What are the known outcomes of postgraduate NP Residency and Fellowship Training Programs?
As the IOM Future of Nursing Committee accurately notes, there is still insufficient research on postgraduate NP Residency and Fellowship program in terms of both structure and design, and measurable outcomes. We welcome and encourage further research in this area. CHCI has shared its outcome data with the NNPRFTC:
- Predictable, progressive movement towards mastery, confidence, competence, and a sense of wellbeing as evidenced through preceptor evaluation, and resident self-evaluation; as well as objective clinical performance data.
- Statistically significant increase in NP Residents self-assessment of competency, based on a standardized assessment of competency tool.
- Post-residency choice of, and retention in, careers as primary care providers in the safety net setting, with 91% of CHCI's 46 graduates practicing as primary care providers and 88% practicing as PCPs in FQHCs.
One resident’s experience
“After the residency, I moved to a health center in one of the poorest towns of my state. My transition to being an independent provider has been smooth. I have a certain level of confidence that enables me to keep my head above water. A list of twelve complaints in one visit no longer paralyzes me; instead I prioritize almost instinctively. I ask better questions. I put the pieces together just a little bit faster. And when I feel like I’m about to crumble from the demands of community health, I remember that there are thousands of primary care providers out there with varying levels of training and experience all facing similar challenges. I am grateful to know that this is the nature of the work, that this is simply what it requires and that I am well prepared to address the needs of the community." - M.O, 2007 cohort, speaking at a Capitol Hill Briefing, 2009, Washington, DC