Welcome to Health Care POV | sign in | join
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 22, 2016 8:37 AM by Renee Dahring of Career Coach

No one wants their dream job to turn into a nightmare. My recruiting days were spent listening to NPs who were frustrated and wanted out of their current position. Salary and benefits weren't the problem; the problem was literally the workplace itself. They told me stories of toxic workplace ...

August 17, 2016 8:45 AM by Mina Grasso of Aesthetics Practice Today

Fat bulging around the bra, in the front, back or around the arm pits, can be fashionably limiting to many women. This contributes to multiple wardrobe changes and frustration prior to an event. 

Lifestyle and genetics play a role in the way fat pockets are distributed in the body. Even people within their ideal weight have pockets of fat they can pinch and would love to eliminate or reduce. Bra fat happens ...

August 12, 2016 8:34 AM by Rebecca Bates of DNP Discussions

How much do you know about full practice authority (FPA)? As NPs, we have state and federal laws and regulations that govern our practice. As we prepare for fall elections and legislative sessions in the new year, we all need to consider our ability to practice to the full extent of our education and training.

I live in Virginia. If you look at the AANP State Practice Environment map (AANP, 2016), Virginia is a ...

August 8, 2016 8:55 AM by Renee Dahring of Career Coach

What's the first thing that comes in to your mind when I say the words "dream job?" I would venture to say your initial thoughts will go in the direction of pay, hours or perhaps location. If I gave you a few minutes more to ponder, you would likely add some other elements such as the patient population you will be serving, the number of patients you have to see per day and perhaps no call duties.

Now this is where ...


By Darrel Arthurs, ARNP, DCNP

Over the years, I have seen many people in the office asking about crusty Seborrheic keratosis (SK). These scaly, popular, bumpy growths occur on most people who are middle-aged or older. They are odd looking, with varying colors and configurations. Scale can come off them, and they frequently catch on clothing and get irritated. When I first started working in dermatology, ...

July 26, 2016 8:10 AM by Renee Dahring of Career Coach

A large and reputable healthcare organization in our community has recently added a footnote to all posted NP job openings, declaring they will no longer hire new grads from "certain programs." The excluded programs are not named, but you will find a very short statement that refers to "proprietary online" schools this employer feels do not meet the standards of their healthcare organization. 

I can't ...

July 20, 2016 8:19 AM by Mina Grasso of Aesthetics Practice Today

Psychological observational studies have consistently revealed that it takes only a few seconds to form an impression of a stranger from their facial appearance. Within a few seconds, impressions of personality traits and age are made.

Men and women with thinning hair or patterns of baldness are perceived to be older. Hair loss greatly impacts self-image, self-esteem, body image satisfaction and well-being. Hair ...

July 15, 2016 8:35 AM by Rebecca Bates of DNP Discussions

Have you thought about how you're using your DNP in your practice? As I write this, a small group of us from my DNP graduating class are finalizing our first state DNP conference. We recognized that we have a national organization, Doctors of Nursing Practice, but our state had no such networking organization. Over the past year, we have created ...

July 11, 2016 2:20 PM by Renee Dahring of Career Coach

There are some things you just shouldn't do during your interview. Negotiating is at the top of the list. If there is anything that will make you radioactive, it would be trying to pre-negotiate the duties or terms of the open position. Some career advisors will tell you if you can't find a position you like or that suits your interests, then you should apply for an opening that is somewhat like the job you ...

July 6, 2016 8:42 AM by Mina Grasso of Aesthetics Practice Today

Platelet rich plasma (PRP)  has been popularized in sports medicine by injured star athletes. PRP is used to augment the body's natural healing response. Supraphysiologic concentrations of platelet rich plasma are used to facilitate tissue repair, relieve symptoms of pain and improve function by modulating inflammation of injured tendons, ligaments and joints. 

Several fields of medicine, including wound ...

June 15, 2016 12:27 PM by Renee Dahring of Career Coach

Dear Career Coach: I need some coaching to help me find the right NP job. I graduated with my MSN in 2012 and am currently working, but I am having difficulty due to not getting what I needed in my graduate program. I am also a certified diabetes educator and would ideally like to combine my extensive experience in diabetes education with an NP role. I need a lot of guidance and clinical support in ...

June 7, 2016 7:41 AM by Mina Grasso of Aesthetics Practice Today

The aesthetic industry has catered primarily to women, but a growing percentage of men are entering the aesthetic world every year. Men are spending more money on their appearance, as evidenced by increasing sales of grooming products for men and a greater number of aesthetic procedures purchased by men. Age-related concerns, wanting to stay competitive in the professional world, relationships and social media drive ...

June 1, 2016 8:21 AM by Renee Dahring of Career Coach

As I follow legislative and policy issues I see a theme. I call it the "I'll have what they are having!" approach. In addition to working toward full practice authority, we put a great deal of effort into making sure that existing policy law is inclusive of advanced practice providers. We are making strides at the federal level toward securing the ability to order things like home health. Makes total sense. You would ...

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 ...



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.