AANP President Interview
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Show notes:
Whether you are a brand-new NP or you have been practicing for a while, the AANP has likely done something that has made your job easier. Advocating for full practice authority, advancing nurse research, or developing more nurse leaders, the AANP does a lot of different things for a lot of NPs.
What does the AANP actually do?
So many new grad NPs graduate without fully understanding AANP. In this special one-on-one interview with Stephen Ferrara, President-elect of the AANP, we got to ask him questions that new nurse practitioners in our community had about AANP. We talked about what the AANP is (and what it isn’t), about how the NP educational system works on a large scale (and some key differences between nursing education and medical education), and current issues in our profession. We also talk about the challenges of ordering diabetic shoes as an NP, why it is challenging, and how long this has been an issue (really).
Join us and learn about the AANP’s current and upcoming initiatives; some of their possible solutions to the challenge of finding a preceptor; some of the barriers to NP practice that are on their radar, and – maybe most importantly – how you can get involved, how the AANP can help you as an NP, and how you can help others in our profession.
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WEBVTT
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Hey there, welcome to the Real World NP podcast.
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I'm Liz Rohr, family nurse practitioner, educator, and founder of Real World NP, an educational
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company for nurse practitioners in primary care.
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I'm on a mission to equip and guide new nurse practitioners so that they can feel
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capable and take the best care of their patients.
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If you're looking for clinical pearls and practice tips without the fluff,
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you're in the right place.
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Plus, you'll find links to all the episodes with extra goodies over at
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realworldnp.com slash podcast.
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In this episode, I'm talking with Stephen Ferrara.
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He's a family nurse practitioner and the president-elect of AANP.
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As of very recently, and he is a wonderful, wonderful person.
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I've had the pleasure of knowing him for a little while now.
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What we talked about is concerns that nurse practitioners have about NP education,
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what AANP is, what it does, how it works, how NP education works,
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some of the issues that are facing us in this profession as nurse practitioners.
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We also talked about how we can help with all of the challenges that we talked about.
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Without further ado, I'm going to share my interview.
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I hope you enjoy it.
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If you haven't grabbed the ultimate resource guide for the new NP,
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head over to realworldnp.com slash guide.
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You'll get these episodes sent straight to your inbox every week with notes from me,
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patient stories, and bonuses I really just don't share anywhere else.
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Without further ado, here's my interview.
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Awesome.
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Thank you so much for being here.
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So would you introduce yourself for the people?
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Sure.
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And first, thank you for having me.
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I am Stephen Ferrara.
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I am a family nurse practitioner.
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I hold a few different roles.
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One is as president-elect of AANP.
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I just began this term at the end of June.
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This will be a one-year term as president-elect,
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and then the president term will start June of next year,
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so June of 2023, and will last two years.
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Oh, cool.
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That's what I'm looking forward to.
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But I'm on the board of directors of AANP now,
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and I'm also the associate dean of clinical affairs
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at Columbia University School of Nursing,
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and that's my primary full-time job
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at Columbia as associate professor and associate dean.
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Awesome.
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Thank you.
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Thank you so much for being here.
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So what we did was we asked the people in the real world NP community
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some questions for you.
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And you and I have talked before about,
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I think there's a pretty big misconception
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about what AANP is and what it's not,
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and what it controls or it doesn't control,
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or what it influences and what it doesn't.
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So just to kind of set the stage,
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a lot of the questions that I got from people
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were about NP education,
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and they were feeling really frustrated
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with NP education not being standardized,
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or perhaps as rigorous as they'd like it to be,
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or frustrated with finding preceptors themselves
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and that being a real challenge,
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which is absolutely those are super valid challenges.
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I think the expectation based on those questions
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is that AANP is in charge of that.
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So with that said,
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can you tell us about what AANP is
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and what it does and how it works?
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Sure.
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So thanks for everybody putting questions in advance.
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I think that's really helpful to guide this conversation,
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and it's a good opportunity to talk about AANP.
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So AANP is a membership professional organization.
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So we are the voice of the nurse practitioner
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currently at over 120,000 members
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across the United States.
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And we exist to help advocate for the profession,
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to help provide continuing education for the profession,
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to help the health of the profession.
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And that's at the core of what we do.
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Now it gets a lot, it gets very confusing
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because there's another entity
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called the AANP Certification Board,
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which many people take for their national certification exam.
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And that is a separate entity from AANP.
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And that is the test that one takes
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to become nationally board certified
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as a nurse practitioner.
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The other option is ANCC.
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It gets very confusing with all these acronyms
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that are out there.
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But that is really wholly separate and apart
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from the membership organization of what is known as AANP.
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Yeah, that is so fascinating.
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I think I did not understand that myself.
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I thought they were the same.
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And I think the other part that you and I had talked about
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is that there's a national AANP
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as well as state-based AANPs.
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Can you talk a little bit about that?
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Sure.
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So AANP represents nurse practitioners nationally.
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And the number of states
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have their own state organizations
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that have affiliations with AANP in it.
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But again, those are separate entities
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at the end of the day.
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So it gets very confusing,
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especially when we're talking about state licensure issues.
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That is always going to be legislated
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at the state level, not nationally.
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And in those situations, AANP will work
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with the state NP organization
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to try and move legislation
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that removes barriers to NP practice forward.
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So it really is a collaborative approach
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that AANP and the state organizations undergo.
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And it gets somewhat confusing.
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At the federal level, it's still legislation
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that takes place.
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When we think about federal legislation,
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think about Medicare.
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Medicare applies to everyone over age 65.
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And it's applicable whether you're in one side
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of the country or the other side.
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It's exactly the same.
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But that's never going to be state licensure rules
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for nurse practitioners.
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I see.
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I see.
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So I guess just maybe a couple of examples
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would be helpful.
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So it sounds like in terms
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of the full practice authority questions,
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that's a state-based specific issue
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compared to what are some
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of the other national issues
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that AANP works with, things like that.
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Sure.
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And I'll give you two examples
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on the national level.
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One is my favorite to talk about
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is diabetic shoes.
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I love this.
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This is one of those issues
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that it just doesn't make any sense.
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It makes no sense.
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I guess the context, maybe set the context
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for students, nurse practitioners.
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So this is for Medicare beneficiaries.
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So somebody with Medicare
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as their primary insurance.
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Medicare does not recognize
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nurse practitioners to sign the form
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that authorizes a diabetic shoe company
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to supply the shoes to the patient
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and be reimbursed by Medicare.
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So it's not exactly correct
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to say that nurse practitioners
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can't order diabetic shoes.
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We can, but the problem is
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the company supplying the shoes
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is not going to get paid by Medicare.
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And the current statute,
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federal legislation,
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only recognizes physicians
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and podiatrists to order these treatments,
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if you will, these interventions.
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So this has been an issue
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that has been many years in the making.
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It does require Congress,
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so your U.S. senators
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and House of Representatives
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to pass a bill
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in each respective chamber of Congress
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and then to be signed
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by the President of the United States.
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That's how difficult it is
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to get what makes complete nonsense
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or not being able to provide something
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that there's no controversy over.
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Nobody's a polluter.
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Nobody cares.
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But it takes a huge effort.
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So that's one example.
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The other example that has actually
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had some success in recent weeks
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is nurse practitioners being able
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to see injured workers,
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federally injured workers
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under a workers' compensation law.
