Real World NP
Real World NP is a continuing education podcast hosted by Liz Rohr, a family nurse practitioner. It is designed for new nurse practitioners in primary care, offering clinical pearls, practice tips, and guidance for the transition from RN to NP. Episodes include guest interviews with specialists and allied health professionals, with a focus on concise, relevant education without fluff. The show also aims to build a supportive community for new healthcare providers.
Episodes
COPD Exacerbations: A Guide for Nurse Practitioners
A patient with COPD comes in with worsening cough, sputum, and shortness of breath. Is this actually a COPD exacerbation? Can you safely treat them outpatient? And do they need antibiotics?In this episode, I walk through a practical approach to evaluating and treating COPD exacerbations in primary care, including updates from the 2025–2026 GOLD guidelines.We’ll talk through how to rule out other c
COPD Management (2026 Updates)
COPD guidelines have changed—and if you’re managing COPD in primary care, there are a few updates worth knowing.In this episode, I walk through how to approach a patient with COPD at a routine visit, especially when you’re seeing them for the first time or inheriting their care from another provider.We’ll cover how to confirm the diagnosis with spirometry, how to think about GOLD 1–4 alongside the
GI Specialist Interview: H. pylori, GERD, Celiac, Constipation & When to Refer
What does a GI specialist wish primary care providers knew before sending a referral?In this episode, I’m joined by family nurse practitioner Paige Sosebee, who has worked in gastroenterology since 2019 at a large academic medical center. We talk through some of the most common GI concerns we see in primary care—and what happens on the other side of the referral.Paige shares practical pearls on H.
Interview with a Nephrologist: CKD, Dialysis & When to Refer
When should you refer a patient with CKD to nephrology—and what should you do before they get there?In this episode, I’m joined by nephrologist and medical educator Dr. Rachel Hilburg to talk through the questions that come up all the time in primary care: interpreting proteinuria and hematuria, deciding when a nephrology referral is urgent, what labs and imaging to order before referral, and what
Structural Heart Disease in Primary Care: When to Suspect Valve Disease & When to Refer
Valvular heart disease often presents gradually— often slowly becoming more fatigued, less active, or more short of breath over time— making it easy for symptoms to be attributed to aging or deconditioning. In this episode, Liz Rohr sits down with structural heart nurse practitioner Christy Cantey, FNP, to discuss how primary care clinicians can recognize subtle symptoms of valve disease, know whe
How to Use the PREVENT Risk Calculator
The PREVENT Risk Calculator is a newer cardiovascular risk assessment tool developed by the American College of Cardiology (ACC) and American Heart Association (AHA). Designed to replace older pooled cohort equations, it provides a more comprehensive estimate of cardiovascular risk, including both atherosclerotic cardiovascular disease (ASCVD) and heart failure risk.In this episode, Liz Rohr break
New Hypertension Guidelines: Practical Updates with Dr. Jordy Cohen
Hypertension Guidelines Updates: Practical Pearls for Primary Care with Dr. Jordy CohenWhat actually changed in the newest hypertension guidelines—and what should nurse practitioners be doing differently in clinic?In this episode, Liz Rohr, MSN, FNP-BC, sits down with Dr. Jordy Cohen, nephrologist, hypertension specialist, researcher, and member of the hypertension guideline writing committee, to
Microalbuminuria (2026 Updates): Lab Interpretation for Nurse Practitioners
Urine microalbumin is one of the earliest indicators of kidney damage, but the terminology—and the recommendations—have changed over the past several years.In this episode, Liz reviews the 2026 updates to urine microalbumin interpretation, including the transition to albuminuria and the urine albumin-to-creatinine ratio (UACR), new hypertension screening recommendations, and practical pearls that
Navigating IBS with Dr. Zach Spiritos
Irritable bowel syndrome (IBS) is one of the most common—and often frustrating—conditions seen in primary care. Patients may come in with chronic abdominal pain, diarrhea, constipation, bloating, or a mix of symptoms, and many have already been told that their testing is “normal.” So how do you confidently evaluate IBS, rule out more serious conditions, and help patients move forward?In this episo
Podcast Hiatus, Accreditation & We’re Hiring!
