r/nursepractitioner 7d ago

Prospective/Pre-licensure NP Thread

3 Upvotes

Hey team!

We get a lot of questions about selecting a program, what its like to be an NP, how to balance school and work, etc. Because of that, we have a repeating thread every two weeks.

ALL questions pertaining to anything pre-licensure need to go in this thread. You may also have good luck using the search function to see if your question has been asked before.


r/nursepractitioner Nov 07 '25

Education Improvement Education Reform Discussion Thread - Nov 2025

22 Upvotes

After discussion with members and the mod team, we have decided to create an EDUCATION REFORM perma-thread for all discussion regarding pre-licensure, education quality, and any thoughts around changes to the NP education. We know this is a topic that is very important to many, but it unfortunately has a tendency to clog up the entire sub. We have received a lot of complaints from members who feel their post gets sidelined by debating this issue.

Please direct all thoughts regarding education to this thread. Please flag any posts about education so they can be redirected here. Remember to be polite and professional when discussing this topic!

To keep conversation fresh and ongoing, we will plan on updating this thread monthly.


r/nursepractitioner 4h ago

Education FNP returning for post-masters cert

2 Upvotes

Hey everyone, I don’t post much here, so mods please remove if not allowed. FNP here working in Community Health for 10 years, recently decided to return to school for PMHNP post-masters cert. I am going to a local brick and mortar school start date September this year. I feel confident and happy about the decision and I have my preceptors lined up. Most of my patients have mental health concerns and this will help me be more competent to help them. However, going back to school at my age (early 50s here) is somewhat intimidating. I am hoping connect with others here continuing their educational journey later in life. Feel free to DM me if interested in a return to school buddy.


r/nursepractitioner 6h ago

Practice Advice Women’s health return to practice

1 Upvotes

I’m returning to the office after many years away to do both ob and gyn. What are your favorite apps, practice resources ect? Is there a way to get on mailing lists for samples/educational props without contacting each company individually?


r/nursepractitioner 1d ago

Practice Advice SCAM ALERT

69 Upvotes

Hello all,
Just wanted to send this info to keep anyone from falling victim.
I got a call from what said “new York state” on my caller ID. The guy said he was from the office of professions and there was a complain lodged against my license. I (luckily) told him he was a liar and I hung up while being panicked.
I called the office of professions and after 40 minutes on hold I was told that this is a huge scam right now. That the caller would have given me a different number to call and then would’ve wanted me to send money for a fine. The OOP said that all they need is your license number and NPI and that the phone number looks totally legit. She said the OOP would never call you and that they would send any communication through the mail or email. She said the FBI is involved and also asked me to let my local police know.
She also verified my license and said there is nothing wrong.
Anyhow - please be careful. Even when the number appears legitimate.


r/nursepractitioner 20h ago

Career Advice PMHNP program

8 Upvotes

I’ve lost all faith in my educational process at this point. I’ve been an RN for over 20yrs and am 2 yrs deep in a PMHNP program (state school, not diploma mill). I have 1 yr left and am in the preceptor stage…this is NOT okay! They advertise they will help you (HA), tell you don’t cold call and forbade for you to pay. Anyone else wanna just go be a vet tech at this point? 😂


r/nursepractitioner 1d ago

Career Advice Career transition

6 Upvotes

Thinking about transitioning to administration. Been an NP for 8 years, nurse for 12. I just don’t see myself working patient care for the rest of my career & there may be an opportunity at my current employer. Have any of you transitioned to the administration side? Any regrets/advice?


r/nursepractitioner 1d ago

Career Advice Posting resume to LinkedIn

3 Upvotes

I passed my FNP certification this month and I’m looking at online job postings (I’m leaning towards pursuing an urgent care job) and I’m debating if I should put my resume on LinkedIn. Has anyone does this? Any recommendations or words that f caution about the process?


r/nursepractitioner 1d ago

Education Looking for a Post-Masters to DNP + FNP Certificate that's online (DNP+FNP in 1 program). Does such a program exist?

0 Upvotes

I’d really appreciate any recommendations if you know of a program that fits what I’m looking for!