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Currently, if a federally injured worker
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is going to their clinician,
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they can only be seen by a physician currently
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and other acupuncturists
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and some other disciplines.
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But nurse practitioners are not allowed
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to bill for services
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when it comes to a federally injured
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worker under workers' compensation.
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That's super helpful.
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I'm going to put a pin in that.
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We'll come back to what AANP
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is working on nationally.
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But I want to pivot a little bit
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to the topic of education.
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I had such an enlightening conversation
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with you about how NP education works.
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So could you speak to your understanding
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of how the NP education system works
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as it relates to AANP?
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Sure.
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So it's a good question.
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Or it doesn't, actually.
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I'm sorry.
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Go ahead.
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No, it's a good starting point
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because AANP is not an accreditor
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of NP programs.
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We never were.
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And there is no plans to become that.
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So basically, AANP is not in charge
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of NP education.
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We'll start with that point.
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But continue.
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How does it work?
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It's not in charge of NP education
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at the schooling level.
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To become a nurse practitioner,
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that's a space that there are
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nationally accredited bodies
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that accredit programs nationally
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to be able to provide
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these programs to the public.
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And it's linked to federal money.
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When a program's accredited
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by one of the nationally recognized
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accreditors, then you can apply
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for federal financial aid.
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But AANP is not in that space.
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But we get targeted oftentimes
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and say, well, why isn't AANP
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doing anything about this?
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Well, that's not the composition
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or mission, if you will,
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of this organization.
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That's not to say we don't have
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discussions and conversations
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with stakeholders across different
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areas within nursing.
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Of course we do.
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And we're trying and making sure
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that we're having the conversation
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with these stakeholders
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and making sure that we bring
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to light some of the issues
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that students are having,
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especially when it comes to
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finding clinical placements
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and preceptors and all the struggles
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that exist these days for students.
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Yeah. Can you speak a little bit
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to what the accrediting
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organizations are?
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00:12:16.380 --> 00:12:19.900
Yeah. So the two recognized ones
267
00:12:19.900 --> 00:12:24.080
are AACN, the American Association
268
00:12:24.080 --> 00:12:26.440
of Colleges of Nursing, AACN.
269
00:12:26.840 --> 00:12:29.140
And through that organization,
270
00:12:29.480 --> 00:12:32.140
their accreditor is CCNE.
271
00:12:34.160 --> 00:12:36.200
And I'm not going to attempt to figure
272
00:12:36.200 --> 00:12:37.880
out what CCNE stands for.
273
00:12:38.300 --> 00:12:40.740
And the other side is NLN,
274
00:12:40.760 --> 00:12:41.920
the National League of Nursing.
275
00:12:42.040 --> 00:12:43.180
So they have their own
276
00:12:43.180 --> 00:12:44.400
accrediting standards.
277
00:12:44.480 --> 00:12:46.100
But these are essentially
278
00:12:46.100 --> 00:12:47.980
the two organizations
279
00:12:47.980 --> 00:12:49.440
that are recognized by
280
00:12:49.440 --> 00:12:50.660
the federal government
281
00:12:50.660 --> 00:12:54.320
to be able to certify NP programs.
282
00:12:54.700 --> 00:12:57.160
Cool. And then they also set
283
00:12:57.160 --> 00:12:59.040
the educational standards as well?
284
00:12:59.620 --> 00:13:02.180
Well, they set what is,
285
00:13:02.440 --> 00:13:04.300
you know, what NP programs follow.
286
00:13:04.300 --> 00:13:05.640
Yes. But they don't do that
287
00:13:05.640 --> 00:13:06.540
in a vacuum.
288
00:13:07.440 --> 00:13:09.460
They do work with other organizations.
289
00:13:09.580 --> 00:13:12.400
Another organization that comes to mind
290
00:13:12.400 --> 00:13:14.700
is it's called NAMF,
291
00:13:14.900 --> 00:13:15.960
the National Organization
292
00:13:15.960 --> 00:13:16.820
of Nurse Practitioners.
293
00:13:16.820 --> 00:13:18.360
NAMF Confidenties, yes.
294
00:13:18.360 --> 00:13:21.480
Exactly. So, you know,
295
00:13:21.480 --> 00:13:24.400
they are an organization of NP faculty.
296
00:13:24.960 --> 00:13:27.080
They're also not an accreditor
297
00:13:27.080 --> 00:13:29.380
or a regulator in the space.
298
00:13:29.880 --> 00:13:32.660
But AANP is working with them
299
00:13:32.660 --> 00:13:33.620
to make sure that
300
00:13:33.620 --> 00:13:36.600
when we're talking about NP programs
301
00:13:36.600 --> 00:13:39.280
that it's evidence-based,
302
00:13:39.520 --> 00:13:42.000
it's with the current literature
303
00:13:42.000 --> 00:13:44.060
and that we're keeping up
304
00:13:44.060 --> 00:13:45.880
with what the demands
305
00:13:45.880 --> 00:13:46.960
of the health care system
306
00:13:46.960 --> 00:13:50.000
and our patients require of us to do
307
00:13:50.000 --> 00:13:53.960
to be safe and licensed
308
00:13:53.960 --> 00:13:55.940
and high-quality nurse practitioners.
309
00:13:56.280 --> 00:13:59.080
So, you know, there's a lot of crossover.
310
00:13:59.080 --> 00:14:00.300
But again, if you're looking
311
00:14:00.300 --> 00:14:02.760
for pointing fingers,
312
00:14:04.680 --> 00:14:07.660
it has to be, yes, we are a conduit.
313
00:14:07.840 --> 00:14:09.460
AANP can be a conduit
314
00:14:09.460 --> 00:14:10.880
and should be a conduit.
315
00:14:10.880 --> 00:14:15.300
But, you know, your one's, you know,
316
00:14:17.960 --> 00:14:20.780
frustrations really, you know,
317
00:14:20.940 --> 00:14:21.600
can't be blamed,
318
00:14:21.620 --> 00:14:24.600
at least for this issue on AANP.
319
00:14:25.000 --> 00:14:26.440
I would love to know
320
00:14:27.160 --> 00:14:28.360
and, like, hear from you
321
00:14:28.360 --> 00:14:30.220
about what is, like,
322
00:14:30.220 --> 00:14:31.160
so we can be really clear,
323
00:14:31.180 --> 00:14:32.380
like, what is it that AANP
324
00:14:32.380 --> 00:14:33.780
is currently working on?
325
00:14:34.040 --> 00:14:35.940
And what are some of the things
326
00:14:35.940 --> 00:14:37.420
also that you want to bring
327
00:14:37.420 --> 00:14:38.800
as the new president-elect?
328
00:14:38.860 --> 00:14:39.900
It's so cool that you,
329
00:14:39.900 --> 00:14:41.600
I didn't realize it worked in that
330
00:14:41.600 --> 00:14:42.360
that president-elect for a year
331
00:14:42.360 --> 00:14:43.260
and then the two-year term.
332
00:14:43.300 --> 00:14:44.080
That's really cool.
333
00:14:44.720 --> 00:14:45.980
So what would you like to bring?
334
00:14:46.020 --> 00:14:47.380
What are they currently working on?
335
00:14:47.440 --> 00:14:48.020
What are some things
336
00:14:48.020 --> 00:14:49.120
that you would like to bring?
