Nurse Practitioner Fellowship and Residency Programs

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Featured Programs:
Georgetown University's School of Nursing & Health Studies - Online Master of Science Degree in Nursing
Simmons School of Nursing and Health Sciences - RN to MSN – Family Nurse Practitioner, MSN – Family Nurse Practitioner
Nursing@USC - Online Master of Science Degree in Nursing
Capella University - RN-to-BSN and RN-to-BSN/MSN Combined Option, Post Master's DNP and BSN-to-DNP

“The extra in-the-trenches learning of a residency not only solidifies skills, but also acts as a testing ground for future work experience. We want to be able to groom the next generation of nurse practitioners to be not only well-prepared clinicians, but well-prepared to work in these types of clinical environments….we want to be able to ensure we have clinicians who have this passion, as well as preparation.”

– Anne Saxe, Professor in UCSF’s School of Nursing, quoted in “Are Residencies the Future of Nurse Practitioner Training?”, UCSF’s Science of Caring, 2013

In 2007, the first advanced practice nursing residency program was introduced in Connecticut. Since then, APRN residency and fellowship programs have spread across the US, with residencies and fellowships now available in most states. The largest fellowship to date is housed at the Center for Advanced Practice at Carolinas Healthcare System in North Carolina, which accommodates 68 fellows at any given time.

While some providers (such as the Department of Veteran Affairs) still use the term “residency” to describe post-graduate, on-the-job training for advanced practice nurses, the National Organization of Nurse Practitioner Faculties (NONPF) and the American Nurses Association (ANA) released a statement along with several other national nursing organizations saying that the term “residency” can be a bit off the mark in describing NP post-graduate mentoring experience and has the potential to be confused with medical residencies, which are a standard licensing requirement for physicians. (Med Page Today, “War of Words for NPs: ‘Fellowship’ or ‘Residency’?”, 2016).

In general, a residency has been the term used for programs designed to advance knowledge in a clinical practice specialty, while a fellowship focuses on a subspecialty. This is less often the case now as professional associations and advocacy groups like NONPF and ANA embrace the term fellowship for all paid post-graduate mentored experience opportunities.

Regardless of terminology, both residencies and fellowships refer to voluntary post-graduate positions through which advanced practice nurses shadow other healthcare providers in order to earn critical, on-the-job experience.

SPONSORED

Featured Programs:
Georgetown University's School of Nursing & Health Studies - Online Master of Science Degree in Nursing
Simmons School of Nursing and Health Sciences - RN to MSN – Family Nurse Practitioner, MSN – Family Nurse Practitioner
Nursing@USC - Online Master of Science Degree in Nursing
Capella University - RN-to-BSN and RN-to-BSN/MSN Combined Option, Post Master's DNP and BSN-to-DNP

Fellowships Prepare NPs to Serve as Primary Care Providers

As the healthcare landscape shifts and advanced practice nurses gain more responsibility as primary care providers, residency/fellowship programs are expected to continue growing in popularity. Over the past several years, the US has experienced an extreme shortage of primary care physicians—and the shortage is only expected to continue over the next decade, according to research published by the Association of American Medical Colleges (Association of American Medical Colleges, “New Research Confirms Looming Physician Shortage”, 2016).

Because of this shortage, nurse practitioners are increasingly needed to take on primary care roles, especially as the scope of practice has expanded to include prescriptive authority in many states. In 2012, around 60,400 NPs were recorded as primary care practitioners throughout the US, especially in rural areas. NPs have been recognized as particularly important for uninsured patients that need better access to affordable preventative care, an issue that may become even more pressing as the Trump administration rolls out plans for repealing the Affordable Care Act.

According to the 2015 article “Tapping Nurse Practitioners to Meet Rising Demand for Primary Care,” NPs can manage between 80-90% of care typically associated with primary care physicians. To build the case further for NPs as primary care providers, research shows outcomes and patient satisfaction, are virtually identical between patients that see NPs versus those that visit physicians exclusively.

Increased Funding Could Help Create More Fellowship Opportunities for Nurse Practitioners

Currently, most nurse fellowship programs are internally funded, but legislation has been proposed to allocate federal funds to nurse fellowships just as is traditionally done for physician residencies. In addition, during September 2010-2013, the Health Resources and Services Administration funded three nurse practitioner residency programs through federal grants (MedPage Today, “For NPs, Residency Programs Gain Favor,” 2016). As the conversation continues and fellowships become more common among advanced practice nurses, legislation is expected to accommodate federal funding for nurses hoping to gain on-the-job training.

While physician residencies are mandatory, advanced practice nurse fellowships are voluntary, begging the question of whether such programs justify the expense. However, according to a 2016 survey of nurse practitioners enrolled in post-graduate fellowship programs published in the Journal for Nurse Practitioners, postgraduate training and mentored experience can contribute to a higher level of job satisfaction among NPs.

