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Exam Code: ACNP Practice test 2022 by Killexams.com team
ACNP AG - Acute Care Nurse Practitioner

The Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) Post-Professional Certificate is designed for graduate prepared Nurse Practitioners (NP) or Clinical Nurse certified (CNS) who are seeking to expand their roles via nurse practitioner certification in Adult-Gerontology Acute Care. The curriculum prepares nurse practitioners to function as generalist, principal providers of care for adults and older adults with acute, critical and complex chronic health problems across the continuum of acute care services.

AG-ACNP students may choose a clinical emphasis in cardiopulmonary, critical care, oncology, trauma emergency preparedness or directed study. The directed study allows students to design clinical experiences around a particular area of interest (i.e. internal medicine, general surgery). The curriculum consists of NP and AG-ACNP specialty courses and clinical practice hours.

Graduates of the AG-ACNP Post-Professional Certificate are eligible to sit for the national certification examination in Adult-Gerontology Acute Care offered by the American Nurses Credentialing Center or American Association of Critical Care Nurses. Successful passing of the national certification examination entitles the graduate to apply for certification as a Certified Registered Nurse Practitioner (CRNP) in Adult-Gerontology Acute Care by the State Board of Nurse Examiners of the Commonwealth of Pennsylvania.

Course work may be completed in 3 terms
540 clinical hours
Online or onsite
Students are required to attend 2 onsite laboratory intensives - 2 days in the Summer term and 1 day in the Fall term. Each student will be responsible for the room and board cost during the lab intensives.
Online students will need to arrange for clinical placements and appropriate physician or nurse practitioner preceptors. An Affiliation Agreement between the University and the clinical site is required before clinical hours can begin.

Graduates of the AG-ACNP Post-Professional Certificate are prepared to accomplish the following:

Assume responsibility for promoting, maintaining and restoring health to acutely/critically or complex chronically ill adults and older adults
Identify health risks, promote wellness, and diagnosis and manage acute and chronic illness
Participate in multi-disciplinary research and provide leadership in mobilizing health services

AG - Acute Care Nurse Practitioner
Medical Practitioner student
Killexams : Medical Practitioner student - BingNews https://killexams.com/pass4sure/exam-detail/ACNP Search results Killexams : Medical Practitioner student - BingNews https://killexams.com/pass4sure/exam-detail/ACNP https://killexams.com/exam_list/Medical Killexams : As student mental health needs soar, schools turn to telehealth

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In the southwestern suburbs of Denver, the Cherry Creek school system has been tackling the mental health crisis gripping students here, as in the rest of the country. Social workers and psychologists are based in schools to help. But this month, the district debuted a new option: telehealth therapy for children.

A growing number of public schools across the country are following the same path — turning to remote health care when the demand for aid has spiked and the supply of practitioners has not. To pay for it, some school districts are using federal covid relief money, as studies show rising depression, anxiety and suspected suicide attempts among adolescents.

Some of the contracts are going to private companies. Other districts are working with local health-care providers, nonprofits or state programs. In Texas, state officials recruited help from providers at medical schools, a collaboration that served more than 13,300 Texan students last school year. “It’s provided a lot of kids the support they needed,” said David Lakey, administrator and presiding officer of the Texas Child Mental Health Care Consortium.

Telehealth services more generally soared during the pandemic, as people sought to minimize in-person contact and embraced the convenience. Over almost three years of pandemic life, families and providers have grown comfortable with remote medical visits.

Federal data shows that 17 percent of public schools reported having telehealth services in the spring, with a greater concentration in rural areas and middle and high schools. Seventy percent of schools said the percentage of students seeking mental health services had increased during the pandemic.

“I don’t know one kid who wasn’t affected by this,” said Michelle Weinraub, chief health officer for 55,000-student Cherry Creek district, recalling that students lost relatives or homes during the pandemic, and many were isolated at home learning remotely.

In many schools, students may see a telehealth therapist by using an iPad or other device in a quiet office away from classmates. In Cherry Creek, they will do so from home, before or after school. Some school systems offer both options.

For schools that host the digital therapy sessions, it is not enough to simply outfit a room for appointments and send students in, said Sharon Hoover, a professor of child and adolescent psychiatry at the University of Maryland’s School of Medicine and co-director of the National Center for School Mental Health. “Most schools will need to provide staffing to support safety and privacy issues,” she said. Services are free to families in many cases, covered through school systems, government grants or insurance reimbursements.

Hoover said the trend in virtual mental health care owes partly to more providers offering remote sessions and a loosening of strict regulations that prohibit delivery and billing across state lines.

In Colorado’s Aurora Public Schools, which began to focus on mental health efforts after the 2018 school shooting in Parkland, Fla., Superintendent Rico Munn said several hundred of his students have benefited from a contract for telehealth services, including a number of children in crisis. More than 1,800 therapy sessions were held remotely last spring, thanks to federal covid relief funds. “The need was there, obviously, and it was important to be there to serve that need,” Munn said.

Virginia Garcia’s daughter was among those struggling in Aurora schools. The 17-year-old was at first distressed by family issues but while she was in treatment, a close friend was killed, her mother said. “The therapy helped a lot at that time, because the situation was terrible,” Garcia said. Her daughter began to learn strategies to help her cope with her sadness and anger and be more forthcoming with her feelings, her mother said. “I saw the change.”

Garcia said her daughter continues to work with a private therapist. Still, she was grateful when the school checked back in to see if her daughter needed more help.

