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Requires a minimum of 80 patient encounters to consist of adult population patient visits: ages 18-99+
Clinical Specifics:
Family practice outpatient settings
Internal medicine Clinic (outpatient)
Urgent care or Fast Track (Emergency Departments not permitted for NU569).
Note: If you choose an urgent care or fast track setting for NU569, you must complete the entirety of the NU610 (final clinical course) in family practice outpatient setting and may not use a specialty site for NU610.
Federally Qualified Health Centers focusing on Primary Care
Boards of Health with primary care clinics
Retail Clinics (will be evaluated on a case-by-case basis)
Clinical Specifics:
Family practice outpatient settings
Internal Medicine Clinic (Outpatient)
Urgent care or Fast Track (Emergency Departments not permitted for NU573).
Note: If you choose an urgent care or fast track setting for NU573, you must complete the entirety of the NU610 (final clinical course) in a primary care practice outpatient setting and may not use a specialty site for NU610.
Federally Qualified Health Centers (focusing on Primary Care)
Boards of Health with Primary Care Clinic
Retail Clinics (will be evaluated on a case-by-case basis)
The NU577 clinical experience requires students to see and provide primary care to women across the life span. Women’s health patient visits should include annual well women screening exams including PAP smears, pre- and post-menopausal management, family planning, birth control management, care of gynecologic patients as well as the care of pre-, ante-, and postpartum patients.
A maximum of 80 hours telehealth is permitted for this experience. Up to 40 clinical hours may be obtained through assisting with labor or delivery, Uro-GYN, GYN-onc, and maternal fetal medicine. Students may attend inpatient surgical procedures including, but not limited to, Cesarean section deliveries.
A minimum of 80 patient encounters must consist of women’s health visits, as described above.
Clinical Specifics:
OB/GYN practices
Primary care clinics (such as a family practice that see a considerable amount of patients for GYN services)
Planned Parenthood (more than one site may be needed to ensure all course requirements are met)
Federally Qualified Health Centers (that see a considerable amount of patients for GYN services)
Boards of Health that include primary care clinics (that see a considerable amount of patients for GYN services)
An urgent care is not an acceptable site for NU577
The NU581 clinical experience requires students to see and provide primary care to children and adolescents across the lifespan from birth to age 19. Primary care of pediatrics includes well child checks, sick/injury visits, and school/sports physicals. One of the most important aspects of this clinical experience are well child check visits. Well child check visits should include monitoring growth and development, health screenings (such as vision, hearing, lead, etc), administering immunizations, and providing anticipatory guidance.
A maximum of 80 hours telehealth is permitted for the NU581 clinical experience.
Requires a minimum of 80 patient encounters to consist of pediatric patient visits if rotating within a general primary care/family practice
Clinical Specifics:
Private pediatric offices
Family practice clinics with a large pediatric population
Health departments with a large pediatric population that manage both well children and sick visits
Pediatric primary care clinics that deal with well child or sick child issues not related to another condition (i.e., no specialty clinics)
Adolescent sites that do intake and medical management (would need a second site to see additional patients who are younger) such as the following:
Juvenile detention centers
Mental health facilities
Teen clinics
School-based health centers
An urgent care is not an acceptable site for NU581
A maximum of 80 hours telehealth is permitted for this experience.
If rotating within a general primary care/family practice for NU585, a minimum of 80 patient encounters must consist of frail/elderly patient visits: ages 65 and older
Clinical Specifics:
Family practice settings with a large elderly population
Nursing homes
Skilled nursing facilities
Home health medical practices (providing primary care)
Hospice
Internal medicine (outpatient)
Palliative care
Geriatric assessment centers
Rehab where geriatric care is provided
Specialty Sites: Students may request to spend a minimum of 40 hours and up to a maximum of 80 hours in a specialty, outpatient setting. Examples are dermatology, orthopedics, cardiology, oncology, and so forth. No inpatient acute care settings will be approved. Approval for specialty sites is not guaranteed and is contingent on review of prior family practice experience in previous clinical rotation courses. All approvals/denials are final.
*As a reminder, if all your other rotations have been with only one preceptor/site, you will need to fulfill all 160 hours of NU610 with a second preceptor/site (see earlier section “Site & Preceptor Arrangements”).
Clinical Specifics:
Primary care family practice
Internal medicine clinic (outpatient)
Federally Qualified Health Centers focusing on Primary Care
Boards of Health with primary care clinics
Retail clinics (will be evaluated on a case-by-case basis)
Urgent care, Emergency Department (ED), or Fast Track sites will be considered on a case-by-case basis.
Fast Track section of ED can be considered for all 160 required hours in NU610.
The general ED patient population can be considered for 80 specialty hours in NU610.
Important note: If you completed NU569 or NU573 in an urgent care/retail clinic, you will not be eligible to use an Urgent Care, ED, or Fast Track in NU610 and must have a family practice/primary care outpatient setting for all 160 clinical hours in NU610.
