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The first APP post-graduate fellowship/residency program was started in 2007, for nurse practitioners at the Community Health Center, Inc., of Connecticut by Margaret Flinter.  Despite APPs having an expedited entry into practice without medical residency requirements when juxtaposed to their physician counterparts, and because of the escalating complexity of healthcare, sub-specialization and intent focus on the patient experience (e.g., individualized treatments, quality of care, patient satisfaction), new APP fellowship/residency programs are gradually growing in numbers and rising as an additional opportunity.

APP fellowships/residencies are tailored to new graduates and those with limited experience in the particular specialty.  They vary in length depending on the specialty and program design preference and typically range from 9-12 months.  Some programs offer monthly stipends while others pay at or near what a new graduate APP would earn at that organization.  All fellowships/residencies are highly selective, commonly admitting no more than 1-2 fellows/residents annually, mostly due to limited funding.

All programs are structured to provide an educational pathway for APPs (typically PAs and NPs) with a specific specialty area.  Teaching methods include practical clinical experience that establishes high levels of proficiency and critical thinking skills, formal precepting inclusive of feedback, coaching, mentoring and peer evaluation.  Main programs offer didactic or classroom instruction as well, either in coordination with medical fellows/residents or separately.

 

APPex has identified and gathered information regarding all known post-graduate fellowship/residency programs for APPs throughout the U.S., in both ambulatory/clinic-based and acute care settings.  Programs are searchable by name, specialty, location (state) and application deadline to help recent graduates and those APPs desiring additional focused training with all available options.

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