For me, the most frustrating thing about life as a new graduate nurse practitioner was my first year of practice. My initial months working post-graduation were fraught with stress and worry. I felt that I was not meeting my employer's expectations as a result of my inexperience. While my nurse practitioner program gave me a foundation for practice, real-life clinical scenarios proved much more challenging than anticipated. 

As a new grad NP, I lamented that, similar to medical education, the nurse practitioner track should include a residency or fellowship to facilitate the transition from education to practice. Sure, there are a few NP residencies across the country, but not nearly enough to accommodate all interested students. Everyday, MidlevelU readers tell me they experience similar frustrations. 

At MidlevelU, we've come up with a solution to the unpreparedness many nurse practitioners feel as they graduate from their NP programs - ThriveAP. ThriveAP is a curriculum that helps advanced practice providers (NPs & PAs) become more proficient, productive, knowledgable and confident providers. 

Erin Tolbert, MSN, FNP 

Program Structure

ThriveAP consists of two components, an in-person Skills Lab at MidlevelU headquarters in Nashville, TN and one year of live, online sessions. At the Skills Lab, providers meet fellow participants and focus on hands-on learning. The Skills Lab features suturing and minor office procedures with practice as well as speakers discussing topics like “Deadly Drug Combinations in Primary Care”.

Throughout the year-long program, continued learning occurs through weekly, 90-minute, virtual conferences. These sessions provide unparalleled access to speakers who are experts in their fields. Weekly topics include sessions like "Initiating Insulin in the Diabetic Patient” and “Understanding Rheumatology Labs” as well as professional topics such as “Preparing for a Performance Review” and “Efficiency in Practice”. Check out our info packet here for a more in-depth curriculum preview. 60+ continuing education hours accredited by the American Association of Nurse Practitioners are awarded upon completion of the program. 

Paths to Participation

Does ThriveAP sound like what you need to take your advanced practice career to the next level, or even to become comfortable in your initial years of practice? If so, there are two paths to enrolling in the program.

1. Traditional ThriveAP  

  • 2-day Nashville Skills Lab conference + one year of weekly live online sessions
  • Employer may sponsor and arrange enrollment or this can be arranged and paid for personally by the provider.
  • Flexible payment options including option to apply CE allowance toward the cost of the program. 
  • Enroll at anytime! Flexible start dates throughout the year. 
  • No application process required. All NPs and PAs committed to improving skills and clinical knowledge are welcome in ThriveAP. 

2. ThriveAP+

  • 2-day Nashville Skills Lab conference + one year of weekly live online sessions
  • Employment match with a clinic supportive of new graduates and with corresponding expectations. 
  • MidlevelU facilitates the matching process. 
  • All enrollment costs covered by the employer. 
  • Apply at anytime! Flexible start dates throughout the year. We suggest applying about 4 months before you hope to be matched with a facility to maximize your options. 
  • Application and interview process required. 



If you are an employer interested in learning more about how to enroll NPs and PAs in ThriveAP, or in how to match with a provider through ThriveAP+, email our Director of Programs, Audi Westgate, at audi@midlevelu.com for more information. 


If you have questions about ThriveAP, feel free to contact us at midlevelu@midlevelu.com. Or, you can download our ThriveAP info packet for more information.