Rebekah Bernard MD and Niran Al-Agba MD | 3/18/2024

John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the “2023 Report on Nurse Practitioner Education and the Need for Change,” which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training.

Canion suggests:
– At least 2 years of RN experience before starting NP school
– Increased standards for entry, including minimum GPA requirements
– Standardized, rigorous education and program-vetted preceptorship
– An increase to 2,000 hours of base NP training and an additional 4,000 hours of training within a specialty (Family, Psych, ER, etc).

He writes, “We need a pause on independent practice or ‘full practice authority’ for NPs until our education has been fully reviewed.”

Read the entire report here:
https://jcthenp.substack.com/p/2023-report-on-np-education-and-the

You might also be interested in...

  • Our critical appraisal of Cochrane’s “Substitute of Nurses for Physicians in Hospital Settings” is published in Missouri Medicine

    October 1, 2026

  • North Carolina Legal Challenge Threatens Vital Physician-Led Patient Safeguards

    September 25, 2026

  • Why Physician-Led Care and Credential Transparency Are Non-Negotiable Safeguards

    September 17, 2026

  • Profit Over Expertise: NP’s and PA’s Fuel Over-Prescribing Risks. Pharmaceutical Companies Profit & Patients Can be Harmed.

    August 24, 2026