flanks and low back. Both men and women at different ages can develop these stretch marks.

Stretch marks can present differently depending on the skin type. They can range in color from white, silvery, pink, red, reddish purple to dark brown. Stretch marks usually appear more pink ...

July 1, 2015 7:34 AM by Renee Dahring of Career Coach

I have devoted a great number of my blogs to the information that potential employers expect to see on your resume. But it might not matter that you include the right things when only one or more of the wrong things could cast a shadow on all your good efforts. And when I say "wrong" I mean information that runs the gamut anywhere from useless and pointless all the way to "I want to stop reading this resume now." Yes, ...

June 23, 2015 2:08 PM by Mina Grasso of Aesthetics Practice Today

The "liquid facelift" has been an innovative answer to the demand for a rapid non-surgical way to enhance and rejuvenate the youthful volume that has diminished with aging. Over the last decade this has been accomplished with various fillers, neuromodulators like Botox and biostimulators that encourage growth of one's own skin components.

The "liquid facelift" has allowed us to understand and teach our patients ...

June 17, 2015 10:03 AM by Renee Dahring of Career Coach

Once you have graduated it is only natural to want to get out there and start working in your new role as soon as possible.  

I happen to believe that it is better to take your time. I mentioned in an earlier blog that a year after graduation most NPs will either have quit their first job or be thinking about quitting their first job. I won't go into the reasons for this again today but will refer you ...

June 9, 2015 10:22 AM by Mina Grasso of Aesthetics Practice Today

Men and women often complain of disliking their profile due to their undesirable "double chin" or fullness of their neck due to submental and submandibular fat deposits under the chin or jawline. This condition is usually associated with genetics, aging and/or weight gain. It may be seen in patients within their ideal weight. The appearance of neck convexity or fullness negatively impacts these individuals, and they ...


By Darrel Arthurs, ARNP, DCNP

Psoriasis is an autoimmune disease of chronic, recurrent, inflammatory plaques affecting the skin. Circumscribed, dry, scaling, erythematous plaques of various sizes characterize it with a fine white colored scale over the surface. The condition favors the scalp, nails, and extensor surfaces of the limbs, umbilical region and sacrum. The condition usually develops slowly ...

June 1, 2015 1:01 PM by Fawn Workman of First Year NP

Well, it's been a long time since I have had the opportunity to write a blog. I've been busy with a shoulder surgery on my dominant side! Nothing like some slings, PT and lengthy recovery to make my transition into my first job- and move across state- nice and smooth.

Seriously, though, I have had excellent results so far with my shoulder. My physical therapist is a shoulder guru. I have newfound appreciation ...

May 27, 2015 4:07 PM by Renee Dahring of Career Coach

Admit it, when you hear the word "recruiter" you cringe a little. Every year recruiters place thousands of NPs and PAs in great jobs, but those aren't the stories that you hear.  Like the plane that didn't crash successful job placements aren't likely to make the news.  Instead your colleagues will regale you with tales of recruiting nightmares.  I was a recruiter for years (and did a mighty fine job!) ...

May 26, 2015 10:15 AM by Mina Grasso of Aesthetics Practice Today

Warm weather brings out more revealing outfits that show off arms, the décolleté/cleavage, back, legs and midriffs. Patients are becoming more aware of sun protection, skin care and anti-aging measures for the face, but many times stop there. The chest or décolleté/cleavage accumulates sun damage over a lifetime, and blotchy mottling, discoloration with brown spots, redness, veins, skin texture irregularities, fine lines ...

May 13, 2015 10:52 AM by Renee Dahring of Career Coach

Let's review a few basic details about recruiting agencies and what using a recruiter means to your job search. 

Recruiters are hired and paid for by the employer. The majority are hired on a contingency basis and are compensated only after they find a candidate and that candidate is hired by the employer. As a job seeker, you benefit from this arrangement because you are not required to pay anything for the ...

May 12, 2015 11:39 AM by Mina Grasso of Aesthetics Practice Today

Beauty of the upper face can be enhanced significantly using non-surgical techniques with neuromodulators and tissue fillers. Since the FDA approval of Botox for frown lines over a decade ago, patients have been well aware of the benefits of neuromodulators to improve the appearance of frown lines, crows feet and horizontal forehead lines. Typically patients think primarily of using neuromodulators to enhance the ...

April 29, 2015 8:15 AM by Renee Dahring of Career Coach

This week let's have a look at what is currently going on in the NP job market. Whether you are graduating this spring or looking for a new job there are few things happening that could have an impact your job search. 

My sources in the industry are telling me that while jobs are plentiful, so are the number of applicants for each job. I am assured that for every open position there is no shortage of ...

April 28, 2015 9:04 AM by Mina Grasso of Aesthetics Practice Today

For several months, we have been offering a minimally invasive skin tightening procedure called ThermiTight injectable RF that allows us to tighten skin of the jowls and neck, upper arms, abdomen, knees and thighs. This device uses the ThermiRF radiofrequency platform for various applications with unique real-time precise thermoster controlled mircro-invasive and non-invasive treatments.

The most recent application ...


AAD Board Members:

The National Academy of Dermatology Nurse Practitioners (NADNP) has reviewed the announcement of the American Academy of Dermatology's (AAD) DermCare Team program. We do not support this initiative, which requires the direct supervision of NPs in order to belong to the "DermCare Team." This restriction of dermatology NPs' practice comes without any formal research or statistics that support ...

April 15, 2015 9:16 AM by Renee Dahring of Career Coach

Okay new grads, let's talk about references.  If you are graduating soon and looking for your first job you are probably wondering who you should choose to be your references. 

Who makes the best references?

In order to choose the persons who will provide the best reference we must first understand ...



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.