In addition, though pay is lower than it would be for a full-time position, most fellows receive benefits similar to those of fulltime staff and are paid 60% of the going salary.

Nurse Practitioner Fellowship Programs by State – 2017

Here at GraduateNursingEDU.org, we recognized a need for a central resource for nurse practitioners interested in finding out more about fellowship programs in their area. We made every effort to put all fellowship opportunities in one place, though others may be available. Since the fellowship is still emerging as a recognized and widely available opportunity for NPs and other advanced practice RNs to learn through mentorship while making the transition from their graduate program to the clinic, there are few resources for finding them, and currently no centralized hub or database. Though we pulled out all the stops in performing an extensive search, others may be available and we cannot guarantee this is an exhaustive list.

The following list of nurse practitioner residency/fellowship programs were available as of February 2017:


Alabama

We were unable to locate any nurse practitioner fellowship opportunities in Alabama at this time.


Alaska


Arizona


Arkansas

We were unable to locate any nurse practitioner fellowship opportunities in Arkansas at this time.


California


Colorado


Connecticut

District of Columbia


Delaware

We were unable to locate any nurse practitioner fellowship opportunities in Delaware at this time.


Florida


Georgia


Hawaii

We were unable to locate any nurse practitioner fellowship opportunities in Hawaii at this time.


Idaho

We were unable to locate any nurse practitioner fellowship opportunities in Idaho at this time.


Illinois


Indiana

  • Health Linc—Family Nurse Practitioner Residency Program


Iowa


Kansas

We were unable to locate any nurse practitioner fellowship opportunities in Kansas at this time.


Kentucky

We were unable to locate any nurse practitioner fellowship opportunities in Kentucky at this time.


Louisiana

We were unable to locate any nurse practitioner fellowship opportunities in Louisiana at this time.


Maine


Maryland


Massachusetts


Michigan

We were unable to locate any nurse practitioner fellowship opportunities in Michigan at this time.


Minnesota


Mississippi


Missouri


Montana

We were unable to locate any nurse practitioner fellowship opportunities in Montana at this time.


Nebraska

We were unable to locate any nurse practitioner fellowship opportunities in Nebraska at this time.


Nevada

We were unable to locate any nurse practitioner fellowship opportunities in Nevada at this time.


New Hampshire

We were unable to locate any nurse practitioner fellowship opportunities in New Hampshire at this time.


New Jersey


New Mexico

We were unable to locate any nurse practitioner fellowship opportunities in New Mexico at this time.


New York


North Carolina


North Dakota

We were unable to locate any nurse practitioner fellowship opportunities in North Dakota at this time.


Ohio


Oklahoma

We were unable to locate any nurse practitioner fellowship opportunities in Oklahoma at this time.


Oregon


Pennsylvania


Rhode Island


South Carolina

  • Lexington Medical Center—APRN Fellowship Program for Nurse Practitioners (Rotations in Cardiology, Endocrinology, Rheumatology, Gynecology, Rural health, Pediatrics, Pulmonary, Radiology, Orthopaedics, Urgent care, Occupational Health, and Gastroenterology).


South Dakota

We were unable to locate any nurse practitioner fellowship opportunities in South Dakota at this time.


Tennessee


Texas

  • MD Anderson Cancer Center—Post Graduate Fellowship in Oncology Nursing (Advanced Oncology Certified Nurse Practitioner)
  • MD Anderson Cancer Center—Advanced Practice Registered Nurse Fellowship for Clinical Nurse Specialists or Nurse Practitioners
  • Houston Methodist—Nurse Practitioner Residency Program in Transplants/Nurse Practitioner Residency Program in Neurosciences
  • Texas Children’s Hospital—Hematology-Oncology and Hematopoietic Stem Cell Transplantation Training and Fellowship for Pediatric Nurse Practitioners or Family Nurse Practitioners
  • UT Southwestern Medical Center—Postgraduate Advanced Practice Provider Emergency Medicine Fellowship


Utah


Vermont

  • University of Vermont—Palliative Care APRN Fellowship for Advanced Practice Nurses and Clinical Nurse Fellowships


Virginia

  • Carillion Clinic—Post-Graduate Advanced Practice Fellowship in Emergency Medicine for Nurse Practitioners
  • AASLD—Nurse Practitioner Clinical Hepatology Fellowship
  • Carillion Clinic—Advanced ACP Fellowship in Urgent Care and Rural Health for Nurse Practitioners
  • Carillion Clinic—Orthopaedic Surgery ACP Fellowship for Nurse Practitioners


Washington


West Virginia

We were unable to locate any nurse practitioner fellowship opportunities in West Virginia at this time.


Wisconsin


Wyoming

We were unable to locate any nurse practitioner fellowship opportunities in Wyoming at this time.

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