337
00:14:49.480 --> 00:14:50.840
Yeah, it's a great question.
338
00:14:50.900 --> 00:14:52.840
So we have this acronym.
339
00:14:52.860 --> 00:14:55.500
We like acronyms of PERL.
340
00:14:56.220 --> 00:14:57.420
And P-E-A-R-L.
341
00:14:57.760 --> 00:14:59.840
P stands for practice.
342
00:15:00.300 --> 00:15:01.380
E is education.
343
00:15:01.800 --> 00:15:02.860
A is advocacy.
344
00:15:03.360 --> 00:15:04.300
R is research.
345
00:15:04.440 --> 00:15:05.480
And L is leadership.
346
00:15:05.920 --> 00:15:08.520
So we are looking at that,
347
00:15:08.520 --> 00:15:10.620
within that terminology,
348
00:15:11.120 --> 00:15:13.240
to have nurse practitioners represented.
349
00:15:14.420 --> 00:15:16.100
And when I talk about education,
350
00:15:16.520 --> 00:15:19.040
it's more continuing education
351
00:15:19.600 --> 00:15:24.280
rather than pre-licensure education.
352
00:15:24.820 --> 00:15:27.360
So that's the context, right?
353
00:15:27.660 --> 00:15:30.420
So there are programs for leadership
354
00:15:30.420 --> 00:15:31.920
to develop leaders
355
00:15:32.420 --> 00:15:34.540
and give additional skills
356
00:15:34.540 --> 00:15:35.800
for nurse practitioners.
357
00:15:36.300 --> 00:15:40.460
Our, we have two conferences a year
358
00:15:40.460 --> 00:15:43.800
that are contact hour focused.
359
00:15:44.460 --> 00:15:46.360
One is in the summer.
360
00:15:46.500 --> 00:15:47.860
The other is in the fall.
361
00:15:48.040 --> 00:15:50.740
And there are tremendous efforts
362
00:15:50.740 --> 00:15:52.700
to make sure that there are
363
00:15:52.700 --> 00:15:54.200
nurse practitioner presenters
364
00:15:54.200 --> 00:15:57.380
presenting the latest evidence-based practice
365
00:15:57.380 --> 00:16:00.120
and to provide opportunities
366
00:16:00.120 --> 00:16:03.000
to acquire those required
367
00:16:03.000 --> 00:16:04.620
continuing education credits.
368
00:16:05.260 --> 00:16:07.160
When it comes to practice,
369
00:16:07.200 --> 00:16:08.840
well, then that's everything
370
00:16:08.840 --> 00:16:10.900
having to do with NP practice.
371
00:16:11.200 --> 00:16:13.020
So whether it be at the federal level,
372
00:16:13.160 --> 00:16:14.660
whether it be at the state level,
373
00:16:14.800 --> 00:16:16.980
we're trying to influence
374
00:16:17.660 --> 00:16:20.880
and eliminate those barriers to practice.
375
00:16:22.120 --> 00:16:23.820
It shouldn't be harder
376
00:16:23.820 --> 00:16:25.680
for patients to seek care
377
00:16:25.680 --> 00:16:26.740
from a nurse practitioner.
378
00:16:27.700 --> 00:16:29.460
And how can we eliminate
379
00:16:29.460 --> 00:16:30.400
some of those things?
380
00:16:30.560 --> 00:16:32.860
And with that comes the advocacy
381
00:16:33.820 --> 00:16:36.340
and research, you know,
382
00:16:36.360 --> 00:16:38.540
not just necessarily research
383
00:16:38.540 --> 00:16:40.180
about nurse practitioners,
384
00:16:40.300 --> 00:16:43.020
but it's research led by nurse practitioners
385
00:16:43.020 --> 00:16:47.200
and what types of evidence-based treatments
386
00:16:47.200 --> 00:16:49.060
are out there these days.
387
00:16:49.660 --> 00:16:52.540
What are quality improvement projects
388
00:16:52.540 --> 00:16:53.940
that NPs are leading
389
00:16:53.940 --> 00:16:55.560
and leading to ultimately,
390
00:16:55.760 --> 00:16:57.380
hopefully better patient outcomes.
391
00:16:57.700 --> 00:17:02.800
So all of that happens within AANP.
392
00:17:02.860 --> 00:17:06.200
What I'd like to do is, you know,
393
00:17:06.319 --> 00:17:08.220
address some of the issues
394
00:17:08.220 --> 00:17:09.460
that are out there.
395
00:17:10.079 --> 00:17:12.200
One is preceptors, right?
396
00:17:12.300 --> 00:17:16.160
How can we increase the preceptor pool
397
00:17:16.160 --> 00:17:18.720
for NP students out there?
398
00:17:19.460 --> 00:17:22.119
And, you know, the model
399
00:17:22.119 --> 00:17:24.520
that I believe, this is my opinion,
400
00:17:24.880 --> 00:17:27.359
is that the one-to-one precepting,
401
00:17:27.760 --> 00:17:30.060
it's not sustainable anymore.
402
00:17:30.060 --> 00:17:32.540
We need, you know, one preceptor
403
00:17:32.540 --> 00:17:36.040
to multiple NP students, right?
404
00:17:36.440 --> 00:17:37.280
How do we do that?
405
00:17:37.280 --> 00:17:38.540
That's the hard part.
406
00:17:39.440 --> 00:17:41.560
But I think, you know, conceptually,
407
00:17:41.820 --> 00:17:43.800
the idea of one-to-one
408
00:17:45.820 --> 00:17:49.420
with 355,000 nurse practitioners today
409
00:17:49.420 --> 00:17:50.580
in the United States
410
00:17:50.580 --> 00:17:53.020
and, you know, thousands of students
411
00:17:53.020 --> 00:17:54.280
in school right now,
412
00:17:54.420 --> 00:17:56.300
it's just not a model
413
00:17:56.300 --> 00:17:58.740
that we can continue relying on.
414
00:17:58.740 --> 00:18:01.600
So we need to seek new ways
415
00:18:01.600 --> 00:18:04.400
to be able to precept
416
00:18:04.400 --> 00:18:06.360
the future NP workforce.
417
00:18:06.420 --> 00:18:09.340
So that's one of those top priorities
418
00:18:09.340 --> 00:18:11.360
that I'm committed to.
419
00:18:12.780 --> 00:18:15.720
Others will continue to be
420
00:18:15.720 --> 00:18:17.140
a full practice authority
421
00:18:17.140 --> 00:18:18.240
for nurse practitioners,
422
00:18:18.660 --> 00:18:21.140
eliminating these arbitrary barriers
423
00:18:21.140 --> 00:18:23.320
and what can we do to work
424
00:18:23.320 --> 00:18:25.820
with those state NP organizations?
425
00:18:26.560 --> 00:18:27.760
We're at a point now
426
00:18:27.760 --> 00:18:30.040
where we have 26 states
427
00:18:30.040 --> 00:18:32.340
are considered full practice authority.
428
00:18:32.400 --> 00:18:36.040
So we tipped over the halfway mark,
429
00:18:36.140 --> 00:18:38.660
but we still have 24 states
430
00:18:38.660 --> 00:18:41.420
that still need full practice authority.
431
00:18:41.620 --> 00:18:44.060
And again, it's not just full practice authority
432
00:18:44.060 --> 00:18:46.920
for full practice authority's sake.