Hey! We’re taking a hiatus from the podcast while the team focuses on becoming an accredited organization for continuing education. We’re developing new courses to bridge the gap between graduate education and real-world practice.In the meantime, we’re inviting clinicians to contribute to paid blog posts and articles— we want to build a community dedicated to quality education and patient care.Sta
Navigating Confrontation at Work as an NP
This episode focuses on leadership and role transition questions, specifically addressing a scenario where a new nurse practitioner is struggling with confrontational conversations with nursing staff. The host provides advice on how to navigate these situations using a framework called nonviolent communication. The framework involves expressing observations, feelings, needs, and requests in a clea
Path to Overcoming Disillusionment in Healthcare with Rebecca Arnold
Rebecca Arnold, a holistic leadership coach, discusses the challenges of disillusionment and burnout in mission-driven professions like nursing and medicine. She emphasizes the importance of addressing emotions and processing them in a safe and titrated manner. Rebecca highlights the concept of the window of tolerance and suggests practices like meditation and mindfulness to expand it. She also em
How to Negotiate a Raise for Nurse Practitioners with Amanda Guarniere
In this conversation, Liz Rohr and Amanda Guarniere discuss negotiating a raise as a nurse practitioner. They emphasize the importance of collecting data about your job performance and your value to the organization. They also highlight the need to consider the employer's perspective and understand what matters to them. The conversation covers productivity metrics, RVUs (Relative Value Units), and
Unexpected Mentorship Questions from New NPs - Interview with Kara Pesola, NP
In this conversation, Liz Rohr and Kara Pesola discuss the challenges and common experiences of new nurse practitioners (NPs). They highlight the importance of support and mentorship for new grads and address the imposter syndrome many NPs experience. They also discuss the common questions and concerns that new NPs have, such as managing complex conditions and navigating controlled substances. The
Advice for Creating New NP Mentorship Programs
In this episode, I share my experiences and insights on starting a mentorship program, drawing from my own journey as a nurse practitioner and founder of Real World NP. I discussed the context of mentorship, the structure of one-on-one and group mentorship programs, the frequency and duration of mentorship meetings, and the topics to cover. Additionally, I covered the importance of creating a safe
Advice for New Grads Interested in Urgent Care with Michelle Lew, NP
Michelle, a board-certified family nurse practitioner with experience in urgent care, shares her journey and insights into the field. She discusses the differences between urgent care and primary care, the challenges of not having access to medical records in urgent care, and the importance of collaboration between the two. Michelle also provides advice for those interested in working in urgent ca
Assessing Chest Pain: New Red Flags & Risk Factors - Interview with Jennifer Carlquist, PA
In this conversation, Liz Rohr interviews Jennifer Carlquist, a physician assistant with extensive experience in cardiology, who discusses the assessment and management of chest pain.They covered: - Assessing cardiac versus noncardiac chest pain- Assessing risk for MI and when to send patients to the ED or not- What EKG findings to watch out for, and how to learn more to build your ekg readin
Treating Substance Use Disorder: Stimulants & How to get Addiction Histories - Interview with Shelby Pope
In this conversation, Liz Rohr and Shelby Pope discuss the importance of taking a comprehensive history of substance use, and how to assess and treat stimulant use disorder. They cover the challenges healthcare providers face in asking the right questions, and emphasize the need for open conversations and non-judgmental approaches.They cover screening for addiction, how to elicit a substance use h
Treating Opiate Use Disorder in Primary Care - Interview with Shelby Pope, NP
In this episode, Liz Rohr interviews Shelby Pope, DNP, APRN, FNP-BC, they discuss the stigma around addiction, the importance of supporting patients with opiate use disorder while exploring Shelby’s journey into addiction medicine and impacts of this field. This episode includes discussion of various treatment options for opiate use disorder, including naltrexone and buprenorphine, including
Bridging the Gap: Primary Care and Specialty Care Courses for Nurse Practitioners - Need Your Input!