According research published by the American Psychological Association, no-show rates for therapy visits for underserved families and children were significantly lower with telehealth programs than with in-person care before the pandemic. But the paper also noted some challenges unique to this format, including patients who don’t have the right tech to log in or enough privacy at home. Other research also has broadly pointed to telehealth benefits for children.

While some schools used virtual mental health services before covid-19, particularly in rural areas, researchers at the nonprofit Child Trends said the pandemic showed “proof of concept” to many more people.

The Colorado school districts in Aurora and Cherry Creek hired Hazel Health, a San Francisco-based company that started with virtual health services in schools in 2015 and expanded to mental health in May 2021.

It now has telehealth in 80 school districts, including in Florida, California, Georgia, Maryland and Hawaii; 20 other districts have signed contracts. The company said students are seen in relatively short order, and sessions are held in the familiar settings of school or home. Parent permission is required, and referrals are made by school staff or families.

Hazel Health CEO Josh Golomb said children often receive to six to 10 sessions, meeting the clinical needs of most students. For longer-term cases, Hazel connects patients to community clinicians. Some advocates have raised concerns that telehealth could mean a different practitioner from one session to the next. Hazel said children primarily keep to the same therapist.

Hazel therapists, who combined speak 10 languages, work from their homes, Golomb said. All are clinical mental health professionals who are licensed to practice in the state where their patients receive therapy.

The company plans to work with school districts to study whether Hazel’s mental health services also help reduce absenteeism, Golomb said.

Reducing absenteeism was one major incentive for Maryland’s second-largest school system, in Prince George’s County. If appointments are at school, many students will be able to return to class and miss less instruction, said Doreen Hogans, supervisor of school counseling.

Schools are already using Hazel for physical health services and will launch mental health services for high schools, middle schools and k-8 schools before winter break. Elementary schools will come sometime during or after January. Students across k-12 may request home-based telehealth.

Students will be able to go to the nurse’s office, where the nurse will find a quiet place to set the student up on an iPad with a practitioner, Hogans said. “The benefit is that the student is not going home and we can retain the student right there in school,” she said. The school system, like others around the country, has a number of vacancies in mental health-related positions, she said.

It is paid for through a $4 million federal grant, according to a spokesman for the Prince George’s County Health Department.

The big question for some districts is what to do when their federal relief money runs out in the next couple of years — whether they will find other dollars for telehealth.

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Thu, 08 Dec 2022 15:01:00 -0600 Donna St. George en text/html https://www.washingtonpost.com/education/2022/12/09/telehealth-remote-student-mental-health/
Killexams : Hands-on experience to spark students’ interest in the medical field

WISE COUNTY, Va. (WJHL) — Math, Science, Language Arts and Gym are the classes typically seen on a middle school class schedule, but some students in the region are taking part in a unique opportunity.

Students in Wise County, Virginia are getting hands-on experience with the medical field in hopes of sparking their interest in a career early.

“We really know that in working with kids the earlier that you can work with them and get them interested in something, the better chance you have of having them carry that through to an actual profession actual training opportunity,” said Matthew Loos, Vice President and Chief Academic Officer for Ballard Health.

5th graders at middle schools in Wise County Public Schools and Norton City Schools have the opportunity to take part in a 9-week course offered through a five-year grant from the Claude Moore Charitable Foundation and with the help of Ballad Health. By exposing the students to these Topics in middle school educators and health leaders hope to open their eyes to the opportunities they have in high school.

“We’re offering licensure programs like our CNA programs, as well as dual credit opportunities,” said William Austin, CTE Director of Wise County Public Schools. “Students will have those opportunities through Mountain Empire or the University of Virginia to go on if they want to get a BSN degree or, or whatever the situation may be.”

Some students walked into the class already interested in the medical field.

“My mom is a nurse practitioner and I think what she does is really cool,” said Ada Addison, a 5th grader. “I don’t know what I want to be. I want to be a lot of different things. I want to be an X-ray Tech.”

Educators said they want kids to recognize how expansive the medical field is.

“We try to teach all areas of medical and different departments,” said Yvonna O’Quinn, Health and Medical Exploratory Instructor at Wise County Schools. “We do the CPR, we do EpiPens, Heimlich maneuver.”

That hands-on experience is something the students are eager to participate in.

“I did the actual CPR,” said Aeris Odom, a 5th grader.

“And I did the thing that shocks them,” said Sophie Winebarger, 5th grader. “And while she was doing it, I just sang ‘Staying Alive.’… Because it’s a good rhythm to go with whenever you’re performing CPR.”

This is the second year of the course which is offered in the school systems. Organizers hope this will help address medical staffing shortages in the region.

Right now the course is being taught at Union Middle School. The next 9 week segment will be held for students at St. Paul Elementary School.

Fri, 02 Dec 2022 06:42:00 -0600 en-US text/html https://www.wjhl.com/news/local/hands-on-experience-to-spark-students-interest-in-the-medical-field/
Killexams : APHA highlights from the School of Public Health

This year at the American Public Health Association’s (APHA) 150th Annual Meeting & Expo, the School of Public Health had 24 participants representing the school, 17 of which were public health students. The meeting and expo took place November 6-9, 2022 and researchers were able to showcase their research and collaborate with other public health practitioners from all over the country. 