433
00:18:47.300 --> 00:18:49.540
It's being able to practice
434
00:18:49.540 --> 00:18:51.260
and provide your patients
435
00:18:51.260 --> 00:18:53.500
with the care that you were educated
436
00:18:53.500 --> 00:18:56.060
and prepared to provide
437
00:18:56.060 --> 00:18:59.680
without getting an unnecessary signature
438
00:18:59.680 --> 00:19:01.540
because the form
439
00:19:01.540 --> 00:19:03.060
that you're trying to fill out
440
00:19:03.060 --> 00:19:05.100
requires a physician signature,
441
00:19:05.460 --> 00:19:07.800
which is so frustrating, right?
442
00:19:07.820 --> 00:19:09.120
Yeah. Well, the diabetic shoes
443
00:19:09.120 --> 00:19:10.020
is a great example.
444
00:19:10.120 --> 00:19:12.760
Visiting nurses, very frustrating.
445
00:19:13.780 --> 00:19:17.640
So those are two of my top priorities
446
00:19:18.540 --> 00:19:21.420
as I am trying to figure out,
447
00:19:21.420 --> 00:19:23.300
you know, where the needs are,
448
00:19:23.300 --> 00:19:27.180
where I could help with my experience.
449
00:19:27.340 --> 00:19:29.200
You know, my prior experience
450
00:19:29.200 --> 00:19:31.100
is I was the executive director
451
00:19:31.100 --> 00:19:33.400
of the State Nurse Practitioner Association
452
00:19:33.400 --> 00:19:34.380
in New York
453
00:19:35.380 --> 00:19:37.540
when we passed full practice authority
454
00:19:37.540 --> 00:19:38.720
in New York State.
455
00:19:38.720 --> 00:19:41.200
And I'm hoping I could share
456
00:19:41.200 --> 00:19:42.480
some of those successes,
457
00:19:43.600 --> 00:19:45.060
avoid some of those pitfalls
458
00:19:45.060 --> 00:19:46.120
that we encountered
459
00:19:46.120 --> 00:19:49.300
and set reasonable expectations
460
00:19:49.300 --> 00:19:53.620
all while being responsive
461
00:19:53.620 --> 00:19:56.600
to the needs of what the members
462
00:19:56.600 --> 00:19:58.960
of this association want
463
00:19:58.960 --> 00:20:02.180
from their professional membership organization.
464
00:20:02.220 --> 00:20:06.500
And it's hard because 120,000 people
465
00:20:06.500 --> 00:20:08.020
are a lot of people,
466
00:20:08.480 --> 00:20:09.760
are a lot of nurse practitioners
467
00:20:09.760 --> 00:20:11.680
and nurse practitioner students.
468
00:20:12.420 --> 00:20:14.020
So, you know, how do you keep the balance?
469
00:20:14.220 --> 00:20:19.280
How do you, you know,
470
00:20:19.280 --> 00:20:23.660
to voices who are on polar opposite
471
00:20:23.660 --> 00:20:24.620
ends of the spectrum?
472
00:20:25.080 --> 00:20:26.980
It's not easy to do.
473
00:20:27.500 --> 00:20:30.200
But the way I will approach it
474
00:20:30.200 --> 00:20:32.320
and how I try to approach it
475
00:20:32.320 --> 00:20:34.220
is what does this mean
476
00:20:34.220 --> 00:20:36.980
in the context of our patients, right?
477
00:20:37.620 --> 00:20:39.620
Are we doing everything we can
478
00:20:39.620 --> 00:20:41.620
to advocate for our patient
479
00:20:42.320 --> 00:20:47.000
and have them ideally have ideal outcomes?
480
00:20:47.160 --> 00:20:48.720
And if we're not doing that,
481
00:20:48.720 --> 00:20:50.440
then we need to re-examine
482
00:20:51.560 --> 00:20:54.020
our positions and perhaps
483
00:20:54.020 --> 00:20:55.220
realign with something
484
00:20:55.220 --> 00:20:57.760
that is more patient-centric.
485
00:20:58.160 --> 00:20:59.220
Yeah, exactly.
486
00:20:59.400 --> 00:20:59.820
Exactly.
487
00:21:00.240 --> 00:21:01.560
And I guess I just wanted to add in
488
00:21:01.560 --> 00:21:03.360
about the whole education conversation.
489
00:21:03.560 --> 00:21:05.120
Like, I don't have the answers, right?
490
00:21:05.440 --> 00:21:07.140
But like, I guess just for context
491
00:21:07.140 --> 00:21:09.120
for someone listening is that like,
492
00:21:09.700 --> 00:21:11.600
and you can please chime in.
493
00:21:11.760 --> 00:21:13.420
This is just what I understand of how
494
00:21:14.060 --> 00:21:16.040
I think it's not just
495
00:21:16.040 --> 00:21:17.600
a nurse practitioner education.
496
00:21:17.600 --> 00:21:18.940
I feel like it is like
497
00:21:18.940 --> 00:21:20.400
the healthcare system in general.
498
00:21:20.780 --> 00:21:21.900
Because I think there's,
499
00:21:21.900 --> 00:21:22.880
I don't know, I wonder
500
00:21:22.880 --> 00:21:24.600
if there's misunderstandings as well.
501
00:21:24.620 --> 00:21:26.340
Like, I don't know what the solutions are
502
00:21:26.340 --> 00:21:28.880
to improve the preceptor shortage
503
00:21:28.880 --> 00:21:31.400
or that challenge of finding preceptors.
504
00:21:31.620 --> 00:21:33.900
But just to also like give some context,
505
00:21:34.540 --> 00:21:35.800
physician associates,
506
00:21:36.780 --> 00:21:38.880
I know my colleagues that I've had
507
00:21:38.880 --> 00:21:40.980
have traveled like several hours
508
00:21:40.980 --> 00:21:42.000
to different states.
509
00:21:42.740 --> 00:21:44.340
They may have had assigned preceptors,
510
00:21:44.380 --> 00:21:47.340
but that's part of their kind of like
511
00:21:47.340 --> 00:21:48.220
expectation.
512
00:21:49.360 --> 00:21:51.100
And then when it comes to physician education,
513
00:21:52.220 --> 00:21:53.280
in their residency,
514
00:21:53.440 --> 00:21:54.440
like as medical students
515
00:21:54.440 --> 00:21:55.320
and then as residents
516
00:21:55.320 --> 00:21:56.800
until they become attendings,
517
00:21:57.880 --> 00:22:01.040
they have government funded programs, right?
518
00:22:01.080 --> 00:22:03.480
So that's their training is they have funding.
519
00:22:04.240 --> 00:22:06.800
And so just for some contextual information
520
00:22:06.800 --> 00:22:07.880
for people who aren't familiar
521
00:22:07.880 --> 00:22:09.240
or somebody listening who's not familiar
522
00:22:09.240 --> 00:22:11.280
with the way the physician education works
523
00:22:11.280 --> 00:22:12.720
versus PA versus NP,
524
00:22:13.160 --> 00:22:14.880
it is a real challenge, I think.
525
00:22:15.040 --> 00:22:16.560
And I don't think that there are
526
00:22:16.560 --> 00:22:18.000
unfortunately easy solutions.
