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ADVANCE for NPs & PAs Blog

Calling All NPs & PAs!
March 27, 2015 12:06 PM by Michelle Perron
 ADVANCE for NPs & PAs is searching for bloggers to write on a variety of topics! If you or someone you know likes to write, is able to work well under deadlines, and has creative ideas, consider joining our community.

We are currently looking for nurse practitioners and physician assistants to contribute to the following blogs:

  • NP & PA Student Blog: This blog discusses the issues and experiences common to students who are learning the skills necessary to practice as nurse practitioners and physician assistants. It is a great place for students interested in sharing their academic journey.
  • First Year NPs & PAs: Did you just begin your career as an advanced practitioner? Then this is the blog for you. It is the perfect forum to share your insights as you navigate your first year of practice.
  • Dermatology Practice Today: This weekly blog is designed to keep you up-to-date on the practice of dermatology. We need expert bloggers to share their experiences, insights and innovations about skin care and skin diseases.
  • DNP Discussions: Focused on the doctor of nursing practice, this blog provides insight on the many issues surrounding the degree. Have you earned a DNP or are in the process of doing so? This is your chance to offer advice and opinions as well as share your own experiences as a doctorally prepared practitioner.

If you're interested, please send your basic information, credentials and two or three topic ideas to Catlin Nalley at

We look forward to hearing from you!

Thanks for Your Feedback!
April 25, 2014 9:37 AM by Michelle Perron
It's been about one month since we sent the first issue of Nurse Practitioner Perspective to the printer. In my editorial in that issue, I invited readers to share their thoughts about this magazine, which we hoped would stand out as a unique resource for NPs and DNPs. Your feedback tells me that we hit the mark:
  • Congratulations on the inaugural issue ofNurse Practitioner Perspective! I received it in the mail today and have already read it. It is excellent, with very time-appropriate content for our profession!
  • I thoroughly enjoyed reading the inaugural issue ofNurse Practitioner Perspective. It was chock full of invaluable information. I look forward to future issues.Again, thank you for the sending me this wonderful resource, which I feel will be a great addition to my monthly reading.
  • I am happy this magazine has been instituted. There is a wealth of information we can contribute to the profession from our daily administrative, clinical and academic perspective and practice. We are all facing several challenges in the current healthcare market of today. Those challenges need to be shared and disseminated to our colleagues and other healthcare professions. We must work together in order to achieve the ultimate goal: One Health.I am very impressed and excited for the future of this magazine.
  • This publication looks great, congrats. Thanks for listening to and responding to your readers.
  • Looks great! The publication is colorful, interesting, and informative. Good job!
Thank you for taking the time to write to me about the inaugural issue. We're putting the finishing touches on the May/June issue and it will be arriving in your mailboxes and on our website around May 15. It contains articles on adding revenue streams to your practice, favorite mobile apps for NPs and how to 'break up' with a problem patient. Please keep those comments coming!
Are You Less Safe?
July 8, 2013 1:51 PM by Kelly Wolfgang

Below, ADVANCE blogger Scott Warner, MLT(ASCP), discuss safety of hospital workers. Have you ever felt threatened in your work environment? Share your comments with us below.

"According to NIOSH (the National Institute for Occupational Safety and Health), healthcare workers are exposed to violence at a rate of 8.3 nonfatal assaults per 10,000 workers annually. Studies show that violence may occur when service is denied, a patient is involuntarily admitted, or when limits are set on drinking, tobacco use, etc.

OSHA (Occupational Safety and Health Administration) has a workplace violence online tool to help identify these violence hazards, including performing a violence assessment, training, and developing a prevention program. Some of the tips also refer to the environment e.g. safer furniture arrangement.

The threat of violence is chilling. CNN reported in 2010 several incidents: a gunman critically injured a doctor at John Hopkins before killing himself and his mother; a man broke a chair and used one of its legs to beat a nurse at a NY hospital; a gunman opened fire in a trauma room in North Carolina; a man dissatisfied with his mother's treatment killed two employees before being shot by police. "Hospitals are pressure cookers as people are often distressed, mentally disturbed or intoxicated by drugs or alcohol in a highly stressful environment," the article stated.

