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. Stay informed of upcoming content by subscribing to our email list at www.realworldnp.com/guide . App...
Feb 13, 2025•8 min•Season 4Ep. 6
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 clear and non-confrontational manner. The host also emphasizes the importance of building rapport and fa...
Nov 28, 2024•15 min•Season 4Ep. 5
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 emphasizes the value of emotions as sources of information and intuition. The path from disillusionmen...
Nov 14, 2024•57 min•Season 4Ep. 4
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 the importance of building a case for a raise. They also discuss the different factors to consider ...
Oct 24, 2024•53 min•Season 4Ep. 3
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 conversation emphasizes the need for new NPs to trust their judgment, seek guidance when needed, an...
Oct 10, 2024•45 min•Season 4Ep. 2
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 psychological space for mentees and the value of peer support in mentorship programs. Takeaways - T...
Sep 26, 2024•18 min•Season 4Ep. 1
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 care and recommends resources for further learning. Takeaways - Urgent care is a bridge between primar...
Sep 12, 2024•41 min•Season 3Ep. 6
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 reading confidence (and what’s new!) - What we can do for patients to assess and manage heart disease risk, ...
Aug 22, 2024•1 hr 7 min•Season 3Ep. 5
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 history, including types and routes of substance use. Shelby covers the mechanism of action of cocai...
Aug 08, 2024•52 min•Season 3Ep. 4
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 the importance of medication-assisted treatment (MAT) for opioid use disorder, while emphasizing the effe...
Jul 25, 2024•1 hr 11 min•Season 3Ep. 3
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 of practice. Share your input about what courses you want to see first! Head over to realworldnp.co...
Jul 11, 2024•11 min•Season 3Ep. 2
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 clinical teaching, but overall practices inside the company. One of the core reasons behind the compan...
Jun 27, 2024•55 min•Season 3Ep. 1
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 what we want and need when we’re also trying to stay safe— financially, emotionally, physically. Som...
Mar 27, 2024•11 min•Season 2Ep. 6
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 a certified financial planner is not just inspiring; it's a lesson in reinventing oneself and findin...
Mar 05, 2024•57 min•Season 2Ep. 5
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 communities. Through Strong Children Wellness and Melanin and Medicine, she is not just treating patients but ...
Feb 20, 2024•48 min•Season 2Ep. 4
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 roles of victim, rescuer, and persecutor taking shape. Brooke and I explored how these roles influence our work en...
Feb 06, 2024•1 hr 1 min•Season 2Ep. 3
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 you've heard all there is about burnout, I promise this conversation brings fresh perspectives and tangible ste...
Jan 23, 2024•58 min•Season 2Ep. 2
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 facing Alternative career paths many NPs are considering Changing power dynamics between employers and employees How to think about career changes and honor YOURSELF in the process We dive into the growing concerns among NPs regarding stagnant wages, shifting power dynamics between e...
Jan 09, 2024•37 min•Season 2Ep. 1
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 the beautiful power of teamwork — it's all on the table. 💖 Join us for a heart-to-heart chat that...
Dec 12, 2023•1 hr 1 min•Season 1Ep. 102
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: The importance of looking beyond creatinine levels How to focus on practical aspects of echos Demy...
Dec 05, 2023•55 min•Season 1Ep. 101
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 featured on podcasts and online magazines such as “Forbes”, “NPR,” and “The New York Post.” We chat not...
Nov 30, 2023•1 hr•Season 1Ep. 100
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 Practice Leukocytosis Case Study Timestamps: 00:00 - Introduction 01:22 - Purpose of the Episode 02:35 - Understanding Philosophies of Practice 04:23 - Evolution of Practice 08:21 - Navigating the Transition Read the blog post here. _______________________...
Nov 22, 2023•13 min•Season 1Ep. 99
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 demands. It can feel like an absolute rollercoaster from one moment to the next. It wasn’t until I s...
Nov 14, 2023•11 min•Season 1Ep. 98
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 content, engaging interviews with healthcare experts, and an interactive community that fosters conne...
Nov 09, 2023•6 min•Season 1Ep. 97
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 over to the Real World NP email list. And you can join over at realworldnp.com/guide . What we’re going...
May 10, 2023•2 min•Season 1Ep. 96
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 truly a unicorn. She and I sat down and discussed the questions nurse practitioners and students ha...
Apr 25, 2023•1 hr 15 min•Season 1Ep. 95
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 is one of the major insights you took away from this video? ----------------------- Timestamps: 00...
Apr 18, 2023•7 min•Season 1Ep. 94
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 care The top red flags overarching most ortho complaints How to triage ortho complaints When to send to ortho (and what to do first) If you liked this post, also check out: Diagnostic Approach To Back Pain Interview with an Orthoped...
Apr 11, 2023•13 min•Season 1Ep. 93
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 and managing shoulder pain for new nurse practitioners. We’ll talk about: Which history questions are mo...
Apr 04, 2023•14 min•Season 1Ep. 92
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'm sharing with you in this week's video. You'll learn: What treatment ACTUALLY works, especially w...
Mar 28, 2023•20 min•Season 1Ep. 91