We’re expanding our course catalog at Real World NP! This time, we’re collaborating with specialists, making courses tailored for primary care providers. Our goal is to provide comprehensive and practical courses for nurse practitioners and PAs, and to bridge the gap between primary care and specialty care. We want NPs to have the knowledge and resources to provide the best care within their scope
Real World NP: Redefining Continuing Education for Nurse Practitioners
Welcome back to Season 3 of the Real World NP Podcast!This episode is an interview with yours truly - I want to share a bit of a “reset” with what’s going on with Real World NP, where we started, where we’re going, and how you can be involved. I also want to share a bit that has changed behind the scenes, and how we’re incorporating more of a social justice and equity lens— not just inside the cli
Giving Yourself Permission, Season 2 Recap & What's Next
On this week’s episode I want to give you some permission if you feel like you need it—To be a whole human with needs, feelings, desires, and cares. To do what feels authentically right to you.We’re plopped into a healthcare system that is specifically NOT set up for humans to be humans, and is designed for us to operate like machines.And it takes a LOT of courage to stay true to ourselves and wha
Investing In Your Future: Financial Planning for NPs
In this week's episode, I'm thrilled to share my conversation with Lauryn Williams, an extraordinary individual who has not only achieved greatness on the athletic track but also in the realm of financial planning. Lauryn's story is a powerful example of how discipline, dedication, and a willingness to learn can lead to success in multiple arenas of life. Her transition from an Olympic athlete to
Empowering Equity: Transforming Clinical Spaces with Community Care
Welcome to our latest podcast episode, where I had the immense pleasure of sitting down with the incredible Dr. Omolara Uwemedimo. Today's conversation is a testament to the power of resilience, innovation, and community in healthcare.Dr. Omolara shares her journey from being a pediatrician to founding two revolutionary organizations aimed at transforming healthcare for under-resourced commun
Navigating The Drama Triangle As An NP
In this episode, I had the pleasure of sitting down with Brooke Nielsen to explore a topic that is both fascinating and incredibly relevant to our work as healthcare professionals—the Drama Triangle. We've all seen it, whether we recognized it at the time or not. Those moments when interactions with colleagues or patients suddenly feel like a scene straight out of a play, with clear role
Caretaker Fatigue: What Is The Root Cause?
In this episode, I explore a crucial topic shaping healthcare today - caretaker fatigue. Join me as I delve into an enlightening conversation with my dear friend and Executive Coach, Catherine Wood. Cat shares invaluable insights about balancing work-life commitments and the importance of recognizing and meeting our personal needs for sustainable career longevity. Even if you feel like y
Are NP Careers Changing?
Are you a nurse practitioner feeling lost, uncertain, or unfulfilled in your career? This raw, honest, and needed conversation with Amanda Guarniere, the founder of Resume RX, explores:The career challenges NPs are facingAlternative career paths many NPs are consideringChanging power dynamics between employers and employeesHow to think about career changes and honor YOURSELF in the processWe dive
Primary Care Nurse Practitioner Roundtable: How Are We Doing After Covid?
In this video, I sit down with two incredible NP colleagues and friends, Kara and Heather, for a candid conversation about the rollercoaster ride of being a nurse practitioner.We delved deep into our shared experiences, tackling everything from the highs of fulfilling our calling to the challenges that can sometimes leave our compassionate hearts feeling a bit weary. Burnout, boundary setting, and
Cardiology In Primary Care With Midge Bowers
I am thrilled to introduce you to Midge Bowers.Not only is Midge a Clinical Professor and Director of the cardiovascular specialty at Duke University School of Nursing, she practices as a nurse practitioner in a Heart Failure Access Clinic.She’s an expert in cardiology, a seasoned healthcare educator, and shares so much incredible knowledge in this jam-packed episode.In this episode, we covered:Th
Navigating NP Burnout with Cait Donovan
This week, I have an episode for you that I think is even MORE important than the clinical knowledge that I share — navigating NP burnout.Meet Cait Donovan, an International Keynote Speaker, host of “Fried – The Burnout Podcast,” author of the book "The Bouncebackability Factor", and an acupuncturist with a master’s degree in Chinese medicine. Her creative burnout recovery solutions have been feat
What Is Your Philosophy Of Practice As A Nurse Practitioner?
