Do You Need More Support in Your NP Job?

Transitioning from your nurse practitioner program to working as a NP isn't easy. In fact, the first few years of practice as a nurse practitioner aren't easy. They can be quite overwhelming. In my first year of practice, I recall weekends and evenings spent charting. I arrived at work early everyday to review lab and other diagnostic test results. And, mostly, I was completely overwhelmed by my patient care responsibilities. Not to mention, it was difficult to find the help and support I desperately craved. Do you feel similarly?

If you find yourself floundering as a less experienced nurse practitioner, take heart. It does get better. I'll also tell you that there's a support system that can help ease this transition to practice. 

You may have heard of Midlevels for the Medically Underserved (MMU), MidlevelU's version of a residency or fellowship for nurse practitioners and physician assistants. The program supports participants with a year-long didactic curriculum. From chronic kidney disease and deadly drug combinations in primary care to starting insulin therapy in diabetic patients and treating common dermatologic conditions, MMU goes in depth exploring the most common diagnoses that NPs and PAs are expected to treat in the primary care setting. 

The Midlevels for the Medically Underserved curriculum has two primary components: 

1. Kickoff Conference

2. Weekly Online Sessions

At the MMU kickoff conference, participants in the program convene at MidlevelU HQ in Nashville, TN for two days to participate in hands-on learning like suturing and office procedures as well as other education sessions. We cap off each day's hard work with a social outing to connect with other program participants and grow a peer support network. 

Following the kickoff, participants meet weekly in an online classroom setting to hear from experts about a different clinical topic each week. Curriculum includes subjects like ECG interpretation, understanding anemias, management of palpitations in primary care and more. Attendees also participate in a discussion based on a different topic each week, for example, what steps to take in patients presenting with certain chief complaints or guidelines for prescribing pain meds. Discussions have included subjects like lab interpretation, edema differentials, preparing for your annual performance review and talking with the anti-vax parent. Discussions allow the MMU curriculum to adapt to current needs of participants.

Could you benefit from the support of continued learning and support in your current practice situation? We would love to have you as part of the MMU program! 

Here's how you can participate: 

1. Let your employer know you'd like to participate in the Midlevels for the Medically Underserved curriculum program. This includes participation in the 2-day Nashville kickoff as well as 90 minutes/week of live online classroom sessions. 

2. Ask your employer to request a curriculum overview packet or reach out to our Director of Programs, Audi Westgate, at 

3. Once we hear from your employer, we'll get in touch to iron out the details of your participation. 

The Midlevels for the Medically Underserved curriculum program kicks off twice each year, in April and September. We still have room for a few more participants in our September 2018 cohort, so it's not too late to ask your employer about participating in MMU this year. We hope to meet you in Nashville at our upcoming kickoff! 


Questions? Contact MidlevelU's Director of Programs, Audi Westgate, at or (720) 238-3336. 



Are there still openings?
What is the cost?

Leanora Foahet


Curtis Hughes

When are the online sessions scheduled? Daytime or evening?

Nichole Patrick

I am seeking information on this program for underserved patients. What is the cost and what is the commitment? Thank you, Lou Hill

Lou hill

So am I understanding this correctly, we can participate if we’re employed? That we’d go the Nashville for the two days then weekly online participation from home?

Jill A. Bunney

Do I need to be employed already to be in this program?
Is it sponsored by my employer?

Jackie Schmidt