Whatever the cause, I don't remember this being as frightening a reality when I started working in hospitals. If it had, I might have chosen a different profession! More and more, it seems that hospitals are not safe to work in -- certainly not for emergency department nurses.

While much of the documented violence in healthcare happens to direct care staff, ancillary and support staff are no less vulnerable. Anyone in contact with patients, visitors, or family members is at risk. Active shooter situations, bomb threats, and increased risk of violence in a community all make our hospitals more dangerous.

But are we less safe? I wonder. If I leave my house unlocked for twenty years without a robbery and suddenly I'm robbed and assaulted, the incidence of violence has suddenly increased, but I have always been unsafe. The increase in hospital violence has made us all more aware of our safety."

 Editor's note: This post was written by Scott Warner for ADVANCE for Medical Laboratory Professionals.

AANP Conference Heats Up Las Vegas
July 2, 2013 12:01 PM by Kelly Wolfgang
It wasn't the 100 degree weather that had Las Vegas hot this June - it was the American Association of Nurse Practitioners Conference, held at the Sands Expo and Convention Center.

More than 5,500 NPs gathered in Sin City for the first-ever joint event of the newly formed American Association of Nurse Practitioners - the combined effort of the American Academy of Nurse Practitioners and American College of Nurse Practitioners.

The conference's highlight event was an interview with Larry King. The television icon sat down with the infamous Loretta Ford, PNP, FAAN, and Jan Towers, PhD, NP-C, to discuss their experiences as nurse practitioners.

"The main resistance we have right now is from organized medicine," Towers told King in reference to challenges in practice for NPs. "We're doing a good job and we're pretty effective, so we're making people [who are concerned about their job security] worried when we start stepping onto their turf."

King later asked, "You can do just about everything a doctor does?" "Well, not brain surgery," Ford replied. "If we wanted to, we could," Towers said, to laughs.

The conference also featured the first annual business meeting, naming the results of the 2013 AANP Election, 2013 Fellows of the AANP, finances and membership information. It was reported that in 2011, the American Academy of Nurse Practitioners had 32,873 members. Today, the American Association of Nurse Practitioners has over 46,000.

The business meeting also featured the winner of the Towers Pinnacle Award, named for Jan Towers' work in advocacy for NPs. Winner Barbara Safriet, JD, LLM, greeted the audience and shared her history with Towers and their work together in creating NP-positive policy. "It has been a great year for strides in NP policy," Towers said. "We look forward to next year."

Attendees were also welcomed to the AANP exhibit hall, where more than 300 companies, including ADVANCE, shared news on product information, jobs and the latest research in the field.

Educational sessions at the conference covered myriad topics, from Pediatric Ailment Issues of the Lower Extremities to Policy Advocacy, Unexplained Cough in Primary Care, Vascular Access in Acute Care, Contemporary Approaches to Managing ADHD, and more.

Multiple CE credits were obtainable, with workshops and seminars on many issues, including Antibiotic Review, Basic Suturing, Spanish for NPs, Neurological Exam Essentials, Breast Cancer Risk Assessment, CPT Coding and more.

For more information on the conference, look at the Front & Center news section of the August issue of ADVANCE for NPs & PAs and online at Stay tuned for photos from the American Association of Nurse Practitioners, American Academy of Physician Assistants, National Association of Pediatric Nurse Practitioners and National Association of Dermatology Nurse Practitioners conferences.

If you didn't make it to this year's conference, be sure to sign up early for next year's event. AANP hits Nashville June 18-22, 2014.

2013 PharmEHR Summit Talks EHR Status and Future Opportunities
April 30, 2013 11:30 AM by Kelly Wolfgang
Editor's note: This blog post is written by Jill Hoffman, ADVANCE staff. She can be reached at

At the third annual PharmEHR Summit April 17, leaders in the electronic health record (EHR) and pharmaceutical industries gathered to discuss the status of EHR adoption and potential collaboration between EHR and pharmaceutical companies.