Among the students in attendance was Tamara Telles (MPH student). This past spring, she earned first place in the Delta Phi Poster Competition. She was then selected by the Delta Omega Honorary Society in Public Health National Committee to compete and present in their competition held each year at the APHA Meeting & Expo. If selected to compete at the national level, students are awarded a cash prize by Delta Omega. Delta Omega selects no more than 29 students to compete.

Sarah Hartzell, another graduate student in attendance, describes her time at the conference, “My experience at the APHA 2022 Meeting & Expo was great! I had the opportunity to present my work at two roundtables where I had so many engaging conversations with scholars around the nation. It was a great place to make connections and hear about fantastic work currently being done. I presented a team project entitled, 'Understanding college students' COVID-19 pandemic experiences through a mixed methods approach" and my own work entitled, 'Let's talk about mental health on campus.' The team project was work I had done with Megan LaMotte, Molly Hagen, and Dr. Paul Devereux.”

Associate Professor Eric Crosbie, Ph.D., M.A., reflects on his experience, “It was great to see our students continue to grow at APHA as they were able to present their research findings, listen to high profile speakers discuss emerging research and network and connect with leading health professionals.” 

Dean Muge Akpinar-Elci of the School of Public Health was also in attendance and describes her time with students at APHA, “I was filled with such pride and excitement seeing so many of our students presenting and advocating for their research. Their dedication to public health gives me great hope that the future is in extremely capable hands.”

The next APHA Annual Meeting & Expo will take place in Atlanta, GA, Novemeber 12-15, 2023. The theme will be, "Creating the Healthiest Nation: Overcoming Social and Ethical Challenges" and the submission deadline is March 30, 2023.

Fri, 09 Dec 2022 03:22:00 -0600 en-us text/html https://www.unr.edu/nevada-today/news/2022/apha-highlights
Killexams : Drexel consolidates its health-related schools to a new University City building so students feel more connected Clinical skills space in the new 460,000-square-foot new health sciences building. © Jessica Griffin/The Philadelphia Inquirer/TNS Clinical skills space in the new 460,000-square-foot new health sciences building.

When Ryan Hogan was choosing a doctoral program in physical therapy, one condition really made a difference.

Drexel University told him the school would be moving many of its health sciences programs, including physical therapy, to a new, 12-story building near the main campus in University City. The program had been based in a building Drexel rented in Center City.

“That was the biggest thing in my decision-making process,” Hogan, 22, of Annapolis, Md., said this week as he prepared to take a final test in the new building. “I didn’t want to be traveling across the city for class. Now, everything is in one building. It’s new, state of the art, everything PT could want in terms of labs.”

Mary Gallagher Gordon, vice dean, strategic operations and academic services at Drexel University's College of Nursing and Health Professions, in the anatomy lab. © Jessica Griffin/The Philadelphia Inquirer/TNS Mary Gallagher Gordon, vice dean, strategic operations and academic services at Drexel University's College of Nursing and Health Professions, in the anatomy lab. One reason John Fry is staying at Drexel is the acquisition of the city’s history museum: ‘I want to see that through’

He lives a 10-minute walk away.

Drexel’s College of Nursing and Health Professions, including physical therapy, moved into the new Health Sciences Building at 36th and Filbert Streets in September. It previously had been split between the New College Building at 245 N. 15th St. and another Center City site. The Graduate School of Biomedical Sciences and Professional Studies will relocate most of its programs from the New College Building in January. That school offers programs that explore the science behind the treatment of diseases, including degrees in cancer biology, neuroscience, drug discovery and development, laboratory animal science, and pathologist assistant.

“There are mannequins that have pulses, breath sounds, they can speak to you,” said Morgan Van Dexter, 22, a senior nursing major from Haddon Township, N.J. © Jessica Griffin/The Philadelphia Inquirer/TNS “There are mannequins that have pulses, breath sounds, they can speak to you,” said Morgan Van Dexter, 22, a senior nursing major from Haddon Township, N.J.

The College of Medicine will move from its Queen Lane site by August.

Research-related activities for the three schools will remain at the New College Building and Queen Lane campus for now, though Drexel officials said they eventually hope to locate those in another University City building.

To address shortage of black doctors, Drexel medical students create mentoring network

The move is part of a larger effort by Drexel to concentrate programs at the University City main campus, which will allow students to feel more connected to the university and more readily use the facilities and services, such as the library, fitness center, and dining facilities. It also will allow them to more easily participate in extracurricular activities and sports, and many students will be closer to where they live in University City.

Laura N. Gitlin, center, dean of the College of Nursing and Health Professions at Drexel University, and Mary Gallagher Gordon, vice dean, strategic operations and academic services at Drexel University's College of Nursing and Health Professions, show how students can work on a mannequin in a simulated hospital room. © Jessica Griffin/The Philadelphia Inquirer/TNS Laura N. Gitlin, center, dean of the College of Nursing and Health Professions at Drexel University, and Mary Gallagher Gordon, vice dean, strategic operations and academic services at Drexel University's College of Nursing and Health Professions, show how students can work on a mannequin in a simulated hospital room.

“A river divided us,” said Mary Gallagher Gordon, the nursing college’s vice dean of strategic operations and academic services, of the previous layout.

The new 460,000 square foot health sciences building near Drexel's campus. © Jessica Griffin/The Philadelphia Inquirer/TNS The new 460,000 square foot health sciences building near Drexel's campus.

The new academic home also will allow for more collaboration and learning across disciplines in the three schools, as well as with the rest of the campus, Drexel officials said.

