About the Fellowship

Peak Vista’s APRN Fellowship is a year-long, full-time employed/benefited position for transitioning or recently graduated licensed APRNs who desire to increase their family practice competence and confidence in a progressive, collaborative learning environment. The Fellowship is accredited as a Practice Transition program by the American Nurses Credentialing Center’s Commission on Accreditation. The yearlong program combines mentorship, problem-based learning and hands-on clinical experience. The Fellowship experience is primarily in the Fellowship clinic with rotations in Women’s Services, Pediatrics, and some specialties. The Fellowship provides these already highly-skilled, licensed APRNs with greater confidence, which will directly influence the Fellows’ job satisfaction and patient’s experience.

With mentored guidance and gradually increased patient daily encounters, Fellows will improve their confidence and competence in a supportive environment. Didactic sessions are diverse and focus on professional and clinical issues in Family Practice; however, our program believes that the vast majority of learning is experiential in nature.

 

Mission

To provide exceptional health care to people facing access barriers and to provide exceptional opportunities for recently graduated Advanced Practice Registered Nurses (APRN) to transition seamlessly from the academic to the clinical setting, and to facilitate the transition to Family Practice for experienced Nurse Practitioners who have been out of the workforce or in another specialty.

 

Vision

Peak Vista Community Health Centers' APRN Primary Care Fellowship is focused on enhancing the health of people and the community-at-large through a professional, caring staff who are motivated, enthusiastic, respectful, energetic and committed to strategic partnerships and a team approach to health care.

 

About the Fellowship

Postgraduate APRN Fellowships have been recommended by the Future of Nursing Report (2010) as a tactic to seamlessly transition recently graduated APRNs to the clinical setting. Peak Vista offers an outpatient Primary Care APRN Fellowship as part of an effort to improve health care access for people facing access barriers to care.

The Fellowship is philosophically oriented around Benner’s Novice to Expert Model, Bandura’s Theory of Self-Efficacy and vicarious learning, and general adult learning theory. Self and preceptor-evaluated competencies are derived from the ACGME Milestones (2017) which support the continuous progression of knowledge, skills, attitudes and professional goals.

The NP competencies for nurse practitioners are extensive. The five core competencies the IOM committee called for to reform health professionals' education are:

  1. The ability to deliver patient-centered care, taking into account an increasingly diverse US population with varying cultural backgrounds, expectations and values.
  2. The ability to work in interdisciplinary teams and practice team-based skills, especially for patients with chronic conditions.
  3. The training and ability to search and evaluate the scientific evidence base upon which health care decisions should be made in practice.
  4. The knowledge and ability to analyze the root causes of medical errors and quality problems and fix them through system-wide approaches.
  5. A solid foundation and skills in using cutting-edge information technology to deliver high-quality medical care, such as being able to search the medical literature online or being able to use computerized order entry systems that automatically flag pharmaceutical contraindications and errors.

Fellows will complete a research-based QI project focused on an aggregate population or clinical practice. Some hours outside of work hours may be required to complete projects and assignments. Fellows are required to attend two to three provider activities over the course of the year which are held outside of regular clinical hours. 

 

APRN Primary Care Fellowship, 2018-2019

APRN Primary Care Fellowship class, 2018-2019

Our Goals

The Fellowship combines precepted interdisciplinary clinical immersion, relevant post-graduate didactic, and self-directed population management QI activities.

The goals of the Fellowship are:

  1. Increase access to quality health care for communities by assisting recently graduated APRNs to transition seamlessly to the practice setting.
  2. Nurture the confidence and competence of transitioning APRNs in the primary care setting, thereby improving APRN and employer satisfaction.
  3. Improve APRN retention in the primary care setting.
  4. Immerse APRNs in a collaborative and interdisciplinary model of primary care and vulnerable populations care consistent with the recommendations of the Institute of Medicine.
  5. Facilitate professional development and life-long learning through continued population-focused interdisciplinary education and quality assessment/improvement appropriate to the primary care setting.
  6. Provide mandated hours of precepted prescriptive practice experience as required by the Colorado Board of Nursing and Department of Regulatory Agencies.  

 

Meet Your Program Director

Stephanie Danos, MSN, RN FNP-C