The summit, hosted by PDR Network and held in Philadelphia's Wanamaker Building, kicked off with opening remarks by Richard Altus, president of PDR Network. Altus gave a roundup of how EHR adoption has evolved over the last three years. Among his points, he noted:

  • Sixty-eight% of physician practices have completed some type of EHR implementation, according to Black Book Research.
  • Over 350,000 eligible professionals have registered for Meaningful Use (MU) attestation, according to a December 2012 CMS report.
  • The EHR market is expected to grow 21% in 2013, per a survey published in the Feb. 22 Black Book Rankings.
  • Development of interoperable EHR solutions has become a priority, as evidenced by the CommonWell Health Alliance - an independent, not-for-profit trade organization open to all HIT vendors and committed to the idea that a patient's data should be available to patients and providers, regardless of where care occurs.
  • Remote patient monitoring and communications will become a focus, as healthcare organizations transition to ACO models.

During a discussion on EHR adoption, MU and patient engagement requirements, Douglas Gentile, MD, MBA, CMO, Allscripts, said several factors were contributing to EHR and e-Prescribing adoption rates, but one primary factor was fueling growth: "This is being driven by money, particularly Meaningful Use money."

New Workflow

When physicians implement EHRs, it completely changes their workflow - from documentation to looking up patient information to billing and discharge. "We literally live in the EHR," Gentile said.

One of the biggest problems for the physician becomes filtering the wealth of information offered up by the EHR. In many cases, the physician has become the bottleneck for handling and managing many tasks that used to be overseen by other staff members, Gentile explained. To be successful, EHR solutions must find a way to move these administrative processes back to the appropriate staff.

Patient Portals

The growth of patient portals was another area Gentile touched on. The Office of the National Coordinator for Health Information Technology has made patient engagement a priority, with the belief that greater engagement will lead to decreased healthcare costs and better outcomes. Providers have developed a variety of portal environments, using EHRs to deliver information to patients and communicate with them, in an effort toward meeting MU patient education and engagement requirements.

"Patients want and expect to interact with providers online, including Baby Boomers," Gentile said.

The ROI for patient portals is now being realized, as providers are able to push time-consuming paperwork, patient registration procedures and questionnaires to the portals, Gentile said.

Pharmaceutical Partner Opportunities

With the growing need to manage chronic diseases, physicians will have to do more than prescribe drugs; they will need to make sure the patient understands his disease and is taking medications correctly, to affect behavior change. Providing patient education through the patient portal is one way to do this, said Edward Fotsch, MD, executive chairman, PDR Network.

Since pharmaceutical companies are experts in their products, the companies, through partnerships with EHR companies, could offer new communication on a given drug, beyond the usual monograph, as well as educational programs and financial packages/rewards for using their products. Interactivity could avail the companies with feedback from patients on how they are responding to their medications.

The key to such solutions: customization. "Patients want information tailed to them," Fotsch said.

EHR Interoperability

A panel of EHR and pharmaceutical company representatives discussed why the EHR "flavor-of-the -month" mentality is problematic, the need to communicate across multiple platforms and obstacles with delivering granular information to the right place with today's fractionated technologies. Talk also revolved around how pharmaceutical companies can help with drug efficacy questions in the hope of treating patients more effectively and less expensively.

The Future

In a session titled "EHRs: The View from Wall Street," Sean Wieland, senior research analyst, Piper Jaffrey, made bear and bull cases for EHRs (he is bullish on EHRs) and painted a future in which a doctor is standing in line at Starbucks and pounding through his EHR. However, he said changes will need to happen to make that vision a reality, as EHR vendors are challenged by outdated technology platforms (e.g., client servers running Citrix), and said cloud technology is where things are heading. The Common Well interoperability effort/Google approach "has to happen," Wieland added.