“It’s really bringing together a lot of future practitioners in health-related careers that ... were siloed,” said Elisabeth Van Bockstaele, senior vice president of graduate and online education.

The 460,000-square-foot tower, leased by Drexel for 30 years, was developed and is owned by Wexford Science & Technology and Ventas. It includes classrooms that can accommodate as many as 300 students, small study rooms, simulation labs, anatomy labs, and “wet” labs, where students work with fresh tissue and blood and wear protective gear.

In one lab, which will be shared among the three schools, students can use a “Spectra” table, which allows them to read instructions on one screen, manipulate a 3D model of a human body on the other, and project their work on screens around the room.

Mary Gallagher Gordon, vice dean, strategic operations and academic services at Drexel University's College of Nursing and Health Professions, shows off a new “Spectra” table, which allows students to read instructions on one screen, manipulate a 3D model of a human body on the other, and project their work on screens around the room so that others can see. It's part of the new 460,000-square-foot health sciences building near Drexel's campus. © Jessica Griffin/The Philadelphia Inquirer/TNS Mary Gallagher Gordon, vice dean, strategic operations and academic services at Drexel University's College of Nursing and Health Professions, shows off a new “Spectra” table, which allows students to read instructions on one screen, manipulate a 3D model of a human body on the other, and project their work on screens around the room so that others can see. It's part of the new 460,000-square-foot health sciences building near Drexel's campus.

There’s a simulated operating room, a hospital patient room with a “crash cart,” and a room that emulates a patient’s home so that students can learn how to help them adjust when they leave the hospital. The rooms have mirrors where faculty on the other side in a control room can watch students work and manipulate mannequins to see how students react.

It’s one of Morgan Van Dexter’s favorite parts about the new building.

“There are mannequins that have pulses, breath sounds, they can speak to you,” said Van Dexter, 22, a senior nursing major from Haddon Township.

The older building had mannequins, but they weren’t as advanced, and the control rooms were smaller, Gallagher Gordon said.

Van Dexter also appreciates that the classrooms are bigger and have multiple screens.

“No matter where you sit, you can see what the teacher is talking about,” she said.

Students also will get more opportunities for interdisciplinary research at the new building. In Drexel’s recently completed $806 million fund-raising campaign — which exceeded its goal by $56 million — an additional $170 million will be allocated toward research.

Laura N. Gitlin, the nursing school dean, said the new location also will allow students and professors to work more closely with the University City community.

Students also can more easily participate at the Community Wellness Hub in Drexel’s Dornsife Center for Neighborhood Partnerships, which is only a couple of blocks away, she said. The school also would like to partner with the nearby Powel Science Leadership Academy Middle School.

“We would like to expose students from the ground up on what it’s like to be a ... health professional,” she said.

©2022 The Philadelphia Inquirer. Visit inquirer.com. Distributed by Tribune Content Agency, LLC.

Wed, 07 Dec 2022 06:23:00 -0600 en-US text/html https://www.msn.com/en-us/health/health-news/drexel-consolidates-its-health-related-schools-to-a-new-university-city-building-so-students-feel-more-connected/ar-AA151tDr
Killexams : Doctor accused of touching medical students’ breasts faced similar patient complaint

The doctor allegedly touched the medical students behind closed doors at a hospital. Photo /123rf

A young doctor accused of touching medical students’ breasts unnecessarily was under police investigation for allegedly doing the same thing to a sleepy patient a few years earlier.

The man, whose identity is suppressed, says he is sorry but strongly denies any wrongdoing.

Dr G faces disciplinary proceedings this week after three women accused him of touching their breasts along with another woman’s, on the pretext of teaching them how to do a cardiovascular examination.

“I did not squeeze the breasts of any of the complainants as alleged,” the man told the Health Practitioners Disciplinary Tribunal today in Auckland.

Police records show a patient complained about Dr G with a similar allegation in 2012 when he was a medical student on hospital placement.

Representing the Medical Council’s professional conduct committee, Dr Jonathan Coates said the patient told police she was woken up in her hospital room by Dr G to do a chest examination, during which he allegedly “felt and squeezed” her breast.

The chest or cardiovascular examination focuses on the patient’s heart and involves multiple steps, one of which requires the examiner to place an entire hand on the patient’s chest to locate what is called the apex beat - the impact of the heart against the chest wall.

Dr G was quoted in police files saying he tried to feel for the patient’s apex beat, and asked the patient to move her bra up when he was unable to detect it.

He also told police he saw nothing to indicate the patient was uncomfortable other than being tired, and would have stopped if she had asked.

“Her allegation is that you touched her without her consent,” Coates put to the man.

“I had obtained consent to do the exam, but she thought I was a doctor,” he said.

“You apologised sincerely for the misunderstanding,” Coates said.

“I was still improving my skills, yes,” Dr G said.

Asked if the incident and subsequent police investigation was “a shock of monumental proportion” in terms of how he approached women for cardiovascular exams, Dr G said, “Yes, it was.”

Police did not lay a charge after initially considering one of indecent assault, and the hospital did not take further action after an investigation.

Dr G denied wrongdoing in both the 2012 and latest round of complaints.

“I strongly deny I acted inappropriately,” he told the tribunal on Wednesday morning, referring to the medical students’ allegations.

All four women, whose identities are also suppressed, were on hospital placement in Dr G’s team during the incidents in 2016 and 2018.

Dr G said he believed the women had exaggerated what happened after discussing it among themselves.

