Disclosures. 326: New Beginnings: Tips for Helping You Find The Best Position Susan Van Cleve DNP, CPNP-PC, PMHS, FAANP. Learning Objectives

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1 Disclosures 326: New Beginnings: Tips for Helping You Find The Best Position Susan Van Cleve DNP, CPNP-PC, PMHS, FAANP No Disclosures Special thanks to DrPat Clinton and DrBeth Richardson for their ideas and support Added thanks to all the students I have known and been a part of their transition from students to NPs. Thank you for allowing me to be part of your experience! Learning Objectives At the end of the session the participant will; 1. Describe techniques for searching for a job and applying for a position 2. Develop a high quality resume or Curriculum Vitae 3. Identify skills that can be used in interviewing and job negotiation Overview of Presentation State of the profession Getting started How to find a job Now that you ve got the job Nurse Practitioners are in Demand Health Care Reform: increasing demand for primary care Primary care physicians: projected shortage of 20,400 physicians by 2020 Affordable Care Act: expand health care coverage to another million Continued growth and aging of the US population The 2012 National Sample Survey of Nurse Practitioners (HRSA) 154,000 licensed NPs in the US in ,000 worked in a position requiring a NP credential 127,000 were providing patient care; 60,407 working in primary care practices or facilities 22,000 NPs not working as NP, 11,000 were working as RNs 1

2 Over 88% of NPs are Working in Ambulatory or Hospital Settings (HRSA) Settings Number Percent Ambulatory Settings ,337 Hospital settings ,503 Long-term and elder care 4.7 5,528 Public or community health 2.1 2,527 Other settings 5.0 5,921 Academic education program 3.1 3,673 Occupational/employee health 1.1 1,273 Total 118, State of the DNP AACN Rand Study, 2014 Schools of nursing have made progress transitioning to DNP DNP programs (BSN-DNP or MSN-DNP) offered at >250 schools. Near universal agreement among nursing s academic leaders re: value of DNP education in preparing APRNs. Master s degree remains dominant route into APRN practice. Schools with or planning a BSN-DNP (27%) intend to close their master s level APRN programs. Approximately 30% of nursing schools with APRN programs now offer BSN-DNP, and this proportion will climb to greater than 50% within the next few years. Salaries for NPs Salaries for NPs are increasing Male NPs earn 12.8% more than female NPs (NPPA Advance, 2010) Regional and geographic differences Know the salary range in the region Advance-NP Salary by Geographic Setting, 2012 Rural Full-Time Salary $88,165 Rural Full-Time Salary $85,763 Suburban Full-Time Salary $90,481 Suburban Full-Time Salary $92,147 Urban Full-Time Salary $92,294 Urban Full-Time Salary $91,147 2

3 Overview of Presentation State of the profession Getting started How to find a job Now that you ve got the job Let s get started NAPNAP Career Guide: Melnic Consulting Group sponsors site Use as resource for before, during, and after the interview AANP has new Job Center: te_id=21862g Before you apply, need to consider. Short and long term goals What population and type of setting Where? Strengths and weaknesses as NP Do you consider yourself scholarly? If so, how? What really interests you? If you have DNP, how will you use it? If no DNP, will you pursue it, when? Professional considerationsmentor, daily schedule Personal considerationsschedule, commute, salary, benefits, CE If you have DNP, how will you incorporate it into your job? Clinical Expert Research Leadership Practice Health Policy Health Economics Informatics/Technology Health Promotion/Population Health Organizations and Systems Self Assessment Honestly and openly reflect on: Priorities-personal and professional Personal characteristics- strengths, weaknesses How others perceive you Prepare to present yourself Practice ahead of time-plan what to say, how to say it Begin with Dream Job Describe short and long term goals for this position Describe: Location/Type of Setting/Population Schedule Responsibilities- types of patients, visits, time per visit Salary Benefits- health insurance, malpractice, parking, CE, licensure, certification Collaboration/consultation Work environment- office, technology support Opportunities for growth Identify your priorities 3