Michael Golub, MD, FACP, CMO, Digitas Health, a former ER physician, noted in "EHRs: The Clinician's Perspective" that time is the currency of this century. EHRs can help physicians gain time through clinical decision support tools offering evidenced-based medicine recommendations. They "help doctors make fast, smart, accurate decisions at the point of care," he said. By the same token, EHRs add time-consuming tasks to the physician workflow. The take-home lesson: EHR use depends on usability, Dr. Golub said, pointing out that many physicians are moving on to the second generation of EHRs.

NAPNAP Conference 2013 Day 2
April 18, 2013 5:01 PM by Kelly Wolfgang

The National Association of Pediatric Nurse Practitioners conference in Orlando is in full swing. Day two of the event opened with the associaton's business meeting, offering insight into the achievements of the group over the last year, introducing candidates for the upcoming presidential election and sharing the latest association news.

Starting the morning's events, members met both candidates running for the office of president: Mary Chesney, PhD, RN, CPNP, and Nan Gaylord, PhD, RN, CPNP. Both women shared their visions for the future of the organization, highlighting the importance of the pediatric nurse practitioner role in coming years.

NAPNAP president Susan Van Cleve, DNP, RN, CPNP-PC, then shared her report on the association's most pertinent business. Van Cleve described NAPNAP's new set of strategic initiatives, including advancing the PNP role, advocating to improve children's health and developing a greater association presence. "You [the members] go out and represent us in over 80 different groups," Van Cleve said. "It's pretty amazing."

She also described the association's achievements over the last year, including developing a health policy committee, partnering with the National Center for Learning Disabilities to create an educational website, and leading the revision of the Pediatric Nursing Scope and Standards of Practice. Van Cleve also noted that NAPNAP continuing education credits are now accepted by the boards of nursing in all 50 states.

Regarding NAPNAP's future, Van Cleve said the group will work to expand education programs while increasing public education outreach, focus on health policy at the state level while providing greater support to its chapters and revise its website.

"As you know, the state issues are great," Van Cleve said. "We are looking at shifting our energy to the state level." She added, "Even though we have had a lot of transitions, NAPNAP is in great shape." The transitions Van Cleve referred to include recently moving headquarters to New York City from Cherry Hill, N.J., and a change in the chief executive officer position.

Felicia Taylor, MBA, acting NAPNAP CEO, said that despite the recent changes within the organization, membership has grown 9% over the last 4 years, to 7,538 members. She also shared new member benefits, such as an OTC medication safety website, mental health/violence outreach, and a revised identification, prevention and treatment clinical practice guideline for adolescent obesity.

Health policy chair and presidential candidate Chesney, treasurer Margaret Hannan and NAPNAP Foundation president Jo Ann Serota also addressed the audience, rounding out the morning's business meeting.

NAPNAP elections run through April 30. For more information on the candidates or any of the business mentioned in this blog, visit 

NAPNAP Conference 2013 Day 1
April 17, 2013 11:56 AM by Kelly Wolfgang

Here at the National Association of Pediatric Nurse Practitioners (NAPNAP) 2013 conference in Orlando, leagues of NPs are gathered for 3 days of educational sessions, CE credits and networking. 

At today's opening session, hundreds of NPs were welcomed to the Hilton Orlando's Orange Ballroom to launch the week's events. NAPNAP president Susan Van Cleve, DNP, RN, CPNP-PC, greeted attendees and mentioned some of the week's highlight events, including the association's business meeting, taking place on Thursday, April 18, which will discuss news and legislation and give members an opportunity to meet candidates running for office in the next NAPNAP election. 

The first president of NAPNAP, Janet McCleary, shared a history of the organization from its origins 40 years ago. "When we began in 1973, our registration fee was just $10," McCleary said, to laughs. "To attend our meeting, it was only $25." Now, the organization has grown from 400 members to nearly 7,600. "It's truly amazing," McCleary said of the growing membership. "It goes above and beyond all expectations we had in 1973."