Whether you're a recent NP graduate or someone transitioning between specialties, this video will help ease that overwhelming feeling and help you discover your unique approach to practice.If you liked this post, also check out:Pillars of NP PracticeLeukocytosis Case StudyTimestamps:00:00 - Introduction01:22 - Purpose of the Episode02:35 - Understanding Philosophies of Practice04:23 - Evolution of
New Nurse Practitioner Pillars of Primary Care
If you’re a new NP grad making your way into practice, I think you’ll find today’s video super helpful.(And even if you’re not a new grad, it’s still worth the watch — both to understand what we’ve been through and to help us mentor students and new grads ourselves.)In this episode, I talk about the challenges new grads face — from sneaky imposter syndrome to the overwhelming clinical knowledge de
The New Season Is Here
Welcome to our brand new podcast season! We're absolutely pumped to bring you a fresh wave of episodes that will be a game-changer for Nurse Practitioners (NPs) on their journey. Whether you're a seasoned pro or just starting out, we've got you covered.In this season, we're introducing some exciting changes behind the scenes to make your listening experience even more rewarding. Expect enhanced co
Season Pause
Hello there, we are actually going to be taking a season break on the Real World NP Podcast. But don’t worry, we’re coming back! We’re taking some time to do some regrouping, work on some things behind the scenes, and get ready for a whole new season of episodes for you. If you want to be involved with us, in the meantime, myself and the Real World NP team, I definitely recommend that you head ove
Legal Questions from Nurse Practitioners Answered
It’s hard not to worry about malpractice when you’re taking on new levels of responsibility as a new nurse practitioner.Irnise Williams is not only a health law lawyer, she now focuses on the education and legal work to help prevent malpractice cases in the first place.AAAAAND she’s a nurse herself! Still taking care of patients as a covid float nurse while also running her legal practice, she’s t
New Nurse Practitioner: When You Don't Know the Answers
One of the biggest fears I hear from new nurse practitioners and students is not knowing the answers when you're in the room with a patient.In this video, I'll tell you the many reasons why this is actually okay (and why we should probably even celebrate it), and the simple strategies I use to handle it.Leave me a comment below, what is a strategy that you use to handle these situations? Or, what
Ortho in Primary Care: Hacks for New Nurse Practitioners
If you're feeling like you don't know enough, and still have to see patients with ortho complaints (especially in telemedicine) -- here are the "hacks" of primary care ortho management.You'll learn:The main 4 steps to managing almost all ortho complaints in primary careThe top red flags overarching most ortho complaintsHow to triage ortho complaintsWhen to send to ortho (and what to do first)If yo
Diagnosing and Managing Shoulder Pain in Primary Care
As a new nurse practitioner, I used to find shoulder pain pretty overwhelming. While you can *see* all the musculoskeletal structures and how they work together, there’s a lot more going on beneath the surface and dealing with orthopedics can require a real depth of knowledge. But I’m going to help give you a jump start on that! In this week’s video, I’m taking a high-level view of diagnosing
Atopic Dermatitis Treatment for New NPs | Pearls of Practice
Atopic dermatitis may not be the most glamorous topic in medicine, but you've got an enormous opportunity to change lives for the better in primary care.It can feel frustrating for both the patients and providers when they keep coming back without getting any better.I got to chat with a pediatric dermatologist and added a TON of clinical pearls to my arsenal of "real world" NP knowledge-- which I'
Managing COPD Exacerbation In Primary Care
Walking into an examination room and seeing a patient hunched over with labored breathing, audible wheezing, and an oxygen tank can be intimidating for any nurse practitioner.And if you’re a nurse practitioner in primary care, it is essential to understand the management of COPD exacerbations to provide the best care you can to patients.COPD exacerbation can look scary, but the management is fairl
Contraceptive Counseling For Primary Care NPs
Some people feel really uncomfortable talking about anything that has to do with reproductive health. Some of these people are patients, and some of them are healthcare professionals. Are you one of them?If you thought that you might be off the hook because you work in primary care - you’re not. It’s a part of taking care of the entire patient. When you know and understand your patients’ goals for