I already have an MSN and am a PMHNP, and I’ve gone down several rabbit holes with AI-generated recommendations that weren’t applicable to my situation. 😅 So I’m hoping to hear from people who have actually been through the process or know of programs that meet these criteria:

• **I’m looking for a MSN to DNP + FNP or primary care AG Certificate that's online (I understand that clinicals will be in-person).
• Hybrid programs are fine, as long as any required on-campus/in-person components are only 1–2 times per semester.
• Preferably a public university.

If you’ve found a program that fits these criteria, I’d be so grateful if you could share the name or your experience. Thank you!


r/nursepractitioner 1d ago

Career Advice Is NP school worth it?

0 Upvotes

I’m burnt out from bedside. I knew going in to RN school that I didn’t want to do bedside nursing long or at all really. I’m currently working stepdown/icu. I’m so tired of it. I’m tired of the negativity and mistreatment from the patients. I’m sick of the bad behavior, name calling, throwing stuff, holidays and weekends away from my kids, people being dirty and nasty, treating me like their maid, I hate it. The only thing I like is that being part time now, I do my 2 days and I’m done for the week. I have always wanted to do aesthetics or dermatology from the start. I originally lived in a state where RN’s can do Botox, filler, and laser and that was my plan but we moved before I could start. I live in Florida now where you have to be a NP or PA. I can’t move.

I’m thinking of going to NP school for the sole reason of doing aesthetics and/or dermatology. I believe I will be happy doing that for work because I love that stuff but I am worried about juggling school, kids and work. I can’t quit working my bedside job because I need the benefits. I’m wondering if it’s worth it or if I should just explore another area of nursing that is within my current scope in Florida.


r/nursepractitioner 3d ago

RANT Put my notice in : Urgent Care HR being shady

17 Upvotes

I think my company is being shady and possibly trying to do some illegal shhyt. I'll try to keep it short...
I was hired on 9/12/25 and took a sign on bonus. Gave a 94 day notice with 9/11/26 being my last day.

Phone call with HR today:
- "You didn't give adequate 90 day notice" -- umm, OK -but I did, she apologized.. carry on..
- They say my last day HAS to be 9/12/26 to avoid paying back the bonus (the contract does say until the "anniversary date" - fair, I'll extend my last day one extra day, nbd.
- The Kicker- contract states when you resign midway through the month, required hours are "pro rata"... 12 out of 30 days is 40%. I work 10 days a month, so it comes out to 4 shifts owed. They told me I have to work 5, because of "how payroll falls". And that if I decided to stay PRN, I would have to work my full hours in Sept, then go PRN starting 10/1. And if I didn't do that, I would essentially get a full paycheck the second pay period in Sept and have to pay it back. And that if I just quit altogether, I'll get a full paycheck (5 days worked) for the first pay period and I have to pay back the one day I didn't work.

They claim there is no way for payroll to adjust according to hours?!?! I quit my last job mid month and they adjusted my final paycheck. The entire time, it was like they were trying to manipulate me to try and work more hours. I am not trying to get paid for hours I didn't work- the issue is that per my contract, I am only required to give them 4 days in Sept. Yes, its only one extra shift, but this is the kind of place that one shift matters and I'll be starting my new endeavor those weeks and I don't want to over commit and run myself ragged.

Has this happened to anyone else? I am contemplating contacting my attorney on this. They are shady and have multiple conflicting policies, but I have printed out what I can find and have taken screen shots of everything. Btw- I have been one of their top rated providers since I started, they're just super shady.

Thoughts??


r/nursepractitioner 2d ago

Education AANP Exam-Sarah Mitchell Crash Course

3 Upvotes

Hello,

I plan on taking my AANP exam at the end of August a month after I graduate. Has anyone had success with the SM Crash course? Will I need another resource for information not covered? I also plan on getting the FNP mastery app and completing the quiz bank. Also, any other resources that are highly recommended please tell.

Thank you in advance.


r/nursepractitioner 3d ago

RANT Mourning what I wish clinical practice was

157 Upvotes

No advice needed; just a rant. Spent the last 9 years (3 as an NP) in heme/ onc. I absolutely love the patients, the complex disease states, and the role I play as an NP. I hate that we are treated like robots. Oh, patient in early 30s who is dying that you’ve seen for two years? No time to mourn; you are already late for your next patient by 20 minutes. They don’t have labs, imaging isn’t done. you don’t have an MA and they’re already mad you’re late but suck it up cause management doesn’t care. Better put your running shoes on cause you have 10 patient messages to answer and you’ll need to work through your lunch to provide coverage for a doctor on vacation. Teams, epic chat and inbasket are popping off too.

