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• W2093854362 abstract "Is there something amiss in our postmaster’s (PM) certificate programs? Could there be a PM credentialing conundrum? I discovered a troubling trend in subsequent PM education and credentialing. Not so long ago it was possible to complete an adult nurse practitioner (ANP) board certification exam and then, after finishing the required additional graduate courses at an accredited institution, “sit” for the family NP (FNP) board certification, with the result that the FNP certification would supersede the ANP certification. It has become patently clear that many practicing NPs have followed this route for various personal and professional reasons. The conundrum is that, while it seems as if there are a myriad of PM FNP programs available, most require an inordinate amount of repetitive required courses. This should not be the case, as the goal of these programs is to help NPs acquire and assimilate the additional skills needed to allow for certification in another APN specialty. The PM program’s focus, therefore, should specifically be geared toward the skills needed for the new APN specialty.1Melander S.D. Kleinpell R.M. Hravnak M. Miller K. Post-masters certification programs for nurse practitioners: population specialty role preparation.J Am Acad Nurse Pract. 2008; 20: 63-68Crossref PubMed Scopus (4) Google Scholar I was shocked and dismayed to learn that most PM programs require as many as 24 to 30 additional credit hours. Bear in mind that this is an addendum to successfully completing a master’s of science in nursing (MSN) degree that requires 37-40 graduate hours and over 670 clinical hours with an adolescent and adult primary care focus. With that said, an incredulous trend has emerged in which a multitude of programs have placed their PM certificates on hold—indefinitely. One can only assume that this “holding pattern” is directly related to the race to have a doctorate of nursing practice (DNP) program in place. Unfortunately, it seems, this trend may well leave the PM certificate programs obsolete. Kathryn Gomez, RN, MSN, FNP-C, FNP-BC, associate director of certification for the American Academy of Nurse Practitioners Certification Program (AANPCP), stated, “When completing a PM program, the only courses you should need would be reproductive/women’s health and pediatric health and the required associated clinical hours. It should not be necessary to complete the same courses you have already taken” (K. Gomez, personal communication, April 18, 2012). I question the motives behind the universities that require a master’s-prepared and board-certified ANP to repeat virtually identical courses in a FNP PM program. Certainly, this not only denudes our resources but also squanders valuable nursing faculty, not to mention runs counterproductive in the effort to affect the shortage of primary care providers. Additionally, the requirement delegitimizes ANPs in the eyes of the public, physicians, and potential employers, especially when an ANP is required to repeat adult primary care clinical hours and coursework. The national accrediting bodies and the American Association of Colleges of Nursing (AACN) incorporated the National Task Force Criteria for the Evaluation of Nurse Practitioner Programs so that accredited schools require advanced practice core requirements, thereby ensuring continuity in educational preparedness.2Smolenski M.C. Credentialing, certification, and competence: issues for new and seasoned nurse practitioners.J Am Acad Nurse Pract. 2005; 17: 201-204Crossref PubMed Scopus (11) Google Scholar Let’s be clear: there will continue to be a strong need for PM programs for many years to follow. It is time for colleges to step up and develop individualized PM programs based on previous NP education and tailor them to fit the required skills for the new certification, just as the credentialing bodies recommend. Physicians don’t have to repeat medical school or their residency hours, and neither do physician assistants; they just go on and specialize in their field. Why in the world would anyone begin to think it is beneficial for an NP to repeat identical coursework and clinical hours? It just doesn’t make sense. In fact, it is counterproductive to what we as a profession are trying to do. Let’s not delegitimize our certifications or master’s NP preparedness by imposing educational obstacles that make it almost impossible to move within the NP ranks. I speak from experience, as I am currently enrolled in a PM FNP program and I am being asked to repeat the entire adult component, as well as the 180 primary care adult clinical hours. I graduated in December 2012 with my MSN and became a certified ANP in February 2013. There is no lapse in my education. I hope by writing this that something can be done so that the process becomes more streamlined and not one more NP has to live the “Groundhog Day” that I am enduring every day—not to mention the 2 days that I have to be away from my new NP position so that I can repeat clinical hours and jump through the proverbial hoops. Michelle D. Nowak, MSN, ANP-C, is a nurse practitioner at ENT Associates, PC, in Fort Wayne, IN" @default.
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• W2093854362 date "2014-01-01" @default.
• W2093854362 modified "2023-09-26" @default.
• W2093854362 title "Postmaster’s FNP Programs Delegitimize ANP Preparedness" @default.
• W2093854362 cites W2076534890 @default.
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• W2093854362 doi "https://doi.org/10.1016/j.nurpra.2013.11.004" @default.
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