Using Simulation to Prepare for Clinicals in Front-Loaded FNP Curricula

Background: Transitioning from a Master of Science degree to a Doctorate of Nursing Practice degree in a Family Nurse Practitioner program presents a challenge in course sequencing. If DNP coursework is placed after concurrent clinical and didactic courses, students will encounter situations in clinical that they have not studied in the didactic arena (increasing preceptor burden) and complete their clinicals a year before graduation. We adopted a front-loaded course sequence, placing didactic management courses before the start of clinical courses. However, students would now be exposed to didactic management content a year before beginning clinical. Methods: To enhance readiness for clinicals, we implemented a program, “Conquering Clinical,” which included a full day of simulation that reviewed four scenarios frequently encountered in primary care. Results: The students reported feeling both more confident and more competent in conducting a primary care encounter. Conclusion: A preclinical preparation program is beneficial to both students and preceptors.