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Geriatric and Extended Care Nurse Practitioner Residency (GEC-NPR) Program - Veterans Affairs

Durham Veterans Affairs Health Care System is one of the eight sites for the newly established Geriatric and Extended Care Nurse Practitioner Residency (GEC-NPR) Program by the Office of Academic Affiliations (OAA). The first cohort of GEC-NPR program will begin their training in September 2022 and extend through August 2023. The GEC-NPR program is affiliated with Duke University School of Nursing.

The GEC-NPR program will enhance the novice nurse practitioners' knowledge and skills acquired during their nursing practice and graduate-level academic education and prepare them to be proficient in the care of aging Veterans with multimorbidity and frailty.

The primary goal of the GEC- NP Residency Program is to:

Enhance geriatric workforce by producing nurse practitioners proficient in the following:

  1.  Comprehensive geriatric evaluation
  2.  Assessment, diagnostic testing, treatment, and planning of care for aging Veterans with complex medical and psychosocial needs.
  3.  Management of polypharmacy, including consideration of risks and benefits of medications in the older Veteran
  4.  Palliative, end-of-life care, and advanced care planning
  5.  Transitions of care 
  6.  System-based approach to anticipate and deploy resources to optimize outcomes
  7.  Leadership of interprofessional teams in providing high quality care and designing quality improvement initiatives

The trainees will spend 40 hours in clinical and didactic learning activities weekly to become proficient in 24 competencies specified in GEC-NPR curriculum.

  • Residency curriculum includes: 80% experiential and 20% didactic learning.
    • Clinical rotations include: Community Living Center, Geri-PACT, Home Based Primary care, Hospice and Palliative Care, Dementia Care, & other geriatric models of care (80%).
    • Integrated and parallel clinical didactic sessions (20%).
    • Quality-improvement project.
  • Didactic sessions frequently occur in conjunction with other DVAHCS-Duke University training programs including the Geriatric Medicine fellowship, VA Quality Scholars Program, Geriatric Scholar program and the Primary Care and Mental Health NP residencies to promote interprofessional learning.
  • Faculty mentors and supervising clinicians   will facilitate the novice NP’s journey to a proficient advanced practice provider with expertise in geriatrics.
  • Upon successful completion of the residency, the trainees will be given the
  • Opportunity to apply for available vacancies within the VA Health Care System across the country.

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Geriatric and Extended Care Nurse Practitioner Residency (GEC-NPR) Program - Veterans Affairs
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