But he regretted putting them in a situation that had what he called the potential for misinterpretation.

“I am very sorry for the distress I’ve caused,” he said.

“It’s just plain common sense that you don’t take young women one-on-one into tutorial rooms and touch on or near the breast. You don’t do it, do you?” Coates asked the doctor at one point.

“I certainly don’t do it anymore,” he said.

Earlier on Wednesday’s hearing, the doctor wiped away tears as he told the tribunal about the impact of the allegations, that resulted in him being suspended and eventually dismissed from the hospital.

He found work at another hospital in a different city but had to relocate, which was stressful for him and his parents. His long-term relationship at the time also ended as a result.

“At all times I was trying to teach and provide assistance to my colleagues,” he said. “I thought I was working to empower the medical students.”


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Wed, 07 Dec 2022 02:46:00 -0600 Qiuyi Tan en text/html https://www.nzherald.co.nz/nz/doctor-accused-of-touching-medical-students-breasts-faced-similar-patient-complaint/FLHF2ZWPBNGDBJXTLOB6KZF6HY/
Killexams : NPs Can Offset Psychiatry Shortage, Tackle Mental Health Crisis

With many psychiatrists not accepting insurance, and fewer psychiatrists billing Medicare due to reimbursement cuts, psychiatric mental health nurse practitioners (PMHNPs) are seen lately as part of the solution to the shortage of mental healthcare providers in the United States. In many states, these specialized nurse practitioners can prescribe medication, unlike psychologists and other therapists, and their services are less expensive than doctors.

A recent report by Health Affairs indicates that the mental healthcare system relies more on PMHNPs to fill in the gap of Medicare patients with mental health needs. The study showed that from 2011 to 2019, PMHNPs provided almost one in three psychiatric visits to Medicare patients. While there was a 6% decrease in the number of psychiatrists billing Medicare, the number of PMHNPs increased by 162%, the report showed.

Study authors estimated there would be a 30% decline in mental health specialist visits in Medicare patients if not for PMHNPs. Because of the specially trained nurses, that decrease ended up being only 12%.

“Nurse practitioners (NPs) are often being relied on to fill in gaps due to the shortage of psychiatrists across the country and they are often less expensive,” Kristin Kroeger, chief of Policy, Programs, and Partnerships with the American Psychiatric Association (APA) told Medscape. Medicare reimburses NPs and other advanced practice providers at 85% the rate of doctors.

“APA supports direct supervision of NPs as they often do not have the training to treat people with mental health or substance use disorders.”

To become a PMHNP, nurses go through the same training as their peers. After a bachelor of science in nursing degree, PMHNPs can progress through master’s or doctoral paths (3 to 5 years, depending) which then leads to certification through the American Nurses Credentialing Center (ANCC). After academic requirements are fulfilled, students must take the ANCC certification exam. Certifications are valid for 5 years and professional continuing education is required for recertification.

Kathleen McCoy, PMHNP-BC

PMHNPs are trained to treat a wide variety of mental health disorders regardless of age, setting, or culture, said Kathleen McCoy, PMHNP-BC, associate professor at the University of South Alabama, Mobile, told Medscape Medical News. But PMHNPs will also refer to more appropriate specialists, services, and levels of care when these are available, she said.

The competency-based standards of today’s NP program accreditation requirements ensure NPs can provide high-quality patient care, according to Pamela Lusk, DNP, RN, FAANP, clinical associate professor of practice at The Ohio State University College of Nursing, Columbus.

Pamela Lusk, DNP, RN, FAANP

Independent Practice

To date, half of the states and US territories have given NPs full practice authority (FPA). In FPA states, there is no need for a collaborative practice agreement between NPs and physicians to provide care. As defined by the American Association of Nurse Practitioners (AANP), FPA gives NPs the authority to evaluate, diagnose, and treat patients, as well as order and interpret diagnostic tests under the state board of nursing.

Wait times for appointments are also believed to be shorter for NPs than doctors.

During the pandemic, PMHNPs were providing comprehensive mental health services on the frontlines to all populations, especially in rural areas with populations who are underserved, explained Lusk.

In states where NPs don’t have FPA, they are required to work with a collaborating physician. This becomes trickier when there’s a lack of these psychiatric clinicians to provide oversight. More than one third of Americans live in areas the US Department of Health and Human Services deems to have a mental health professional shortage.

Susanne Astrab Fogger, DNP, CRNP, PMHNP-BC

“Managed care has made psychiatry a particularly challenging field, as visits are often time-driven. It’s difficult to connect to patients when the visit is only 15 minutes in length,” said Susanne Astrab Fogger, DNP, CRNP, PMHNP-BC, a professor at the School of Nursing at the University of Alabama at Birmingham. “There just aren't enough psychiatrists to care for the volume of patients who need treatment.”

Burnout and retirement are also factors affecting the psychiatrist shortage. Nearly 40% of psychiatrists are experiencing burnout.

Collaboration Is Key

The demand for PMHNPs can be seen in their earnings growth. PMHNPs earned the highest income among advanced practice registered nurses (APRNs), $132,000, according to Medscape’s 2022 APRN compensation report. That figure shows growth over the past 2 years, during which time those in the specialty also earned more than their APRN peers. The specialty is not the largest among APRNs surveyed, but it saw growth from 8% of those surveyed in 2021 to 9% in the latest report.