How To Diagnose and Treat Abnormal Uterine Bleeding
It’s easy to think the worst when your patient mentions abnormal bleeding. It can mean so many things! Context is everything for the patient with abnormal uterine bleeding. Their age, their history, when it started, how long it lasted, their other diagnoses, even their other medications. These are all factors to consider in the patient with abnormal uterine bleeding, and will point you in a starti
Preventing Burnout As A New Nurse Practitioner: Interview with a Self-Care Strategist
Burnout is a hot topic in all aspects of healthcare. You might be thinking that it’s something that affects other people. You might think it’s something that impacts Nurse Practitioners who are more established in their careers. You might think it’s one of the last things that you need to think about as a new grad Nurse Practitioner. Until you start to experience symptoms of burnout. This wee
Interview with a Pulmonologist
Have you ever wondered how best to manage your patients with pulmonary diagnoses? How much steroid use is too much for these patients? What happens after you refer your patients to pulmonology? How do we bridge the gap between primary care and pulmonology? You gave us all the questions that you have for pulmonology – and we have answers. In this high yield interview, we will go over the answe
What To Do When You Have Bad News For Patients
Have you had to give a patient bad news? Did you feel prepared or scared? It is a necessary part of being a Nurse Practitioner, and it’s always going to be challenging, but it is better if you are prepared. Not all bad news is created the same. In some cases, bad news is life changing information, but in other cases, it might be life limiting information. What we might consider serious news,
Nutritional Counseling for Diabetes Patients - What You Need to Know
Diabetes might be one of the most challenging chronic conditions to manage. It definitely requires a lot of partnership between provider and patient; you may find yourself spending more time with your diabetic patient than any other group of patients in your practice.We talked with Nurse Practitioner and Registered Dietitian, Meghan Kavanaugh, about her work with diabetic patients. The interview w
Ask A Cardiology Nurse Practitioner
As a nurse practitioner in primary care, there are SO many things I’ve wanted to ask a cardiology nurse practitioner. This week, I had the lovely pleasure of interviewing Scott Pasquale, FNP and cardiology nurse practitioner, with questions from the RWNP community. In this episode, we covered:What cardiologists wish primary care providers knewA breakdown of common cardiovascular tests, how to
Starting Insulin In Type 2 Diabetes
Feeling comfortable with treating type 2 diabetes can be overwhelming as a new grad Nurse Practitioner – and even as a seasoned Nurse Practitioner, especially if you don’t have a lot of diabetic patients in your practice. Some patients will be able to improve their diabetes and get their A1C down with lifestyle changes alone; others will need to add oral medication; others will need to add insulin
Preoperative Assessment for New Nurse Practitioners
What does it mean to “clear” a patient for surgery? Every patient needs to have a visit with a healthcare provider before their surgery in order to assess their health and verify that it is relatively safe to proceed with surgery. When they end up on your schedule, it’s up to you whether or not they will get the go ahead (no pressure). If you are wondering how, as someone who has not been trained
How To Know When To Change Jobs As A Nurse Practitioner
The thought of your Nurse Practitioner job not being the right fit can be scary. You’ve invested a lot of time, money, and energy – not to mention all the things that you have sacrificed – to get to this point, and now? You may have spent a lot of time imagining what it would look like to be working as an NP, and this isn’t it. Whether you are working with a collaborator or on your own, wheth
Diagnosing Wrist Pain for New Nurse Practitioners
Wrist pain is a SUPER common chief complaint in primary care. Most of the time, luckily, it’s chronic wrist pain that’s from overuse (versus the more acute, dangerous differential diagnoses with injuries), but it’s still a lot to work through as a new nurse practitioner.In this week’s episode, I’m covering the overview approach to diagnosing wrist pain in primary care for new nurse practitioners:✅
The Right (and Wrong) Way to Ask Questions as a New Nurse Practitioner
When you're a new nurse practitioner, you need to make thousands of decisions a day.(Which usually translates to thousands of questions).I made mistakes as a new grad, and luckily for me, I had a very patient colleague who was there to help guide me.In this video, I'll share:Some of my mistakes (I'm a little embarrassed)Three easy steps to make sure you ask questions the right way (so you get the