527
00:22:18.480 --> 00:22:19.700
There are not easy solutions
528
00:22:19.700 --> 00:22:20.860
and it's a great point.
529
00:22:21.940 --> 00:22:24.800
Physician education is funded
530
00:22:24.800 --> 00:22:25.940
by the federal government
531
00:22:25.940 --> 00:22:28.580
to the tune of billions of dollars a year.
532
00:22:29.340 --> 00:22:31.400
Whereas graduate nurse education
533
00:22:31.400 --> 00:22:32.720
and that's all nursing,
534
00:22:33.200 --> 00:22:34.980
not just nurse practitioners
535
00:22:35.640 --> 00:22:36.900
is in the millions.
536
00:22:38.160 --> 00:22:41.020
And our method of training
537
00:22:41.020 --> 00:22:43.580
and preparation is different than physician.
538
00:22:43.920 --> 00:22:45.680
So I'm not saying ours is better.
539
00:22:45.680 --> 00:22:48.540
I'm not saying the physician model is better,
540
00:22:48.540 --> 00:22:51.300
but I think what we need to do
541
00:22:51.300 --> 00:22:53.380
is recognize where we are,
542
00:22:55.060 --> 00:22:57.720
question whether this is the best way
543
00:22:57.720 --> 00:22:59.820
to do what we're doing these days
544
00:22:59.820 --> 00:23:02.540
and really try to move forward
545
00:23:02.540 --> 00:23:03.740
with that understanding.
546
00:23:03.900 --> 00:23:06.320
You know, the one thing about medicine
547
00:23:06.320 --> 00:23:09.400
and even PAs to a degree
548
00:23:09.400 --> 00:23:12.080
is that it's a very centralized
549
00:23:13.500 --> 00:23:14.780
gatekeeper system
550
00:23:14.780 --> 00:23:16.900
when it comes to programs
551
00:23:16.900 --> 00:23:18.680
and residency slots.
552
00:23:19.860 --> 00:23:21.380
There's a certain number of slots
553
00:23:21.380 --> 00:23:24.560
and if you don't match,
554
00:23:24.600 --> 00:23:25.760
then you don't match
555
00:23:25.760 --> 00:23:28.440
and that's it for physicians.
556
00:23:28.880 --> 00:23:30.480
When it comes to nurse practitioners
557
00:23:30.480 --> 00:23:32.280
and nurse practitioner programs,
558
00:23:32.720 --> 00:23:35.120
there is no centralized gatekeeper.
559
00:23:35.860 --> 00:23:37.600
So you're sort of relying
560
00:23:37.600 --> 00:23:40.260
on each individual NP school
561
00:23:40.260 --> 00:23:43.060
to find those preceptors.
562
00:23:43.060 --> 00:23:45.520
And again, I question and say,
563
00:23:45.860 --> 00:23:47.200
is that the best way
564
00:23:47.200 --> 00:23:49.420
we could solve these issues today?
565
00:23:49.800 --> 00:23:51.080
I tend to think no.
566
00:23:51.080 --> 00:23:53.700
I think we need to have something else,
567
00:23:54.260 --> 00:23:57.060
a new approach that makes it easier
568
00:23:57.060 --> 00:24:01.220
for students to be linked with preceptors.
569
00:24:01.480 --> 00:24:03.000
And again, like you, Liz,
570
00:24:03.300 --> 00:24:05.700
I don't claim to have any of the answers,
571
00:24:06.360 --> 00:24:09.700
but I do want to find solutions
572
00:24:09.700 --> 00:24:12.460
and I want to think out of the box
573
00:24:12.460 --> 00:24:14.320
and I want to be able to
574
00:24:15.500 --> 00:24:18.280
do my best to meet the needs
575
00:24:18.280 --> 00:24:20.720
of the members of this organization
576
00:24:20.720 --> 00:24:23.620
and that's my number one focus.
577
00:24:24.140 --> 00:24:24.660
Absolutely.
578
00:24:25.080 --> 00:24:26.740
So I guess last question
579
00:24:27.500 --> 00:24:29.580
for this episode,
580
00:24:29.980 --> 00:24:31.080
hopefully we can have you back,
581
00:24:31.580 --> 00:24:33.320
but last question I think is
582
00:24:34.340 --> 00:24:36.940
a lot of people want to,
583
00:24:38.180 --> 00:24:40.100
there are so many really big
584
00:24:40.100 --> 00:24:40.880
hearted nurse practitioners,
585
00:24:40.960 --> 00:24:41.940
especially in this community,
586
00:24:41.940 --> 00:24:44.440
that want to see the profession succeed.
587
00:24:44.680 --> 00:24:45.760
They want to give the best care
588
00:24:45.760 --> 00:24:46.720
to their patients.
589
00:24:47.500 --> 00:24:48.940
They really want to make a difference
590
00:24:49.560 --> 00:24:51.720
and whether it's from frustration
591
00:24:51.720 --> 00:24:53.580
of their education, for example,
592
00:24:53.700 --> 00:24:54.840
or their own personal
593
00:24:54.840 --> 00:24:55.700
health care experiences,
594
00:24:56.540 --> 00:24:58.420
or they just really want to get involved
595
00:24:58.420 --> 00:25:00.460
with A&P or other organizations,
596
00:25:00.940 --> 00:25:02.780
what would you recommend
597
00:25:02.780 --> 00:25:04.060
to somebody listening to this
598
00:25:04.060 --> 00:25:05.400
or watching this who is
599
00:25:06.440 --> 00:25:07.480
wanting to get involved,
600
00:25:07.500 --> 00:25:09.500
whether it's with education reform
601
00:25:09.500 --> 00:25:12.480
or with their local chapters
602
00:25:12.480 --> 00:25:13.500
or on the national level,
603
00:25:13.580 --> 00:25:15.080
like what would you recommend
604
00:25:15.080 --> 00:25:17.400
whether, like how can they best help
605
00:25:17.400 --> 00:25:18.340
if there are some options
606
00:25:18.340 --> 00:25:19.260
for people to help?
607
00:25:19.620 --> 00:25:23.000
Yeah, and I think that's a great way
608
00:25:23.000 --> 00:25:24.440
to sort of talk about
609
00:25:24.440 --> 00:25:26.780
how one can get the most
610
00:25:26.780 --> 00:25:28.640
out of their professional organization
611
00:25:28.640 --> 00:25:32.040
and I will use myself as the example
612
00:25:32.040 --> 00:25:34.440
and I am on the opposite side of that.
613
00:25:34.460 --> 00:25:36.420
I was actually brought
614
00:25:36.420 --> 00:25:38.100
into my state association
615
00:25:38.100 --> 00:25:41.020
because I happened to go to a local event
616
00:25:41.020 --> 00:25:43.040
and thought it was interesting
617
00:25:43.040 --> 00:25:45.080
but I mean ultimately
618
00:25:45.080 --> 00:25:46.480
I think I would have gotten involved
619
00:25:46.480 --> 00:25:47.520
at some point
620
00:25:47.520 --> 00:25:51.060
but it was really a mentor
621
00:25:51.060 --> 00:25:52.760
who someone who became a mentor
622
00:25:52.760 --> 00:25:53.800
of mine said,
623
00:25:55.460 --> 00:25:57.360
you're coming with me.
624
00:25:58.300 --> 00:25:59.540
No option.
625
00:26:00.380 --> 00:26:01.560
Pretty much no option.