Despite the increased earnings, there’s a need for more PMHNPs to replenish those leaving the workforce, according to the American Psychiatric Nurses Association (APNA). More than half of PMHNPs are in their 50s and 60s, nearing retirement age, and the APNA is keeping an eye on whether the number of younger nurses entering the mental health nursing practice, which is increasing, is enough to balance those leaving it.  

“The growing field certainly presents an opportunity for registered nurses to pursue additional education and training to obtain advanced licensure as a PMHNP,” said Chizimuzo Okoli, PhD, APRN, PMHNP-BC, president of the APNA. He added that PMHNP programs have almost doubled in the last 8 years — from 114 programs in 2015 to 208 in 2021.

“The opportunity to obtain further specialization as a PMHNP is quite appealing to both nursing students and professional, or clinical, nurses who would like to advance their careers.” To attract more nursing students into the specialty, APNA offers advantages such as discounted student memberships and conference scholarships.

In terms of training more psychiatrists, APA continues to advocate for more federal funding for residency programs, Kroeger said. “However, even with that funding, it takes years to train a psychiatrist.”

The APA supports a collaborative care model to deliver mental health services into primary care. “The model provides early intervention of mental health and substance use disorders through screening in a primary care office,” she said. If a patient needs care, they’ll be treated by primary care in consultation with psychiatry and case management.

This collaborative care approach not only helps patients have better access to care, but insurance, including Medicare, is more likely to reimburse for it, compared to psychiatric care alone, the APA reported.

Receiving psychiatric care in a behavioral health integrated primary care clinic can help make it less stigmatizing to the patient, said Fogger. But she cautions that having too many psychiatrists in this type of setting might make integration too costly.

Risa Kerslake, RN, BSN, is a freelance writer living in the Midwest. She specializes in health, parenting, and education.

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Thu, 08 Dec 2022 02:33:00 -0600 en text/html https://www.medscape.com/viewarticle/985259
Killexams : Three more former Servite students allege they were sexually abused by priest

In the 1980s, Servite High School Father Kevin Fitzpatrick convinced a football player at the school to switch to the swim team, according to the former student’s attorney.

Before long Fitzpatrick, the Servite swimming and water polo coach, was commenting on the teenager’s body, at one point even telling him he would look great in a Speedo, the attorney said.

Eventually, Fitzpatrick also began sexually assaulting the Servite student on the school’s campus, according to allegations in court records obtained by the Orange County Register.

The swimmer is one of three former Servite students who allege that Fitzpatrick sexually abused them on a regular basis in the late 1970s and early 1980s, according to three lawsuits recently filed in Orange County Superior Court.

Fitzpatrick was so beloved during his 22 years at Servite that the Roman Catholic all-boys school in 2017 named its $5.7 million state-of-the-art aquatic center after him.

But these most accurate court filings raise the number of former Servite students who allege they were sexually assaulted by Fitzpatrick to eight and further underscore the portrayal of a predatory priest who, unchecked by either Servite or Diocese of Orange officials, allegedly routinely sexually abused students from the ages of 13 to 17 over a 13-year period from 1976 to 1989.

Fitzpatrick is named in all three of the recently filed suits which allege Servite and other Roman Catholic organizations were negligent in their supervision and retention of the priest. Servite, the Diocese of Orange, the Archdiocese of Los Angeles and the Order of Friar Servants are also named in a suit in which a former Servite student, identified as John Doe 1692, alleges he was sexually abused by Fitzpatrick at the ages of 14 and 15 in 1978 and 1979 and that he was also sexually assaulted by Father John M. Kenny while serving as an altar boy between the ages of 11 and 13.

“It’s shocking that the Diocese of Orange was able to keep the rampant abuse by Father Fitzpatrick” under wraps “for years,” said Michael Reck, an attorney for the former Servite students.

“This man had access to children for decades. We do not know the full extent of who and how many kids he abused.

“Let’s call a spade a spade and there were responsible adults who could have and should have known. To say that the adults who were in charge of these children’s safety did not drop the ball would be a misnomer. It’s at the point now that if they didn’t know it appears to be a conscious effort to not know. I guess the question that we’ll really find out as the lawsuits proceed is how was the leadership able to ignore so many red flags. Did they choose not to? Did they choose to be ignorant? I don’t know. It’s absurd. Scary.”

Servite principal and interim president Stephen Walswick said in an email to the Register “The safety of our students is our highest priority.”

“Servite High School cannot specifically comment on these accurate filings given the pending litigation,” Walswick continued. “Servite High School will continue to review and maintain its current protocols and processes for keeping its students safe.  As Catholics, we must do everything we can to reduce the suffering and pain of others. We offer our prayers for continued strength and healing for all survivors of abuse.”

The suits are possible because of Assembly Bill 218, which was signed into law by Gov. Gavin Newsom in 2019 and went into effect January 1, 2020, created a three-year window to file past claims that had expired under the statute of limitations. That three-year window closes December 31.

Alleged survivors must file civil suits within eight years of becoming an adult or three years from the date an adult survivor “discovers” or should have discovered they were sexually abused, under current California law.

The law requires that plaintiffs meet a mental health practitioner and receive a certificate of merit to file under AB218.

Servite, the Diocese of Orange and the Order of Friar Servants of Mary are also defendants in the other two suits, but are currently referred to as “Does” in all defendants’ references because under AB 218 the names of defendants cannot be used in public documents until approved by a judge.

“While we can offer no comment on any pending litigation (especially since, to our knowledge, the Diocese has not been served), it is important to clarify that Servite High School is not under the jurisdiction of the Diocese of Orange,” said Jarryd Gonzales, head of communications for the diocese.