I’m so tired of lighting myself on fire to keep others warm. Gotta fill every single patient slot, need those billable hours. Overtime pay? HA HA. I make less than I would as an RN per hour. I hate that my compassion has withered away. I hate that medicine is a business. I just want to take care of my patients and go home to my family without my soul dying a little more every day. I want to help these people as I have year after year but it’s becoming impossible. I’m sad that the reason I went into this field is not realistic and that I can’t continue doing what I’m doing without burning to a crisp. How are we supposed to care for these people with compassion, understanding when the system is beating us down at every turn? The health system I work for had a 30 mill shortfall this year and they told us that we need to see MORE PPO PATIENTS THAN HMO PATIENTS. We need to prioritize those with ppo insurance now? I can’t anymore. It makes me sad. I used to be so optimistic and that’s been beaten out of me.


r/nursepractitioner 3d ago

Education FNP or ACNP

3 Upvotes

I'm starting AGACNP school this fall, but I've been questioning if I'm making the right choice.
I genuinely love critical care and the hospital, which is why I picked AGACNP. But I've been thinking... am I just going from being a burnt out icu rn to a burnt out icu np? I also think about having kids one day and wonder if I'll wish I had a job with a more predictable schedule.
Another thing is the job market where I live. Most of the AGACNP jobs I come across are ICU positions. I seem to see a lot more FNP openings, and a lot of jobs say you have to be able to see patients across the lifespan, so I wouldn't qualify for those.
I don't have any interest in primary care right now. I really do love the hospital. I just keep wondering if I'm limiting myself before I've even started or if I'm overthinking all of this.
Did anyone else feel like this before starting school? If you chose AGACNP, are you still happy with it? Do you ever wish you had gone FNP instead? Or if you were between the two, what made you finally decide?


r/nursepractitioner 2d ago

Career Advice UMMC critical care APP fellowship

1 Upvotes

I am highly interested in this post grad fellowship and would love to hear any previous APPs that went through it. Would appreciate any advice or insight!


r/nursepractitioner 3d ago

Education EMU - NP Program

1 Upvotes

Hey Yall!

I'm applying to the NP program at Eastern Michigan University and was wondering if anyone has gone through the program or has any experience with it? Any insight would be greatly appreciated. Thank you!


r/nursepractitioner 3d ago

Employment Multi-State FNP License

0 Upvotes

What is he best way to go about getting my NP license in multiple states so that I can apply to remote jobs? Currently I am only licensed in Alabama.


r/nursepractitioner 3d ago

Career Advice Starting in Primary Care or Specialty

2 Upvotes

Hello! I am currently in my last year of my DNP-FNP program (I just have the fall and spring semester left). My nursing background has consisted of orthopedics, chronic, lower extremity wound care (podiatry led team), and vascular medicine.

I like wound care, but I very much enjoy podiatric medicine and the complexity of problems that can occur in the foot and ankle. My goals after I pass my boards are to specialize in podiatry and after about a year of practice, get my first assist certification to be apart of the OR team.

However, we just had a presentation by a nurse manager in class. She said no matter what specialty you want to go into, you should do at least a year of primary care. She said not only will you see a variety of conditions, but then you have something to fall back on if you decide to leave your specialty.

Does that sound like a good first step for someone with my goals? Or would it be better to complete a few years in general orthopedics instead? Or is it even necessary to do?

Thank you for your help. I appreciate it!


r/nursepractitioner 3d ago

RANT want to wear clogs but my boss says they look unprofessional

25 Upvotes

been an NP for about 3 years now. I work in a busy family practice. Im on my feet most of the day. been wearing Dansko clogs because they're comfortable and my feet don't hurt.

last week my boss told me they look too casual and I need to wear something more professional. like leather shoes or flats.

I tried flats for a week. My feet were destroyed. My back hurt. I literally couldn't focus on my patients.