626
00:26:01.800 --> 00:26:03.480
Now, not everybody's going to have
627
00:26:03.480 --> 00:26:05.620
you know that setting
628
00:26:05.620 --> 00:26:07.160
so I think first
629
00:26:07.160 --> 00:26:09.120
you have to be present right
630
00:26:09.120 --> 00:26:11.380
and I do think you'll get
631
00:26:12.160 --> 00:26:14.700
you'll get what out of your association
632
00:26:14.700 --> 00:26:16.000
what you put into it right
633
00:26:16.000 --> 00:26:18.380
and you know merely paying
634
00:26:18.380 --> 00:26:19.740
the membership fees
635
00:26:20.220 --> 00:26:22.260
you know you may take advantage
636
00:26:22.260 --> 00:26:24.100
of a member benefit
637
00:26:24.100 --> 00:26:24.920
every now and then
638
00:26:24.920 --> 00:26:26.360
but you're not going to necessarily
639
00:26:26.360 --> 00:26:28.840
feel connected to a community
640
00:26:28.840 --> 00:26:30.120
of nearest practitioners
641
00:26:30.120 --> 00:26:33.020
so I think that the way
642
00:26:33.020 --> 00:26:35.540
to get involved is every state
643
00:26:35.620 --> 00:26:37.480
has a state liaison
644
00:26:37.480 --> 00:26:39.040
and a region director
645
00:26:39.040 --> 00:26:42.000
and when you log into your A&P portal
646
00:26:42.000 --> 00:26:43.320
their photos
647
00:26:43.320 --> 00:26:44.940
and contact information
648
00:26:44.940 --> 00:26:46.520
show up in your
649
00:26:47.000 --> 00:26:48.220
on your dashboard
650
00:26:48.220 --> 00:26:50.660
so reach out to them
651
00:26:51.280 --> 00:26:53.340
that would be the best way to say
652
00:26:53.340 --> 00:26:55.040
hey I want to be involved in
653
00:26:56.420 --> 00:26:59.000
you know insurance issues
654
00:26:59.000 --> 00:27:00.880
that you know we have in our state
655
00:27:00.880 --> 00:27:02.380
that insurance companies
656
00:27:02.380 --> 00:27:03.900
are not reimbursing
657
00:27:03.900 --> 00:27:05.560
practitioners at all right
658
00:27:05.560 --> 00:27:06.960
like they won't credential me
659
00:27:06.960 --> 00:27:07.860
as a nearest practitioner
660
00:27:07.860 --> 00:27:10.200
so like that's one example right
661
00:27:10.200 --> 00:27:12.920
of a way to get involved
662
00:27:13.500 --> 00:27:15.320
their contact information is there
663
00:27:15.320 --> 00:27:17.100
and here's the other thing right
664
00:27:17.100 --> 00:27:18.800
that we have to be mindful of
665
00:27:18.800 --> 00:27:22.060
I would love that there is an
666
00:27:22.060 --> 00:27:23.000
there's an opportunity
667
00:27:23.000 --> 00:27:25.160
for everybody who wants to volunteer
668
00:27:25.160 --> 00:27:27.160
when they want to volunteer
669
00:27:27.160 --> 00:27:29.020
on the time period
670
00:27:29.020 --> 00:27:30.320
that they want to volunteer
671
00:27:30.320 --> 00:27:31.840
but that's that's hard
672
00:27:31.840 --> 00:27:34.180
120,000 people right
673
00:27:34.180 --> 00:27:36.060
so what I would ask is
674
00:27:36.060 --> 00:27:37.520
don't get discouraged
675
00:27:37.520 --> 00:27:39.200
if you do reach out to someone
676
00:27:39.200 --> 00:27:42.060
and don't get an immediate response back
677
00:27:42.680 --> 00:27:44.320
if if that's the case
678
00:27:44.320 --> 00:27:46.100
you know I would say
679
00:27:46.100 --> 00:27:47.320
get in touch with me
680
00:27:47.320 --> 00:27:48.780
get in touch with the current
681
00:27:48.780 --> 00:27:50.480
A&P president April Capu
682
00:27:51.960 --> 00:27:54.700
wherever present on social media
683
00:27:54.700 --> 00:27:57.360
we are really to serve
684
00:27:57.360 --> 00:27:59.640
the members of this organization
685
00:27:59.640 --> 00:28:01.160
and we want
686
00:28:01.700 --> 00:28:03.900
an organization that is
687
00:28:03.900 --> 00:28:05.920
representative of the profession
688
00:28:05.920 --> 00:28:07.860
representative of the patients
689
00:28:07.860 --> 00:28:09.020
that we serve
690
00:28:09.640 --> 00:28:12.280
and that is a welcome place for
691
00:28:13.460 --> 00:28:15.040
for all I mean you know
692
00:28:15.040 --> 00:28:17.860
I'm thinking of a utopia organization
693
00:28:17.860 --> 00:28:20.660
but you know it's the truth
694
00:28:20.660 --> 00:28:22.660
and I know that when it comes to
695
00:28:23.300 --> 00:28:24.580
when we think about
696
00:28:24.580 --> 00:28:26.380
the composition of members
697
00:28:26.380 --> 00:28:27.520
of this organization
698
00:28:27.520 --> 00:28:29.520
I mean we have members
699
00:28:29.520 --> 00:28:32.440
who were the first nurse practitioners
700
00:28:32.440 --> 00:28:34.500
ever in their state right
701
00:28:34.500 --> 00:28:36.280
so it's like
702
00:28:36.280 --> 00:28:38.080
they're the first nurse practitioner ever
703
00:28:38.080 --> 00:28:39.980
like their license number is one
704
00:28:39.980 --> 00:28:42.520
right and amazing
705
00:28:42.520 --> 00:28:44.420
and we also have nurse practitioners
706
00:28:44.420 --> 00:28:45.760
who graduated yesterday
707
00:28:45.760 --> 00:28:48.500
right and you know it's it's
708
00:28:48.500 --> 00:28:49.700
we need to be mindful
709
00:28:49.700 --> 00:28:52.720
of how do we appeal to
710
00:28:53.180 --> 00:28:55.000
the seasoned nurse practitioner
711
00:28:55.000 --> 00:28:57.680
versus the very unseasoned
712
00:28:58.520 --> 00:28:59.560
nurse practitioner
713
00:28:59.560 --> 00:29:01.840
so you know and that's the other piece
714
00:29:01.840 --> 00:29:03.100
is that you know
715
00:29:03.100 --> 00:29:04.820
don't keep your ideas to yourself
716
00:29:04.820 --> 00:29:08.120
if you want to see something
717
00:29:08.120 --> 00:29:09.220
in this organization
718
00:29:09.220 --> 00:29:11.760
I encourage you to share that
719
00:29:11.760 --> 00:29:14.780
and help us make this association
720
00:29:14.780 --> 00:29:16.480
as best as it can be
721
00:29:16.480 --> 00:29:18.440
and you know at the end of the day
722
00:29:19.100 --> 00:29:21.340
an association are people
723
00:29:21.340 --> 00:29:24.120
and if we're not mindful
724
00:29:24.120 --> 00:29:26.900
of the constituency
725
00:29:26.900 --> 00:29:27.880
of the membership
726
00:29:27.880 --> 00:29:29.920
