I cannot directly answer your question as residency programs are something I do not have direct experience with. Over many years of my own experience with new employment and watching the experience of other new NPs in the ambulatory setting (non-residency focus) the employer expectation is for the NP to be ready to assume the role and duties of the position. With that being said ...
Without a residency program or "adjuvant funding" for new NP hire on-boarding;
The scheduling is scaffolded during the onboarding during the first 90-days of employment
Day 1-2, shadowing other providers (up to the end of the first week, (this introduces patient to the new provider and allows the provider to be aware of patient background for if and when the new provider takes over the follow up encounter(s).
End of week one (or start of week two): 1 to 2 patients a day while doing other educational mandates;
week two/three, 3 to 5 patients with ½ day shadowing and or education as needed,
week three/four, (repeat of week two), 3 to 5 patients with ½ day shadowing as needed or increase to 6 to 8 patients a day;
week five, 6 to 8 patient per day (aware that they can stop and ask other providers questions, as needed;
week six, 10 to 12 patients per day
week six/seven, gradual increase to full capacity throughout weeks 8 to 12 per NP competency and departmental budget.
Ideally, the new hire should be up to full capacity before the end of the 90-day (12 weeks) probationary period.
Keep in mind: ROI -- the NP success in ambulatory care is directly correlated to clinical encounter workload.
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Aleesa M Mobley PhD APN (she/her/hers) Why Pronouns Matter Assistant Professor - Clerkship Director [Pain Management/Substance Use Disorder]
Physical Medicine & Rehabilitation - Neuro Musculoskeletal Institute
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Original Message:
Sent: 7/26/2023 2:30:00 PM
From: Kimberly Von Haden
Subject: Nurse Practitioners in Primary Care
We have a new nurse practitioner in a one year NP residency program. We are trying to determine what a reasonable target patient volume goal would be for her in a traditional primary care practice. Does anyone have information or any suggestion on where I can find information?
Thank you
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Kimberly Von Haden, BSN, RN
Director, Clinical Operations
Eisenhower Health
Rancho Mirage, CA
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