Following McCleary's address was keynote speaker Todd Whitthorne, president/CEO of Cooper Concepts, Inc. Whitthorne discussed the nation's growing obesity problem, including the increased number of patients, both adults and children, with type 2 Diabetes. His overall message, "What About Me?", addressed what contributes to overall health: genetics, diet and exercise. "There is a huge difference between living and being alive," Whitthorne said. "No one has a bigger impact on your health than you." 

During his presentation, Whitthorne shared some startling statistics: Nearly 18.4% of 4-year-olds in America are now obese. These children face many potential health problems, including heart disease, asthma, social and psychological problems, and bone and joint issues.

He urged all pediatric nurse practitioners in attendance to use every tool available to get children more physically active and achieve overall health. "We must promote, embrace and model exercise as medicine," Whitthorne said. He stressed the importance of variety in exercise, promoting use of the FIT (frequency, intensity, time) program.

"One year from today, you will either be more healthy or less healthy. The choice is yours," he said. As final encouragement to the pediatric nurse practitioners in attendance, Whitthorne left the room with an important message: "It's easier to build a healthy kid than to fix a sick adult." 

NPs & PAs Are Talking: The DNP Degree
January 21, 2013 3:20 PM by Kelly Wolfgang
This week, we received a lengthy comment in opposition to making the DNP degree mandatory. The comment was posted on our DNP Answers blog post titled "Feedback on the DNP." In the post, Mai Kung, NP, DNP, discusses the widespread acceptance of the DNP movement, citing the growing number of programs across the country as evidence of its popularity.

Reader Michael spoke out for the "silent majority." "Unless the individual wants a DNP and wants to be employed at the University level and/or wants to do research; thinking of making it a mandatory requirement in the future is wrought with problems and a monumental mistake," Michael said. "The greatest majority of the supporters of making the DNP a mandatory requirement are those who already obtained their DNP and need to justify their decision to obtain it, spend the money for it and expended the rigorous energy needed to obtain it. You want a DNP, that's fine, but don't make it a requirement. It should be an optional choice."

Several readers weighed in with support for Michael's sentiments. "Hear, hear. I have felt no need to obtain a DNP. I evaluated the coursework of multiple programs. If it was truly ‘clinically based' I would have wanted this degree. I love my work as a practitioner. I have no interest whatsoever in becoming a healthcare administrator, researcher or educator," reader Dana said at

What are your thoughts on the DNP degree? Let us know in the comments below.

For more information on the DNP, check out some of our recent articles:

Return to the ADVANCE for NPs & PAs homepage.

NPs & PAs Are Talking: Comments & Feedback
January 14, 2013 2:57 PM by Kelly Wolfgang
Each month, ADVANCE for NPs & PAs compiles your comments on the latest issues in our Comments & Feedback column. We'd love to hear from you with topics of concern, the latest news for NPs & PAs, what your state organizations are up to, or anything else that piques your interest.

Below are three of our latest Comments & Feedback columns. If you didn't get a chance to weigh in on these topics yet, there's still time! Use the comments section below to let us know what you think.

  • While You Wait: The results of the 2012 National Salary Survey of NPs & PAs will be revealed in February's issue. While you wait for the results, see what some of your fellow clinicians had to say about the 2011 survey findings. We can promise you one thing: You will be pleasantly surprised when you open to the salary article in the February issue of ADVANCE for NPs & PAs.
  • Fast-Track Students vs. The Nurse Veteran: We shared your comments on our NP & PA Student Blog post "Students vs. the Nurse Veteran" by fast-track NP student Terrance Clark. Clark wrote, "New nurses can intuit that a 20-year veteran of nursing has an education that is 20 years out of date. The experience and hands-on knowledge earned does not a current knowledge base make. A new nurse's education is current, therefore they have value to add."
  • PA Week: Night & Day: We highlighted reader submissions from PA Week 2012. Click on the link on the left to see how some PAs celebrated, and how others could use your help in spreading the word and making PA Week 2013 even better.