well then we wouldn't be doing
727
00:29:29.920 --> 00:29:31.360
our job as an association
728
00:29:31.920 --> 00:29:32.380
absolutely
729
00:29:32.380 --> 00:29:33.680
so you feel like the best way
730
00:29:33.680 --> 00:29:35.760
to kind of communicate the desires
731
00:29:35.760 --> 00:29:37.500
because I just thinking of the context
732
00:29:37.500 --> 00:29:38.940
of a lot of the newer grads
733
00:29:38.940 --> 00:29:40.700
are kind of kind of swimming
734
00:29:40.700 --> 00:29:41.680
drowning a little bit
735
00:29:41.680 --> 00:29:43.080
so they might not have the time
736
00:29:43.080 --> 00:29:44.240
to be volunteering
737
00:29:44.240 --> 00:29:46.060
but if they're interested
738
00:29:46.060 --> 00:29:46.900
in sharing their views
739
00:29:46.900 --> 00:29:48.600
is the best place to kind of share
740
00:29:48.600 --> 00:29:50.820
with the ANP national like website
741
00:29:50.820 --> 00:29:54.000
or their state websites cool
742
00:29:54.000 --> 00:29:56.400
I would say for ANP
743
00:29:56.790 --> 00:29:57.820
in particular
744
00:29:58.350 --> 00:29:59.580
go to the ANP website
745
00:29:59.580 --> 00:30:01.760
there's you know contact me forms
746
00:30:01.760 --> 00:30:03.260
and I know that's very antiquated
747
00:30:03.260 --> 00:30:04.960
and you know you want to be able
748
00:30:04.960 --> 00:30:05.760
to text somebody
749
00:30:05.760 --> 00:30:07.800
and send a direct message
750
00:30:07.800 --> 00:30:09.600
but there are you know
751
00:30:09.600 --> 00:30:11.100
there are social media accounts
752
00:30:11.100 --> 00:30:13.460
Facebook and Instagram
753
00:30:13.460 --> 00:30:16.720
and Twitter and LinkedIn
754
00:30:17.310 --> 00:30:19.360
you know you can definitely send messages
755
00:30:19.360 --> 00:30:21.680
to those accounts
756
00:30:21.680 --> 00:30:24.400
and they will go to the ANP staff
757
00:30:24.400 --> 00:30:25.800
that will then disseminate it
758
00:30:25.800 --> 00:30:26.820
to leadership
759
00:30:27.520 --> 00:30:28.300
and you know again
760
00:30:28.300 --> 00:30:29.340
we're looking for trends
761
00:30:29.340 --> 00:30:31.240
we're looking for voids
762
00:30:31.240 --> 00:30:33.480
where we can you know fill in
763
00:30:33.480 --> 00:30:35.960
and the other thing to do is
764
00:30:35.960 --> 00:30:38.220
you know if you do have the opportunity
765
00:30:38.220 --> 00:30:40.420
to go to a conference
766
00:30:40.420 --> 00:30:42.040
you know it's a good way
767
00:30:42.040 --> 00:30:43.340
to get out there
768
00:30:43.340 --> 00:30:45.540
to do some when we're back
769
00:30:45.540 --> 00:30:46.640
fully in person
770
00:30:46.640 --> 00:30:50.040
to do some networking face to face
771
00:30:50.040 --> 00:30:51.720
those are great opportunities
772
00:30:51.720 --> 00:30:52.980
and then the other conference
773
00:30:52.980 --> 00:30:54.460
that I really like
774
00:30:54.460 --> 00:30:57.260
is usually it's in the spring
775
00:30:57.260 --> 00:30:58.320
in February March
776
00:30:58.320 --> 00:31:00.160
is the health policy conference
777
00:31:01.120 --> 00:31:02.760
and this is the opportunity
778
00:31:03.320 --> 00:31:06.060
it's a very policy focused agenda
779
00:31:06.060 --> 00:31:08.620
and then it usually concludes
780
00:31:08.620 --> 00:31:12.200
with having lobby days on the hill
781
00:31:12.200 --> 00:31:13.720
so you'll go in groups
782
00:31:13.720 --> 00:31:15.360
based on your address
783
00:31:15.360 --> 00:31:17.300
and you could actually get to meet
784
00:31:17.300 --> 00:31:18.760
with your legislator
785
00:31:18.760 --> 00:31:20.160
oh cool
786
00:31:20.160 --> 00:31:21.540
or their staff
787
00:31:21.540 --> 00:31:22.420
and it really is
788
00:31:22.420 --> 00:31:24.140
and this is where I spoke
789
00:31:24.140 --> 00:31:26.860
with my legislators years ago
790
00:31:26.860 --> 00:31:28.820
about diabetic shoes right
791
00:31:28.820 --> 00:31:30.440
and I'll never forget
792
00:31:30.440 --> 00:31:31.860
I tell the story a lot
793
00:31:31.860 --> 00:31:34.200
but it just it is where
794
00:31:34.200 --> 00:31:36.980
you know I was pouring my heart out
795
00:31:36.980 --> 00:31:39.040
right like diabetic shoes
796
00:31:39.040 --> 00:31:40.660
and the legislator looked at me
797
00:31:40.660 --> 00:31:42.660
and said you're talking about shoes
798
00:31:42.660 --> 00:31:43.720
right yeah
799
00:31:44.680 --> 00:31:46.260
and they said to me
800
00:31:46.260 --> 00:31:48.080
this is a no brainer right
801
00:31:48.080 --> 00:31:49.720
it is a no brainer right
802
00:31:49.720 --> 00:31:51.780
but again it's not like
803
00:31:51.780 --> 00:31:52.720
snapping your fingers
804
00:31:52.720 --> 00:31:54.560
yeah after the process
805
00:31:54.560 --> 00:31:57.260
yeah and you know you feel
806
00:31:57.260 --> 00:31:59.920
you know empowered to be part of
807
00:31:59.920 --> 00:32:03.100
the process of shaping
808
00:32:03.100 --> 00:32:04.960
the identity of this profession
809
00:32:04.960 --> 00:32:06.800
and that's why I got into this
810
00:32:06.800 --> 00:32:08.980
I want to lead this profession
811
00:32:08.980 --> 00:32:10.660
in some way shape or form
812
00:32:10.660 --> 00:32:11.800
a little bit better
813
00:32:11.800 --> 00:32:13.000
than when I found it
814
00:32:13.000 --> 00:32:16.160
and if I have anything to do with that
815
00:32:16.160 --> 00:32:18.460
I consider it sort of a win
816
00:32:18.460 --> 00:32:20.320
so that's what I'm looking to do
817
00:32:20.840 --> 00:32:22.440
awesome well I guess one other thing
818
00:32:22.440 --> 00:32:23.300
I wanted to add
819
00:32:23.840 --> 00:32:25.540
is like just
820
00:32:25.540 --> 00:32:27.020
and it's a little bit more context
821
00:32:27.020 --> 00:32:29.500
is that everyone is a volunteer
822
00:32:29.500 --> 00:32:31.340
right with AANP right
823
00:32:31.340 --> 00:32:33.500
okay so this is not your full-time job
824
00:32:33.500 --> 00:32:34.420
no you do this on top
825
00:32:34.420 --> 00:32:35.340
of your full-time job
826
00:32:35.340 --> 00:32:36.920
in addition to everybody else