4 Begin to Articulate You as the Product Articulate value and quality of product (you) Describe role/practice you are interested in and why Emphasize unique NP/DNP characteristics Develop written description of role and responsibilities Add specifics for YOU Resume or Curriculum Vitae (CV) CV -used primarily when applyingfor academic, academic clinical, scientific or research positions Differences between a CV and a resume CV is a longer, more detailed synopsis of background and skills CV includes a summary of educational and academic backgrounds as well as teaching and research experience, publications, presentations, awards, honors, affiliations and other details May need different versions of a CV for different types of positions CV Verses Resume Entry level resumes are usually limited to 1-2 pages Goal of a resume is to construct a professional identity Goal of a CV is to construct a scholarly identity CV reflects abilities as scholar: teacher, researcher, and publishing within the discipline May not need to include an objective on a CV If moving to another field, a stated objective may help stress new focus Follow the simple "C" rules: CVs are longer than resumes and more detailed, refrain from writing your life story Delete irrelevant or unprofessional information. Be Clear.Keep your CV well organized and logical. Be Concise. Include only relevant and necessary information. Be Complete. Do include ALL the relevantinformation. Be Consistent. Use the same styles and fonts throughout the CV. Be Current. Keep your CV up-to-date, once you have it written, adding new publications and awards as they occur. Content of CV There is no single correct format or style for writing a CV Generally, a good CV will include the following: Contact Information Full name Mailing Address: Permanent Obtain address that will not expire Phone number(s) Sections on the CV: list in reverse chronology Education Undergrad/Grad Professional Experience Research/ Clinical Projects: funded-unfunded Publications Always bold your name in authorship You may include submitted and/or pending publications but state Presentations Honors and Awards Volunteer/Service Experiences Content of CV Certifications and Licensure Professional Affiliations Alphabetical listing Include all dates of affiliation Note any positions Professional Activities Only those very specific to academic/research career Should be school or university sponsored committees Include offices held References (optional) 4

5 Important Stylistic Techniques Gapping Use of incomplete sentences in order to present your information as clearly and concisely as possibly Poor: I taught nursing for four years, during which time I planned classes and clinical experiences, and constructed exams. I also met with students regularly for conferences. Better: ( ) Nursing Instructor for didactic and clinical courses. Designed course curriculum. Held regular conferences with students. Stylistic Strategies Parallelism Very important to a strong CV Keep the structure of your phrases and/or sentences consistent throughout your document taught undergraduate research classes Enjoy working with students on individual basis Instructor for clinical oncology Dedicated mentor to NP students General Set-Up Features Font: Times New Roman White paper Font size: 12 point No underlining Single sided Margins: 1 all around Use bolding and CAPs for emphasis Number pages No graphics Same font throughout Full name on every page in header Resume Resume should be: Well organized, simple font, and easy to follow Create ongoing lists of your skills, experience, and accomplishments Order is the key including a summary, education, experience, credentials, and accomplishments Follow 12 Great Steps for a Great PNP Resume: steps-pnp-resume Online Resumes Advantages include the potential of increased exposure. Place emphasis on choosing keywords employers look for in resumes posted online Make a listing of keywords the first item in your online resume, following your contact information. Most online employment websites offer forms or software programs to aid you in developing an online resume. CV/Resume Resources CV Tips: Purdue Online Writing Lab: About.com: Writing Curriculum Vitae/Resume: ume.htm Vertex 42: CV Template: Sample CV: 5

6 Online Professional Portfolios Sample of documents about who you are as a professional Evidence of your best work Contains examples of one s work, not just a description Profile of major accomplishments and contributions professionally-designed-personal-portfolio-websites/ Overview of Presentation State of the profession Getting started How to find a job Now that you ve got the job Considerations Where should you look? Is this a time to relocate? What setting? Inpatient, outpatient, specialty? Population? Schedule? Other-health insurance, retirement, CE, vacation, technology, office space, parking, commute How to Find a Job Go on hospital, practice websites use nurse practitioner, physician extender (UGH), mid-level provider as key words State/local NP organizations advertise jobs Send CV/resume to colleagues with cover letter Use the phone-call offices, clinics Linked In Professional recruiters Human resources.. Network Contact individuals in sites you desire to work Ask colleagues, professors for names Use for introduction Use professional organization contacts (NAPNAP, State NP Chapters) Next steps Accurate self assessment Clear concept of desired practice Develop professional portfolio: CV, resume, cover letter, list of references Craft a query letter Determine if position exists Request an informational interview 6

7 Cover Letters Brief: no more than one page Engage reader in first 2 sentences-why you are interested in position and highlight specific strengths you bring to practice Highlight any qualifications that make you unique for this position State method of follow-up you will make Interview Preparation (Melnic) Learn all you can about the company or organization Be prepared to answer and ask questions. Prepare your clothes for your interview, making sure they are business-like, clean, pressed and conservative. Bring extra copies of your resume and a pad of paper and pen. During the Interview (Melnic) Arrive 10 to 15 minutes early. Treat all people you encounter with professionalism and kindness. You should maintain a professional image you are invited to. Don't chew gum. Turn off your cell phone. Do not interrupt. Be aware of your non-verbal behaviors During the Interview (Melnic) Be enthusiastic, confident and energetic, but not aggressive, pushy or egotistic. Do not make negative comments Listen carefully to each question. Give thoughtful, tothe-point and honest answers. Ask for clarification Don t talk too much. If you are asked what your salary requirements are, you can respond by giving them a range. When interviewer concludes the interview, offer a firm handshake and make eye contact. Make a follow-up plan. Sample Interview Questions (Melnic) What are your strengths and weaknesses? If you could have your choice of any job, what would it be and why? Why do you want to work in this unit/clinic/facility? What are your short and long-range goals? What does success mean to you? What motivates you? How do you interact with families and patients? Tell me about your greatest achievement and greatest disappointment. Vague Interview Questions (Melnic) Tell me about yourself. What weaknesses in your work habits do you think you need most to work on Why should I hire you? Why do you believe that you are the best candidate for this job? Why do you believe that you could handle this position? How soon would you be able to start this position if we offer it to you? 7