The Archdiocese of Los Angeles and the Order of the Friar Servants of Mary did not respond to requests for comment.

But all three organizations are identifiable by references to their addresses, duties and purpose in the initial court filings obtained by the Register.

Fitzpatrick worked at Servite from 1970 to 1992. He was transferred to Our Savior Catholic Church in the Archdiocese of Los Angeles in 1993 and then to a church in suburban Portland, Oregon in 1994. Fitzpatrick died in 1997.

The John Doe 1692 suit names the Archdiocese of Los Angeles because the Diocese of Orange was not founded until March 1976.

Kenny was one of 15 priests named by the Diocese of Orange in January 2004 as having sexually molested children. Kenny died in a motorcycle accident in 1977 while working as a priest in eastern Oregon.

RELATED:

Suit alleges sexual abuse by popular former Servite priest and swim coach

Servite removes name of priest from aquatic center amid sex abuse claims

Former Servite student alleges in suit he was sexually abused by teacher

Four more former Servite students allege Fitzpatrick sexually assaulted them

Author

Scott M. Reid is a sports enterprise/investigative reporter for the Orange County Register. He also covers Olympic and international sports as well as the Los Angeles’ bid to host the 2024 Olympic Games. His work for the Register has led to investigations by the International Olympic Committee, the U.S. Department of Education, the California Legislature, and the national governing bodies for gymnastics and swimming. Reid's 2011 reporting on wide spread sexual abuse within USA Gymnastics and the governing body's failure to effectively address it led to Don Peters, coach of the 1984 record-setting Olympic team, being banned from the sport for life. His reporting also prompted USA Gymnastics to adopt new guidelines and policies dealing with sexual abuse. Reid's 2012 and 2013 reporting on sexual abuse within USA Swimming led to the banishment of two top level coaches. Reid has won 11 Associated Press Sports Editors awards for investigative reporting since 1999. He has also been honored by APSE for game writing, and enterprise, news, and beat reporting. He was an Investigative Reporters and Editors award finalist in 2002 and 2003. Prior to joining the Register in 1996, Reid worked for the Atlanta Journal-Constitution and the Dallas Times Herald. He has a B.A. in the History of the Americas from the University of Washington.

Wed, 07 Dec 2022 15:06:00 -0600 Scott M. Reid en-US text/html https://www.ocregister.com/2022/12/07/three-more-former-servite-students-allege-they-were-sexually-abused-by-priest/
Killexams : Program that repays student loans for mental health workers launches in NY

Applications are open for a new state program that will help some mental health workers in New York repay student loan debt.

The $9 million program is meant to help community mental health agencies recruit and retain psychiatrists and psychiatric nurse practitioners, according to Gov. Kathy Hochul’s office. Psychiatrists can get up to $120,000 in student loans repaid through the program and nurse practitioners can get up to $30,000.

The workers have to remain employed and licensed by community mental health programs for three years to be eligible.

Both newly hired and existing staff, including part-time employees, are eligible for the awards. Employees will receive one-third of their total award annually over the three years they’re required to to remain working at a community mental health program.

Providers apply for loan repayment on behalf of their staff, with applications reviewed on a first-come, first-served basis for as long as funding remains available, Hochul’s office said.

The loan repayment program is part of an overall $20 billion plan to Excellerate and grow New York’s health care infrastructure and workforce, according to Hochul’s office. The plan includes health care worker bonuses and cost-of-living raises, among other things.

More information is available on the state Office of Mental Health website.

“This funding will provide our partners in communities across the state with the resources they need to attract top-tier workers and then keep them employed in our state, so we can grow our workforce and ensure all New Yorkers have access to the highest quality of care,” Hochul said in a news release.

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Wed, 30 Nov 2022 00:54:00 -0600 en-US text/html https://www.msn.com/en-us/health/medical/program-that-repays-student-loans-for-mental-health-workers-launches-in-ny/ar-AA14Kaat
Killexams : Student Loan Forgiveness: New York Will Pay Off Student Debt for Mental Health Workers

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While the Biden administration’s federal student loan forgiveness program was dealt another setback in federal court this week, officials in New York have widened the pool of residents who can have their student loans canceled.

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New York Gov. Kathy Hochul announced $9 million in state funding for a loan repayment program last week to help community mental health agencies recruit and retain psychiatrists and psychiatric nurse practitioners.

According to a press release issued by the governor’s office, the Community Mental Health Loan Repayment Program will provide loan repayments of up to $120,000 for psychiatrists and $30,000 for psychiatric nurse practitioners, as long as they remain employed by licensed community mental health programs for three years. The program will be administered by the New York State Office of Mental Health.

“This funding will provide our partners in communities across the state with the resources they need to attract top-tier workers and then keep them employed in our state, so we can grow our workforce and ensure all New Yorkers have access to the highest quality of care,” Hochul said in a statement.

That news was announced a week before a federal appeals court ruled against the Biden administration’s $400 billion student loan forgiveness program, which aims to provide up to $20,000 in canceled debt per borrower. The U.S. Court of Appeals for the 5th Circuit on Wednesday declined to stop a lower court’s previous ruling that invalidated the Biden program, USA Today reported.

The case will likely be appealed to the U.S. Supreme Court.