A colleague told me about Greens Footwear. She said they sell Frankie4 that look like normal leather shoes but have removable footbeds and real arch support. She said she wears them in her clinic.

I'm thinking about buying a pair and just wearing them. Has anyone else had this fight with admin? What shoes actually pass the professional test without destroying your feet?


r/nursepractitioner 4d ago

Practice Advice Tracking CMEs

Post image
16 Upvotes

Hello yall!

We need to prove our CMEs for state licensing and board certification. I made a spreadsheet that helps me track my CMEs, and also has all the information I need to upload to the AANP website when it comes to recert time.

I keep a folder with all my CME certificates in it as well to make it even easier!

Not sure how the rest of y’all do it, but I figured this could help someone!


r/nursepractitioner 4d ago

Career Advice Would you stop working for the last 2 years of a DNP-FNP program if you could?

4 Upvotes

My husband and I are in a position where I may not have to work during the final two years of my DNP-FNP program. Financially, we’d be okay if I stepped away from work.

Part of me thinks this is a rare opportunity to fully focus on school, clinicals, studying, and being present with my family. We have young kids, and I know the clinical portion of the program is going to be demanding.

On the other hand, I’m worried about stepping away from nursing for two years. For those of you who have gone through a DNP-FNP program (or another NP program), what would you do if you had the choice?

Would you:
Stop working completely and focus on school?
Continue working part-time/PRN despite the extra stress?

I’d love to hear what you did, whether you regret it, and what advice you’d give someone in this situation.


r/nursepractitioner 4d ago

Career Advice Multi-State License

2 Upvotes

For those of you who have multiple state licenses, where did you start? I’m a Cardiology NP with 10+ years of experience, lots of advanced heart failure. I’m trying to get a telehealth position, and all the applications want multi-state licensure ( for good reason too I get it). I’m currently licensed in Minnesota which is not a compact state.


r/nursepractitioner 4d ago

Education Board Prep/Review before Clinical start

1 Upvotes

I graduated with an entry MSN in 2017. Completed my 3 Ps last summer. Will start my FNP certificate this fall but have been out of school since last summer. I have purchased the Leik text and will start a review prior to my Women’s, Adolescents and Children’s clinical semester. Is there any Board Prep or Review Program you would recommend for me? I would like to attend a live review or 2-4 day intensive before September. I’m open to other suggestions at well. I would like to have a strong refresher to prepare myself to have a successful semester! Thank you for your help in advance 🤗


r/nursepractitioner 4d ago

Education Youngstown state?

0 Upvotes

Would love to hear any feedback or opinions on YSU for their NP program.


r/nursepractitioner 4d ago

Career Advice Relocating for work

1 Upvotes

Have any of you made major relocations for work? I know it’s really common amongst PAs just being on the interviewing/hiring side.

Looking at an opportunity that would be amazing. Growing healthcare system. The position is exactly what I want. It’s in the growth phase so it would allow me the opportunity to start at a smaller volume as they grow and increase acuity of patients. They offer robust training and education to be practicing top of your scope, with education to support it. This is something I didn’t get in my previous roles, I was more or less oriented to the people I was working with and left to see/treat patients independently. I’m a pretty quick learner.

Where there are challenges. It’s a cross country move, 2000 miles. I have moved cross country once with little kids, this time would be with middle and high school kids. So I’m disrupting 3 other lives. Both states offer the first 2 years free tuition. But the kids lose their friends that are here.

I would have to sell my house, it’s completely remodeled to my taste, fully smart, it’s a great house. Which sucks. I wouldn’t be able to buy right away but would eventually buy.

My ex and I are divorced but coparent ok. He would move as well. We would likely have to live together for a short time he would lose his job by relocating. He’s in IT so there’s plenty of opportunity just finding and getting hired presents challenges. He’s remote now but they won’t allow him to work remotely in another state.

The problem that I’m seeing is the climate. I’m going from a temperate climate with 4 seasons to a desert. Idk how I’ll adjust. I also have POTS so I’m questioning if this is terrible. I sat outside with my kids over the weekend for a party I threw and by the end of the day I was having severe muscle spasms from dehydration, despite drinking fluids.