Syphilis Laboratory Diagnosis for New Nurse Practitioners
Syphilis lab interpretation can be confusing, and it’s a BIG topic, but in this episode, I review the most common scenario that I see in primary care.I cover treponemal and non-treponemal tests, how to interpret them most specifically in the context of slightly abnormal, asymptomatic patients (the most common scenario in primary care), as well as the treatment and follow up, and when to refer to a
How To Choose Which Oral Contraceptive Pill for New Nurse Practitioners
When it comes to choosing which oral contraceptive pill to prescribe, there are SO many options. How do you know which one is the right one? As a new nurse practitioner, you’ll usually get different recommendations from different providers.In this video I’ll be covering:The first step to prescribing that’s easy to forgetWhat criteria to consider when choosingThe two main routes to follow (and how
When to use antibiotics Persistent Cough Case Study for New Nurse Practitioners
It's 2 p.m., the medical assistant comes to your office and lets you know your next patient is ready, and they're here because they "need antibiotics"...... But do they? Or don't they?They've "had a cold" or "a nasty cough" for over three weeks now.... they've "tried everything," and "got an antibiotic last time."Are you seeing this every day now, too? 'Tis the season. This week's case study
Treating Anticoagulated Patients
So many things in primary care are deceptively complex. There may be a few genuinely simple things that we treat, but so many things that come into our exam rooms are complex and sometimes downright confusing. Anticoagulated patients are one of those situations. While the concept itself is pretty simple – medication that thins the blood so that they don’t get clots, got it – the reality of ma
Determining The Cause Of Microscopic Hematuria
It’s not unusual to be taken by surprise when you see microscopic hematuria on urine dip results. The patients who end up with this as part of their presentation are often asymptomatic, and may even be giving you a urine sample for another reason – which can make chasing down the cause even more of a mystery. If you don’t know where to start when it comes to determining the cause of microscop
Talking About Disability Rights - An Interview with Andrea Dalzell, Disability Rights Influencer
Getting comfortable talking with patients or other healthcare professionals about disabilities can be challenging. It’s not something that is typically covered in school, and if you don’t have personal experience with the subject, you may find yourself floundering trying to find the right thing to say – or to avoid saying the wrong thing. And when you don’t feel comfortable, how can you expect you
Discussing Sexual Health With Your Patients - An Interview With A Sexual Health Educator
Awkward conversations are common in healthcare settings. Learning how to actually have these conversations (or start these conversations, or navigate these conversations)…that’s much more rare. Discussing sexual health doesn’t have to be challenging for patients or providers; with some preparation and some practice, it can become as second nature as any other discussion you have in the exam room.&
What I Wish I Asked At My Job Interview As A Nurse Practitioner
You know that moment in the job interview when they ask if you have any questions? Have you ever been totally stumped? Not fun. Even worse is when you get home afterward and think of all the questions that you wish you asked. If you are on the job hunt, or about to be, we have the questions to ask that will give you lots of information about the job and the workplace, and really help you to u
Understanding New Grad Nurse Practitioner Job Offers
You knew some things would be different when you decided to become a Nurse Practitioner. You would need more education; you’d have a whole host of new job-related responsibilities; you would probably even have different work hours. But did you expect the job search process would also be drastically different as an NP?This week, we’ll talk about some of the differences between RN and NP job searche
Managing Diabetes, Hypertension & CKD Course Q&A: Bonus Podcast Episode
In this Livestream, I share about our newest course Managing Diabetes, Hypertension & CKD over at https://www.realworldnp.com/courses.After lab interpretation, the three main topics that new NPs struggle with managing are DM, HTN & CKD-- so I decided to review the 100+ page guidelines cover to cover, do a deep dive on all the meds, cold-call specialists with my questions and report back wi
Your Urology Questions - Answered!