While federal student loan borrowers in New York and elsewhere wait to see how that legal battle plays out, those in the Empire State at least have other options for getting their loans forgiven. Its Community Mental Health Loan Repayment Program is available to both newly hired psychiatrists and psychiatric nurse practitioners as well as existing staff — including part-time workers — at licensed community mental health programs.

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New York also has other programs in place to forgive student loans through the state’s Higher Education Services Corporation (HESC). According to the HESC website, under certain conditions borrowers could have all or part of their education loans forgiven or canceled in exchange for performing a qualifying service for a defined period of time. You don’t have to repay the part of your loan that is forgiven or canceled, but you might owe taxes on the forgiven/canceled amount in cases where the amount is considered income.

Among the occupations that might qualify for forgiveness under the program are district attorney, legal services attorney, licensed social worker, farmer, nursing faculty member, child welfare worker and teacher. For more information visit the HESC website.

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This article originally appeared on GOBankingRates.com: Student Loan Forgiveness: New York Will Pay Off Student Debt for Mental Health Workers

Wed, 30 Nov 2022 23:55:00 -0600 en-US text/html https://www.aol.com/finance/student-loan-forgiveness-york-pay-145642952.html
Killexams : Students of cannabis

Erin Johnson was enrolled in the University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences when she took her first cannabis class. As a student of pharmaceuticals, she says she naturally found the subject fascinating — especially since her father had been growing cannabis since the early days of medical legalization in Colorado.

“My dad is a farmer and he grew cannabis as a caregiver,” Johnson says. “His friend’s wife had breast cancer, so he was growing it [for her].”

Learning about the medical and chemical properties of cannabis in an academic setting excited Johnson. So much so that after graduating from the CU School of Pharmacy, she went on to complete CU’s new graduate certificate in cannabis science and medicine. 

Now she’s making a cannabis salve for her small Colorado mountain community. She calls it Butter Flower Balm, and it’s a product of both her passion for natural medicines and of her CU cannabis education.

Johnson isn’t the only student from CU School of Pharmacy who’s pursued an interest in cannabis through the school’s new certificate program. According to David Kroll, a professor with the Skaggs School of Pharmacy, they’ve got a mix of health professionals, students of science and people already in the cannabis industry enrolling in the new program. 

It’s becoming more robust every semester, Kroll says. There’s a genuine interest in this plant, its medicinal properties, and the industry growing around it. And until recently, there wasn’t an academically accredited way to learn about it. A survey of health professionals by the Mayo Clinic found only half said they were prepared to answer patient questions about medical cannabis, and three-quarters wanted to learn more. 

Realizing that, in the spring of 2020, CU started offering the Cannabis Science and Medicine Program as an eight-week continuing education (CE) certificate. 

“We’ve always felt that we have a responsibility to patients and to practitioners to deliver evidence-based information about plant medicines,” Kroll says. 

The response was so positive, the school decided to take it a step further. In June of 2020, CU announced it was going to offer graduate-level cannabis education, becoming the first school in the state to do so. 

For the coursework, CU tapped its own faculty as well as utilizing experts from outside academia. They bring in clinical practice experts, clinical researchers, medicinal plant chemists and pharmacologists, and legal and regulatory leaders in the cannabis industry to lead case-based discussions. 

“We want to deliver students the tools that even if they can’t get a job in the cannabis industry, they can still get jobs in the dietary supplement, herbal medicine industry, anywhere,” Kroll says. 

The program offers a basic cannabis pharmacology class, a cannabis therapeutics class, a cannabis neurology class, a class about the legal and regulatory issues surrounding cannabis, and Kroll’s cannabis writing class, among others. Then students wrap the certificate program with a capstone project. 

One student is doing their capstone with the Colorado Department of Public Health and Environment, compiling published drug interactions of THC and CBD with the top 200 prescribed drugs in the United States. Another is looking at the concentrations of specific terpenes in the same strains from different dispensaries, to see their chemical similarities. A third student is writing a series of science articles for Cannabis Wire about cannabis issues in New York City. 

The certificate program requires nine-credit hours to complete, with an optional two-credit lab course. It costs $773 per credit (about $7,000 for the nine credits), and all of them can be applied toward a 30-credit hour master of science in pharmaceutical sciences degree with an emphasis on cannabis science and medicine. 

The program also offers a full 30-credit hour master’s degree in cannabis science and medicine, with both a thesis track and a non-thesis track. 

But the best part, Kroll says, is that all of this is offered virtually. 

“Our whole thing has been flexibility for the student,” he says. 

Which is attracting students far and wide. They might be pharmacists, nurses, physicians and other healthcare professionals who want to answer patient questions about cannabis. They might be people already in the cannabis industry, who want to learn more about the plant they’re working with. Or, they might be pharmacists like Johnson, who want to make cannabis products that will help the people around them. 

Johnson’s Butter Flower Balm is a budding business, and a direct result of seeds planted during the CU cannabis and science certification program. She makes the salve with almond seed oil, coconut oil, jojoba oil and extract from cannabis plants she grows herself, outdoors, without any pesticides or chemical supplements. 

Johnson says she’s not trying to get rich off of Butter Flower Balm — but as long as it’s helping people, she’s going to continue making it. 

“I have enough people in my life that love [the salve], even if I don’t make any money on it and I can just help people… I’ll continue to make it until the end of time because I love it,” she says. “It’s a total labor of love.” 

Wed, 07 Dec 2022 18:00:00 -0600 Will Brendza en-US text/html https://boulderweekly.com/features/students-of-cannabis/
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