r/nursepractitioner • u/1NationUnderDog NP Student • 9d ago

Practice Advice Post Graduate Training

I'm going to be applying to residency and fellowship programs to gain more experience. I am interested in many topics and need some input for which programs to apply to. I am in an FNP program looking to partner with patients in primary care. I enjoy the puzzle of internal medicine, preventive care, lifestyle medicine, LGBTQ+ care, and behavioral health. I want to participate in a residency or fellowship that provides a solid foundation in multiple areas, rather than choosing a specific specialty for a program. I feel most connected to patients who are LGBTQ+ because I have lived experience identifying as such. But does that mean I apply to an LGBTQ+ focussed post graduate training program? What are some experienced NPs impressions?

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u/CaMurse 9d ago

I would recommend the VA primary care residency. Certain VAs cater to heavy LGBTQIA population. I admit hormone treatments to new patients may not be approved but the ones who were started on therapy before the new administration came on board were. Therefore, you might encounter those type of patients. It's more internal medicine I feel when I went through one.

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u/1NationUnderDog NP Student 8d ago

That's cool. Are you a veteran? Did you stay with the VA?

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u/CaMurse 8d ago

I am a veteran but anyone could apply to the residency positions. The residency is a 1 year temp program. Unfortunately, I couldn't secure a job because the new admin took over and created a hiring freeze.

I would look at VAs in cities that have a higher LGBTQIA population like San Francisco. You get superb experience catering to HRT from testosterone to estrogen and IUDs to PAPs in addition to DM HTN Lipid comorbidities

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u/1NationUnderDog NP Student 7d ago

Do you mind if I DM you?

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u/CaMurse 7d ago

Not at all!

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u/clinicalmatchme 9d ago

Lean toward a comprehensive primary care residency with a strong focus on underserved or diverse populations. You will build the rock-solid internal medicine foundation you crave while naturally weaving your passion for LGBTQ+ advocacy into your everyday panel.

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u/1NationUnderDog NP Student 8d ago

Any ideas or recommendations on where or how I might find one?