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.
January 21, 2015 8:46 AM by Walton Reddish of DNP Answers

Morrison and Furlong (2013) identify the four major ethical theories - nonmaleficence, beneficence, autonomy and justice - and apply them to healthcare. It is the ethical responsibility of the provider to ensure that these principles are upheld, regardless of the work load or stresses of the office practice.

  • Nonmaleficence: The first thought in any provider's mind has to be to prevent ...

January 21, 2015 8:03 AM by Renee Dahring of Career Coach

Are you becoming frustrated because you have been applying for jobs and don't receive any response? Does it seem that even though you have all the right qualifications that your applications are still unanswered? 

Time to take a look at your tactics. 

Here are 3 reasons that recruiters will ignore you and your resume.

  1. You submitted a generic resume. Resumes are not "one ...

January 20, 2015 9:08 AM by Mina Grasso of Aesthetics Practice Today

Botox/Dysport: Neuro-modulaters Botox and Dysport have been around more than a decade and used prior to FDA approval for cosmetic purposes in some clinics. It became the WOW of the practice. By relaxing specific muscle groups, a person's muscle groups, they can appear happier and refreshed.

Tissue Fillers: Volume replacement has played a major role in helping one to look 10+ years younger. ...

January 20, 2015 8:58 AM by Fawn Workman of First Year NP

One night last week I applied to a position that said "FNP/ PA needed in Virginia- Family Practice! New Grads Welcome!" The next day I received a reply: they are no longer considering new grads. False advertising, huh? One recruiter for a large hospital system completely missed my appointment. And yet another hasn't returned my emails lately.

I've read a great article by Barton and Associates, which can be found ...

January 14, 2015 8:07 AM by Keischa Cash of DNP Answers

Transitioning into specialty practice has been rewarding. The passion for what I do feels like it has been rejuvenated, especially in the clinical setting in which I am working in. What I still find most challenging is the battle between being seen as a specialist and having the confidence of one given my minimal experience in dermatology. I mean I took care of patients with dermatologic needs as a primary care provider, ...

January 7, 2015 9:19 AM by Renee Dahring of Career Coach

It's 2015 and do you know where your professional membership status is? 

This year it will be more important than ever to get involved with your local and national organizations.  This past year marked the beginning of healthcare reform in the USA.  Love it or hate the Affordable Care became law.  As you may have noticed, the focus was almost entirely on enrollment numbers.  Getting people ...

January 6, 2015 8:23 AM by Mina Grasso of Aesthetics Practice Today

Patients frequently forget what they look like after aesthetic procedures. It is critical to have photos of patients before and after procedures for documentation to protect you and the patient. It is difficult to prove clinical improvement without proper imaging.

Over the years as more practitioners perform aesthetic procedures they appreciate the value of high quality professional photographs with user-friendly ...

January 5, 2015 10:28 AM by Fawn Workman of First Year NP

Happy New Year! I hope you had a great holiday season filled with the warmth and love of family and friends.

A few months ago, a physician friend told me that a prophet isn't accepted in his hometown. Basically, he meant that it would be hard transitioning from the role of nurse to nurse practitioner in the eyes of those who knew me as the former. I think this translates outside the medical community, too.

I ...

December 23, 2014 10:49 AM by Julie Schreiner of DNP Answers

With the push for doctoral-level nurse practitioners, one of the major questions has been should NPs have to take an extended certification exam in order to be recognized as a Doctor of Nursing. This topic is highly controversial because most practice-based professions that have a doctoral degree do not required an extended certification in order to practice (i.e. physical therapists, pharmacists, etc.) Unfortunately ...

December 23, 2014 10:41 AM by Renee Dahring of Career Coach

With all that is going on in the world it can be easy to forget there are a lot of good things that happen every day. One of the ways we can count our blessings starts with being grateful to others. Every one of us have people in our life who have supported us in one way or another in our career path. Maybe it was an encouraging word that helped us through a rough day. Maybe they shared a clinical tip or a piece of advice. ...

December 22, 2014 9:56 AM by Fawn Workman of First Year NP

The deadline for this blog snuck up on me. The last two weeks of my personal life have been very, very busy, and Christmas is just around the corner.

Since my last blog posting, I have found out that I was not accepted for the second fellowship position, either. This was very disappointing to me, as I felt the interview went well and I was a good match for them, too. But, there must be something else out there ...

December 18, 2014 9:56 AM by Mina Grasso of Aesthetics Practice Today

  1. Greet patients warmly with a smile as they enter your place of practice. Acknowledge them as soon as possible even if you are on the phone or helping another patient. First impressions are created within seconds.
  2. Greet patients on the phone as if they see you smiling.
  3. Acknowledge the patient by his/her name while you are on the phone or in person.
  4. Make eye contact ...

December 11, 2014 3:31 PM by Renee Dahring of Career Coach

I've conducted many interviews over the years and can tell you that nothing sinks an otherwise successful interview faster than the candidate who asks no questions. Many candidates seem to feel it is acceptable when asked if they have questions to answer with "no, I think you answered them all". Really? You want to commit to spending most of your waking hours in my workplace and you can't think of one thing to ask ...