How much did you learn about urology in school? If your answer was “not a whole lot,” welcome. Most Nurse Practitioner programs do not cover urology concerns in great depth, which can contribute to a real lack of clarity once you start practicing. You may double or triple your knowledge of common urology concerns today. This week, we talk with Dr. Joseph Acquaye, who answers all o
Time Management Tips: An Interview With The World's Most Productive Nurse Practitioner
Ever find yourself at work until all hours finishing your charting – or, even worse, taking charting home with you? Wondering how you might possibly get a handle on all of this stuff before you drown? You are most definitely not alone; time management challenges are super common (especially in primary care) for new grads, seasoned NPs, and almost everyone in a patient-facing position. This we
Ask A Diabetic Educator Nurse Practitioner
Why can’t diabetes management be like we learned in school? That was complicated enough.Now you’re on your own, and there are so many questions with your patients to manage diabetes. Symptoms that don’t necessarily follow a straight line. All of the elements of managing diabetes that are beyond your control – patient’s motivation, cost of medications, how realistic a plan may be, how long until th
Heart Failure Management In Primary Care
Heart failure is, without a doubt, one of the more complex topics that you will encounter in primary care. Two types, four stages, four classes, evolving guidelines for treatment, and a host of medications – it’s a lot to wrap your head around. Especially in a 15-minute visit. Let’s talk about the core concepts of heart failure and increase your confidence. We’ll cover:✅ The two types of heart fai
Treating Patients With Symptoms Of Recurrent UTI
For patients and providers, few things are more frustrating than recurrent UTIs.This week, let’s talk about recurrent UTIs and how to get real results for your patients.Gender - and how to approach all patients in an inclusive wayThe difference between recurrent and relapsing UTIEvidence-based versus anecdotal risk factorsLabs to order, what to look for (and how to look)Strategies for managementAd
Managing Chronic Cough In Adults
You have a patient who has been coughing for weeks, maybe even a couple of months. You’ve already ruled out COVID; where do you turn next?This week, let’s talk about chronic cough – what it is, how it differs from acute cough, when to refer the patient, and more:✅ Common causes – things like GERD, asthma, allergies✅ The special history questions to ask and how they will help with your differential
Managing Lower Limb Numbness In Primary Care
What could be causing your patient’s lower limb numbness? And more importantly – how do you figure it out?This week, we’ll talk about some strategies to help narrow down the cause of your patient’s symptoms, share some clinical pearls, some assessment techniques that can point you in the right direction (FAST), and more:✅ The most essential history questions to ask✅ Special questions just for lowe
Monkeypox Treatment for Nurse Practitioners - Part 2
With the most recent global Monkeypox outbreak in May of this year, there’s been a lot of confusion among patients and providers about treatment options and vaccination.With about 7,000 cases in the United States as of this recording, luckily the treatment options are starting to become more available. As I mentioned in the first episode of this series, thus far the treatments and vaccines have be
Monkeypox Explained for Patients
Monkeypox has been confusing and scary for a number of patients, especially on the heels of the Covid pandemic that we’re still facing. Even though we usually make videos for primary care providers, we decided to make this episode, especially for patients, to help clear up some confusion for them, as well as show clinicians an example of how we have these conversations with our patients.In this ep
Monkeypox for Nurse Practitioners - Part 1