Palliative care (AGPCNP students, specialty site for FNP students)
Skilled nursing facilities (AGPCNP students, specialty site for FNP students)
Geriatric assessment centers (AGPCNP students, specialty site for FNP students)
Hospice (AGPCNP students, specialty site for FNP students)
Chronic rehab where geriatric care is provided in a non-acute setting (AGPCNP students, specialty site for FNP students)
Final site and preceptor approval is required before beginning clinical hours. Site availability and requirements are subject to change by state regulations or program policy.
NU569-1: Examine evidence-based management plans for clients in the primary care setting with acute, episodic, and chronic illnesses, taking into consideration gender, culture, and ethnicity.
NU569-2: Explore diagnostic testing and formulation of differential diagnoses based on the history and physical assessment and foundational knowledge for clients presenting with acute, episodic, and chronic illnesses in the primary care setting.
NU569-3: Apply a consistent approach to the management of illnesses and conditions for clients presenting in the primary care setting.
NU569-4: Integrate age-appropriate health maintenance and screening plans for adult primary care clients through collaborative and caring relationships.
NU569-5: Formulate a professional collaborative relationship with the client, family, and other health care providers.
NU573-1: Differentiate between normal and abnormal physiology for selected diseases in primary care for adolescent and adult populations, including health risk factors.
NU573-2: Justify clinical judgment with a consistent approach to comprehensive clinical assessment for adolescent and adult patients with acute, episodic, and chronic illness in the primary care setting.
NU573-3: Formulate differential diagnoses based upon assessment data and diagnostic reasoning for adolescent and adult patients presenting with acute, episodic, and chronic illness in the primary care setting.
NU573-4: Prepare a person-centered plan of care that includes appropriate evidence-based practice screening tools, pharmacologic and nonpharmacologic interventions for symptom management, and disease amelioration.
NU573-5: Develop a collaborative and communicative relationship with the patient, family and/or caregivers, and members of the interprofessional health care team in the primary care setting.
NU577-1: Manage human responses to the changes in the personal, interpersonal, and social systems that affect women’s health throughout the lifespan.
NU577-2: Conduct a comprehensive or problem-focused women’s health history and physical exam.
NU577-3: Develop a comprehensive plan of care for acute and chronic conditions.
NU577-4: Perform age-appropriate health maintenance activities and lifestyle interventions for long-term health.
NU577-5: Develop a collaborative partnership with the client and other members of the health care team.
NU581-1: Analyze the supporting evidence for incorporating developmental surveillance, screening, and anticipatory guidance in the management of pediatric patients.
NU581-2: Formulate a current evidence-based treatment plan that is context driven with advanced reasoning for a pediatric client presenting in primary care with a chronic or acute health issue.
NU581-3: Synthesize expert opinions on the utilization of medications in the young pediatric population.
NU581-4: Examine communication strategies that can improve collaboration among client, family, nurse practitioner, and other health care professionals.
NU581-5: Evaluate the use of information and communication technology to address needs, gaps, and inefficiencies in care.
NU585-1: Show clinical reasoning, judgment, and decision-making skills based upon a broad knowledge base including foundational and advanced specialty knowledge of the frail elderly client.
NU585-2: Examine best practices for the use of advanced information and communication technologies to support documentation of care and communication among the frail elderly client, providers, and other health care team members and organizations.
NU585-3: Formulate an evidence-based, holistic, person-centered plan of care for the frail elderly client with acute and episodic diseases and chronic illnesses.
NU585-4: Incorporate health promotion, maintenance, and restoration of health into an evidence-based plan of care for the frail elderly client, including findings of population health data and appropriate pharmacological and nonpharmacological interventions.
NU585-5: Use effective communication and collaboration with the frail elderly client, family, nurse practitioner, and other health care providers in a manner that facilitates a partnership approach to quality care.
NU610-1: Construct clinical reasoning skills in evaluating, planning, and implementing care across gender and age span in a culturally competent manner for patients experiencing acute and chronic disease processes.
NU610-2: Develop an evidence-based management plan for patients in the primary care setting with acute, episodic, and chronic illnesses, inclusive of gender, culture, and ethnicity.
NU610-3: Create age-appropriate plans for health promotion, health maintenance, health restoration, and health teaching when treating adults.
NU610-4: Integrate patients' cultural preferences, health beliefs, spiritual beliefs, behaviors, and traditional practices into the individualized management plan.
NU610-5: Formulate a written and oral presentation on care-related data for the interprofessional team.
Plan Early: Review your clinical course and begin site/preceptor planning 1-2 terms ahead.
Submit Paperwork: Upload all required documents in CORE ELMS by PeopleGrove before deadlines.
Get Approved: Wait for official approval via PG email before logging any hours.
Start & Track: Begin clinicals on the approved date and log hours weekly.
Stay Engaged: Attend check-ins and complete evaluations on time.
Use the links below to complete required clinical steps:
Find your Clinical Student Manager (CSM) by Program & State for any clinical questions.
Contact your Student Success Manager (SSM) at 866-522-7747 for any enrollment/registration questions.