Have something to say that doesn't fit into our Comments & Feedback column? We accept submissions on all topics. Check out our Writer's Guidelines to find out how you can lend your expertise on the topic of your choice.

Return to the ADVANCE for NPs & PAs homepage.
In Print or Online? You Choose.
January 4, 2013 9:18 AM by Kelly Wolfgang

Last week, Newsweek published its final print issue. As a magazine enthusiast (I subscribe to many, I've studied them, and I work for one), I was saddened to hear the news. I remember a time when finding one of my favorite magazines in the mail meant I would be sitting on the couch for the rest of the night to read it from cover to cover.

But times change, and the reality is that more and more publications are moving away from print formats and going online only. There are various reasons for this, including readers' preferences. Many don't want to carry around stacks of paper, and enjoy being able to read all of their favorite articles right from their very own laptop, tablet or smartphone.

I have to admit that I no longer subscribe our local paper, The Philadelphia Inquirer, because it's more convenient and less expensive to read it online. Luckily, your subscription to ADVANCE has always been and always will be free. And you still have your choice of reading the traditional paper version or our digital edition.

So, which do you prefer? To make sure it keeps coming (either to your mailbox or inbox), please update your contact information on an annual basis here:

 Editor's note: This post was written by Elizabeth Rosto Sitko, managing editor for ADVANCE.

NPs & PAs Are Talking – Healthcare’s Ban on Weapons?
December 20, 2012 1:51 PM by Kelly Wolfgang

Last week, the Facebook post below caught a lot of attention. What's your opinion?

"Both the American Nurses Association and the American College of Emergency Physicians have issued calls for a ban on the sale of assault weapons. Do you think it is the responsibility of healthcare provider organizations to urge this type of action?"

Some said yes and some said no. Here's just a few of the comments we received.

  • "We can all do our part. As nurses, as humans." - Teanne
  • "Just stand in a trauma unit for one night and come back and give me your answer." - Melissa
  • "Yes! Absolutely! It's everyone's responsibility to speak up for what they believe!" - Kelli
  • "Absolutely not. I have stood in the trauma unit for 15 years and taking away my legal guns, which I carry conceal because I am licensed to do so, and taking away my rifles, which I enjoy shooting responsibly, will do nothing to stop the common street thug with an illegal weapon, other than allow me no protection for myself and my property when I'm leaving the trauma unit at midnight, sitting at a red light, and getting jacked by said thug." - Dana
  • "Most of our ER staff is armed; we see what's out there. As the Boy Scouts say, be prepared. The bad guys will always find guns; we need to be able to defend ourselves." - Diana
  • "Absolutely. Prior trauma nurse here at Miami Dade County. Some individuals have no business having weapons. Period." - Teresa
  • "This is definitely not the responsibility of healthcare provider organizations. This is a civil liberty. I'm sure many members of the groups do not support a ban. These groups should focus on healthcare issues." - Rita
  • "Supporting mental illness awareness and research would be a wiser choice! Let's be honest, what health professional has not taken some form of weapon to work with them?" - Susan

If you're not chatting with us on Facebook, Twitter and LinkedIn, "like", "follow" and "connect" with us and start sharing in the conversations! If you are, keep following and spread the word.

NPs & PAs Are Talking - The Silver Lining of Nursing
December 17, 2012 3:38 PM by Kelly Wolfgang

Last week, NP & PA Student blogger Terry Clarke shared his concerns over the status of nursing. "I am currently in a class called ‘Societal Forces' as a precursor to my first semester of advanced assessment in the Adult/Gero Primary Care Nurse Practitioner track. The teachers are passionate and well informed. The speakers are excellent, but the subject matter...The subject matter is frankly depressing. The class theme seems to be: ‘Here is how messed up the system you are entering is. Good luck,'" Terry wrote.

He continued, "We have heard about unions pricing themselves out of competitiveness and the changes that may or may not come with the inception of the Affordable Care Act. Cultural resistance to evidence-based practice. Medicare's new community health pay guidelines. Rural primary care clinics struggling to stay solvent. Sequestering measures that go along with the fiscal cliff. The continuing gap of respect between NPs and doctors. And the pervasive lack of good management, and systemic waste, at all levels of healthcare."

