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 begins with a multi-day kickoff in Nashville, Tennessee. At the kickoff, participants orient to the program, meet fellow participants, and begin didactic and clinical learning. The Nashville kickoff features suturing and minor office procedures with hands-on 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. 65+ 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  

Your employer will need to be on board with your participation in ThriveAP as employers typically cover the cost of participation. You’ll also need permission to attend the 2-day Nashville kickoff and attend 90-minute online sessions one morning/week. So, the first step to enrolling in ThriveAP if you’re an NP or PA is to share this info packet with your employer and ask them to reach out to our Director of Programs, Audi Westgate, at audi@midlevelu.com

2. Midlevels for the Medically Underserved

Are you currently looking for your first advanced practice job? Or, do you crave a more residency-like experience? If so, Midlevels for the Medically Underserved (MMU) is the track for you. With this option, we match you with a facility that agrees to be a supportive first work experience while you participate in the year-long ThriveAP curriculum. Learn more about MMU and how to apply for the program here. 


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 Midlevels for the Medically Underserved, email our Director of Programs, Audi Westgate, at audi@midlevelu.com for more information. 


If you have questions about ThriveAP or Midlevels for the Medically Underserved, feel free to contact us at mmu@midlevelu.com. Or, you can download our ThriveAP and Midlevels for the Medically Underserved info packets.