8 Behavioral Interview Questions Tell me about a time when you demonstrated a lack of judgment in the care you provided. Tell me about a time when you disagreed in the care that you were providing Tell me about a time when you experienced an ethical or cultural dilemma at work, what was your role in it and what would you have done differently. Tell me about a difficult encounter you had with a supervisor or manager and how you resolved it. Tell me about a time when you made a difference in someone's life. After the Interview Before you leave, establish plan for next contact Send or thank you note-indicate interest and provide emphasis on areas of strength or clarify questions Recontact as planned If turned down for a position, provide thanks and ask to be recontacted is another position arises NEVER BURN BRIDGES! Once Offered a Position, Consider Other Fringe Benefits Certification fees License fees Insurance Health, life, disability Continuing Ed support Phone/computer Vacation/leave Journal subscriptions Membership dues Loan repayment Incentives/bonuses Profit sharing Marketing/advertising Clinical privileges Partnership Paid relocation Offered a Position: What to Do? Do not accept right away Ask for offer-can be in writing Ask questions about offer-get your facts straight! Indicate interest in positive way Clarify, clarify, clarify Role description Responsibilities Who you report to/performance evaluations Communication between providers Schedule/Administrative time Support staff-who will work and support you Any administrative responsibilities Continuing education in practice-grand rounds, lunch and learn May ask to spend a day observing Salary Schedule Number/type of patients Benefits, vacation time Office space/computer Technology support On call Insurance Reimbursement-billing of NPs Clarify CE time paid Credentialing Malpractice insurance Fees for licenses, certification Marketing of NP in practice-business cards, name on door, announcement Profit sharing/bonuses 8

9 DNP Role Opportunities for scholarship Academic teaching Creative use of technology Professional organizational involvement Committee participation/system initiatives Collaboration with community Orientation Negotiate for orientation period Clarify time period Time to learn about system issues, specialty resources Time to learn EMR Shadow Providers Schedule increases slowly Accept Position Once all negotiations have been done, accept position verbally in writing Negotiate start date First few weeks, be eager learner, no criticisms, sit back and take it all in May need to renegotiate but remember, you will never get as much as you do BEFORE you accept a job Overview of Presentation State of the profession Getting started How to find a job Now that you ve got the job Transition Considerations New NPs/DNPs or NPs in New Positions Limbo to legitimacy (Brown and Olshansky, 1998) Stage 1- Laying the foundation Recover from school Get legitimized (certification, licensure) Seek employment Negotiate bureaucracies, worry about meeting role expectations Stage 2-Launching First 3 months Anxiety associated with crisis of confidence and competence May feel overwhelmed with skills needed May feel exhausted Feel like an imposter or fake, feel inadequate 9

10 Stage 3 Meeting the Challenge Regaining confidence and increasing competence Optimism returns Enthusiasm for job develops Feel more legitimate and competent Stage 4 Integration Role refined and expanded Self confidence returns Settles in to job Strategies for Transition Be patient and recognize transition will take time Develop a structured orientation plan Learn agency organizational structure, policies, procedures Seek peer support within and outside agency Identify a mentor Minimize life distractions and take care of self Barriers to Role Integration Role ambiguity-lack of clarity about responsibilities, lines of communication Role incongruity-differences in work environment (office space), ways people are treated or supported Role conflict-consultative or collaborative relationships, availability of support Underlying factors-line or staff position, communication lines, power and authority Be prepared Know your priorities Summary Be organized in looking for a position Use all the tools at your disposal Good luck!! References Buppert, C. (2014). 20 Questions to ask a prospective employer. The Journal for Nurse Practitioners, 10(1): HRSA (2014). Highlights from the 2012 national sample survey of nurse practitioners. HRSA. Welton, RH. (2013). Writing an employer-focused resume for advanced practice nurses. AACN Advanced Critical Care, 24(2):