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Office of Academic Affiliations


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About Nurse Practitioner Residency Programs

The VA Office of Academic Affiliations (OAA) Nurse Practitioner Residency (NPR) program is one of VA’s premier education and training programs designed to prepare the next generation of well-rounded, highly skilled Nurse Practitioners (NPs). The VA OAA NPR is a bridge from strong academic foundations to clinical practice with an aim to develop competent and confident NPs equipped with the knowledge and skills to successfully practice in today’s complex, fast-paced health care environment. An unparalleled 12-months VA OAA NP residency focuses on the advancement of clinical, leadership, and scholarship skills

VA OAA NPR Mission Statement

To develop competent, confident, practice-ready Nurse Practitioners equipped with the knowledge and skills to address the specific needs of our nation's Veterans in the VHA or community.

Competency-Based Curriculum

The VA OAA NP competency-based curriculum is based on an 80/20 model with 80 percent of the training time focused on the advancement of clinical skills and 20 percent on the enhancement of clinical knowledge, focusing on Veteran-centric topics and principles of assessment, diagnostics, and treatment of complex clinical cases that incorporate the bio-psycho-social aspects of the whole person and evidence-based practice. The unique VA OAA NPR training is delivered in the interprofessional learning environment in which NP residents work collaboratively with the physician, psychology, pharmacy, social work, and other health professions resident trainees.
The development of leadership skills involves a variety of experiential and mentoring activities: leading interprofessional team conferences, serving on medical center committees, mentoring others in specific areas of expertise, to name a few. Evidence-based practice is a central tenet of the program and residents are deeply engaged in quality enhancement and system redesign projects during their training at the VA medical centers, leading to improved patient and organizational outcomes as well as providing opportunities for scholarly presentations and publications.

Evaluation of Nurse Practitioner Resident Trainees

Evaluation of the residents’ progress takes place by both self-assessment and faculty assessment at regular intervals. National evaluation of the VHA OAA NPR program effectiveness reveals strongly positive outcomes. Evaluation of faculty-rated competency assessment scores demonstrates significant improvements in NP resident skills competency level at the completion of the VA OAA NP residency training in all 24 clinical competency areas. Analysis of residents’ competency self-assessment scores revealed that residents’ self-perceived competency in clinical skills improved significantly during the 12 months VA OAA NPR training program in all assessed clinical competency areas. Residents express overwhelming satisfaction with their learning experience at VA. Organizational impact studies also indicate significant positive effects of VA OAA NPR training programs on VHA nursing workforce recruitment and retention goals.

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Specialties and Locations

OAA Nursing Education currently offers Nurse Practitioner Residency Training in:

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Eligible candidate must be:

  • A recent graduate (within 12 months) of master's or doctoral level Nurse Practitioner program accredited by the Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE).
  • Citizen of the United States.
  • Hold current board certification in the same specialty area as the program’s focus:
    • Mental Health NP Residents must hold Psychiatric Mental Health board certification
    • Primary Care NP Residents must hold either an Adult-Gerontological Nurse Practitioner or Family Nurse Practitioner board certification.
  • Current, full, active, and unrestricted registration as a nurse practitioner in a state, commonwealth or territory of the United States, or the District of Columbia, prior to the start of the NPR program.

Note: A “90-day licensure and board certification requirement grace period” may be granted to highly qualified NP residency candidates whose licensure and board certification have been delayed. Candidates must provide written assurance that they will obtain licensure and board certification within 90 days from the start of the program.

Am I Eligible?

Download this Checklist to be sure you meet all Eligibility requirements to train at VA facilities.

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How to Apply

To apply to VA's Nurse Practitioner Residency Program, interested applicants can explore the Mental Health and Primary Care Nurse Practitioner locations to identify program of interest locations and carefully review program announcement for specific information about program eligibility at the facility. Interested candidates are encouraged to contact program directors at the facilities of interest for specific application requirements and submission deadlines. All eligible applications are processed and approved at the local facility level.

Other application forms and mandatory training information can be found at OAA’s Application Forms & Mandatory Training website.

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