Terry asked you to share your silver lining of nursing - what motivates you to return to work each day, despite the struggles and barriers you're facing as a profession?

Here's what some had to say:

  • "The silver lining is the individuals and families you will go on to help by improving their health and easing their pain. You will likely be part of many small ‘miracles.'"  - Sallie
  • "No matter what the job looks like, people will always need nurses/healthcare. We have job security and millions of Americans aren't that lucky. We're spoiled to think that we should love what we do every minute. The fantasy that work is the source of happiness is actually the root of a lot of misery. The goal is to be grateful for your work, whatever it is." - Kimberley
  • "I think in the end, we nurses will win out. We always do." - Sean
  • "The silver lining comes from within; it's not something you can describe, or explain. It is something that you experience. When you're able to provide a service, compassion, treatment or just the shred of hope, that can be the silver lining. Often with nursing, it is the things that we do, that we don't see, that will have the greatest impact. " - Danielle  
  • "Look at your education and training as a gift that you, as a NP, will use to improve the lives of others. There are so many facets to nursing; you have to find your niche and create our own happiness and self-fulfillment." - Barbara

Check out the blog to read Terry's full post and all of the articles. While you're there, share your silver lining with us.

If you're not chatting with us on Facebook, Twitter and LinkedIn, "like", "follow" and "connect" with us and start sharing in the conversations! If you are, keep following and spread the word.

NPs & PAs Are Talking – Top 10 Articles of 2012
December 10, 2012 3:15 PM by Kelly Wolfgang

This week, we released our end-of-year compilation, Top 10 Articles of 2012. The selected articles, blog posts and guides were the most visited content of the year by you, our readers.

Check out the list to see each complete article and all of the comments you posted, or read below for a preview of what you had to say about the No. 10 and No. 1 posts.

 10. DNP Capstone Selection

  • "I have started a BSN-DNP program of 3 years. I am already starting to think of my capstone. I have several areas that are dear to me. I want to do something that will instill change. I would love to make my mark in this world positively in my nursing career. Some of my areas of interest are: stopping smoking and alternative medicine, e.g., hypnosis." - Wendy
  • "I want to focus my translational project on increasing the African American population on the bone marrow donor registry. African Americans tend to have low representation on both blood and tissue donor registries/programs. Being an African American myself with a son with SCD, it is an important topic to me." - Angelia

1. 2011 NP & PA Salary Survey Results

  • "Any ideas on why PA salaries dropped so significantly?" - Kristin
  • "This is very discouraging. Why have NP salaries not gone up? I do the same job as a psychiatrist in my work environment and make $130,000 LESS than they do...and the DNP won't help by the looks of it." - Cheryl
  • "I have been working/studying in the medical field for nearly 10 years and make only half of this! I have half a million in debt to education...will likely get just slightly more than the above salaries in job offers next year unless I take nursing home/inpatient/obstetric call and continue the 80 hr/wk nightmare. Both NPs and PAs have a good life and I am envious." - Jason
  • "I just learned that pharmacists in my area earn over $137,000 in the hospital/hospital clinic setting. I knew they made more than we did but this is ridiculous. I know they are smart & go to school & get their PhDs but talk about costs driving up healthcare." - Christine
  • "And again, men out earn women doing the same job. Why do we allow this to happen." - Maryanne

If you're not chatting with us on Facebook, Twitter and LinkedIn, "like", "follow" and "connect" with us and start sharing in the conversations! If you are, keep following and spread the word.

