Working notes from a practicing ACNP and graduate-program faculty member. Clinical practice, NP education, and the parts of AI showing up in both.
The 48-hour rule is not a safety net. One in seven patients with AF of more than two days has a clot on TEE. Here's what the 2023 guidelines actually require.
Read the piece →How much cardiology did your NP or PA program include? The answer is almost always: not enough. Here's what the gap looks like, why it exists, and what to do about it.
Heart failure with mildly reduced ejection fraction sits between the two ends of the spectrum that the trials studied and the guidelines were built for. That's not a reason to wait. It's a reason to pay closer attention.
NP and PA programs are designed to produce generalists. A growing number of graduates take their first job in a subspecialty. Nobody built a bridge between those two things.
The physical exam gets the eulogies. In cardiology, the history is where the diagnosis actually lives, and it's a performance skill that can only develop through supervised repetition with real patients.
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