December 11, 2014 3:29 PM by Keischa Cash of DNP Answers

Since changing from primary care to dermatology I have noticed there are a lot of basic skin issues that primary care providers overlook, and cannot correctly diagnose or properly manage in practice. Some examples are stasis dermatitis, psoriasis, tinea and candida infections, and actinic keratosis. Did you know stasis dermatitis is a result of uncontrolled edema? Or that treating psoriasis with oral prednisone can ...

December 9, 2014 2:52 PM by Kimberly Cray of Aesthetics Practice Today

A common aesthetic concern among patients is scarring. Surgical scars, acne scars and scarring from burns are among the most frequently treated scars.     

It is important that patients understand that genetics, as well as skin type and ethnicity, play a large role in wound healing and scar formation. Also, certain areas of the body tend to heal much better, and faster, than other areas. An ...

December 8, 2014 1:54 PM by Fawn Workman of First Year NP

December 2nd. It is currently 2:20 pm, one day after when we were told we would find out who got into the second fellowship I applied to and interviewed for. The date changed at least once - at first we were told we would know by the Monday before Thanksgiving, and then it was changed to December 1st. This is the fellowship I interviewed for the day before I took (and passed!) my boards.

I ...

December 2, 2014 3:46 PM by Mina Grasso of Aesthetics Practice Today

As we get into the holiday spirit, we find this time of year to be a bit busy in the clinic and challenging with the patient that we see. Media and advertising many times underplay social downtime. Although some patients don't mind letting others know what they had done, others prefer not to have to answer questions or make excuses for redness, bruising or swelling.

During the holidays some patients take advantage ...

November 28, 2014 9:11 AM by Amy Gouley of Dermatology Practice Today

Preparing for this week's Thanksgiving feast and the arrival of numerous family members has consumed my every thought for the past week. Finally, everyone is napping and I have a free moment to reflect on things that I am thankful for.

How many people are thankful for their career as a NP/PA? I absolutely love my job and feel enormous gratitude toward the profession of mid-levels.

November 26, 2014 11:54 AM by Julie Schreiner of DNP Answers

Last weekend I went to a fantastic pediatric conference and one of the talks was on preceptoring and how to be successful as a preceptor. During this talk they also gave a plethora of encouragement for NPs to become preceptors and asked those that had been preceptors to raise their hand...only about a quarter of the room raised their hand. This lecture together with the experience of working with a local NP organization ...

November 26, 2014 11:21 AM by Renee Dahring of Career Coach

Careful -- how you answer this could make or break your job prospects. 

Obviously, if you are looking for a new job you have put a great deal of thought into your decision. I'm sure if I asked you to list your reasons you would have plenty. But will a potential employer find your reasons as compelling as you do? 

When explaining to an employer why you want a specific job, you must keep ...

November 26, 2014 10:51 AM by Kimberly Cray of Aesthetics Practice Today

I couldn't help but notice that a PA colleague of mine had a beautiful display on her medical suite counter.  No frilly flowers or fancy vases.  This was a simple, yet chic, display of a vibrantly modern grass.  Yes, you read correctly. Grass. Not only did this look pretty, it was pure genius.

I soon learned from her that SkinMedica concocted a brilliant skincare educational tool, "The ...

November 24, 2014 12:04 PM by Fawn Workman of First Year NP

I'm not sure how to describe my experience of taking national boards. Maybe I should just explain. This is by no means my endorsement of my methods. For one thing, I'd recommend more study time.

I passed a predictor exam about a year ago. After passing my school's comps, I listened to review courses CDs as I drove, and spent some time in my review and quiz books. But I didn't do a live review course, or spend ...

November 20, 2014 10:10 AM by Debra Shelby of Dermatology Practice Today

I received a call from a nursing home staff nurse who stated that this patient "suddenly had blisters appear on the right forearm, wrist to elbow."

For those who have been in practice for a number of years, every now and then you get a patient who is a poor historian and getting a past history is impossible. After three years practicing in the nursing home and assisted living facilities, I have become accustomed ...

November 19, 2014 10:33 AM by Walton Reddish of DNP Answers

As healthcare providers and patient advocates, we are often faced with convincing our charges that a change is needed. Human nature is to resist change. Most of us settle into familiar routines in our lives and jobs and, no matter how inefficient or unhealthy our routines may be, we are very reluctant to disrupt the flow of our conventions. It is the responsibility of the provider to coax the individual toward healthier ...

November 18, 2014 5:16 PM by Mina Grasso of Aesthetics Practice Today

The current treatment of choice for androgenic alopecia (AGA) involves surgical hair transplant, use of Minoxidil and/or Finasteride. For those patients who do not want to undergo the expense and process of hair transplantation, they opt to have more conservative, less invasive treatments.

We have been performing LLLT for over a decade to treat hair loss for men and women. LLLT has been proven to promote hair ...



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.