NPs & PAs Are Talking – Practice Models, International Medicine, Dermatology, NP Bloggers Needed
December 3, 2012 3:37 PM by Kelly Wolfgang

On, our most commented articles were:

  • Teams, Practice Models and Patients: "As a full time clinician my team and I have been doing outcomes research on an interdisciplinary model of stroke rounds in an acute care setting. The four habits mentioned in this article we have used in our model. In fact I recently took a trip to London, England where I visited an NP at St. Thomas's Hospital who showed me their team efforts to taking care of stroke patients. They seemed ahead in working as a team as I toured the stroke unit. The NP and physicians shared the same workroom/office on the unit and all the therapists needed for care of stroke patients were centralized right there on the unit. The NP relayed that she found it inconceivable that it could be any other way because, ‘We're a team,'." - Lana
  • International Medical Graduates and PAs: "I am a foreign medical graduate and I completed all my USMLE exams, including step 3 with good scores(90s), but unfortunately I am not able to secure residency. I decided to get admission to PA school, which can allow me to be in this profession. I contacted a few programs in North Carolina, and asked whether they can waive the requirement of a bachelor's degree from a US institute, and I ended up with the same response from all of them: that I am not eligible until I complete a bachelor's degree all over again from a US institute, and it doesn't matter even if I complete it in arts or math. I was really amazed by them, I explained to them that I am an ECFMG certified physician, which enables me to get residency, but you are even denying me an admission in PA school. On one hand, the US needs healthcare professionals who can serve people in underserved communities and on other hand, they are ignoring this huge population of FMGs trying to make some difference in their personal, professional and social lives. Currently I am trying to find programs who can allow me to join the PA profession." - Parth
  • My Four Favorite Derm Cases: "Trauma to toe: Define shoes -- Crocs or plastic open toe is not a shoe. Protective footwear on open bikes -- motorized or not is lacking everywhere! Along with Helmets...should be required. Love the pictures." - Sandra

On, our most popular posts were:

  • "Are you an NP student who will graduate in December? We're looking for a new nurse practitioner to write blog posts about his or her first year in practice. (We've already lined up a first-year PA!) If you are about to graduate and would like to share your experiences in writing, send an email with your info and some blog post ideas to Kelly Wolfgang at"
  • "Want expert advice on avoiding malpractice claims? Register for our FREE December webinar!"

On, our most retweeted tweet was:

Also on Twitter, our most favorited tweet was:

If you're not chatting with us on Facebook, Twitter and LinkedIn, "like", "follow" and "connect" with us and start sharing in the conversations! If you are, keep following and spread the word.


NPs & PAs Are Talking – Healthcare Reform, NP & PA Salary, International Medicine
November 26, 2012 3:53 PM by Kelly Wolfgang

We hope you had a great Thanksgiving holiday! We got a lot of great comments from readers over the last week on Here are just a few:

  • On the article Nurse Practitioner Residency Programs and Healthcare Reform: "As technology advances and more knowledge is required to deliver healthcare, the DNP degree is the natural progression our profession should presume. Other allied health professions have transitioned to doctoral education and I think it is time for nursing to embrace both higher academic and clinical standards. I think it is unjustifiable for MSN programs to incorporate 400-500 clinical hours and allow one to presume full accountability of patient care, especially when new APRNs are entering the profession without significant RN experience." - Jason
  • On the article State Breakdown of the 2010 National Salary Survey of NPs & PAs: "I have been an NP for twelve years and prior to that a nurse for over 30 years. As times changed, PAs were from a broader chemistry or biology background with varied experience. All PAs must have so many clinical hours prior to entering their programs now. NPs typically have 5 or greater years of nursing experience before returning to school. What the public sees us do is the same. Our training is different in that PAs use a medical model and NPs a nursing model, but lately this is overlapping." - Aileen
  • On the article International Medical Graduates and PAs: "I easily finished my associate degree in nursing online and now working as RN in an emergency unit. But I would not be qualified to take a nurse practitioner program because my grades in anatomy and chemistry were from medical school." - Perry
  • On the article 2011 NP and PA Salary by Geographic Setting: "Do Nurse practitioners have any legal right to request to see the income they are generating to a private practice?" - Donna

Weigh in on these topics and more by visiting the latest articles, updated daily, from ADVANCE for NPs & PAs.

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