**ERROR UPDATE** I mistakenly said that cotton swabs can be used but it's ONLY synthetic swabs for monkeypox testing!! Link for testing instructions here.Monkeypox has been confusing and scary for patients and providers alike, especially on the heels of the Covid pandemic that we’re still facing. The WHO named it a public health emergency and global outbreak, as has the CDC, but that doesn’t neces
Pap Screening in Primary Care
Paps. How can such a common primary care intervention cause so much confusion? How often to screen, how to understand any findings that are not black and white, how to advise your patient about next steps – you would not be the first NP to feel overwhelmed with abnormal pap results in your inbox.This week, we’ll take some of the mystery out of this challenging clinical topic, and help you understa
AANP President Interview
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. But what does the AANP actually do and how does it work?In this special one-on-one interview with Stephen Ferrara, President-elect of the AANP, we got the opportunity to ask him questions from the Real World NP community.We talked about:✅ What AANP is (and
Managing Depression In The Primary Care Setting
Depression in the primary care setting – super common. With a shortage of mental health providers and increasing numbers of patients with symptoms, depression is becoming a leading primary care health concern. If you feel unsure or unprepared for these patient encounters, you are in the right place.This week, we’re taking some of the mystery out of working with patients with depression in the prim
Treating Patients With Insomnia
By the time the patient with insomnia makes it to primary care, they have probably been struggling with sleep for a while, and have probably tried some things on their own – without luck. And now they’re hoping YOU can fix it, preferably…tonight?Insomnia is a murky clinical topic; it’s not always as simple as not getting enough sleep. If you aren’t sure where to start with the patient with insomni
Does it Get Better as a Nurse Practitioner?
Let’s be real: the first few years of practice as an NP can be TOUGH. Not only do you have this vast amount of new clinical knowledge to put into practice, you’re also learning the ins and outs of how a clinic runs (for better or worse), and adjusting to being the place where the buck stops. Is it really surprising that you are wondering if it gets better?It’s a kind of taboo topic, even though it
Simple Hypercalcemia Workup (with Case Study): Lab Interpretation for New Nurse Practitioners
Labs interpretation for new nurse practitioners can be confusing, and most new grads don't feel well-prepared by what they learned in NP school.In this podcast episode, I break it down with a SUPER interesting case study from my first year as an NP, and make the approach super simple with 3 steps, including the top do-not-miss diagnoses.Join us for the Lab Interpretation Crash Course for Nurse Pra
Managing Anxiety in Primary Care for New Nurse Practitioners
Managing anxiety in primary care is super common, but especially now during the pandemic quarantine.In this podcast, you'll learn:✅ When it's anxiety... and when it's not✅ How to assess symptoms, history and the best tools to make it faster and easier✅ The step-by-step to manage anxiety, and what to do if it's not working.There's SO much I could say about anxiety and mental health, let me know wha
Diagnosing Migraine in Primary Care
Your friend, your aunt, your patient in your primary care office - everyone seems to be talking about migraines. But is it a headache or is it a migraine? How do you know the difference?As a new grad, it’s not unusual to feel like you have been thrown into the deep end when patients present with a migraine or a headache. It’s not a super black and white topic, and patients sometimes have a hard ti
Recommended
紐約鳥｜New York Aperture
The Swerve Podcast: Obscure Topics | Conspiracy Theories
The Bread and Banter Podcast
The Church of What's Happening Now: The New Testament
Busted Open
Deadline: White House
Crickets Corner
History of the Earthquake and Fire in San Francisco
Fox news
K-Drama Obsessed Mamas | Beyond “Just One More Episode!”
True Crime Classics
The Healer Revolution