827
00:32:36.920 --> 00:32:39.160
so I think another context
828
00:32:39.160 --> 00:32:40.700
just to share is like
829
00:32:40.700 --> 00:32:42.600
people becoming a member
830
00:32:42.600 --> 00:32:44.440
is actually like financially
831
00:32:45.440 --> 00:32:47.200
it's like 200 something dollars a year
832
00:32:47.200 --> 00:32:48.660
right and people get their benefits
833
00:32:48.660 --> 00:32:49.820
and they get continuing education
834
00:32:49.820 --> 00:32:51.040
like this actually does make
835
00:32:51.040 --> 00:32:52.240
a really big difference right
836
00:32:52.240 --> 00:32:53.140
because like the more people
837
00:32:53.140 --> 00:32:53.840
that are members
838
00:32:53.840 --> 00:32:56.440
the more resources financially
839
00:32:56.440 --> 00:32:57.840
AANP as an organization
840
00:32:57.840 --> 00:32:59.420
and smaller organizations have
841
00:32:59.420 --> 00:33:01.340
to do the work that they want to do
842
00:33:01.340 --> 00:33:02.520
right and by understanding that
843
00:33:02.520 --> 00:33:03.240
that's exactly right
844
00:33:03.240 --> 00:33:04.480
that's where the money comes from
845
00:33:04.480 --> 00:33:05.160
is membership
846
00:33:05.160 --> 00:33:06.700
and that's how we make dollars
847
00:33:06.700 --> 00:33:09.260
yeah on all of the programs
848
00:33:09.260 --> 00:33:10.860
and all of the benefits
849
00:33:10.860 --> 00:33:13.180
that that AANP offers
850
00:33:13.180 --> 00:33:15.500
as well as annual conference
851
00:33:15.500 --> 00:33:17.900
you know that's another way
852
00:33:17.900 --> 00:33:19.600
that we generate some
853
00:33:20.480 --> 00:33:22.120
non-dues revenue
854
00:33:22.120 --> 00:33:23.960
to help the association
855
00:33:23.960 --> 00:33:26.160
and it's a non-profit organization
856
00:33:26.160 --> 00:33:28.080
yeah right so nobody's
857
00:33:28.080 --> 00:33:30.340
you know there are no shareholders
858
00:33:30.340 --> 00:33:31.900
that are making money
859
00:33:32.700 --> 00:33:35.000
here you know the funds
860
00:33:35.000 --> 00:33:35.860
the membership dues
861
00:33:35.860 --> 00:33:38.860
goes to staff time
862
00:33:38.860 --> 00:33:40.780
and any you know resources
863
00:33:40.780 --> 00:33:42.620
that we put out you know
864
00:33:42.620 --> 00:33:44.080
paying rent you know
865
00:33:44.080 --> 00:33:45.400
all these things that
866
00:33:46.200 --> 00:33:47.780
organizations need to do
867
00:33:47.780 --> 00:33:49.560
because they're you know
868
00:33:49.560 --> 00:33:50.700
they're physical entities
869
00:33:50.700 --> 00:33:51.720
at the end of the day
870
00:33:51.720 --> 00:33:53.360
but yeah you know
871
00:33:53.360 --> 00:33:55.340
it's a huge organization
872
00:33:56.120 --> 00:33:58.660
lots of opportunities for people
873
00:33:58.660 --> 00:34:01.280
lots of benefits for people
874
00:34:01.280 --> 00:34:04.460
and you know I hope
875
00:34:04.460 --> 00:34:05.840
it is my hope that
876
00:34:05.840 --> 00:34:08.520
we see people taking advantage of that
877
00:34:08.520 --> 00:34:10.159
becoming involved in it
878
00:34:10.159 --> 00:34:11.699
and you know hopefully
879
00:34:11.699 --> 00:34:13.420
making sure that we have
880
00:34:13.420 --> 00:34:15.900
a pipeline of future leaders
881
00:34:16.480 --> 00:34:18.280
and people who are willing to say
882
00:34:18.280 --> 00:34:19.960
hey I want to get involved
883
00:34:20.659 --> 00:34:22.460
I want to volunteer my time
884
00:34:22.460 --> 00:34:23.340
my talent
885
00:34:24.199 --> 00:34:25.750
and be able to
886
00:34:26.719 --> 00:34:28.380
impact the profession
887
00:34:28.380 --> 00:34:30.380
in a way that you know
888
00:34:30.380 --> 00:34:32.600
you feel you need to impact it
889
00:34:32.600 --> 00:34:33.800
totally totally
890
00:34:33.800 --> 00:34:35.440
well thank you so very much
891
00:34:35.440 --> 00:34:36.120
for being here
892
00:34:36.120 --> 00:34:37.440
I appreciate you so much
893
00:34:37.440 --> 00:34:38.040
thank you so much
894
00:34:38.040 --> 00:34:38.940
for all your hard work
895
00:34:38.940 --> 00:34:39.980
for taking the time
896
00:34:39.980 --> 00:34:41.159
and hopefully we can do
897
00:34:41.159 --> 00:34:42.420
another chat another time
898
00:34:42.420 --> 00:34:43.480
yeah I'd love to Liz
899
00:34:43.480 --> 00:34:44.480
thank you so much for
900
00:34:44.480 --> 00:34:45.320
having me back on
901
00:34:45.320 --> 00:34:46.960
and I look forward to
902
00:34:46.960 --> 00:34:48.199
seeing you again soon
903
00:34:48.199 --> 00:34:49.070
thank you
904
00:34:49.400 --> 00:34:50.010
all right
905
00:34:51.940 --> 00:34:53.920
that's our episode for today
906
00:34:53.920 --> 00:34:55.820
thank you so much for listening
907
00:34:55.820 --> 00:34:57.560
make sure you subscribe
908
00:34:57.560 --> 00:34:58.540
leave a review
909
00:34:58.540 --> 00:35:00.460
and tell all your NP friends
910
00:35:00.460 --> 00:35:01.880
so together we can help
911
00:35:01.880 --> 00:35:03.380
as many nurse practitioners
912
00:35:03.380 --> 00:35:04.220
as possible
913
00:35:04.220 --> 00:35:06.180
give the best care to their patients
914
00:35:06.180 --> 00:35:08.020
if you haven't gotten your copy
915
00:35:08.020 --> 00:35:09.500
of the ultimate resource guide
916
00:35:09.500 --> 00:35:10.680
for the new NP
917
00:35:10.680 --> 00:35:13.280
head over to realworldnp.com
918
00:35:13.280 --> 00:35:13.960
guide
919
00:35:13.960 --> 00:35:15.900
you'll get these episodes
920
00:35:15.900 --> 00:35:17.040
sent straight to your inbox
921
00:35:17.040 --> 00:35:17.800
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922
00:35:17.800 --> 00:35:19.260
with notes from me
923
00:35:19.260 --> 00:35:20.100
patient stories
924
00:35:20.100 --> 00:35:21.260
and extra bonuses
925
00:35:21.260 --> 00:35:22.700
I really just don't share
926
00:35:22.700 --> 00:35:23.520
anywhere else
927
00:35:23.520 --> 00:35:24.800
thank you so much again
928
00:35:24.800 --> 00:35:25.400
for listening
929
00:35:25.400 --> 00:35:26.780
take care and talk soon
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